The cytotoxic effects of opiates, cocaine and their metabolites on peripher
al blood mononuclear cells from healthy volunteers, concerning cell viabili
ty, were studied in a wide range of concentrations (ranging from 10(-2) to
10(-8) M), by 2 colorimetric in vitro assays, the neutral red uptake assay
and thiazolyl blue tetrazolium bromide assay. All tested drugs of abuse and
their metabolites were non-cytotoxic at concentrations lower than 10(-5) M
. The possible immunomodulative effects of these substances were evaluated
through phytohemagglutinin-induced lymphocyte proliferation ([H-3]-thymidin
e DNA incorporation assay) as well as by a Cr-51 release natural killer ass
ay. The results showed immunomodulative effects of all the opiates tested.
Cocaine, freebase cocaine and benzoylecgonine produced a statistically non-
significant decrease of phytohemagglutinin proliferation. Cocaine induced a
statistically non-significant increase, whereas freebase cocaine and benzo
ylecgonine showed a non-significant decrease of natural killer cell activit
y.