Oxymetholone is a synthetic androgen, structurally related to testosterone.
It is currently used to treat anemias, but has also been abused as a perfo
rmance enhancing anabolic steroid by the sport community. Concern about its
suspected immunomodulatory properties provided the incentive for a detaile
d investigation into its effects on the mammalian immune system. In this st
udy, male B6C3F1 mice were treated for 14 d with oxymetholone (0, 50, 150,
and 300 mg/kg) by gastric intubation, then evaluated for immunotoxicity usi
ng a panel of immunotoxicity assays. Except for an increasing trend in kidn
ey and liver weights, and a dose-dependent increase in serum blood urea nit
rogen levels, no other signs of systemic toxicity were observed. Bone marro
w DNA synthesis was reduced, though this did not translate into alterations
in myeloid or monocyte colony forming units. Spleen B and T cell numbers,
antibody response to sheep red blood cells, proliferative response to both
mitogen and immunoglobulin receptor immunogens, and NK cell activity were a
ll unaltered in mice treated with oxymetholone. Peritoneal macrophage activ
ity was also unaffected by oxymetholone treatment. A 38% decrease in the sp
leen cell mixed leukocyte response, and a 15% decrease in cytotoxic T cell
activity, measured in the highest oxymetholone treatment group, indicate th
at cell-mediated immunity was impaired following exposure. This immunomodul
ation did not however, translate into a change in host resistance to Lister
ia monocytogenes.