In vitro immune modulation by thymosin alpha1 in patients with head and neck squamous cell carcinoma

Abstract
To determine if patients with head and neck squamous cell carcinoma represent an appropriate population for immune reconstitution with thymosin alpha1, leukocyte migration inhibition (LMI) in response to phytohemagglutinin was measured in 24 previously untreated patients with head and neck cancer, and the in vitro effects of thymosin alpha1 on migration inhibition were assessed. Compared to normal subjects, LMI was impaired in the head and neck cancer patients. Thymosin alpha1, in vitro, was associated with improvement in LMI in the cancer patients. Improvements in migration response with thymosin alpha1 appeared to be independent of levels of various T‐lymphocyte subpopulations. However, patients with a normal LMI response had lower suppressor/cytotoxic cell levels than normal subjects or patients with impaired LMI. The findings confirm prior reports of the effects of thymic hormones on lymphokine production in vitro and provide rationale for further clinical studies of thymosin alpha1 in patients with head and neck squamous cell carcinoma.