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Effects of Ribavirin on Neutrophil Function

Ribavirin, a broad spectrum antiviral agent, has been shown to exhibit immunosuppressive activity. This property has raised concerns during clinical trials because candidates for antiviral therapy are those who may develop secondary bacterial infection. We therefore investigated a number of paramete...

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Bibliographic Details
Published in:The American journal of the medical sciences 1988-06, Vol.295 (6), p.503-506
Main Authors: Steele, Russell W., Crosby, David L., Steele, Robert W., Pilkington, Neylon S., Charlton, Ronald K.
Format: Article
Language:English
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Summary:Ribavirin, a broad spectrum antiviral agent, has been shown to exhibit immunosuppressive activity. This property has raised concerns during clinical trials because candidates for antiviral therapy are those who may develop secondary bacterial infection. We therefore investigated a number of parameters of neutrophil function after the in vitro addition of various concentrations of ribavirin. At pharmacologic concentrations (1.25−7.5 μg/mL), percent killing of phagocytized bacteria was increased as measured by an acridine orange fluorochrome microassay, significantly higher at a concentration of 5 μg/mL (p < .02). There was no concomitant adverse effect on adherence, random migration, chemotaxis, opsonization or phagocytosis. The present data indicate that ribavirin has no acute suppressive effect on granulocyte function and may even enhance bacterial killing capabilities for treated patients.
ISSN:0002-9629
1538-2990
DOI:10.1097/00000441-198806000-00002