PMID- 17523988 OWN - NLM STAT- MEDLINE DCOM- 20071025 LR - 20131121 IS - 0965-2140 (Print) IS - 0965-2140 (Linking) VI - 102 IP - 6 DP - 2007 Jun TI - Combined immunomodulating properties of 3,4-methylenedioxymethamphetamine (MDMA) and cannabis in humans. PG - 931-6 AB - AIMS: Cell-mediated immune function and the occurrence of mild infectious diseases was investigated. Participants Polydrug consumers of 3,4-methylenedioxymethamphetamine (MDMA) and cannabis (n = 37) compared to cannabis users only (n = 23) and control group (n = 34). DESIGN: A longitudinal prospective study with three cross-sectional evaluations at time 0 and at 6 months and 1 year was performed. FINDINGS: At baseline, a significant decrease in interleukin (IL)-2 and an increase in anti-inflammatory transforming growth factor (TGF)-beta1, together with a decrease in the number of total lymphocytes, CD4 and natural killer (NK) cells were observed in the MDMA-cannabis group, with intermediate alterations in the cannabis group. Immune alterations observed at baseline were sustained over time. No differences were found between regular and occasional MDMA users. A significantly higher rate of mild infections in regular MDMA-cannabis users compared with occasional MDMA-cannabis users and the remaining groups was observed. CONCLUSIONS: The present data confirm that long-term alterations in immunological homeostasis may result in general health status impairment and subsequent increased susceptibility to infection and immune-related disorders. FAU - Pacifici, Roberta AU - Pacifici R AD - Dipartimento del Farmaco, Istituto Superiore di Sanita, Rome, Italy. FAU - Zuccaro, Piergiorgio AU - Zuccaro P FAU - Farre, Magi AU - Farre M FAU - Poudevida, Sandra AU - Poudevida S FAU - Abanades, Sergio AU - Abanades S FAU - Pichini, Simona AU - Pichini S FAU - Langohr, Klaus AU - Langohr K FAU - Segura, Jordi AU - Segura J FAU - de la Torre, Rafael AU - de la Torre R LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Addiction JT - Addiction (Abingdon, England) JID - 9304118 RN - 0 (Hallucinogens) RN - 0 (Immunologic Factors) RN - 0 (Interleukin-2) RN - 0 (Transforming Growth Factor beta1) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adult MH - Cannabis/*adverse effects MH - Drug Interactions MH - Female MH - Follow-Up Studies MH - Hallucinogens/*adverse effects MH - Humans MH - Immunity, Cellular/drug effects MH - Immunologic Factors/*adverse effects MH - Interleukin-2/blood MH - Longitudinal Studies MH - Lymphocytes/drug effects MH - Male MH - Marijuana Abuse/immunology MH - N-Methyl-3,4-methylenedioxyamphetamine/*adverse effects MH - Transforming Growth Factor beta1/blood EDAT- 2007/05/26 09:00 MHDA- 2007/10/27 09:00 CRDT- 2007/05/26 09:00 PHST- 2007/05/26 09:00 [pubmed] PHST- 2007/10/27 09:00 [medline] PHST- 2007/05/26 09:00 [entrez] AID - ADD1805 [pii] AID - 10.1111/j.1360-0443.2007.01805.x [doi] PST - ppublish SO - Addiction. 2007 Jun;102(6):931-6. doi: 10.1111/j.1360-0443.2007.01805.x.