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(±)-Thalidomide is an immunomodulatory compound with diverse biological activities, including anticancer, anti-inflammatory, and teratogenic properties.1,2,3 It prevents polymorphonuclear leukocyte (PMN) chemotaxis when used at concentrations of 1, 10, and 100 µg/ml.1 (±)-Thalidomide increases IL-2-induced proliferation and IFN-γ production in primary human T cells in vitro.2 It enhances natural killer (NK) cell-mediated cytotoxicity in MM.1S multiple myeloma cells.3 Thalidomide (4 mg/animal) reduces lung IL-6, TGF-β, VEGF, angiopoietin-1, angiopoietin-2, and collagen type Iα1 expression, inhibits pulmonary angiogenesis, and attenuates fibrosis in a mouse model of bleomycin-induced pulmonary fibrosis.4 It induces apoptosis in primary human embryonic fibroblasts (EC50 = 8.9 µM) and induces limb and eye defects in chicken embryos (EC50 = 50 µg/kg egg weight).5 Formulations containing thalidomide have been used in the treatment of multiple myeloma and erythema nodosum leprosum (ENL) in non-pregnant individuals.
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1. Inhibition of PMN leukocytes chemotaxis by thalidomide. Arch. Dermatol. Res. 269(3), 275-280 (1980).
2. Thalidomide costimulates primary human T lymphocytes, preferentially inducing proliferation, cytokine production, and cytotoxic responses in the CD8+ subset. J. Exp. Med. 187(11), 1885-1892 (1998).
3. Thalidomide and immunomodulatory derivatives augment natural killer cell cytotoxicity in multiple myeloma. Blood 98(1), 210-216 (2001).
4. Thalidomide prevents bleomycin-
5. Thalidomide induces limb deformities by perturbing the Bmp/Dkk1/Wnt signaling pathway. The FASEB Journal 21(7), 1410-1421 (2007).