(S)-(-)-Levamisole is an anthelmintic that selectively activates nematode acetylcholine ion channel receptors[1]. (S)-(-)-Levamisole works as a nicotinic acetylcholine receptor agonist, causing muscle spasms and paralysis in parasitic worms, enhances the function of macrophages, T lymphocytes, and T cell maturation as well as cytokine production (IL-1), and induces a shift towards Th1 cytokines[2]. (S)-(-)-Levamisole has been widely used in immunomodulation to prevent parasitic, viral and bacterial infections[3].
In vitro, (S)-(-)-Levamisole treatment (5mM) for 24 hours induced apoptosis in human umbilical vein endothelial cells (HUVEC), and decreased the mRNA expression of p53, clusterin, and ET-1[4]. Incubation with (S)-(-)-Levamisole (100µM) for 24 hours suppressed lipopolysaccharide (LPS)-stimulated PGE2 production and reduced LPS-induced COX-2 mRNA expression and COX-2 protein levels in Colon 205 cells[5].
In vivo, (S)-(-)-Levamisole treatment via subcutaneous injection at a dose of 12mg/kg dose, three times a week for 4 weeks, inhibited the growth of HABC-1 tumors in BALB/cA nu/nu mice[6]. Oral administration of (S)-(-)-Levamisole (20mg/kg) daily for 14 days alleviated the cytopenia in the mouse model of immune-mediated bone marrow failure and prolonged the survival period[7].
References:[1] Martin R J, Robertson A P, Buxton S K, et al. Levamisole receptors: a second awakening[J]. Trends in parasitology, 2012, 28(7): 289-296.
[2] Brunt T M, van den Berg J, Pennings E, et al. Adverse effects of levamisole in cocaine users: a review and risk assessment[J]. Archives of Toxicology, 2017, 91(6): 2303-2313.
[3] Scheinfeld N, Rosenberg J D, Weinberg J M. Levamisole in dermatology: a review[J]. American Journal of Clinical Dermatology, 2004, 5(2): 97-104.
[4] Artwohl M, Hölzenbein T, Wagner L, et al. Levamisole induced apoptosis in cultured vascular endothelial cells[J]. British journal of pharmacology, 2000, 131(8): 1577-1583.
[5] Liu M S C Y, Lai M S Y Y, Lo M D C J. Levamisole modulates prostaglandin E2 production and cyclooxygenase II gene expression in human colonic cancer cells[J]. Journal of Surgical Research, 2004, 117(2): 223-231.
[6] Friis T, Engel A M, Klein B M, et al. Levamisole inhibits angiogenesis in vitro and tumor growth in vivo[J]. Angiogenesis, 2005, 8(1): 25-34.
[7] Wang J, Liu J, Wang M, et al. Levamisole suppresses CD4+ T-cell proliferation and antigen-presenting cell Activation in Aplastic Anemia by Regulating the JAK/STAT and TLR Signaling Pathways[J]. Frontiers in Immunology, 2022, 13: 907808.
















