The effect of purified glycosphingolipids from Leishmania (Leishmania) amazonensis on human lymphoproliferation, on expression of human lymphocyte and monocyte markers (CD3, CD4, CD8, CD14, CD19, and CD45), and on lymphocyte protein kinase C activity was analyzed.Parasites belonging to the genus Leishmania present two forms in their life cycle: promastigotes, which multiply in the midgut of the sandfly vector, and amastigotes, the obligate intracellular forms which live within macrophage phagolysosomes in the vertebrate host. Leishmania (Leishmania) amazonensis is responsible for most cases of human cutaneous leishmaniasis in the Amazon region of Brazil.A family of glycosphingolipids (GSLs) was identified in amastigotes of L. (L.) amazonensis (1,18,19). In an earlier report we demonstrated that GSLs purified from L. (L.) amazonensis amastigotes inhibited the proliferation of murine T and B cells (2), suggesting that parasite glycosphingolipids may play a relevant role in leishmaniasis. Data from our studies were in agreement with those of several reports showing that GSLs isolated from brain or tumor cells inhibit proliferation of lymphoid cells (10)(11)(12)16) and that gangliosides inhibit the expression of the immunoregulatory antigen CD4 (15). Glycosphingolipids can also modify signal transduction through receptors associated with protein kinase C (PKC) (4-6, 9). These data prompted us to investigate the effect of these glycoconjugates on human lymphoproliferation and on the expression of lymphocyte and monocyte markers, as well as their possible role in human lymphocyte PKC activity.L. (L.) amazonensis (MHOM/BR/1973/M2269) amastigotes were isolated from foot lesions of infected hamsters, as described by Barbiéri et al. (1). Glycolipids were extracted with a mixture of isopropanol-hexane-water (55:20:25), and the GSLs were purified as described previously (18). Acetylated GSLs were fractionated from other lipids and phospholipids by Florisil chromatography, where lipids and cholesterol are eluted with 1,2-dichloroethane, glycosphingolipids are eluted with a mixture of 1,2-dichloroethane-acetone (1:1), and phospholipids are eluted with a mixture of 1,2-dichloroethane-methanolwater (4:8:2) (17). The GSL fraction was deacetylated with 0.5% sodium methoxide in methanol, neutralized with Dowex 50 (H ϩ form), and subjected to DEAE-Sephadex ion exchange chromatography in chloroform-methanol-water (30: 60:8) to separate neutral from acidic GSLs. The neutral GSL fraction purity was analyzed by high-performance thinlayer chromatography using staining with orcinol-H 2 SO 4 and Dittmer-Lester reagent, which detect carbohydrates and phosphodiester linkages, respectively. No contamination with phospholipids or peptides was detected, as described previously (2,18,19). The effect of amastigote GSLs on T-cell responses induced by mitogen was analyzed in lymphocytes purified from human peripheral blood by Ficoll-Hypaque density gradient centrifugation. The human procedures were approved by the Ethical Committee for Human Care ...