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Adrenergic Blockade Ameliorates Cellular Immune Responses to Mental Stress in Humans

Bachen, Elizabeth A. MA; Manuck, Stephen B. PhD; Cohen, Sheldon PhD; Muldoon, Matthew F. MD; Raible, Robert BS; Herbert, Tracy B. PhD; Rabin, Bruce S. MD, PhD

Original Article
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This study evaluated the sympathoadrenal modulation of behaviorally evoked immune responses by administration of a nonselective adrenoceptor antagonist (labetalol) to subjects exposed to mental stress.In a 2 X 2 factorial design, subjects were assigned to a labetalol or saline condition and, within each condition, were exposed either to acute laboratory stress or no stress (control). Lymphocyte subsets, natural killer (NK) cell cytotoxicity, and T cell proliferation to phytohemagglutinin and concanavalin A were assessed pre-experimentally, at baseline after infusion and after 18 minutes of mental stress (or rest). By comparison with the other three conditions, the saline-stress group showed a greater peripheral NK cell number and cytotoxicity, lower mitogenic response to phytohemagglutinin and concanavalin A, and diminished ratio of CD4:CD8 cells after the stressor. As predicted, immune responses did not differ among the remaining groups (labetalol-stress, saline-rest, labetalol-rest). Group differences in NK cell cytotoxicity were not significant after controlling for differences in NK cell numbers. These findings demonstrate that the occurrence of certain immunologic responses to acute psychological stress are dependent on concomitant activation of the sympathetic nervous system.

From the Brain Behavior and Immunity Center, University of Pittsburgh and Carnegie Mellon University; Behavioral Physiology Laboratory (E.A.B., S.B.M., R.R.), Department of Psychology, University of Pittsburgh; Department of Psychology (S.C., T.B.H.), Carnegie Mellon University; Center for Clinical Pharmacology (M.M.) and Department of Pathology (B.R.S.), University of Pittsburgh School of Medicine.

Address reprint requests to: Stephen B. Manuck, Ph.D., Behavioral Physiology Laboratory, 506 Old Engineering Hall, 4015 O'Hara Street, University of Pittsburgh, Pittsburgh, PA 15260.

Received for publication April 11, 1994; revision received October 18, 1994.

Copyright © 1995 by American Psychosomatic Society
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