Abstract
Chronic stress has deleterious effects on immune function, which can lead to adverse health outcomes. However, studies investigating the impact of stress reduction interventions on immunity in clinical research have yielded divergent results, potentially stemming from differences in study design and genetic heterogeneity, among other clinical research challenges. To test the hypothesis that reducing glucocorticoid levels enhances certain immune functions, we administered influenza vaccine once (prime) or twice (boost) to mice housed in either standard control caging or environmental enrichment (EE) caging. We have shown that this approach reduces mouse corticosterone production. Compared with controls, EE mice had significantly lower levels of fecal corticosterone metabolites (FCMs) and increased splenic B and T lymphocyte numbers. Corticosterone levels were negatively associated with the numbers of CD19(+) (r(2) = 0.43, p = 0.0017), CD4(+) (r(2) = 0.28, p = 0.0154) and CD8(+) cells (r(2) = 0.20, p = 0.0503). Vaccinated mice showed nonsignificant differences in immunoglobulin G (IgG) titer between caging groups, although EE mice tended to exhibit larger increases in titer from prime to boost than controls; the interaction between the caging group (control versus EE) and vaccine group (prime versus boost) showed a strong statistical trend (cage-group*vaccine-group, F = 4.27, p = 0.0555), suggesting that there may be distinct effects of EE caging on primary versus secondary IgG vaccine responses. Vaccine-stimulated splenocytes from boosted EE mice had a significantly greater frequency of interleukin 5 (IL-5)-secreting cells than boosted controls (mean difference 7.7, IL-5 spot-forming units/10(6) splenocytes, 95% confidence interval 0.24-135.1, p = 0.0493) and showed a greater increase in the frequency of IL-5-secreting cells from prime to boost. Our results suggest that corticosterone reduction via EE caging was associated with enhanced secondary vaccine responses, but had little effect on primary responses in mice. These findings help identify differences in primary and secondary vaccine responses in relationship to stress mediators that may be relevant in clinical studies.
Highlights
Stress can be defined as a relationship between a person and his or her environment that is appraised as being taxing or exceeding the ability to cope [1]
We found a negative relationship between body mass and mean fecal corticosterone metabolites (FCMs) concentration (r2 = 0.30, p = 0.0002; Figure 2E), a finding in line with previous reports of the relationship between dominance hierarchy and corticosterone production [30]
The proportion of CD19+, CD4+ and CD8+ cells, as a percentage of total splenocytes, exhibited a statistically significant negative relationship with corticosterone concentration (CD19+, r2 = 0.61, p < 0.0001, Figure 3H; CD4+, r2 = 0.39, p = 0.0034, Figure 3I; CD8+, r2 = 0.20, p = 0.0492, Figure 3J). These results demonstrate that in naive mice, decreased glucocorticoid levels were associated with greater spleen cellularity, a pronounced increase in the number of CD19+ B lymphocytes and a modest increase in CD4+ and CD8+ T lymphocyte numbers per spleen
Summary
Stress can be defined as a relationship between a person and his or her environment that is appraised as being taxing or exceeding the ability to cope [1]. Studies have shown that chronically stressed individuals mount weaker responses to influenza, hepatitis B and pneumococcal vaccines, compared with matched control subjects, and repeated activation of the stress response and exposure to stress mediators are thought to be related to the observed immune dysfunction [11,12,13]. These studies, as well as others, have reported a negative association between psychological stress level and performance in a variety of tests of immune function [14,15]
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