Abstract

In concert with the known effects of stress on immune function, we examined a possible neurohumoral connection. The endogenous opiates β-endorphin, dynorphin, and methionine-enkephalin were assessed for their in vitro effects on human natural killer cell activity, antigen-specific cytolysis, and numbers and ratios of T cells and T-cell subsets. Preincubation with β-endorphin, an opiate released into the circulation during various stresses, caused a 50% reduction in natural killer cell activity. All endogenous opiates significantly decreased antigen-specific cytolysis. Inhibition of cytolysis in vitro was not mediated through an alteration of T-cell subsets or inhibition of T-cell soluble factors (interleukin 2). The direct effects of these opiates on cytolytic T-cell and natural killer cell function may provide a link between stress and disease susceptibility.

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