Delayed response and lack of habituation in plasma interleukin-6 to acute mental stress in men
Abstract
Acute mental stress induces a significant increase in plasma interleukin (IL)-6 levels as a possible mechanism for how psychological stress might contribute to atherosclerosis. We investigated whether the IL-6 response would habituate in response to a repetitively applied mental stressor and whether cortisol reactivity would show a relationship with IL-6 reactivity. Study participants were 21 reasonably healthy men (mean age 46+/-7 years) who underwent the Trier Social Stress Test (combination of a 3-min preparation, 5-min speech, and 5-min mental arithmetic) three times with an interval of 1 week. Plasma IL-6 and free salivary cortisol were measured immediately before and after stress, and at 45 and 105 min of recovery from stress. Cortisol samples were also obtained 15 and 30 min after stress. Compared to non-stressed controls, IL-6 significantly increased between rest and 45 min post-stress (p=.022) and between rest and 105 min post-stress (p=.001). Peak cortisol (p=.034) and systolic blood pressure (p=.009) responses to stress both habituated between weeks one and three. No adaptation occurred in diastolic blood pressure, heart rate, and IL-6 responses to stress. The areas under the curve integrating the stress-induced changes in cortisol and IL-6 reactivity were negatively correlated at visit three (r=-.54, p=.011), but not at visit one. The IL-6 response to acute mental stress occurs delayed and shows no adaptation to repeated moderate mental stress. The hypothalamus-pituitary-adrenal axis may attenuate stress reactivity of IL-6. The lack of habituation in IL-6 responses to daily stress could subject at-risk individuals to higher atherosclerotic morbidity and mortality.
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In the general population, GI symptoms themselves have been reported to be associated with alterations in TNF-α and IL-6.
“In the general population, GI symptoms themselves have been reported to also be associated with alterations in TNF-α and IL-6, suggesting a potential interaction between stress and immune functioning in those with GI dysfunction (Lyte et al., 2011; von Känel et al., 2006).”
From Associations between cytokines, endocrine stress response, and gastrointestinal symptoms in autism spectrum disorder (2016) · cites this paper as von Känel et al., 2006
Cites
Atherosclerosis--an inflammatory disease
Ross, R. (1999) · New England Journal of Medicine · doi:10.1056/nejm199901143400207 · Cited by 21,725 · see citing works
Prediction of coronary heart disease using risk factor categories
Wilson, P. W. F., D’Agostino, R. B., Levy, D., Belanger, A. M., Silbershatz, H., & Kannel, W. B. (1998) · Circulation · doi:10.1161/01.cir.97.18.1837 · Cited by 9,581 · see citing works
Protective and Damaging Effects of Stress Mediators
McEwen, B. S. (1998) · New England Journal of Medicine · doi:10.1056/nejm199801153380307 · Cited by 6,733 · see citing works
Kirschbaum, C., Pirke, K.-M., & Hellhammer, D. H. (2008) · Neuropsychobiology · doi:10.1159/000119004 · Cited by 6,093 · see citing works
Dickerson, S. S., & Kemeny, M. E. (2004) · Psychological Bulletin · doi:10.1037/0033-2909.130.3.355 · Cited by 5,881 · see citing works
McEwen, B. S. (1993) · Archives of Internal Medicine · doi:10.1001/archinte.153.18.2093 · Cited by 4,365 · see citing works
Pruessner, J. C., Kirschbaum, C., Meinlschmid, G., & Hellhammer, D. H. (2003) · Psychoneuroendocrinology · doi:10.1016/s0306-4530(02)00108-7 · Cited by 3,638 · see citing works
Danesh, J., Wheeler, J. G., Hirschfield, G. M., Eda, S., Eiriksdottir, G., Rumley, A., Lowe, G. D. O., Pepys, M. B., & Gudnason, V. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa032804 · Cited by 2,953 · see citing works
Interleukin-6 and the acute phase response
Heinrich, P. C., Castell, J. V., & Andus, T. (1990) · Biochemical Journal · doi:10.1042/bj2650621 · Cited by 2,734 · see citing works
Ridker, P. M., Rifai, N., Stampfer, M. J., & Hennekens, C. H. (2000) · Circulation · doi:10.1161/01.cir.101.15.1767 · Cited by 2,429 · see citing works
Inflammation, obesity, stress and coronary heart disease: is interleukin-6 the link?
Yudkin, J. S., Kumari, M., Humphries, S. E., & Mohamed-Ali, V. (2000) · Atherosclerosis · doi:10.1016/s0021-9150(99)00463-3 · Cited by 1,775 · see citing works
The Pathophysiologic Roles of Interleukin-6 in Human Disease
Papanicolaou, D. A., Wilder, R. L., Manolagas, S. C., & Chrousos, G. P. (1998) · Annals of Internal Medicine · doi:10.7326/0003-4819-128-2-199801150-00009 · Cited by 1,146 · see citing works
Stress, inflammation and cardiovascular disease
Black, P. H., & Garbutt, L. D. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(01)00302-6 · Cited by 793 · see citing works
Maes, M., Song, C., Lin, A., De Jongh, R., Van Gastel, A., Kenis, G., Bosmans, E., De Meester, I., Benoy, I., Neels, H., et al. (1998) · Cytokine · doi:10.1006/cyto.1997.0290 · Cited by 772 · see citing works
Consistent sex differences in cortisol responses to psychological stress.
Kirschbaum, C., Wüst, S., & Hellhammer, D. (1992) · Psychosomatic Medicine · doi:10.1097/00006842-199211000-00004 · Cited by 730 · see citing works
Kirschbaum, C., Prussner, J. C., Stone, A. A., Federenko, I., Gaab, J., Lintz, D., Schommer, N., & Hellhammer, D. H. (1995) · Psychosomatic Medicine · doi:10.1097/00006842-199509000-00009 · Cited by 666 · see citing works
Schommer, N. C., Hellhammer, D. H., & Kirschbaum, C. (2003) · Psychosomatic Medicine · doi:10.1097/01.psy.0000035721.12441.17 · Cited by 561 · see citing works
Relationship Between Interleukin 6 and Mortality in Patients With Unstable Coronary Artery Disease
Lindmark, E., Diderholm, E., Wallentin, L. C., & Siegbahn, A. (2001) · JAMA · doi:10.1001/jama.286.17.2107 · Cited by 557 · see citing works
Zhou, D., Kusnecov, A. W., Shurin, M. R., DePaoli, M., & Rabin, B. S. (1993) · Endocrinology · doi:10.1210/endo.133.6.8243274 · Cited by 494 · see citing works
C-reactive protein and other inflammatory risk markers in acute coronary syndromes
Blake, G. J., & Ridker, P. M. (2003) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(02)02953-4 · Cited by 367 · see citing works
Kerr, R., Stirling, D., & Ludlam, C. A. (2001) · British Journal of Haematology · doi:10.1046/j.1365-2141.2001.03061.x · Cited by 363 · see citing works
Acute mental stress elicits delayed increases in circulating inflammatory cytokine levels
STEPTOE, A., WILLEMSEN, G., OWEN, N., FLOWER, L., & MOHAMED-ALI, V. (2001) · Clinical Science · doi:10.1042/cs1010185 · Cited by 354 · see citing works
The effects of psychological stress on plasma interleukin-6 activity in rats
LeMay, L. G., Vander, A. J., & Kluger, M. J. (1990) · Physiology & Behavior · doi:10.1016/0031-9384(90)90024-x · Cited by 313 · see citing works
Effects of sympathetic activation by adrenergic infusions on hemostasis in vivo
von Känel, R., & Dimsdale, J. E. (2000) · European Journal Of Haematology · doi:10.1034/j.1600-0609.2000.065006357.x · Cited by 311 · see citing works
Measuring Plasma Fibrinogen to Predict Stroke and Myocardial Infarction
Maresca, G., Blasio, A. D., Marchioli, R., & Minno, G. D. (1999) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/01.atv.19.6.1368 · Cited by 305 · see citing works
Kunz-Ebrecht, S., Mohamed‐Ali, V., Feldman, P. J., Kirschbaum, C., & Steptoe, A. (2003) · Brain Behavior and Immunity · doi:10.1016/s0889-1591(03)00029-1 · Cited by 290 · see citing works
Regulation of the HPA axis by cytokines.
Turnbull, A. V., & Rivier, C. (1995) · Brain, Behavior, and Immunity · doi:10.1006/brbi.1995.1026 · Cited by 289 · see citing works
Inflammatory pathways in atherosclerosis and acute coronary syndromes
Plutzky, J. (2001) · The American Journal of Cardiology · doi:10.1016/s0002-9149(01)01924-5 · Cited by 277 · see citing works
Interleukin-6 and Cardiovascular Diseases
Kanda, T., & Takahashi, T. (2004) · Japanese Heart Journal · doi:10.1536/jhj.45.183 · Cited by 265 · see citing works
Neuroendocrine responses to experimentally-induced psychological stress in healthy humans
Gerra, G., Zaimovic, A., Mascetti, G. G., Gardini, S., Zambelli, U., Timpano, M., Raggi, M. A., & Brambilla, F. (2001) · Psychoneuroendocrinology · doi:10.1016/s0306-4530(00)00046-9 · Cited by 262 · see citing works
Autonomic, Neuroendocrine, and Immune Responses to Psychological Stress: The Reactivity Hypothesisa
Cacioppo, J. T., Berntson, G. G., Malarkey, W. B., Kiecolt‐Glaser, J. K., Sheridan, J. F., Poehlmann, K. M., Burleson, M. H., Ernst, J. M., Hawkley, L. C., & Glaser, R. (1998) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1998.tb09605.x · Cited by 247 · see citing works
Socioeconomic status and stress-induced increases in interleukin-6
Brydon, L., Edwards, S., Mohamed‐Ali, V., & Steptoe, A. (2003) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2003.09.011 · Cited by 189 · see citing works
The Effect of Interleukin-6 on Pituitary Hormone Release in vivo and in vitro
Lyson, K., & McCann, S. M. (2008) · Neuroendocrinology · doi:10.1159/000125884 · Cited by 179 · see citing works
C-reactive protein and interleukin-6 in vascular disease
Rattazzi, M., Puato, M., Faggin, E., Bertipaglia, B., Zambon, A., & Pauletto, P. (2003) · Journal of Hypertension · doi:10.1097/00004872-200310000-00002 · Cited by 179 · see citing works
The relation among stress, adrenalin, interleukin 6 and acute phase proteins in the rat
Gool, J. V., van Vugt, H., Helle, M., & Aarden, L. A. (1990) · Clinical Immunology and Immunopathology · doi:10.1016/0090-1229(90)90034-n · Cited by 179 · see citing works
Inflammatory cytokines, socioeconomic status, and acute stress responsivity
Steptoe, A., Owen, N., Kunz-Ebrecht, S., & Mohamed‐Ali, V. (2002) · Brain Behavior and Immunity · doi:10.1016/s0889-1591(02)00030-2 · Cited by 176 · see citing works
Immobilization Stress May Increase Plasma lnterleukin-6 via Central and Peripheral Catecholamines
Takaki, A., Huang, Q.-H., Somogyvári-Vigh, A., & Arimura, A. (1995) · NeuroImmunoModulation · doi:10.1159/000097185 · Cited by 167 · see citing works
C‐reactive protein levels as a direct indicator of interleukin‐6 levels in humans in vivo
Bataille, R., & Klein, B. (1992) · Arthritis & Rheumatism · doi:10.1002/art.1780350824 · Cited by 164 · see citing works
Yudkin, J. S., Juhan-Vague, I., Hawe, E., Humphries, S. E., di Minno, G., Margaglione, M., Tremoli, E., Kooistra, T., Morange, P. E., Lundman, P., et al. (2004) · Metabolism · doi:10.1016/j.metabol.2004.02.004 · Cited by 153 · see citing works
The Relationship Between Infection, Inflammation, and Cardiovascular Disease: An Overview
Lowe, G. D. O. (2001) · Annals of Periodontology · doi:10.1902/annals.2001.6.1.1 · Cited by 144 · see citing works
Dugué, B., Leppänen, E., Teppo, F. A. M., Fyhrquist, F., & Gräsbeck, R. (1993) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.1080/00365519309092553 · Cited by 121 · see citing works
Inflammation and Atherothrombosis
ROBBIE, L. A., & Libby, P. (2001) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2001.tb03939.x · Cited by 114 · see citing works
Heinz, A., Hermann, D., Smolka, M. N., Rieks, M., Gräf, K.-J., Pöhlau, D., Kuhn, W., & Bauer, M. W. (2003) · Psychopharmacology · doi:10.1007/s00213-002-1244-6 · Cited by 100 · see citing works
Dugué, B., Leppänen, E., Teppo, F. A. M., et al. (1993) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.3109/00365519309092553 · Cited by 96 · see citing works
Nawawi, H. M., Osman, N. S., Annuar, R., Khalid, B. A. K., & Yusoff, K. (2003) · Atherosclerosis · doi:10.1016/s0021-9150(03)00193-x · Cited by 94 · see citing works
Psychological Stress May Induce Increased Humoral and Decreased Cellular Immunity
Paik, I., Toh, K.-Y., Lee, C. J., Kim, J.-J., & Lee, S.-J. (2000) · Behavioral Medicine · doi:10.1080/08964280009595761 · Cited by 90 · see citing works
Determination of cortisol in saliva and serum by a luminescence-enhanced enzyme immunoassay.
Westermann, J., Demir, A., & Herbst, V. (2004) · PubMed · Cited by 88 · see citing works
de Boer, S. F., Slangen, J. L., & van der Gugten, J. (1988) · Physiology & Behavior · doi:10.1016/0031-9384(88)90149-7 · Cited by 87 · see citing works
Deinzer, R., Kirschbaum, C., Gresele, C., & Hellhammer, D. H. (1997) · Physiology & Behavior · doi:10.1016/s0031-9384(96)00465-9 · Cited by 87 · see citing works
Soszyński, D., Kozak, W., Conn, C. A., Rudolph, K., & Kluger, M. J. (2008) · Neuroendocrinology · doi:10.1159/000127072 · Cited by 80 · see citing works
Preckel, D., Zgraggen, L., Mischler, K., Kudielka, B. M., Haeberli, A., Fischer, J. E., & von Känel, R. (2004) · Thrombosis and Haemostasis · doi:10.1160/th04-04-0223 · Cited by 77 · see citing works
Self-citationEndocrine and Cytokine Responses to Acute Psychological Stress in Multiple Sclerosis
Heesen, C., Schulz, H., Schmidt, M., Gold, S. M., Tessmer, W., & Schulz, K. (2002) · Brain Behavior and Immunity · doi:10.1006/brbi.2001.0628 · Cited by 64 · see citing works
Transcriptional Activation of the Factor VIII Gene in Liver Cell Lines by Interleukin-6
Hannant, W., Ludlam, C., & Stirling, D. (1998) · Thrombosis and Haemostasis · doi:10.1055/s-0037-1614223 · Cited by 62 · see citing works
Nukina, H., Sudo, N., Komaki, G., Yu, X.-N., Mine, K., & Kubo, C. (1998) · NeuroImmunoModulation · doi:10.1159/000026352 · Cited by 40 · see citing works
Terrazzino, S., Perego, C., & Simoni, M. G. D. (1995) · Journal of Neurochemistry · doi:10.1046/j.1471-4159.1995.65010263.x · Cited by 40 · see citing works
Lutgendorf, S. K., Logan, H. L., Costanzo, E. S., & Lubaroff, D. M. (2003) · Brain Behavior and Immunity · doi:10.1016/s0889-1591(03)00090-4 · Cited by 37 · see citing works
Hale, K. D., Weigent, D., Gauthier, D., Hiramoto, R., & Ghanta, V. (2003) · Life Science · doi:10.1016/s0024-3205(02)02415-3 · Cited by 30 · see citing works
Rokita, H., Neta, R., & Sipe, J. D. (1993) · Cytokine · doi:10.1016/1043-4666(93)90035-4 · Cited by 30 · see citing works
Thiagarajan, A. B., Gleiter, C., Mefford, I., Eskay, R., & Nutt, D. (2004) · Psychopharmacology · doi:10.1007/bf00439562 · Cited by 21 · see citing works
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Bailey, M. T., Dowd, S. E., Galley, J. D., Hufnagle, A. R., Allen, R. G., & Lyte, M. (2011) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2010.10.023 · Cited by 1,123 · see citing works
Kudielka, B. M., Hellhammer, D. H., & Wüst, S. (2009) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2008.10.004 · Cited by 963 · see citing works
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Allen, A. P., Kennedy, P. J., Cryan, J. F., Dinan, T. G., & Clarke, G. (2014) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2013.11.005 · Cited by 734 · see citing works
Marsland, A. L., Walsh, C., Lockwood, K., & John-Henderson, N. A. (2017) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2017.01.011 · Cited by 691 · see citing works
The Trier Social Stress Test: Principles and practice
Allen, A. P., Kennedy, P. J., Dockray, S., Cryan, J. F., Dinan, T. G., & Clarke, G. (2017) · Neurobiology of Stress · doi:10.1016/j.ynstr.2016.11.001 · Cited by 525 · see citing works
Desbordes, G., Gard, T., Hoge, E. A., Hölzel, B. K., Kerr, C., Lazar, S. W., Olendzki, A., & Vago, D. R. (2015) · Mindfulness · doi:10.1007/s12671-013-0269-8 · Cited by 505 · see citing works
Stimulation of systemic low-grade inflammation by psychosocial stress.
Rohleder, N. (2014) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000049 · Cited by 497 · see citing works
Depression and cardiovascular disease in elderly: Current understanding
Zhang, Y., Chen, Y., & Ma, L. (2017) · Journal of Clinical Neuroscience · doi:10.1016/j.jocn.2017.09.022 · Cited by 493 · see citing works
Rohleder, N. (2019) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2019.02.021 · Cited by 439 · see citing works
Kudielka, B. M., & Wüst, S. (2010) · Stress · doi:10.3109/10253890902874913 · Cited by 424 · see citing works
Self-citationDepression and the Link with Cardiovascular Disease
Dhar, A. K., & Barton, D. A. (2016) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2016.00033 · Cited by 404 · see citing works
Goodman, W. K., Janson, J., & Wolf, J. M. (2017) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2017.02.030 · Cited by 317 · see citing works
Weber, C. S., Thayer, J. F., Rudat, M., Wirtz, P. H., Zimmermann-Viehoff, F., Thomas, A., Perschel, F. H., Arck, P. C., & Deter, H. C. (2010) · European Journal of Applied Physiology · doi:10.1007/s00421-009-1341-x · Cited by 286 · see citing works
The role of the innate immune system in psychiatric disorders
Jones, K. A., & Thomsen, C. (2013) · Molecular and Cellular Neuroscience · doi:10.1016/j.mcn.2012.10.002 · Cited by 274 · see citing works
Salivary markers of inflammation in response to acute stress
Slavish, D. C., Graham‐Engeland, J. E., Smyth, J. M., & Engeland, C. G. (2014) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2014.08.008 · Cited by 263 · see citing works
Depression and type 2 diabetes: Inflammatory mechanisms of a psychoneuroendocrine co-morbidity
Stuart, M. J., & Baune, B. T. (2012) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2011.10.001 · Cited by 257 · see citing works
Th2 Cytokine Response in Major Depressive Disorder Patients before Treatment
Pavón, L., Sandoval-López, G., Eugenia Hernández, M., Loría, F., Estrada, I., Pérez, M., Moreno, J., Ávila, U., Leff, P., Antón, B., et al. (2006) · Journal of Neuroimmunology · doi:10.1016/j.jneuroim.2005.08.014 · Cited by 187 · see citing works
Does Self-Compassion Protect Adolescents from Stress?
Bluth, K., Roberson, P. N. E., Gaylord, S. A., Faurot, K. R., Grewen, K., Arzon, S., & Girdler, S. S. (2015) · Journal of Child and Family Studies · doi:10.1007/s10826-015-0307-3 · Cited by 186 · see citing works
Pervanidou, P., Kolaitis, G., Charitaki, S., Margeli, A., Ferentinos, S., Bakoula, C., Lazaropoulou, C., Papassotiriou, I., Tsiantis, J., & Chrousos, G. P. (2007) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2007.07.001 · Cited by 183 · see citing works
Self-compassion as a predictor of interleukin-6 response to acute psychosocial stress
Breines, J. G., Thoma, M. V., Gianferante, D., Hanlin, L., Chen, X., & Rohleder, N. (2014) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2013.11.006 · Cited by 181 · see citing works
Clinical experimental stress studies: methods and assessment
Bali, A., & Jaggi, A. S. (2015) · Reviews in the Neurosciences · doi:10.1515/revneuro-2015-0004 · Cited by 175 · see citing works
Bower, J. E., Ganz, P. A., Aziz, N., Olmstead, R. E., Irwin, M. R., & Cole, S. W. (2006) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2006.08.001 · Cited by 169 · see citing works
Jönsson, P., Wallergård, M., Österberg, K., Hansen, Å. M., Johansson, G. I., & Karlson, B. (2010) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2010.04.003 · Cited by 168 · see citing works
Brydon, L., Walker, C., Wawrzyniak, A., Whitehead, D., Okamura, H., Yajima, J., Tsuda, A., & Steptoe, A. (2009) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2008.09.007 · Cited by 164 · see citing works
Gander, M., & von Känel, R. (2006) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/01.hjr.0000214606.60995.46 · Cited by 155 · see citing works
Cohort Profile: The Swiss Inflammatory Bowel Disease Cohort Study (SIBDCS)
Pittet, V. E. H., Juillerat, P., Mottet, C., Felley, C., Ballabeni, P., Burnand, B., Michetti, P., Vader, J.-P., & the Swiss IBD Cohort Study Group (2008) · International Journal of Epidemiology · doi:10.1093/ije/dyn180 · Cited by 154 · see citing works
Endrighi, R., Steptoe, A., & Hamer, M. (2015) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.114.150755 · Cited by 152 · see citing works
HPA-axis and inflammatory reactivity to acute stress is related with basal HPA-axis activity
Chen, X., Gianferante, D., Hanlin, L. C., Fiksdal, A. S., Breines, J. G., Thoma, M. V., & Rohleder, N. (2017) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2017.01.035 · Cited by 144 · see citing works
Jaremka, L. M., Lindgren, M. E., & Kiecolt‐Glaser, J. K. (2013) · Depression and Anxiety · doi:10.1002/da.22078 · Cited by 137 · see citing works
Hamer, M., & Steptoe, A. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e318148c4c0 · Cited by 135 · see citing works
Frisch, J. U., Häusser, J. A., & Mojzisch, A. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.00014 · Cited by 126 · see citing works
Post-stress rumination predicts HPA axis responses to repeated acute stress
Gianferante, D., Thoma, M. V., Hanlin, L., Chen, X., Breines, J. G., Zoccola, P. M., & Rohleder, N. (2014) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2014.07.021 · Cited by 116 · see citing works
Usui, H., & Nishida, Y. (2017) · PLoS ONE · doi:10.1371/journal.pone.0182611 · Cited by 116 · see citing works
Stress-Induced Inflammatory Responses in Women
Christian, L. M., Glaser, R., Porter, K. M., & Iams, J. D. (2013) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31829bbc89 · Cited by 111 · see citing works
The Effects of Effort-Reward Imbalance on Inflammatory and Cardiovascular Responses to Mental Stress
Hamer, M., Williams, E. D., Vuonovirta, R., Giacobazzi, P., Gibson, E. L., & Steptoe, A. (2006) · Psychosomatic Medicine · doi:10.1097/01.psy.0000221227.02975.a0 · Cited by 95 · see citing works
Pace, T. W. W., Negi, L. T., Sivilli, T. I., Issa, M. J., Cole, S. P., Adame, D. D., & Raison, C. L. (2010) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2009.06.008 · Cited by 91 · see citing works
Ferguson, B. J., Marler, S., Altstein, L. L., Lee, E. B., Mazurek, M. O., McLaughlin, A., Macklin, E. A., McDonnell, E., Davis, D. J., Belenchia, A. M., et al. (2016) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2016.05.009 · Cited by 89 · see citing works
Boesch, M., Sefidan, S., Ehlert, U., Annen, H., Wyss, T., Steptoe, A., & Marca, R. L. (2014) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2014.02.003 · Cited by 90 · see citing works
Association of elevated cytokines with childhood adversity in a sample of healthy adults
Hartwell, K. J., Moran-Santa Maria, M. M., Twal, W. O., Shaftman, S., DeSantis, S. M., McRae-Clark, A. L., & Brady, K. T. (2013) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2013.01.008 · Cited by 87 · see citing works
Measures of adiposity predict interleukin-6 responses to repeated psychosocial stress
McInnis, C. M., Thoma, M. V., Gianferante, D., Hanlin, L. C., Chen, X., Breines, J. G., Hong, S., & Rohleder, N. (2014) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2014.07.018 · Cited by 87 · see citing works
Sandrini, L., Ieraci, A., Amadio, P., Zarà, M., & Barbieri, S. S. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21217818 · Cited by 86 · see citing works
Gender differences in stimulated cytokine production following acute psychological stress
Prather, A. A., Carroll, J., Fury, J. M., McDade, K. K., Ross, D. C., & Marsland, A. L. (2008) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2008.11.004 · Cited by 80 · see citing works
Divergent Effects of Laughter and Mental Stress on Arterial Stiffness and Central Hemodynamics
Vlachopoulos, C. V., Xaplanteris, P., Alexopoulos, N. A., Aznaouridis, K. A., Vasiliadou, C., Baou, K., Stefanadi, E., & Stefanadis, C. (2009) · Psychosomatic Medicine · doi:10.1097/psy.0b013e318198dcd4 · Cited by 78 · see citing works
Hamer, M., Gibson, E. L., Vuononvirta, R., Williams, E. D., & Steptoe, A. (2006) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2006.01.001 · Cited by 77 · see citing works
Izawa, S., Sugaya, N., Kimura, K., Ogawa, N., Yamada, K. C., Shirotsuki, K., Mikami, I., Hirata, K., Nagano, Y., & Nomura, S. (2013) · Biological Psychology · doi:10.1016/j.biopsycho.2013.06.006 · Cited by 75 · see citing works
The Role of Saliva Cortisol Measurement in Health and Disease
Karlson, B., Lindfors, P., Riva, R., Theorell, T., Lundberg, U., & Mellner, C. (2012) · BENTHAM SCIENCE PUBLISHERS eBooks · doi:10.2174/97816080534211120101 · Cited by 73 · see citing works
Diamond, L. M., Dehlin, A. J., & Alley, J. C. (2021) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2021.105215 · Cited by 73 · see citing works
Old Friends, immunoregulation, and stress resilience
Langgartner, D., Lowry, C. A., & Reber, S. O. (2018) · Pflügers Archiv - European Journal of Physiology · doi:10.1007/s00424-018-2228-7 · Cited by 73 · see citing works
Wirtz, P. H., von Känel, R., Emini, L., Suter, T. B., Fontana, A., & Ehlert, U. (2007) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2007.02.003 · Cited by 66 · see citing works
Niles, A. N., Smirnova, M., Lin, J. E., & O’Donovan, A. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.05.035 · Cited by 69 · see citing works
de Brouwer, S. J. M., Kraaimaat, F. W., Sweep, F. C. G. J., Creemers, M. C. W., Radstake, T. R. D. J., van Laarhoven, A. I. M., van Riel, P. L. C. M., & Evers, A. W. M. (2010) · Arthritis Research & Therapy · doi:10.1186/ar3016 · Cited by 64 · see citing works
Neurobiological correlates of coping through emotional approach
Master, S. L., Amodio, D. M., Stanton, A. L., Yee, C. M., Hilmert, C. J., & Taylor, S. E. (2008) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2008.04.007 · Cited by 62 · see citing works
Geiss, A., Rohleder, N., & Anton, F. (2011) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2011.07.021 · Cited by 61 · see citing works
von Känel, R., Nelesen, R. A., Mills, P. J., Ziegler, M. G., & Dimsdale, J. E. (2007) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2007.09.009 · Cited by 60 · see citing works
Biopsychosocial approach to understanding resilience: Stress habituation and where to intervene
Bennett, J. M., Rohleder, N., & Sturmberg, J. P. (2018) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.13052 · Cited by 61 · see citing works
Arterial stiffness and inflammatory response to psychophysiological stress
Ellins, E. A., Halcox, J., Donald, A. E., Field, B., Brydon, L., Deanfield, J. E., & Steptoe, A. (2008) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2008.01.009 · Cited by 57 · see citing works
Pathways to Postoperative Hostility in Cardiac Patients
Ai, A. L., Pargäment, K. I., Kronfol, Z., Tice, T. N., & Appel, H. B. (2010) · Journal of Health Psychology · doi:10.1177/1359105309345556 · Cited by 57 · see citing works
Engert, V., Kok, B. E., Puhlmann, L. M. C., Stalder, T., Kirschbaum, C., Apostolakou, F., Papanastasopoulou, C., Papassotiriou, I., Pervanidou, P., Chrousos, G. P., et al. (2018) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2018.05.023 · Cited by 55 · see citing works
Rabasa, C., Gagliano, H., Pastor‐Ciurana, J., Fuentes, S., Belda, X., Nadal, R. A., & Armario, A. (2015) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2015.06.013 · Cited by 59 · see citing works
Gordon, J. L., Rubinow, D. R., Thurston, R. C., Paulson, J. L., Schmidt, P. J., & Girdler, S. S. (2016) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000000689 · Cited by 55 · see citing works
Response and habituation of pro- and anti-inflammatory gene expression to repeated acute stress
McInnis, C. M., Wang, D., Gianferante, D., Hanlin, L. C., Chen, X., Thoma, M. V., & Rohleder, N. (2015) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2015.02.006 · Cited by 49 · see citing works
Lockwood, K. G., Marsland, A. L., Cohen, S., & Gianaros, P. J. (2016) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2016.07.001 · Cited by 47 · see citing works
Mun, C. J., Letzen, J. E., Nance, S., Smith, M. T., Khanuja, H. S., Sterling, R. S., Bicket, M. C., Haythornthwaite, J. A., Jamison, R. N., Edwards, R. R., et al. (2019) · Journal of Pain · doi:10.1016/j.jpain.2019.11.003 · Cited by 43 · see citing works
Bluth, K., Gaylord, S. A., Nguyen, K. T., Bunevičius, A., & Girdler, S. S. (2015) · Mindfulness · doi:10.1007/s12671-015-0397-4 · Cited by 43 · see citing works
Inflammatory Biomarkers are Correlated with Some Forms of Regressive Autism Spectrum Disorder
Prosperi, M., Guiducci, L., Peroni, D., Narducci, C., Gaggini, M., Calderoni, S., Tancredi, R., Morales, M. A., Gastaldelli, A., Muratori, F., et al. (2019) · Brain Science · doi:10.3390/brainsci9120366 · Cited by 29 · see citing works
Schubert, C., Geser, W., Noisternig, B., Fuchs, D., Welzenbach, N., König, P., Schüßler, G., Ocaña‐Peinado, F. M., & Lampe, A. (2012) · PLoS ONE · doi:10.1371/journal.pone.0029415 · Cited by 41 · see citing works
A Virtual Reality Version of the Trier Social Stress Test: A Pilot Study
Wallergård, M., Jönsson, P., Österberg, K., Johansson, G., & Karlson, B. (2011) · Presence - Teleoperators and Virtual Environments · doi:10.1162/pres_a_00052 · Cited by 49 · see citing works
Effort-reward imbalance, overcommitment, and cellular immune measures among white-collar employees
Nakata, A., Takahashi, M., & Irie, M. (2011) · Biological Psychology · doi:10.1016/j.biopsycho.2011.08.012 · Cited by 38 · see citing works
Thoma, M. V., Gianferante, D., Hanlin, L. C., Fiksdal, A. S., Chen, X., & Rohleder, N. (2016) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2016.11.030 · Cited by 37 · see citing works
Matsunaga, M., Isowa, T., Murakami, H., Kasugai, K., Yoneda, M., Kaneko, H., & Ohira, H. (2009) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2009.03.007 · Cited by 37 · see citing works
Boyle, N. B., Lawton, C. L., Arkbåge, K., West, S. G., Thorell, L., Hofman, D. L., Weeks, A. D., Myrissa, K., Croden, F., & Dye, L. (2015) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2015.09.025 · Cited by 37 · see citing works
Biological Bases of the Stress Response
Kudielka, B. M., & Kirschbaum, C. (2007) · Elsevier eBooks · doi:10.1016/b978-012370632-4/50004-8 · Cited by 36 · see citing works
Self-citationSchreier, H. M. C., Kuras, Y. I., McInnis, C. M., Thoma, M. V., Pierre, D. G. S., Hanlin, L. C., Chen, X., Wang, D., Goldblatt, D., & Rohleder, N. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00504 · Cited by 35 · see citing works
Evaluation of a remote, internet-delivered version of the Trier Social Stress Test
Eagle, D. E., Rash, J. A., Tice, L. C., & Proeschold‐Bell, R. J. (2021) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2021.03.009 · Cited by 34 · see citing works
Barthel, M.-C., Fricke, K., Muehlhan, M., Vogel, S., & Alexander, N. (2025) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2024.105996 · Cited by 34 · see citing works
“However, some studies conducted the TSST sessions in the morning (Kudielka et al., 2006; Mischler et al., 2005; von K ¨ anel et al., 2004, 2006) and two studies tested both in the morning and in the afternoon (J ¨ onsson et al., 2010; Mijas et al., 2021).”
InfluentialPost-menopausal Women Exhibit Greater Interleukin-6 Responses to Mental Stress Than Older Men
Endrighi, R., Hamer, M., & Steptoe, A. (2016) · Annals of Behavioral Medicine · doi:10.1007/s12160-016-9783-y · Cited by 34 · see citing works
Hellhammer, D. H., Hero, T., Franz, N., Contreras, C., & Schubert, M. (2012) · Nutrition Research · doi:10.1016/j.nutres.2012.03.003 · Cited by 34 · see citing works
Humans Are People, Too: Nurturing an Appreciation for Nature in Communication Research
Floyd, K. (2014) · Review of Communication Research · doi:10.12840/issn.2255-4165.2014.02.01.001 · Cited by 33 · see citing works
Strahler, J., Rohleder, N., & Wolf, J. M. (2014) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2014.07.014 · Cited by 32 · see citing works
Ai, A. L., Pargäment, K. I., Appel, H. B., & Kronfol, Z. (2010) · Journal of Clinical Psychology · doi:10.1002/jclp.20716 · Cited by 30 · see citing works
Acute deviations from long-term trait depressive symptoms predict systemic inflammatory activity
Rohleder, N., & Miller, G. E. (2007) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2007.10.012 · Cited by 30 · see citing works
Schwartz, R. J., Sepúlveda, J. E., & Quintana, T. (2009) · Revista médica de Chile · doi:10.4067/s0034-98872009000100008 · Cited by 28 · see citing works
Sasayama, D., Wakabayashi, C., Hori, H., Teraishi, T., Hattori, K., Ota, M., Ishikawa, M., Arima, K., Higuchi, T., Amano, N., et al. (2011) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2011.06.003 · Cited by 28 · see citing works
von Känel, R., Kudielka, B. M., Metzenthin, P., Helfricht, S., Preckel, D., Haeberli, A., Stutz, M., & Fischer, J. E. (2007) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2007.07.005 · Cited by 27 · see citing works
Self-citationNeuroimmune mechanisms in fear and panic pathophysiology
McMurray, K. M. J., & Sah, R. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.1015349 · Cited by 26 · see citing works
Wieck, A., Grassi‐Oliveira, R., do Prado, C. H., Rizzo, L. B., de Oliveira, A. S., Kommers-Molina, J., Viola, T. W., Vieira, É. L. M., Teixeira, A. L., & Bauer, M. E. (2014) · Neuroscience Letters · doi:10.1016/j.neulet.2014.07.040 · Cited by 26 · see citing works
Hasselmo, K., Mehl, M. R., Tackman, A. M., Carey, A. L., Wertheimer, A. M., Stowe, R. P., & Sbarra, D. A. (2018) · Annals of Behavioral Medicine · doi:10.1093/abm/kax034 · Cited by 26 · see citing works
Wawrzyniak, A. J., Dilsizian, V., Krantz, D. S., Harris, K. M., Smith, M. F., Shankovich, A., Whittaker, K. S., Rodriguez, G. A., Gottdiener, J. S., Li, S., et al. (2015) · Journal of Nuclear Medicine · doi:10.2967/jnumed.115.157990 · Cited by 26 · see citing works
Bennett, J. M., Glaser, R., Andridge, R., Peng, J., Malarkey, W. B., & Kiecolt‐Glaser, J. K. (2012) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2012.05.012 · Cited by 26 · see citing works
Rubinow, D. R., & Girdler, S. S. (2011) · Depression and Anxiety · doi:10.1002/da.20833 · Cited by 26 · see citing works
Associations of Personality Traits With Chronic Low-Grade Inflammation in a Swiss Community Sample
Wagner, E.-Y. N., Ajdacic‐Gross, V., Strippoli, M. F., Gholam‐Rezaee, M., Glaus, J., Vandeleur, C. L., Castelao, E., Vollenweider, P., Preisig, M., & von Känel, R. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00819 · Cited by 26 · see citing works
The Impact of Everyday Stressors on the Immune System and Health
Christian, L. M., & Glaser, R. (2011) · Springer eBooks · doi:10.1007/978-3-642-22272-6_4 · Cited by 25 · see citing works
Cavigelli, S. A., Bao, A. D., Bourne, R. A., Caruso, M. J., Caulfield, J. I., Chen, M., & Smyth, J. M. (2018) · Stress · doi:10.1080/10253890.2018.1459557 · Cited by 25 · see citing works
Hiramoto, T., Oka, T., Yoshihara, K., & Kubo, C. (2009) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3181bfb02b · Cited by 23 · see citing works
Smiley, C. E., & Wood, S. K. (2022) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2022.108212 · Cited by 23 · see citing works
Darnall, B. D., Aickin, M. G., & Zwickey, H. L. (2010) · Gender Medicine · doi:10.1016/j.genm.2010.06.003 · Cited by 21 · see citing works
Efficacy of acupressure for non-pharmacological stress reduction in college students
Legget, K. T., Healy, K. M., Hoversten, K. P., Ito, T. A., & Hernández, T. D. (2012) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2011.12.003 · Cited by 20 · see citing works
Velozo, J. D. C., Vaessen, T., Pruessner, J. C., Diest, I. V., Claes, S. J., & Myin‐Germeys, I. (2021) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2021.105217 · Cited by 18 · see citing works
- Authors
- von Känel, R., Kudielka, B. M., Preckel, D., Hanebuth, D., & Fischer, J. E.
- Affiliations
- Universität Trier (DE)
- ETH Zurich (CH)
- Venue
- Brain Behavior and Immunity
- Publisher
- Elsevier BV
- Published
- 2006-01
- Volume
- 20
- Issue
- 1
- Pages
- 40-48
- ISSN
- 0889-1591 (ISSN-L)
- OpenAlex
- W2034314450
- Cited by
- 158
- References
- 58
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 3 · 2023: 1 · 2022: 7 · 2021: 6 · 2020: 9 · 2019: 8 · 2018: 6 · 2017: 6 · 2016: 9 · 2015: 12 · 2014: 9 · 2013: 8 · 2012: 9
- FWCI
- 3.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain Behavior and Immunity (publishedVersion)
- PubMed (publishedVersion)
- Bern Open Repository and Information System (University of Bern) (submittedVersion)
- Funders
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- interleukin-6, acute psychological stress, habituation, cortisol, hypothalamic-pituitary-adrenal axis, Trier Social Stress Test, atherosclerosis, blood pressure, heart rate, salivary cortisol
- MeSH terms
- Acute Disease, Adaptation, Physiological, Adult, Analysis of Variance, Blood Pressure, Habituation, Psychophysiologic, Heart Rate, Humans, Hydrocortisone, Hypothalamo-Hypophyseal System, Male, Middle Aged, Pituitary-Adrenal System, Reference Values, Saliva, Stress, Psychological, Neuroimmunomodulation, Interleukin-6
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