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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 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
Citations
Cites
Atherosclerosis--an inflammatory disease
Ross, R. (1999) · New England Journal of Medicine · doi:10.1056/nejm199901143400207 · Cited by 21,725
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
Protective and Damaging Effects of Stress Mediators
McEwen, B. S. (1998) · New England Journal of Medicine · doi:10.1056/nejm199801153380307 · Cited by 6,733
Kirschbaum, C., Pirke, K.-M., & Hellhammer, D. H. (2008) · Neuropsychobiology · doi:10.1159/000119004 · Cited by 6,093
Dickerson, S. S., & Kemeny, M. E. (2004) · Psychological Bulletin · doi:10.1037/0033-2909.130.3.355 · Cited by 5,881
Pruessner, J. C., Kirschbaum, C., Meinlschmid, G., & Hellhammer, D. H. (2003) · Psychoneuroendocrinology · doi:10.1016/s0306-4530(02)00108-7 · Cited by 3,638
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
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
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
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
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
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 809
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
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
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
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 562
Schommer, N. C., Hellhammer, D. H., & Kirschbaum, C. (2003) · Psychosomatic Medicine · doi:10.1097/01.psy.0000035721.12441.17 · Cited by 561
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
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 370
Kerr, R., Stirling, D., & Ludlam, C. A. (2001) · British Journal of Haematology · doi:10.1046/j.1365-2141.2001.03061.x · Cited by 366
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
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
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
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
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 295
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
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 279
Interleukin-6 and cardiovascular diseases.
Kanda, T., & Takahashi, T. (2004) · Japanese Heart Journal · doi:10.1536/jhj.45.183 · Cited by 275
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 266
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
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 194
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 180
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
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
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
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
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 160
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
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
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
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
Stress and the Individual: Mechanisms Leading to Disease
McEwen, B. S. (1993) · Archives of Internal Medicine · doi:10.1001/archinte.1993.00410180039004 · Cited by 103
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
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
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
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
Determination of cortisol in saliva and serum by a luminescence-enhanced enzyme immunoassay.
Westermann, J., Demir, A., & Herbst, V. (2004) · PubMed · Cited by 88
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
Deinzer, R., Kirschbaum, C., Gresele, C., & Hellhammer, D. H. (1997) · Physiology & Behavior · doi:10.1016/s0031-9384(96)00465-9 · Cited by 87
Soszyński, D., Kozak, W., Conn, C. A., Rudolph, K., & Kluger, M. J. (2008) · Neuroendocrinology · doi:10.1159/000127072 · Cited by 80
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
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
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
Nukina, H., Sudo, N., Komaki, G., Yu, X.-N., Mine, K., & Kubo, C. (1998) · NeuroImmunoModulation · doi:10.1159/000026352 · Cited by 40
Terrazzino, S., Perego, C., & Simoni, M. G. D. (1995) · Journal of Neurochemistry · doi:10.1046/j.1471-4159.1995.65010263.x · Cited by 40
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
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
Rokita, H., Neta, R., & Sipe, J. D. (1993) · Cytokine · doi:10.1016/1043-4666(93)90035-4 · Cited by 29
Thiagarajan, A. B., Gleiter, C., Mefford, I., Eskay, R., & Nutt, D. (2004) · Psychopharmacology · doi:10.1007/bf00439562 · Cited by 21
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Kudielka, B. M., Hellhammer, D. H., & Wüst, S. (2009) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2008.10.004 · Cited by 963
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Metadata
- 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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