β2-Adrenergic receptor signaling mediates the preferential mobilization of differentiated subsets of CD8+ T-cells, NK-cells and non-classical monocytes in response to acute exercise in humans
Open accessAbstract
Acute exercise preferentially mobilizes cytotoxic T-cells, NK-cells and non-classical monocytes to the bloodstream under the influence of hemodynamic forces and/or β 2-adrenergic receptor (β 2-AR) signaling. However, the relative contribution of these mechanisms to the redeployment of the most exercise-responsive cell types is largely unknown. We determined the lymphocyte and monocyte subtypes mobilized to blood during exercise via β 2-AR signaling whilst controlling for β 1-AR mediated reductions in hemodynamic forces. In a randomized, double blind, complete cross-over design, 14 healthy cyclists exercised for 30-minutes at +10% of blood lactate threshold after ingesting: (1) a placebo, (2) a β 1-preferential antagonist (10 mg bisoprolol), or (2) a non-preferential β 1 + β 2-antagonist (80 mg nadolol) across three trials separated by >7-days. Bisoprolol was administered to reduce hemodynamic forces (heart rate and blood pressure) during exercise to levels comparable with nadolol but without blocking β 2-ARs. The mobilization of total NK-cells, terminally differentiated (CD57+) NK-cells, central memory, effector memory and CD45RA+ effector memory CD8+ T-cells; non-classical monocytes; and γδ T-cells were significantly blunted or abrogated under nadolol compared to both bisoprolol and placebo, indicating that the exercise-induced mobilization of these cell types to the blood is largely influenced by β 2-AR signaling. Nadolol failed to inhibit the mobilization of classical monocytes, CD4+ T-cells (and their subsets) or naïve CD8+ T-cells, indicating that these cell types are mobilized with exercise independently of the β 2-AR. We conclude that the preferential mobilization of NK-cells, non-classical monocytes and differentiated subsets of CD8+ T-cells with exercise is largely dependent on catecholamine signaling through the β 2-AR. These findings provide mechanistic insights by which distinct lymphocyte and monocyte subtypes are preferentially mobilized to protect the host from anticipated injury or infection in response to an acute stress response.
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This rise depends on exercise-induced adrenergic activation and is tied to exercise intensity.
“This occurs as a function of exercise-induced adrenergic activation (8,59), linked to exercise intensity.”
Low-intensity ExTr can normalize vessels, but a higher dose may be needed to mobilize and redistribute immune cells.
“Although vessel normalization can be observed with low-intensity ExTr (7), a higher exercise dose may be required for mobilization and redistribution of immune cells (8,58,59).”
Epinephrine recruits immune cells into the circulation during exercise.
“besides meeting metabolic demands, epinephrine also recruits immune cells into the circulation during exercise [ 3 ]”
From IL-6 Activity is Required for Maximal Catecholamine Release During High-Intensity Exercise in Men (2026) · cites this paper as [3]
Acute exercise significantly increases the number of immune cells in circulation, with mobilization of many lymphocyte subsets directly dependent upon beta-adrenergic signaling mediated by epinephrine and norepinephrine.
“Acute exercise significantly increases the number of immune cells in circulation, with the mobilization of many lymphocyte subsets directly dependent upon beta-adrenergic signaling, mediated by epinephrine and norepinephrine [ 3 , 25 ]”
From IL-6 Activity is Required for Maximal Catecholamine Release During High-Intensity Exercise in Men (2026) · cites this paper as [3]
The overall reduction in circulating lymphocytes observed in the catecholamine-suppressed BLOCK group is consistent with previous findings demonstrating marked reductions in lymphocyte subpopulations during exercise under β-adrenergic blockade.
“The overall reduction in circulating lymphocytes observed in the catecholamine-suppressed BLOCK group is consistent with previous findings demonstrating marked reductions in lymphocyte subpopulations during exercise under β-adrenergic blockade [ 3 ].”
From IL-6 Activity is Required for Maximal Catecholamine Release During High-Intensity Exercise in Men (2026) · cites this paper as [3]
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- Authors
- Graff, R. M., Kunz, H. E., Agha, N. H., Baker, F. L., Laughlin, M., Bigley, A. B., Markofski, M. M., LaVoy, E. C., Katsanis, E., Bond, R. A., Bollard, C. M., & Simpson, R. J.
- Affiliations
- University of Houston (US)
- University of Arizona (US)
- Children's National (US)
- The University of Texas MD Anderson Cancer Center (US)
- Corresponding author
- Simpson, Richard J.
- ORCID
- Venue
- Brain, Behavior, and Immunity
- Publisher
- Elsevier BV
- Published
- 2018-11
- Volume
- 74
- Pages
- 143-153
- ISSN
- 0889-1591 (ISSN-L)
- PMC
- PMC12977291
- OpenAlex
- W2889061983
- Cited by
- 145
- References
- 68
- Citations by year
- 2026: 21 · 2025: 20 · 2024: 21 · 2023: 19 · 2022: 15 · 2021: 26 · 2020: 15 · 2019: 7 · 2018: 1
- FWCI
- 10.47
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (am, 302 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Brain Behavior and Immunity (acceptedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- NASA (NNX12AB48G, NNX16AB29G, NNX16AG02G)
- Topics
- Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- β2-adrenergic receptor signaling, acute exercise, lymphocyte mobilization, natural killer cells, non-classical monocytes, CD8+ T cells, γδ T cells, bisoprolol, nadolol, catecholamines, exercise immunology, stress response, lactate threshold
- MeSH terms
- Adult, Catecholamines, Double-Blind Method, Female, Humans, Killer Cells, Natural, Lymphocyte Activation, Male, Monocytes, Nadolol, Signal Transduction, Exercise, Bisoprolol, Receptors, Adrenergic, beta-2, CD8-Positive T-Lymphocytes, Cross-Over Studies, Healthy Volunteers
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