Stress and Disease Processes

By Neil Schneiderman; Philip McCabe et al. | Go to book overview

8
Psychoneuroimmunology and Stress Responses in HIV-1 Seropositive and At-Risk Seronegative Gay Men
Michael H. Antoni Neil Schneiderman Arthur LaPerriere Lilly Bourguignon Mary Ann Fletcher University of MiamiA recently released briefing by the National Academy of Sciences ( 1989) reviewing behavioral influences on endocrine and immune function highlighted the importance of studying the effects of psychosocial stressors on immune functioning among individuals with well-defined immunologic abnormalities in order to ascertain the biological significance of affective distress and behavioral arousal. Among other things this report stressed the need for future work to:
1. collect adequate baseline immunologic information from which to assess stressor-induced changes,
employ age- and gender-matched control groups and to carefully assess (and covary) the potential influence of medications on immune function,
examine the role of neural, neuroendocrine, and neuropeptide mediation of stressor-induced immunomodulation by studying not only the peripheral levels of these substances but also the nature of their ligand-like interaction with lymphocyte receptors (e.g., beta-2 adrenergic receptors),
evaluate the role of the host's immunological structural integrity when testing the effects of behavioral and neuroendocrine changes on immune function,
employ flourescence-activated cell sorting procedures to isolate specific lymphocyte subsets (e.g., helper-inducer cells) in tissue culture in order to examine which stressor-associated ligands they

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