Immediate and Delayed Salivary Cytokine Responses during Repeated Exposures to Cold Pressor Stress

Neuroimmunomodulation. 2023;30(1):81-92. doi: 10.1159/000529625. Epub 2023 Mar 14.

Abstract

Introduction: Excessive stress is increasingly recognized as an important trigger of many diseases prevalent in modern societies, and monitoring such stress-related effects could aid prevention. The measurement of salivary markers of inflammation is emerging as a promising tool to non-invasively quantify stress' effects on immune processes in everyday life and thereby detect early aberrations before the manifestation of serious health problems. However, more laboratory-controlled research is needed in order to establish the timescale and determinants of salivary cytokine responses to acute stress.

Methods: We repeatedly exposed participants to Cold Pressor Stress Test (CPT) or a control procedure and measured a wide array of salivary cytokines as well as subjective, cardiovascular, and cortisol stress reactions. CPT exposure was repeated every 15 min, 3 times in total, with a duration of 3 min each. Saliva was sampled immediately after the first two exposures as well as in 15-min intervals until 60 min after the onset of the first intervention.

Results: We found that many cytokines were detectable in saliva. Specific stress effects were limited to IL-8 and IL-6, however, which decreased immediately or 15 min after stress onset, respectively. Moreover, IL-8 was negatively correlated to cortisol output in the stress but not in the control group. Significant increases were also observed in salivary TNFα and IFNγ; however, these effects were similar under both stress and control conditions.

Discussion: Our results show that particular salivary cytokines may be sensitive to immediate effects of acute CPT-induced stress and also highlight the importance of employing control procedures to discern stress effects from unrelated variations in salivary cytokines.

Keywords: Arousal; Cardiovascular reaction; Cortisol; Hypothalamus-pituitary-adrenal axis; IL-6; IL-8.

MeSH terms

  • Cytokines*
  • Humans
  • Hydrocortisone*
  • Hypothalamo-Hypophyseal System
  • Interleukin-8
  • Saliva
  • Stress, Psychological

Substances

  • Cytokines
  • Hydrocortisone
  • Interleukin-8