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1 Department of Infectious Diseases, 2 Copenhagen Muscle Research Centre, and 3 Department of Orthopedic Medicine and Rehabilitation, Rigshospitalet, University of Copenhagen, DK-2100 Copenhagen, Denmark
Prolonged strenuous exercise is followed by a
temporary functional immune impairment. Low numbers of CD4+
T helper (Th) and CD8+ T cytotoxic (Tc) cells are found in
the circulation. These cells can be divided according to their cytokine
profile into type 1 (Th1 and Tc1), which produce interferon-
and
interleukin (IL)-2, and type 2 (Th2 and Tc2) cells, which produce IL-4.
The question addressed in the present study was whether exercise
affected the relative balance between the circulating levels of these
cytokine-producing T cells. Nine male runners performed treadmill
running for 2.5 h at 75% of maximal oxygen consumption. The
intracellular expression of cytokines was detected following
stimulation with ionomycin and phorbol 12-myristate 13-acetate in blood
obtained before, during, and after exercise. The percentage of type 1 T
cells in the circulation was suppressed at the end of exercise and
2 h after exercise, whereas no changes were found in the
percentage of type 2 T cells. Plasma epinephrine correlated
negatively with the percentage of circulating CD8+ T cells
producing IL-2, whereas peak IL-6 correlated with the percentage of
CD8+ IL-4-producing T cells in the circulation. Peak plasma
IL-6 correlated with plasma cortisol postrunning. In conclusion, the
postexercise decrease in T lymphocyte number is accompanied by a more
pronounced decrease in type 1 T cells, which may be linked to high
plasma epinephrine. Furthermore, IL-6 may stimulate type 2 T cells,
thereby maintaining a relatively unaltered percentage of these cells in the circulation compared with total circulating lymphocyte number.
interleukin-4; interleukin-2; interleukin-6; interleukin-12; interferon-
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