In addition to the well-documented seasonal cycles of mating and birth
, there are also significant seasonal cycles of illness and death amon
g many animal populations. Challenging winter conditions (i.e., low am
bient temperature and decreased food availability) can directly induce
death via hypothermia, starvation, or shock. Coping with these challe
nges can also indirectly increase morbidity and mortality by increasin
g glucocorticoid secretion, which can compromise immune function. Many
environmental challenges are recurrent and thus predictable; animals
could enhance survival, and presumably increase fitness, if they could
anticipate immunologically challenging conditions in order to cope wi
th these seasonal threats to health. The annual cycle of changing phot
operiod provides an accurate indicator of time of year and thus allows
immunological adjustments prior to the deterioration of conditions. P
ineal melatonin codes day length information. Short day lengths enhanc
e several aspects of immune function in laboratory studies, and melato
nin appears to mediate many of the enhanced immunological effects of p
hotoperiod. Generally, field studies report compromised immune functio
n during the short days of autumn and winter. The conflict between lab
oratory and field data is addressed with a multifactor approach. The e
vidence for seasonal fluctuations in lymphatic tissue size and structu
re, as well as immune function and disease processes, is reviewed. The
role of pineal melatonin and the hormones regulated by melatonin is d
iscussed from an evolutionary and adaptive functional perspective. Fin
ally, the clinical significance of seasonal fluctuations in immune fun
ction is presented. Taken together, it appears that seasonal fluctuati
ons in immune parameters, mediated by melatonin, could have profound e
ffects on the etiology and progression of diseases in humans and nonhu
man animals. An adaptive functional perspective is critical to gain in
sights into the interaction among melatonin, immune function, and dise
ase processes.