Among the various factors thought to be associated with the reactivati
on of latent herpesviruses is psychological stress. An increase in lev
els of 'stress hormones' such as glucocorticoids occurs in individuals
who are stressed and previous studies have shown that glucocorticoid
hormones can reactivate latent Epstein-Barr virus (EBV) in vitro. In t
his study, we confirm that the EBV genome in latently infected lymphob
lastoid cells can be reactivated with two glucocorticoid hormones, hyd
rocortisone and dexamethasone. In addition to hydrocortisone and dexam
ethasone, we also found that other hormones of the hypothalamic-pituit
ary-axis (corticotropin-releasing factor and adrenocorticotropin hormo
ne but not epinephrine and norepinephrine) as well as somatostatin can
enhance the lytic replication of the HR-1 strain of EBV in superinfec
ted cells, These results suggest that multiple endocrine interactions
may be involved in stress-induced reactivation/replication of latent E
BV.