This study was designed to test the hypothesis that the modulations of
the human immune system in relation to in vivo whole body hyperthermi
a may be ascribed to elevations in the plasma epinephrine and norepine
phrine concentrations. In a single-blind, controlled, cross-over study
, 8 healthy volunteers were selectively infused norepinephrine and epi
nephrine, respectively, for 1 h, in order to obtain twofold increases
in the plasma concentrations of these hormones, thereby mimicking the
increases seen during in vivo whole body hyperthermia. Epinephrine inf
usion increased baseline, interleukin-2 and interferon-alpha stimulate
d natural killer cell activity, and the percentage and concentration o
f cluster designation (CD)16+ cells, whereas the neutrophil and lympho
cyte count or the CD3+, CD4+, CD8+, CD19+ and CD14+ cell subtypes were
not influenced. Norepinephrine infusion did not cause any changes in
these variables. It is concluded that epinephrine, but not norepinephr
ine, may be responsible for the hyperthermia-induced effects on natura
l killer cells.