Depending on the duration and severity, psychological tension and physical
stress can enhance or suppress the immune system in both humans and animals
. Although it is well established that stress alters the release of various
hormones and neurotransmitters, the mechanisms by which stress affects imm
une responses remain elusive. We report here that mice subjected to chronic
12-hour daily physical restraint for two days exhibited a significant redu
ction in splenocytes, a process likely mediated by apoptosis as demonstrate
d by the terminal deoxynucleotidyl transferase-mediated deoxyuridine tripho
sphate nick end labeling assay. CD95 (Fas/APO-1) expression in splenic lymp
hocytes of stressed mice was substantially increased. Interestingly, Fas-im
munoglobulin fusion protein and blocking antibodies against CD95 ligand inh
ibit stress-induced reduction in lymphocytes. The stress-induced changes in
CD95 expression and lymphocyte number could be blocked by naltrexone or na
loxone, specific opioid receptor antagonists, indicating a pivotal role of
endogenous opioids in this process. In addition, the reduction of splenocyt
es in this model system seems to be independent of the hypothalamo-pituitar
y-adrenal axis, as both adrenalectomized and sham-operated mice exhibited s
imilar responses to chronic stress. Moreover, chronic physical restraint fa
iled to induce a decrease in lymphocyte numbers in CD95-deficient (Fas(lpr/
lpr)) mice. Therefore, stress modulates the immune system through CD95-medi
ated apoptosis dependent on endogenous opioids.