This work examines the correlation between serum levels of oestrogen, proge
sterone and dehydroepiandrosterone sulphate (DHEA-S) and the number of huma
n peripheral blood cells actively secreting interleukin (IL)-2, IL-4, IL-6,
IL-10, tumour necrosis factor-alpha (TNF-alpha) or interferon-gamma (IFN-g
amma) in vivo. Simultaneous assessment of serum hormone levels and cytokine
-secreting cell activity throughout the menstrual cycle showed that the num
ber of peripheral blood mononuclear cells (PBMC) able to secrete IL-4 in re
sponse to stimulation correlated significantly (P < 0.0001) with oestrogen
levels and fluctuated with the menstrual cycle in pre-menopausal women. The
activity of IFN-gamma-secreting cells, on the other hand, varied as a func
tion of serum DHEA-S levels in pre-menopausal women (P < 0.0001). Similarly
, the number of cells secreting IFN-gamma in men correlated with serum DHEA
-S levels (P < 0.001). In contrast, post-menopausal women had fewer cells a
ctively secreting cytokines and the activity of these cells did not correla
te with sex hormone levels. These results suggest that sex hormones may mod
ulate cytokine production in vivo and contribute to gender-related differen
ces in normal and pathological immune responses.