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T-cells and their cytokine production: The anti-inflammatory and immunosuppressive effects of strenuous exercise

Lookup NU author(s): Dr Deb DulsonORCiD


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© 2017 Elsevier LtdStrenuous exercise bouts and heavy training are associated with a heightened anti-inflammatory state and a transient suppression of several immune components. In turn, many athletes are susceptible to illness, particularly upper respiratory symptoms (e.g. cough, sore throat, running nose). T-lymphocytes (T-cells) are important for orchestrating the immune response and can be categorised into subsets according to their phenotypical characteristics resulting from polarisation (i.e. type-1, type-2 and regulatory T-cells). Each T-cell subset has a unique functional role, including their capacity to produce pro- and anti-inflammatory cytokines in response to an immune challenge. Prolonged and exhaustive exercise typically reduces peripheral blood type-1 T-cell number and their capacity to produce the pro-inflammatory cytokine, interferon-γ. Moreover, heavy training loads are associated with elevated numbers of resting peripheral blood type-2 and regulatory T-cells, which characteristically produce the anti-inflammatory cytokines, interleukin-4 and interleukin-10, respectively. This appears to increase the risk of upper respiratory symptoms, potentially due to the cross-regulatory effect of interleukin-4 on interferon-γ production and immunosuppressive action of IL-10. Catecholamines significantly influence the number of peripheral blood T-cells in response to exercise. Whereas, glucocorticoids and prostaglandin E2 promote the production of anti-inflammatory cytokines by T-cells. In summary, strenuous exercise bouts and heavy training shifts T-cell immunity towards an anti-inflammatory state. This impairs the ability of the immune system to mount an inflammatory response to an immune challenge, which may weaken defences against intracellular pathogens (e.g. viruses), and increase the risk of infection and viral reactivation.

Publication metadata

Author(s): Shaw DM, Merien F, Braakhuis A, Dulson D

Publication type: Review

Publication status: Published

Journal: Cytokine

Year: 2018

Volume: 104

Pages: 136-142

Print publication date: 01/04/2018

Online publication date: 08/10/2017

Acceptance date: 02/10/2017

ISSN (print): 1043-4666

ISSN (electronic): 1096-0023

Publisher: Academic Press


DOI: 10.1016/j.cyto.2017.10.001

PubMed id: 29021092