“…Patients with TS do have enhanced responsiveness to acute stress (Chappell et al, 1994; Corbett et al, 2008), psychosocial stress negatively impacts their symptoms (Lin et al, 2007), and basal levels of cortisol negatively correlates with TS symptoms (Corbett et al, 2008). The immune changes that were previously reported in subjects with TS, including enhanced activity of T lymphocytes (Gabbay et al, 2009; Leckman et al, 2005; Moller et al, 2008), decreased numbers of regulatory T cells (Kawikova et al, 2007), and altered activity of natural killer cells (Du et al, 2006; Lit et al, 2007) are also present in patients with chronic stress conditions, such as post-traumatic stress disorder (Gill et al, 2009; Gotovac et al, 2010; Inoue-Sakurai et al, 2000; Sommershof et al, 2009). However, to our knowledge, no changes in IgG3 or IgM levels have been reported in chronic stress conditions.…”