“…We show that stresslike increases in epinephrine concentrations invoke a specific increase in immune subpopulations with cytotoxic effector potential, namely, effector CD8 + T cells It has been repeatedly demonstrated that the number of immune cells increases after physical exercise or mental stress, with the most pronounced increases occurring in NK cell and CD8 + cytotoxic T cell counts (3,5,16,34), whereas both populations are decreased when endogenous catecholamines are suppressed by stellate ganglion block (40). These effects are caused by adrenal medullary epinephrine binding to b2-adrenoceptors on PBMCs, with high and intermediate levels of b2-adrenoceptor expression on NK cells and cytotoxic T cells, respectively (1,3,7,8,19,33,41). Our findings substantially expand these previous findings in showing that the epinephrine-induced increase in circulating immune cells is highly specific to cytotoxic effector subtypes, namely, effector CD8 + T cells, g/d T cells, NKT-like cells, cytotoxic NK cells, and proinflammatory monocytes, whereas no change is seen for cells lacking any cytotoxic potential, namely, CD4 + T cells, CD8 + T cells at their early stage of differentiation, immunomodulatory NK cells, and conventional monocytes.…”