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Anticipatory immune changes in women treated with chemotherapy for ovarian cancer

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Abstract

Immune parameters were assessed in 22 women before chemotherapy for ovarian cancer and compared with assessment made at home 2 days earlier. In the hospital, as compared to home measures, patients had a lower percentage of lymphocytes and monocytes and a higher percentage of granulocytes. Absolute numbers of lymphocytes were lower at the hospital as compared to at home. T-cell proliferative responses to concanavalin A were elevated for cells isolated from hospital blood samples as compared to home samples. The observed changes in immune parameters were not related to levels of state anxiety at home or at the hospital. The results show anticipatory immune changes in a group of patients receiving chemotherapy that did not include cyclophosphamide.

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References

  • Ader, R. (1981). A historical account of conditioned immunobiologic responses. In R. Ader (Ed.),Psychoneuroimmunology (pp. 321–352). New York: Academic.

    Google Scholar 

  • Ader, R., & Cohen, N. (1975). Behaviorally conditioned immunosuppression.Psychosomatic Medicine, 37, 333–340.

    PubMed  Google Scholar 

  • Ader, R., & Cohen, N. (1981). Conditioned imrnunopharmacological responses. In R. Ader (Ed.),Psychoneurotmmunology (pp. 281–319). New York: Academic.

    Google Scholar 

  • Ader, R., & Cohen, N. (1991). The influence of conditioning on immune responses. In R. Ader, D. L. Felten. & N. Cohen (Eds.),Psychoneuroimmunology (2nd ed., pp. 611–646). New York: Academic.

    Google Scholar 

  • Bachen, E. A., Manuck, S. B., Marsland, A. L., Cohen, S., Malkoff, S. B., Muldoon, M. F., & Rabin, B. S. (1992), Lymphocyte subset and cellular immune responses to a brief experimental stressor.Psychosomatic Medicine.54. 673–679.

    PubMed  Google Scholar 

  • Bonadonna, G., & Robustelli della. Cuna. G. (1988).Handbook of medical oncology. Milan: Masson.

    Google Scholar 

  • Bovbjerg, D. H., Redd, W. H., Maier, L. A., Holland, J. C., Lesko, L. M., Niedzwiecki, D., Rubin, S. E. & Hakes, T. B. (1990), Anticipatory immune suppression and nausea in women receiving cyclic chemotherapy for ovarian cancer.Journal of Consulting and Clinical Psychology, 58(2), 153–157.

    Article  PubMed  Google Scholar 

  • Boyum, A. (1968) Isolation nf mononuclear cells and granulocytes from human blood, Isolation of mononuclear cells by one centrifuBationScandinavian Journal of Clinical and Laboratory Investigation.97. 77–89.

    PubMed  Google Scholar 

  • Buske-Kirschbaum, A., Kirsehbaum, C., Stierle, H., Lehnert, H., & Hellhammer, D. (1992). Conditioned increase of natural killer cell activity (NKCA) in humans.Psychosomatic Medicine.54. 123–132.

    PubMed  Google Scholar 

  • Cupps, T. R., & Fauci, A. S. (1982). Corticosteroid-mediated immunoregulation in man,Immunoiogical Renews, 65, 133–155.

    Google Scholar 

  • Einhorn, S., Blomgren, H., & Strander, H. (1978). Interferon and spontaneous cytotoxicity of peripheral lymphocytes by human, leukocytes interferon.international Journal of Cancer, 22, 405–412.

    Article  Google Scholar 

  • Fredrikson, M. (1981). Orienting and defensive responses !o phobic and conditioned stimuti in phobics and normals.Psychophysiology, 18, 456–465.

    Article  PubMed  Google Scholar 

  • Fredrikson, M., Fürst, C. J., Lekander, M., Rotstein, S., & Blomgren, H. (1993) Trait anxiety and anticipatory immune reactions in women receiving adjuvant chemotherapy for breast cancer.Bruin. Behavior, and Immunity, 7. 79–90.

    Article  Google Scholar 

  • Fredrikson, M., Hursti, T., Salmi, P., Börjeson, S., Fürst, C. J., & Peterson, C. (1993). Conditioned nausea after chemotherapy and autonomic nervous system conditionahility.Scandinavian Journal of Psychology.34. 318–327.

    Article  PubMed  Google Scholar 

  • Gorczynski, R. M., Macrac, S., & Kennedy, M. (1984). Factors involved in the classical conditioning of antibody responses in mice. In R. Ballieux, J. Fielding, & A. L. Abbate (Eds.),Breakdown to human adaption to stress: Towards a multidisciplinary approach (pp. 704–712). Hingham, MA: Martinus-Nijhof.

    Google Scholar 

  • Grochowicz, P. M., Schedlowski, M., Husband, A. J., King, M. G., Hibberd, A. D., & Bowen, K. M. (1991). Behavioral conditioning prolongs heart allograft survival in rats.Brain, Behavior, and Immunity, 5, 349–356.

    Article  PubMed  Google Scholar 

  • Herbert, T. B., & Cohen, S. (1993a). Depression and immunity: A meta-analytic review.Psychological Bulletin, 113. 472–486.

    Article  PubMed  Google Scholar 

  • Herbert, T. B., & Cohen, S. (1993b). Stress and immunity in humans: A meta-analytic review.Psvchosomatic Medicine, 55, 364–379.

    Google Scholar 

  • Hursti, T., Fredrikson, M., Fürst, C. J., Johansson, S., Petierson, C. & Steineck, G. (1992). Persisting conditioned nausea after completed chemotherapy is associated with individual differences.Journal of Psychosocial Oncology, 10. 59–78.

    Article  Google Scholar 

  • Ikemi, Y., & Nakagawa, S. (1962). A psychosomatic study of contagious dermatitis.Kyushu Journal of Medical Science, 13, 335–350.

    Google Scholar 

  • Jern, C. (1991).Effect of mental and physical stress on hemostasis and peripheral blood cells in man. Doctoral disscrtation, University of Göiteborg, Sweden.

    Google Scholar 

  • Khansari, D. K., Murgo, A. J., & Faith, R. E. (1990). Effects of stress on the immune system.Immunology Today, 11(5), 170–175.

    Article  PubMed  Google Scholar 

  • Kiecolt-Glaser, J. K., Cacioppo, J. T., Malarkey, W. B., & Glaser, R. (1992). Acute psychological stressors and short-term immune changes: What, why, for whom, and to what extent?Psychosomatic Medicine, 54, 680–685.

    PubMed  Google Scholar 

  • Lekander, M., Fürst, C. J., Rolstein, S., Blomgren, H., & Fredrikson, M. (1494). Dues informed placebo chemotherapy for breast cancer elicit immune changes?Oncology Reports, 1. 699–703.

    Google Scholar 

  • Lilliehöök, B., & Rtomgren, H. (1974). Strong stimulation of CBA lymphocytes in the mixed interaction with cells from H2 identical strain C3H.Scandinavian Journal of Immunology.3, 627–635.

    Article  PubMed  Google Scholar 

  • Morrow, G. R., & Dobkin, P. L. (1988). Anticipatory nausea and vomiting in cancer patients undergoing chemotherapy treatment: Prevalence, etiology, and behavioral interventions,Clinical Psychology Review, 8, 517–556.

    Article  Google Scholar 

  • Palmblad, J. (1981). Stress and immunologic competence: Studies in man. In R. Ader (Ed.),Psychoncuroimmunology (pp. 229–257). New York: Academic.

    Google Scholar 

  • Powell, C. B., Mutch, D. G., Kao, M-S., Kao. J. W-Y., Perry, D. L., Westphale, E., & Collins, J. L. (1990). Dexamethasone used as an antiemetic in chemotherapy protocols inhibits natural cytotoxic cell activity.Cancer, 65, 466–472.

    Article  PubMed  Google Scholar 

  • Schleifer, S. J., Keller, S. E., Camerino, M., Thornton, J. C., & Stein, M. (1983). Suppression of lymphocyte stimulation following bereavement.Journal of the American Medicine Association.250, 374–377.

    Article  Google Scholar 

  • Siegel, S. (1983). Classical conditioning, drug tolerance, and drug dependence. In Y. Israel, F. B. Glaser, H. Kalant, E. Popham, W. Schmidt, & R. G. Smart (Eds.),Research advances in alcohol and drug problems (pp. 207–246). New York: Plenum.

    Google Scholar 

  • Siegel, S., Krank, M. D., & Hinson, R. E. (1987, Winter). Anticipation of pharmacological and non pharmacological events: Classical conditioning and addictive behavior.Journal of Drug Issues. 83–110.

  • Smith, G. R., & McDaniel, S. M. (1983). Psychologically mediated effect on the delayed hypersensitivity reaction to tuberculin in humans.Psychosomatic Medicine, 45(1), 65–70.

    PubMed  Google Scholar 

  • Spielberger, C. D., Gorsuch, R. L., & Lushene, R. (1968).The State Trait Anxiery Inventory (STAI). Palo Alto, CA: Consulting Psychologists.

    Google Scholar 

  • Strender, L. E., Blomgren, H., Petrini, B., Wasserman, J., Forsgren, M., Norberg, R., Baral, E., & Wallgren, A. (1981). Immunologic monitoring in breast cancer patients receiving postoperative adjuvant chemotherapy.Cancer, 48, 1966–2002.

    Article  Google Scholar 

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This research was supported in part by the Swedish Cancer Foundation; the King Gustav V Jubilee Foundation, Stockholm; the Gertrude and lvar Philipson Foundation; Lars Hiertas Memorial Foundation; and the Karolinska Institute. Irwing Washington was also informative.

We thank Joseph Lawrence for his skillful technical assistance; Timo Hursti for advice; and Sussanne Borjeson, Kristina Bcrtilsson, and Anneti Mattsson for advice and blood sampling.

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Lekander, M., Fürst, C.J., Rotstein, S. et al. Anticipatory immune changes in women treated with chemotherapy for ovarian cancer. Int. J. Behav. Med. 2, 1–12 (1995). https://doi.org/10.1207/s15327558ijbm0201_1

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