Evidence map›Paper›PMID 21203694›Full record

Trial reportMolecular medicine (Cambridge, Mass.)

Acute stress elicited by bungee jumping suppresses human innate immunity.

David J van Westerloo, Goda Choi, Ester C Löwenberg, Jasper Truijen, Alex F de Vos, Erik Endert, Joost C M Meijers, Lu Zhou, Manuel P F L Pereira, Karla C S Queiroz and 4 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Molecular medicine (Cambridge, Mass.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05144022 (Multi-level Molecular Profiling of High Acute Stress), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05144022 naunknown statusnot on this map

Multi-level Molecular Profiling of High Acute Stress

TypeinterventionalSponsorUniversity Hospital, BonnRan2021 to 2023Enrolled35ConditionsHealthyArmsBungee jump
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Voluntary activation of the sympathetic nervous system and attenuation of the innate immune response in humans.Proceedings of the National Academy of Sciences of the United States of America · 2014
    Trial
  3. Review
  4. Observational
  5. Review
  6. Review
  7. Understanding acute stress-mediated immunity in teleost fish.Fish and shellfish immunology reports · 2021
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Models and Methods to Investigate Acute Stress Responses in Cattle.Animals : an open access journal from MDPI · 2015
    Article
  17. Autoethnography helps analyse emotions.Frontiers in psychology · 2015
    Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 1 country.

David J van WesterlooDepartment of Intensive Care Medicine, University of Amsterdam, Amsterdam, the Netherlands. d.j.vanwesterloo@amc.uva.nl
Goda Choi
Ester C Löwenberg
Jasper Truijen
Alex F de Vos
Erik Endert
Joost C M Meijers
Lu Zhou
Manuel P F L Pereira
Karla C S Queiroz
Sander H Diks
Marcel Levi
Maikel P Peppelenbosch
Tom van der Poll
University of Amsterdam · NLUniversity Medical Center Groningen · NLAcademic Medical Center · NLAmsterdam University of Applied Sciences · NLOLVG · NLUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although a relation between diminished human immunity and stress is well recognized both within the general public and the scientific literature, the molecular mechanisms by which stress alters immunity remain poorly understood. We explored a novel model for acute human stress involving volunteers performing a first-time bungee jump from an altitude of 60 m and exploited this model to characterize the effects of acute stress in the peripheral blood compartment. Twenty volunteers were included in the study; half of this group was pretreated for 3 d with the β-receptor blocking agent propranolol. Blood was drawn 2 h before, right before, immediately after and 2 h after the jump. Plasma catecholamine and cortisol levels increased significantly during jumping, which was accompanied by significantly reduced ex vivo inducibility of proinflammatory cytokines as well as activation of coagulation and vascular endothelium. Kinome profiles obtained from the peripheral blood leukocyte fraction contained a strong noncanonical glucocorticoid receptor signal transduction signature after jumping. In apparent agreement, jumping down-regulated Lck/Fyn and cellular innate immune effector function (phagocytosis). Pretreatment of volunteers with propranolol abolished the effects of jumping on coagulation and endothelial activation but left the inhibitory effects on innate immune function intact. Taken together, these results indicate that bungee jumping leads to a catecholamine-independent immune suppressive phenotype and implicate noncanonical glucocorticoid receptor signal transduction as a major pathway linking human stress to impaired functioning of the human innate immune system.

Indexed as

AltitudeSportsAdolescentAdrenergic beta-AntagonistsAdultBlood CoagulationBlood PressureCatecholaminesCytokinesHeart RateHumansHydrocortisoneImmunity, InnateLeukocyte CountLeukocytesLipopolysaccharidesAdrenergic beta-AntagonistsCatecholaminesCytokinesHydrocortisoneLipopolysaccharidesPhosphotransferasesPropranolol

Identifiers

PMID21203694
PMCPMC3060977
OpenAlexW2123093975

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.