Thursday, May 23, 2013

Why a crying baby might indicate a better immune response during vaccination



Watching a child cry while they get poked by a needle can be gut-wrenching, but the stress experienced by the child may actually be beneficial.  While stress has long held a bad reputation for being harmful, recent evidence provide a new perspective on the influence of stress on human health.  Although chronic psychological stress is associated with immune dysfunction and increased risk for a wide variety of conditions/diseases, acute stress enhances many feature of the immune system and actually can protect an organism from disease.  Firdaus Dhabhar and his colleagues at Stanford University found that exposing mice to acute stress before they were vaccinated boosted the immune system and made the vaccines more effective.   Dhabhar observed similar results in humans.  Patients anticipating knee-surgery increased the number of immune cells circulating in the bloodstream in the days preceding the operation and had better post-operation recovery compared to non-stressed patients.   These results seem to make sense from an evolutionary perspective; just as the acute stress response increases the functioning of the cardiovascular system to prepare for fight-or-flight, acute stress also appears to improve the immune system in the case of injury or infection.  While the underlying mechanisms for these findings remain unclear, there is some evidence that these effects are mediated by stress-induced hormones, danger-associated molecular patterns (DAMPs), microbial associated molecular patterns (MAMPs), and the inflammasome.  Regardless of the mechanism, it appears safe to conclude feeling anxious about receiving a shot is something that should be celebrated not embarrassed about (even if you are no longer a child).