Immunoendocrine aspects of anorexia nervosa

Psychiatry Res. 1996 Apr 16;62(1):97-104. doi: 10.1016/0165-1781(96)02992-7.

Abstract

The T-lymphocyte proliferative response to phytohemoagglutinin (PHA) stimulation was the same in 11 anorexic women, 6 restricted (AN-R) and 5 bulimic (AN-B), and in 11 sex- and age-matched controls, in basal conditions and after acute administration of corticotropin-releasing hormone (CRH). Basal plasma levels of ACTH and cortisol were higher in patients than in controls, while beta-endorphin (beta-EP), growth hormone (GH) and prolactin (PRL) concentrations did not differ in the two groups. ACTH and beta-EP responses to CRH stimulation were blunted in patients, while those of cortisol did not differ in the two groups. ACTH, beta-EP and cortisol responses to the dexamethasone suppression test were impaired in 55% of the patients. Baseline T-lymphocyte concentrations of cholecystokinin-8 (CCK-8) and beta-EP were measured in another group of 56 anorexics, 33 restricted and 23 bulimic, and in 24 controls. CCK-8 values were significantly lower and beta-EP values significantly higher in patients than in controls.

MeSH terms

  • Adolescent
  • Adrenocorticotropic Hormone / blood
  • Adult
  • Anorexia Nervosa / immunology*
  • Bulimia / immunology
  • Corticotropin-Releasing Hormone
  • Female
  • Humans
  • Hydrocortisone / blood
  • Immune Tolerance / immunology
  • Lymphocyte Activation / immunology*
  • Prolactin / blood
  • Sincalide / blood
  • T-Lymphocytes / immunology*
  • beta-Endorphin / blood

Substances

  • beta-Endorphin
  • Adrenocorticotropic Hormone
  • Prolactin
  • Corticotropin-Releasing Hormone
  • Sincalide
  • Hydrocortisone