This defines the immune system’s intrinsic ability to effectively manage and recover from acute or chronic physiological stressors, such as intense exercise, sleep deprivation, or psychological distress, without transitioning into a state of excessive inflammation or immunosuppression. High stress tolerance is characterized by a rapid, proportional inflammatory response followed by swift and complete resolution. This capacity is closely linked to the integrity of the neuroendocrine-immune axis.
Origin
The term integrates concepts from psychoneuroimmunology, which studies the interaction between the nervous, endocrine, and immune systems, and the clinical understanding of allostatic load. It highlights the protective, adaptive quality of a healthy immune response, emphasizing the body’s ability to contain immune activation. This tolerance is a key marker of systemic resilience.
Mechanism
The mechanism involves the coordinated release of glucocorticoids like cortisol, catecholamines, and neuropeptides, which bind to receptors on immune cells, modulating their activity. Optimal tolerance requires immune cells to remain sensitive to the regulatory, anti-inflammatory signals from cortisol, allowing for effective containment of threats without perpetuating chronic inflammation. Failure of this regulation can lead to a sustained, low-grade inflammatory state, known as inflammaging.
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