title: Selective serotonin reuptake inhibitor and substance P antagonist enhancement of natural killer cell innate immunity in human immunodeficiency virus/acquired immunodeficiency syndrome.
abstract: BACKGROUND
  Natural killer (NK) cells play an important role in innate immunity and are involved in the host defense against human immunodeficiency virus (HIV) infection. This study examines the potential role of three underlying regulatory systems that have been under investigation in central nervous system research as well as immune and viral research: serotonin, neurokinin, and glucocorticoid systems.
  
  
  METHODS
  Fifty-one HIV-seropositive subjects were recruited to achieve a representative sample of depressed and nondepressed women. The effects of a selective serotonin reuptake inhibitor (SSRI), a substance P (SP) antagonist, and a glucocorticoid antagonist on NK cell function were assessed in a series of ex vivo experiments of peripheral blood mononuclear cells from each HIV-seropositive subject.
  
  
  RESULTS
  Natural killer cell cytolytic activity was significantly increased by the SSRI citalopram and by the substance P antagonist CP-96345 relative to control conditions; the glucocorticoid antagonist, RU486, showed no effect on NK cytotoxicity. Our results suggest that the effects of the three agents did not differ as a function of depression.
  
  
  CONCLUSIONS
  Our findings provide evidence that NK cell function in HIV infection may be enhanced by serotonin reuptake inhibition and by substance P antagonism. It remains to be determined if HIV-related impairment in not only NK cytolytic activity but also NK noncytolytic activity can be improved by an SSRI or an SP antagonist. Clinical studies are warranted to address these questions and the potential roles of serotonergic agents and SP antagonists in improving NK cell immunity, delaying HIV disease progression, and extending survival with HIV infection.
authors.affiliation: Department of Psychiatry, Joseph J. Stokes Research Institute of The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. psych@mail.med.upenn.edu
authors.forename: Dwight L
authors.initials: DL
authors.lastname: Evans
authors.forename: Kevin G
authors.initials: KG
authors.lastname: Lynch
authors.forename: Tami
authors.initials: T
authors.lastname: Benton
authors.forename: Benoit
authors.initials: B
authors.lastname: Dubé
authors.forename: David R
authors.initials: DR
authors.lastname: Gettes
authors.forename: Nancy B
authors.initials: NB
authors.lastname: Tustin
authors.forename: Jian Ping
authors.initials: JP
authors.lastname: Lai
authors.forename: David
authors.initials: D
authors.lastname: Metzger
authors.forename: Steven D
authors.initials: SD
authors.lastname: Douglas
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000276:immunology*; D000328:Adult; D001713:Biphenyl Compounds / Q000009:adverse effects / Q000627:therapeutic use*; D015283:Citalopram / Q000009:adverse effects / Q000627:therapeutic use*; D003866:Depressive Disorder / Q000175:diagnosis / Q000188:drug therapy* / Q000276:immunology; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000188:drug therapy* / Q000276:immunology; D005260:Female; D005938:Glucocorticoids / Q000037:antagonists & inhibitors*; D006679:HIV Seropositivity / Q000276:immunology*; D006727:Hormone Antagonists / Q000009:adverse effects / Q000627:therapeutic use*; D006801:Humans; D007113:Immunity, Innate / Q000187:drug effects* / Q000276:immunology; D007694:Killer Cells, Natural / Q000187:drug effects* / Q000276:immunology; D018655:Lymphocyte Count; D008875:Middle Aged; D015735:Mifepristone / Q000009:adverse effects / Q000627:therapeutic use*; D010555:Personality Inventory; D017367:Selective Serotonin Reuptake Inhibitors / Q000009:adverse effects / Q000627:therapeutic use*; D013373:Substance P / Q000037:antagonists & inhibitors*; D013602:T-Lymphocytes, Cytotoxic / Q000187:drug effects / Q000276:immunology; D019562:Viral Load
chemical_list: D001713:Biphenyl Compounds; D015283:Citalopram; D005938:Glucocorticoids; D006727:Hormone Antagonists; D015735:Mifepristone; D017367:Selective Serotonin Reuptake Inhibitors; D013373:Substance P; C066892:CP 96345