Department of Intensive Care Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Psychosom Med. 2012 Jun;74(5):489-94. doi: 10.1097/PSY.0b013e3182583c6d.
In this case study, we describe the effects of a particular individual's concentration/meditation technique on autonomic nervous system activity and the innate immune response. The study participant holds several world records with regard to tolerating extreme cold and claims that he can influence his autonomic nervous system and thereby his innate immune response.
The individual's ex vivo cytokine response (stimulation of peripheral blood mononuclear cells with lipopolysaccharide [LPS]) was determined before and after an 80-minute full-body ice immersion during which the individual practiced his concentration/meditation technique. Furthermore, the individual's in vivo innate immune response was studied while practicing his concentration/mediation technique during human endotoxemia (intravenous administration of 2 ng/kg LPS). The results from the endotoxemia experiment were compared with a historical cohort of 112 individuals who participated in endotoxemia experiments in our institution.
The ex vivo proinflammatory and anti-inflammatory cytokine response was greatly attenuated by concentration/meditation during ice immersion, accompanied by high levels of cortisol. In the endotoxemia experiment, concentration/meditation resulted in increased circulating concentrations of catecholamines, and plasma cortisol concentrations were higher than in any of the previously studied participants. The individual's in vivo cytokine response and clinical symptoms after LPS administration were remarkably low compared with previously studied participants.
The concentration/meditation technique used by this particular individual seems to evoke a controlled stress response. This response is characterized by sympathetic nervous system activation and subsequent catecholamine/cortisol release, which seems to attenuate the innate immune response.
在本案例研究中,我们描述了个体专注/冥想技术对自主神经系统活动和固有免疫反应的影响。该研究参与者在耐受极端寒冷方面拥有多项世界纪录,并声称他可以影响自己的自主神经系统,从而影响其固有免疫反应。
在 80 分钟全身冰水浸泡期间,个体练习专注/冥想技术前后,测定其细胞因子的体外反应(用脂多糖 [LPS] 刺激外周血单核细胞)。此外,在个体进行专注/冥想技术时,我们研究了其固有免疫反应在人体内毒素血症(静脉注射 2ng/kg LPS)中的变化。将内毒素血症实验的结果与我们机构内 112 名参与内毒素血症实验的历史队列进行了比较。
专注/冥想可极大地抑制冰水浸泡过程中的体外促炎和抗炎细胞因子反应,同时伴有皮质醇水平升高。在内毒素血症实验中,专注/冥想导致儿茶酚胺循环浓度增加,血浆皮质醇浓度高于之前研究的任何参与者。与之前研究的参与者相比,个体在 LPS 给药后的体内细胞因子反应和临床症状明显较低。
该个体使用的专注/冥想技术似乎会引起受控的应激反应。这种反应的特征是交感神经系统激活和随后的儿茶酚胺/皮质醇释放,这似乎会抑制固有免疫反应。