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Sex and Gender Differences in Pain and Inflammation

Social isolation and the inflammatory response: sex differences in the enduring effects of a prior stressor

¹Institute for Mind and Biology and ²Departments of Comparative Human Development and ³Psychology, The University of Chicago, Chicago; ⁴ Morris Institute, University of Wisconsin, Madison, Wisconsin; and ⁵Department of Pathology, The University of Chicago, Chicago, Illinois

Submitted 24 May 2005 ; accepted in final form 28 September 2005

Numerous epidemiological studies have demonstrated an association between persistent social isolation and "all-cause" morbidity and mortality. To date, no causal mechanism for these findings has been established. Whereas animal studies have often reported short-term effects of social isolation on biological systems, the long-term effects of this adverse psychological state have been understudied. This is the first animal study to examine the effects of long-term social isolation from weaning through young adulthood on an innate inflammatory response linked to numerous disease processes. Results presented here offer a plausible link between vulnerability to disease and social neglect. For socially isolated male and female Sprague-Dawley rats, a naturally gregarious species, formation of a granuloma in response to a subcutaneous injection of carrageenin (seaweed) was significantly delayed compared with the response of animals housed in single-sex groups of five. Significant sex differences, however, emerged when an acute prior stressor was superimposed on the experience of chronic social isolation. In this context, isolated females produced a more robust inflammatory response than isolated males. This sexual dimorphism at the nexus of chronic social isolation, acute stress, and inflammatory processes may account for the observation in humans that men with low levels of social integration are more vulnerable to disease and death than women.

innate immunity; cytokine; chemokine; corticosterone

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