“…Forty years later, studies have shown which specific lymphocyte subsets are affected (Pacheco-Lopez et al, 2009), and much more is known generally about stress effects on the immune system (Dhabhar, 2014). While many studies have demonstrated that acute stress and chronic stress differentially affect immunity (Dhabhar, 2009; Segerstrom and Miller, 2004), we will focus primarily on chronic stress because it is more strongly associated with depression (Phillips et al, 2015) and is known to suppress adaptive immunity—reducing lymphocyte proliferation and altering T cell subtype ratios and functionality (Bartolomucci, 2007; Dominguez-Gerpe and Rey-Mendez, 2001; Edgar et al, 2003; Frick et al, 2009a; Frick et al, 2009b; Schmidt et al, 2010; Silberman et al, 2004; Silberman et al, 2002). More recent studies showed that mice exposed to chronic mild stress had a decline in the Th1/Th2 ratio, extrapolated from relative changes in cytokine output, and a corresponding decline in cognitive performance on the Y-maze (Palumbo et al, 2012).…”