“…A number of cells and signaling molecules of the immune system follow antiphasic diurnal rhythms toâand are largely controlled byâ circulating glucocorticoids (Chrousos, 1999; Cermakian et al, 2013; for a comprehensive review: Labrecque & Cermakian, 2015). For example, diurnal fluctuation in glucocorticoids, in conjunction with non HPAâderived hormones (e.g., melatonin, 17ÎČâoestradiol), modulate the expression of various chemokines, ÎČâadrenergic receptors and chemokine receptors, which mediate circadian homing patterns in leukocytes (Butcher & Picker, 1996; Ince, Weber, & Scheiermann, 2019; Straub, Cutolo, Buttgereit, & Pongratz, 2010). In humans, peripheral lymphocytes are at their lowest early in the day, in parallel with the morning cortisol spike, and peak during evening hours when cortisol levels are falling (Ackermann et al, 2012; Haus & Smolensky, 1999).…”