“…Another problem often ignored in the discussions of PNI-studies is the difference between in vivo and in vitro measures of immune function. Moreover the concept of immunosuppression as a natural consequence of stressor exposure is brought into question by the results of some human studies (Landmann et al, 1984;Zautra, Okun, Robinson, Lee, Roth and Emmanual, 1989;Fittschen, Schulz, Schulz, Raedler and Kerekjarto, 1989) and animal studies (Berkenbosch, Heijnen, Croiset, Revers, Ballieux, Binnekade and Tilders, 1986;Jessop, Gale and Bayer, 1987;Croiset, Heijnen, Veldhuis, de Wied and Ballieux, 1987;Schulz, Lenz, Messmer, Siemen and Raedler, 1989;Weiss, Sundar and Becker, 1989), which have shown an increase in some immune functions following stressor exposure. Depending on certain conditions (for example mild or acute stressors) and/or the immunological variables chosen (NK-cells, Bcells, immunoglobulins) an enhancing effect of stress on the particular immune function can be demonstrated.…”