We examined the plasma nerve growth factor (NGF) level and the distribution ofNGF receptors in peripheral lymphocytes of young sodiers (mean age, 20-24 yr) experiencing the thrill of a novice about to make their first parachute jumps. Blood was collected from soldiers who knew they were selected to jump (n = 26), as well as from soldiers who knew they were not selected (a = 17, controls). The former group was sampled the evening before the jump and 20 min after landing.Compared with controls, NGF levels increased 84% in prejump and 107% in postump sampling. Our studies also showed that the increase of NGF levels pr the increase of plasma cortisol and adrenocorticotropic hormone. No changes in the basneine levels of circulating interleukin 1p or tumor necrosis factor were found, sOggesting that the increased levels of NGF were not correlated with change in these cytokines. Moreover, Immu orescence analysis demonstrated that parachuting stress enhances the distribution oflow-affinity p75LNGFR and h affinity pl40'A NGF receptors in circulating peripheral blood mmnucear cells. These observations suggest that the release of NGF might be Involved in the activation of cells of the immune system and is most probably associated with homeostatic adaptive mechaniss, as previously shown for strewsed rodents.There is accumulating evidence from psychoneuroimmunological studies in both animals and humans that stress results in the concomitant activation of cells from the nervous, endocrine, and immune systems and in the release of diverse biologically active compounds, including glucocorticoids, catecholamines, and neuropeptides (1-4). Results reported from our laboratory indicate that stressful events induce an increase of the specific growth factor nerve growth factor (NGF) into the bloodstream (5) and in defined hypothalamic subareas (5-9) and that the amount of circulating NGF is directly correlated with the number of fighting episodes. Using this model ofstress, we have also shown that mast cells (7) and both cortical and chromaffin adrenal gland cells (8) are receptive to the action of endogenously released NGF. In a subsequent study, we reported that the release of NGF into the bloodstream was not simply associated with the expression of aggressive behavior because sera of mice repeatedly experiencing defeat and submission contained higher NGF levels than those from dominant attacking animals (9). This latter observation suggests that stimuli of a psychological nature, most likely associated with anxiety, also trigger the synthesis and/or release of NGF. Whether stress affects baseline NGF level in mice only or in other species as well is not known. Moreover, there is as yet no evidence indicating that stress causes the release of NGF in the human bloodstream.Parachute jumping is a well-characterized stress model to study emotional and physical stress in humans (10, 11). In the present study, we used this model to determine whether stress in humans affects plasma NGF levels and NGFreceptor (NGF-r) distribution ...