How chronic stress boosts cancer cell growth
Published: 04:36 PM, 26 February 2019 Updated: 04:58 PM, 26 February 2019
Having conducted a new study in mice, researchers now have a much better understanding of how chronic (long-term, sustained) stress can accelerate the growth of cancer stem cells. They may also have found a way to prevent stress from doing its damage.
Chronic stress, which a person has consistently over a long period of time, affects mental and emotional well-being as well as physical health.
Studies have tied chronic stress to accelerated cognitive impairment, a higher risk of heart problems, and problems with gut health.
Previous research also suggests that exposure to stress could speed up the growth of cancer through its impact on gene activity.
Now, researchers from the Dalian Medical University in China — in collaboration with colleagues from across the world — have located a key mechanism, which chronic stress triggers, that fuels the growth of cancer stem cells that tumors originate from.
More specifically, the researchers have studied this mechanism in mouse models of breast cancer.
Their findings — which they report in The Journal of Clinical Investigation — point the finger at the hormone epinephrine, but they also suggest a strategy to counteract the effects of stress mechanisms on cancer cells.
"You can kill all the cells you want in a tumor," notes co-author Keith Kelley, from the University of Illinois at Chicago, "but if the stem cells, or mother cells, are not killed, then the tumor is going to grow and metastasize."
"This," he adds, "is one of the first studies to link chronic stress specifically with the growth of breast cancer stem cells."
Stress fuels tumor growth
To see how stress would impact cancer cell growth in the rodents, the researchers put all the mice in small, restrictive enclosures for a week. Then, they split the mice into two groups.
They put one group into large, comfortable enclosures to discontinue the stress; these mice acted as the control group. The other group stayed in the small enclosures for another 30 days; these mice acted as the experimental group.
Following their initial investigation, the scientists saw not only that the stressed mice exhibited changes in behavior that were indicative of depression and anxiety, but also that they had larger cancer tumors than their peers in the control group.
Also, these tumors were growing at a faster rate, and on the whole, the stressed mice also had a greater number of cancer stem cells than the other mice. Still, at this point, it remained unclear exactly how stress contributed to the progression of cancer.
According to principal investigator Quentin Liu, from the Institute of Cancer Stem Cell at Dalian Medical University, "The direct signaling network between stress pathways and a cancer-propagating system remains almost completely unknown."
He adds, "A better understanding of the biochemistry that causes stress to increase the growth of cancer cells could lead us toward targeted drug interventions, one of which we discovered in this work."
Blame epinephrine, not cortisol
When they looked into how various physiological factors changed in the mice that had experienced chronic stress, the researchers closed in on a hormone called epinephrine.
The stressed mice had much higher levels of this hormone than the mice in the control group. Also, in mice from the experimental group that had received a drug that blocked ADRB2 — which is an epinephrine receptor — cancer tumors were smaller and the numbers of cancer stem cells were also lower.
"When most people think of stress," says Kelley, "they think it's cortisol that's suppressing the immune system." However, he adds, "The amazing thing is cortisol was actually lower after a month of stress."
How does epinephrine help cancer stem cells thrive? The authors explain that when this hormone binds to ADRB2, the interaction boosts levels of lactate dehydrogenase, an enzyme that normally gives muscles an "injection" of energy in a danger situation. This allows the person to either fight the threat or run away from it.
A byproduct of this energy boost is the production of an organic compound called lactate. In the case of people with cancer, the harmful cells actually feed on this compound; it allows them to acquire more energy.
This means that if a person has chronic stress, they will have too much lactate dehydrogenase in their system. This, in turn, will activate genes related to cancer growth and allow cancer cells to thrive.
Is vitamin C the answer?
Next, the researchers validated their results by studying blood epinephrine levels in 83 people with breast cancer.
Sure enough, they found that people with high blood levels of epinephrine also had excess lactate dehydrogenase in cancer tumors — which the researchers had access to through breast cancer biopsy samples.
Also, people who had higher levels of the stress hormone were likelier to have poorer outcomes following treatment when compared with people with lower epinephrine levels.
Next, the scientists tried to see whether or not they could identify a strategy to block epinephrine's ill effects on the system. In laboratory tests on breast cancer cell lines, they analyzed the effects of a few Food and Drug Administration (FDA)-approved drugs on lactate dehydrogenase production.
The most promising substance that the investigators settled on was actually vitamin C, which blocked actate dehydrogenase production in laboratory experiments. When the investigators tested this approach in mouse models, they obtained the same results: Stressed mice they'd injected with vitamin C experienced tumor shrinkage.
"Taken together, these findings show that vitamin C might be a novel and effective therapeutic agent for targeting cancer in patients undergoing chronic stress," concludes Liu.
- Nusrat got ‘A’ grade but fail!
- Ex-Songazi OC Moazzem indicted
- Minni on 5-day remand
- Mosharraf Karim paired with Safa in ‘Dil Daan Kalachan’
- Fish production marks constant rise over last 5 yrs
- What actions taken against police failure; HC asked
- Now woman killed in Teknaf gunfight
- Police want 10-day remand of Minni
- Road link with Bandarban restores after 8-day
- 100 pc pass in 907 inst
- Temperature may rise over country
- Army ready to tackle flood: Army Chief
- PM flags off ‘Benapole Express’
- No students passed in 41 colleges
- US bans Myanmar army chief over Rohingya ‘ethnic cleansing’
- Death toll climbs to 5 after quake in eastern Indonesia
- Quader’s follow-up checkup after surgery completed
- This years’ results good, acceptable: PM
- HSC pass rate increases 7.9 pc
- Worker died as fell down from Rooppur Project’s const building
- How to get HSC result
- 8 boards attain 71.85 pc pass rate
- Technical Board attains 82.62pc pass rate
- Madrasah Board attains 88.56pc pass rate
- 47,286 gets GPA-5
- Pass rate 73.93 pc
- HSC results handed over to PM
- PM to inaugurate ‘Benapole Express’ today
- 2 drug traders killed in gunfight with BGB
- HSC exam results today
- All News »
- No more sight this life: Bidisha
- ‘Lady Killer’ Tisha to fight against formalin in food
- New Zealand knock India out of World Cup
- 24 killed in Papua New Guinea tribal massacres
- Happy Birthday Purnima
- Bride, bridegroom among 10 killed as train hits microbus
- HM Ershad passes away
- Two siblings drown in Shariatpur pond
- ‘Cox’s Bazar losing ecological balance for Rohingyas’
- HSC exam results tomorrow
- NZ to face England in 12th ICC World Cup final
- Merkel says `very well` despite third shaking spell
- Queen Maxima and banking for the grassroots!
- Ishana announced to leave media after getting married
- Rifat murder: Minni at Police Line for questioning
- Ershad’s offspring: who & where
- England win Cricket WC after Super Over drama
- Six bodies found in Cox’s Bazar beach
- BPSC announces dates for 38th BCS viva
- UN to pay Bangladesh Tk 500 cr due
- Ershad’s first namaz-e-janaza held
- Rifat murder: Another one detained
- Rail link with Rajshahi snapped
- 5 things must need for securing modern network
- 3 kids drown in flood water, 1 missing
- Barcelona sign Atletico Madrid forward Griezmann
- DU admission test in new method
- Ershad’s 1st janaza at army central mosque
- Mango-laden truck falls into ditch, kills 2
- Flood situation worsened in Lalmonirhat