Association Between Chronic Stress and Metastasis in Patients With Cancer
abstract
This abstract is available on the publisher's site.
Access this abstract now Full Text Available for ClinicalKey SubscribersChronic stress is associated with increased risk of metastasis and poor survival in cancer patients, yet the reasons are unclear. We show that chronic stress increases lung metastasis from disseminated cancer cells 2- to 4-fold in mice. Chronic stress significantly alters the lung microenvironment, with fibronectin accumulation, reduced T cell infiltration, and increased neutrophil infiltration. Depleting neutrophils abolishes stress-induced metastasis. Chronic stress shifts normal circadian rhythm of neutrophils and causes increased neutrophil extracellular trap (NET) formation via glucocorticoid release. In mice with neutrophil-specific glucocorticoid receptor deletion, chronic stress fails to increase NETs and metastasis. Furthermore, digesting NETs with DNase I prevents chronic stress-induced metastasis. Together, our data show that glucocorticoids released during chronic stress cause NET formation and establish a metastasis-promoting microenvironment. Therefore, NETs could be targets for preventing metastatic recurrence in cancer patients, many of whom will experience chronic stress due to their disease.
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Chronic stress increases metastasis via neutrophil-mediated changes to the microenvironment
Cancer Cell 2024 Mar 11;42(3)474-486.e12, XY He, Y Gao, D Ng, E Michalopoulou, S George, JM Adrover, L Sun, J Albrengues, J Daßler-Plenker, X Han, L Wan, XS Wu, LS Shui, YH Huang, B Liu, C Su, DL Spector, CR Vakoc, L Van Aelst, M EgebladFrom MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.