Mankarious Amanda, Dave Foram, Pados George, Tsolakidis Dimitris, Gidron Yori, Pang Yefei, Thomas Peter, Hall Marcia, Karteris Emmanouil
Division of Biosciences, Department of Life Sciences, College of Health and Life Sciences, Brunel University London, Uxbridge, Middlesex UB8 3PH, UK.
University of Thessaloniki Medical School, Thessaloniki, Greece.
Int J Oncol. 2016 May;48(5):1805-14. doi: 10.3892/ijo.2016.3410. Epub 2016 Mar 1.
The journey patients with ovarian cancer travel from non-specific symptoms causing delayed diagnosis through surgery and chemotherapy, culminating in a 5-year survival rate of 43%, must have a profound and detrimental psychological impact on patients. Emerging studies link higher levels of oxytocin (OT) and increased social support, an independent prognostic factor in cancer, with a moderating effect on stress. In contrast, there is a known association of tumour cell proliferation with elevated cortisol (stress hormone) levels. We hypothesise therefore that there is cross-talk between cortisol and oxytocin at a molecular level. Three ovarian cancer cell lines, used as in vitro models, were treated with cortisol at concentrations mimicking physiological stress in vivo in the presence or absence of OT. OT reduced cell proliferation and migration, induced apoptosis and autophagy for all three cell lines, partially reversing the effects of cortisol. Quantitative RT-PCR of tissue taken from ovarian cancer patients revealed that the glucocorticoid receptor (splice variant GR-P) and OT receptor (OTR) were significantly upregulated compared to controls. Tissue microarray revealed that the expression of GRα was lower in the ovarian cancer samples compared to normal tissue. OT is also shown to drive alternative splicing of the GR gene and cortisol-induced OTR expression. OT was able to transactivate GR in the presence of cortisol, thus providing further evidence of cross-talk in vitro. These data provide explanations for why social support might help distressed ovarian cancer patients and help define novel hypotheses regarding potential therapeutic interventions in socially isolated patients.
卵巢癌患者从出现非特异性症状导致诊断延迟,到接受手术和化疗,最终5年生存率为43%,这一过程必定会对患者产生深远且有害的心理影响。新出现的研究表明,较高水平的催产素(OT)和增加的社会支持(癌症的一个独立预后因素)对压力有调节作用。相比之下,已知肿瘤细胞增殖与皮质醇(应激激素)水平升高有关。因此,我们假设皮质醇和催产素在分子水平上存在相互作用。使用三种卵巢癌细胞系作为体外模型,在有或没有OT的情况下,用模拟体内生理应激浓度的皮质醇进行处理。OT对所有三种细胞系均能减少细胞增殖和迁移,诱导细胞凋亡和自噬,部分逆转皮质醇的作用。对卵巢癌患者组织进行的定量逆转录聚合酶链反应(RT-PCR)显示,与对照组相比,糖皮质激素受体(剪接变体GR-P)和OT受体(OTR)显著上调。组织芯片显示,与正常组织相比,卵巢癌样本中GRα的表达较低。OT还被证明可驱动GR基因的可变剪接以及皮质醇诱导的OTR表达。在有皮质醇存在的情况下,OT能够反式激活GR,从而为体外相互作用提供了进一步证据。这些数据解释了为什么社会支持可能有助于 distressed卵巢癌患者,并有助于确定关于对社会孤立患者进行潜在治疗干预的新假设。 (注:原文中“distressed”未明确准确含义,暂保留英文)