Institute for Behavioral Medicine Research, Ohio State University Wexner Medical Center, Columbus, OH, USA; Department of Neuroscience, Ohio State University, Columbus, OH, USA.
Institute for Behavioral Medicine Research, Ohio State University Wexner Medical Center, Columbus, OH, USA.
Brain Behav Immun. 2019 Aug;80:805-817. doi: 10.1016/j.bbi.2019.05.028. Epub 2019 May 17.
Circadian rhythms influence various aspects of biology, including hormonal, immunological, and behavioral processes. These 24-hour oscillations are necessary to optimize cellular functions and to synchronize these processes with the environment. Breast cancer patients and survivors frequently report disruptions in circadian oscillations that adversely affect quality-of-life, including fragmented sleep-wake cycles and flattened cortisol rhythms, which are associated with negative behavioral comorbidities (e.g., fatigue). However, the potential causal role of tumor biology in circadian dysregulation has not been investigated. Here, we examined the extent to which sham surgery, non-metastatic mammary tumors, or mammary tumor removal in mice disrupts circadian rhythms in brain clock gene expression, locomotor behavior (free-running and entrained), and physiological rhythms that have been associated with cancer behavioral comorbidities. Tumors and tumor resection altered time-of-day differences in hypothalamic expression of eight circadian-regulated genes. The onset of activity in entrained running behavior was advanced in tumor-bearing mice, and the amplitude of free-running rhythms was increased in tumor-resected mice. Tumors flattened rhythms in circulating corticosterone and Ly6c monocytes which were largely restored by surgical tumor resection. This work implies that tumors alone may directly impact central and/or peripheral circadian rhythmicity in breast cancer patients, and that these effects may persist in cancer survivors, potentially contributing to behavioral comorbidities.
昼夜节律影响生物学的各个方面,包括激素、免疫和行为过程。这些 24 小时的波动对于优化细胞功能以及使这些过程与环境同步是必要的。乳腺癌患者和幸存者经常报告昼夜节律波动的中断,这会对生活质量产生不利影响,包括睡眠-觉醒周期碎片化和皮质醇节律平坦,这与负面行为合并症(如疲劳)有关。然而,肿瘤生物学在昼夜节律失调中的潜在因果作用尚未得到研究。在这里,我们研究了假手术、非转移性乳腺肿瘤或小鼠乳腺肿瘤切除在多大程度上破坏了大脑时钟基因表达、运动行为(自由运行和适应)以及与癌症行为合并症相关的生理节律的昼夜节律。肿瘤和肿瘤切除改变了下丘脑 8 个昼夜节律调节基因表达的时间差异。在荷瘤小鼠中,适应行为的活动起始时间提前,而在肿瘤切除小鼠中,自由运行节律的幅度增加。肿瘤使循环皮质酮和 Ly6c 单核细胞的节律变平,而手术肿瘤切除则在很大程度上恢复了这些节律。这项工作表明,肿瘤本身可能直接影响乳腺癌患者的中枢和/或外周昼夜节律性,并且这些影响可能在癌症幸存者中持续存在,可能导致行为合并症。