Zhu Zhen, Yu Ruihua, Yang Chao, Li Dong, Wang Jiawei, Yang Wanli, Ji Yonghua, Wang Li, Wang Yaosheng, Jiang Feng
School of Life Sciences, Shanghai University, Shanghai, China.
Translational Institute for Cancer Pain, Clinical Research and Innovation Unit, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Chongming Branch, Shanghai, China.
Ann Transl Med. 2021 Jan;9(2):149. doi: 10.21037/atm-20-8176.
An increasing number of studies indicate that adrenergic signaling plays a fundamental role in tumor progression and metastasis induced by chronic stress. However, despite the growing attention, an understanding of the mechanisms linking chronic stress and cancer is still insufficient.
Western blot analysis and transmission electron microscopy (TEM) were used to observe the changes in autophagy level in a breast cancer cell line (MCF-7) after epinephrine treatment. Non-targeted metabolomics was also used to detect MCF-7 metabolites after epinephrine treatment. The xenograft model was used to detect the level of autophagy after epinephrine intervention.
The results showed that epinephrine treatment reduced the autophagy level of breast cancer cells. Epinephrine changed the level of phosphatidylethanolamine (PE) in breast cancer cells as detected by non-targeted metabolomics. Epinephrine also changed autophagy in breast cancer cells by decreasing the level of PE in cells. When autophagy decreased, the invasion and migration of breast cancer cells increased , and the progression of breast cancer accelerated .
These findings suggest that stress-related hormones affect the tumor progression of breast cancer. Therefore, strengthening the emotional management strategies of patients during the process of antitumor treatment as a supplement to the existing treatments may be beneficial.
越来越多的研究表明,肾上腺素能信号传导在慢性应激诱导的肿瘤进展和转移中起重要作用。然而,尽管关注度不断提高,但对慢性应激与癌症之间联系机制的理解仍然不足。
采用蛋白质免疫印迹分析和透射电子显微镜(TEM)观察肾上腺素处理后乳腺癌细胞系(MCF-7)自噬水平的变化。还采用非靶向代谢组学检测肾上腺素处理后MCF-7的代谢产物。利用异种移植模型检测肾上腺素干预后的自噬水平。
结果显示,肾上腺素处理降低了乳腺癌细胞的自噬水平。通过非靶向代谢组学检测发现,肾上腺素改变了乳腺癌细胞中磷脂酰乙醇胺(PE)的水平。肾上腺素还通过降低细胞内PE水平改变乳腺癌细胞的自噬。当自噬减少时,乳腺癌细胞的侵袭和迁移增加,乳腺癌进展加速。
这些发现表明,应激相关激素会影响乳腺癌的肿瘤进展。因此,在抗肿瘤治疗过程中加强患者的情绪管理策略作为现有治疗的补充可能是有益的。