Cold Spring Harbor Laboratory, Cancer Center, Cold Spring Harbor, NY 11724, USA.
Cold Spring Harbor Laboratory, Cancer Center, Cold Spring Harbor, NY 11724, USA; Université Côte d'Azur, CNRS UMR7284, INSERM U1081, Institute for Research on Cancer and Aging, Nice (IRCAN), Nice, France.
Cancer Cell. 2024 Mar 11;42(3):474-486.e12. doi: 10.1016/j.ccell.2024.01.013. Epub 2024 Feb 22.
Chronic 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.
慢性应激与癌症患者转移和生存不良的风险增加有关,但原因尚不清楚。我们表明,慢性应激会使小鼠肺部转移性播散癌细胞增加 2-4 倍。慢性应激会显著改变肺部微环境,导致纤维连接蛋白积累、T 细胞浸润减少和中性粒细胞浸润增加。耗尽中性粒细胞可消除应激诱导的转移。慢性应激会改变正常的中性粒细胞昼夜节律,并通过糖皮质激素释放引起中性粒细胞胞外诱捕网(NET)的形成增加。在中性粒细胞特异性糖皮质激素受体缺失的小鼠中,慢性应激不会增加 NET 并转移。此外,用 DNAse I 消化 NET 可防止慢性应激引起的转移。综上所述,我们的数据表明,慢性应激过程中释放的糖皮质激素会导致 NET 形成,并建立促进转移的微环境。因此,NET 可能成为预防癌症患者转移复发的靶点,许多癌症患者由于疾病会经历慢性应激。
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