Prostate cancer patients have increased levels of stress and anxiety. Conversely, men who take beta blockers, which interfere with signaling from the stress hormones adrenaline and noradrenaline, have a lower incidence of prostate cancer; however, the mechanisms underlying stress–prostate cancer interactions are unknown. Here, we report that stress promotes prostate carcinogenesis in mice in an adrenaline-dependent manner. Behavioral stress inhibited apoptosis and delayed prostate tumor involution both in phosphatase and tensin homolog–deficient (PTEN-deficient) prostate cancer xenografts treated with PI3K inhibitor and in prostate tumors of mice with prostate-restricted expression of c-MYC (Hi-Myc mice) subjected to androgen ablation therapy with bicalutamide. Additionally, stress accelerated prostate cancer development in Hi-Myc mice. The effects of stress were prevented by treatment with the selective β2-adrenergic receptor (ADRB2) antagonist ICI118,551 or by inducible expression of PKA inhibitor (PKI) or of BCL2-associated death promoter (BAD) with a mutated PKA phosphorylation site (BADS112A) in xenograft tumors. Effects of stress were also blocked in Hi-Myc mice expressing phosphorylation-deficient BAD (BAD3SA). These results demonstrate interactions between prostate tumors and the psychosocial environment mediated by activation of an adrenaline/ADRB2/PKA/BAD antiapoptotic signaling pathway. Our findings could be used to identify prostate cancer patients who could benefit from stress reduction or from pharmacological inhibition of stress-induced signaling.
Sazzad Hassan, Yelena Karpova, Daniele Baiz, Dana Yancey, Ashok Pullikuth, Anabel Flores, Thomas Register, J. Mark Cline, Ralph D’Agostino Jr., Nika Danial, Sandeep Robert Datta, George Kulik
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B Wang, K Tanaka, T Katsube, Y Ninomiya, G Vares, Q Liu, A Morita, T Nakajima, M Nenoi |
Journal of Radiation Research | 2015 |
Effect of Chronic Psychological Stress on Liver Metastasis of Colon Cancer in Mice
L Zhao, J Xu, F Liang, A Li, Y Zhang, J Sun, OR Bandapalli |
PloS one | 2015 |
A Her2-let-7-β2-AR circuit affects prognosis in patients with Her2-positive breast cancer
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BMC Cancer | 2015 |
Stress-Related Signaling Pathways in Lethal and Nonlethal Prostate Cancer
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Sustained adrenergic signaling leads to increased metastasis in ovarian cancer via increased PGE2 synthesis
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Oncogene | 2015 |
Norepinephrine induced epithelial–mesenchymal transition in HT-29 and A549 cells in vitro
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Journal of Cancer Research and Clinical Oncology | 2015 |
Signaling pathways in the development of infantile hemangioma
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Journal of Hematology & Oncology | 2014 |
Gene expression profile of compressed primary human cementoblasts before and after IL-1β stimulation
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Clinical Oral Investigations | 2014 |
A nervous tumor microenvironment: the impact of adrenergic stress on cancer cells, immunosuppression, and immunotherapeutic response
JW Eng, KM Kokolus, CB Reed, BL Hylander, WW Ma, EA Repasky |
Cancer Immunology, Immunotherapy | 2014 |
Integrating new discoveries into the “vicious cycle” paradigm of prostate to bone metastases
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Cancer and Metastasis Reviews | 2014 |
Exogenous norepinephrine attenuates the efficacy of sunitinib in a mouse cancer model
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Journal of Experimental & Clinical Cancer Research | 2014 |
Role of the autonomic nervous system in tumorigenesis and metastasis
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Molecular & Cellular Oncology | 2014 |
hTERT mediates norepinephrine-induced Slug expression and ovarian cancer aggressiveness
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Why Stress is BAD for Cancer Patients
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Journal of Clinical Investigation | 2013 |
Age-related changes in the innervation of the prostate gland: Implications for prostate cancer initiation and progression
CW White, JH Xie, S Ventura |
Organogenesis | 2013 |
Lymphovascular and neural regulation of metastasis: Shared tumour signalling pathways and novel therapeutic approaches
CP Le, T Karnezis, MG Achen, SA Stacker, EK Sloan |
Best Practice & Research Clinical Anaesthesiology | 2013 |
Systems modeling of anti-apoptotic pathways in prostate cancer: psychological stress triggers a synergism pattern switch in drug combination therapy
X Sun, J Bao, KC Nelson, KC Li, G Kulik, X Zhou |
PLoS computational biology | 2013 |
Surgical stress delays prostate involution in mice
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The gateway theory: bridging neural and immune interactions in the CNS
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Frontiers in neuroscience | 2013 |
Does the autonomic nervous system contribute to the initiation and progression of prostate cancer?
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Asian Journal of Andrology | 2013 |
Regulation of immune cell infiltration into the CNS by regional neural inputs explained by the gate theory
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Targeting psychoemotional stress to treat prostate cancer
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Asian Journal of Andrology | 2013 |
A pilot study of blood epinephrine levels and CREB phosphorylation in men undergoing prostate biopsies
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Catecholamine Stress Alters Neutrophil Trafficking and Impairs Wound Healing by β2-Adrenergic Receptor–Mediated Upregulation of IL-6
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Journal of Investigative Dermatology | 2013 |
Combination of the PI3K inhibitor ZSTK474 with a PSMA-targeted immunotoxin accelerates apoptosis and regression of prostate cancer.
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Pulmonary surfactant: an immunological perspective
ZC Chroneos, Z Sever-Chroneos, VL Shepherd |
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