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The influence of bio-behavioural factors on tumour biology: pathways and mechanisms
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Epidemiological studies indicate that stress, chronic depression and lack of social support might serve as risk factors for cancer development and progression. Recent cellular and molecular studies have identified biological processes that could potentially mediate such effects. This review integrates clinical, cellular and molecular studies to provide a mechanistic understanding of the interface between biological and behavioural influences in cancer, and identifies novel behavioural or pharmacological interventions that might help improve cancer outcomes.
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“Furthermore, the same cortisol-cytokine negative relationship has been found in response to other psychosocial interventions in oncology [4–5].”
From Singing modulates mood, stress, cortisol, cytokine and neuropeptide activity in cancer patients and carers (2016) · cites this paper as [5]
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“Inflammation is also a proposed mechanism mediating ELA effects on later depression, age-related diseases [3], neurodevelopmental changes [40], cancers [49], and other systemic effects discussed.”
From Biological embedding of childhood adversity: from physiological mechanisms to clinical implications (2017) · cites this paper as [49]
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“Glucocorticoid dysregulation may also promote oncogenic tumor cell microenvironments (in part via pro-inflammatory effects, as discussed below), fostering growth, migration, invasiveness, and angiogenesis [49], thus potentially contributing to observed links between ELA and cancers [7].”
From Biological embedding of childhood adversity: from physiological mechanisms to clinical implications (2017) · cites this paper as [49]
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“In contrast, negative psychological states and limited social interactions have been linked to lower white blood cell activity, reduced numbers of antibodies and increased stress hormone response [2, 4–5].”
From Singing modulates mood, stress, cortisol, cytokine and neuropeptide activity in cancer patients and carers (2016) · cites this paper as [5]
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“These positive states have, in turn, been linked to optimised immune responses including the lowering of inflammation, enhanced cellular function and other longer term health outcomes [4–5].”
From Singing modulates mood, stress, cortisol, cytokine and neuropeptide activity in cancer patients and carers (2016) · cites this paper as [5]
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“and earlier cancer-related mortality [20–22]”
From A randomized controlled trial of a multi-modal palliative care intervention to promote advance care planning and psychological well-being among adults with advanced cancer: study protocol. (2022) · cites this paper as [22]
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“These symptoms are thought to further exacerbate inflammation and, in doing so, contribute to the pathogenesis of various diseases of aging (6–8), many of which involve excessive cytokine activity (9, 10).”
From Clustering of depression and inflammation in adolescents previously exposed to childhood adversity (2012) · cites this paper as [7]
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Metadata
- Authors
- Antoni, M. H., Lutgendorf, S. K., Cole, S. W., Dhabhar, F. S., Sephton, S. E., McDonald, P. G., Stefanek, M., & Sood, A. K.
- Affiliations
- University of Miami (US)
- University of Iowa (US)
- Stanford Medicine (US)
- University of Louisville (US)
- National Institutes of Health (US)
- The University of Texas MD Anderson Cancer Center (US)
- Venue
- Nature Reviews Cancer
- Published
- 2006-03
- Volume
- 6
- Issue
- 3
- Pages
- 240-248
- ISSN
- 1474-175X (ISSN-L)
- 1474-1768
- PMC
- PMC3146042
- OpenAlex
- W2025845020
- Cited by
- 981
- References
- 153
- Citations by year
- 2026: 43 · 2025: 42 · 2024: 48 · 2023: 51 · 2022: 47 · 2021: 58 · 2020: 57 · 2019: 53 · 2018: 52 · 2017: 46 · 2016: 53 · 2015: 42 · 2014: 40 · 2013: 64 · 2012: 69
- FWCI
- 5.32
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature reviews. Cancer (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UH3TR000943)
- National Cancer Institute (R01CA110793, R01CA109298, P50CA083639)
- National Center for Advancing Translational Sciences
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Stress, Anesthesia, and Immune Response
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- psychological stress, depression, social support, tumor progression, tumor biology, behavioral factors, cancer risk factors, molecular mechanisms, pharmacological interventions, oncological outcomes
- MeSH terms
- Animals, Depression, Humans, Neoplasms, Risk Factors, Social Support, Socioeconomic Factors, Stress, Psychological, Signal Transduction
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