Investigating the crosstalk between chronic stress and immune cells: implications for enhanced cancer therapy
Open accessAbstract
Chronic stress has a substantial influence on the tumor microenvironment (TME), leading to compromised effectiveness of anti-cancer therapies through diverse mechanisms. It disrupts vital functions of immune cells that play a critical role in anti-tumor immunity, such as the inhibition of dendritic cells (DCs) and lymphocytes, while simultaneously enhancing the activity of immune cells that support tumor growth, such as myeloid-derived suppressor cells and tumor-associated macrophages. Furthermore, chronic stress exerts a significant impact on crucial mechanisms within the TME, including angiogenesis, DNA repair, hypoxia, extracellular matrix deposition, and tumor metabolism. These alterations in the TME, induced by stress, result from the activation of the hypothalamic–pituitary–adrenal axis and sympathetic nervous system, in conjunction with epigenetic modifications. In conclusion, chronic stress significantly influences the TME and impedes the efficacy of anti-cancer treatments, underscoring the importance of targeting stress pathways to improve therapeutic results.
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Chronic stress disrupts immune cell functions involved in anti-tumor immunity, inhibiting dendritic cells and lymphocytes, while enhancing tumor-supportive cells such as myeloid-derived suppressor cells and tumor-associated macrophages.
“Chronic stress disrupts the critical immune cell functions involved in anti-tumor immunity, inhibiting dendritic cells and lymphocytes, while enhancing the activity of tumor-supportive cells such as myeloid-derived suppressor cells and tumor-associated macrophages [65].”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [65]
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- Authors
- Lei, Y., Liao, F., Tian, Y., Wang, Y., Xia, F., & Wang, J.
- Affiliations
- Army Medical University (CN)
- Chongqing University (CN)
- Corresponding author
- Xia, Feng
- Wang, JianHua
- ORCID
- Wang, JianHua
- Venue
- Frontiers in Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2023-11-28
- Volume
- 17
- Pages
- 1321176-1321176
- ISSN
- 1662-453X (ISSN-L)
- PMC
- PMC10713832
- OpenAlex
- W4389095810
- Cited by
- 35
- References
- 230
- Citations by year
- 2026: 17 · 2025: 12 · 2024: 6
- FWCI
- 1.59
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Neuroscience (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Natural Science Foundation of China (21827812)
- Centre Scientifique et Technique du Bâtiment
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Cancer, Stress, Anesthesia, and Immune Response
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- chronic stress, tumor microenvironment, antitumor immunity, dendritic cells, lymphocytes, myeloid-derived suppressor cells, tumor-associated macrophages, angiogenesis, DNA repair, hypoxia, extracellular matrix, cancer metabolism, hypothalamic-pituitary-adrenal axis, sympathetic nervous system, epigenetic modifications, cancer therapy resistance
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