Cited by 35Cancer, Stress, Anesthesia, and Immune ResponseImmune cells in cancerStress Responses and Cortisol

Investigating the crosstalk between chronic stress and immune cells: implications for enhanced cancer therapy

Open access
Lei, YongRong, Liao, Fenghui, Tian, YiChen, Wang, YaNi, Xia, Feng, Wang, JianHua·2023·Frontiers in Neuroscience

Abstract

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.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.3389/fnins.2023.1321176

Cites

230 of 230 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • 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].”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

2 retracted

Flagged first, then by citations

Cited by

Sorted by citations

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
Venue
Frontiers in Neuroscience
Published
2023-11-28
Volume
17
Pages
1321176-1321176
ISSN
1662-453X (ISSN-L)
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
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

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review