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Biobehavioral Factors and Cancer Progression: Physiological Pathways and Mechanisms
Journal article   Open access   Peer reviewed

Biobehavioral Factors and Cancer Progression: Physiological Pathways and Mechanisms

Susan K Lutgendorf and Anil K Sood
Psychosomatic medicine, Vol.73(9), pp.724-730
2011
DOI: 10.1097/PSY.0b013e318235be76
PMCID: PMC3319047
PMID: 22021459
url
https://www.ncbi.nlm.nih.gov/pmc/articles/3319047View
Open Access

Abstract

Epidemiological evidence increasingly has supported the role of biobehavioral risk factors such as social adversity, depression, and stress in cancer progression. This review describes in vitro, in vivo, and clinical studies demonstrating relationships between such processes and pathways involved in cancer progression. These include effects on the cellular immune response, angiogenesis, invasion, anoikis, and inflammation. Biobehavioral factors have been shown to contribute to the cross-talk between tumor and host cells in the tumor microenvironment and stress effects on host cells such as macrophages appear to be critical for many pathways involved in tumor progression. Some effects are bi-directional, in that tumor derived inflammation appears to affect central nervous system processes, giving rise to vegetative symptoms and contributing to dysregulation of the HPA axis with downstream effects on inflammatory control. Findings to date are reviewed and fruitful areas for future research are discussed.
social support stress anoikis glucocorticoid angiogenesis Biobehavioral beta-adrenergic oncology

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