Stress causes ovarian cancer tumors to grow
and spread more quickly in mice, U.S. researchers
reported in a study that provides one of the first
biological links between stress and cancer.
In the mice, stress hormones attach directly
to tumor cells and stimulate new blood vessel
growth and other factors that lead to faster and
more aggressive tumors, the researchers said.
The study published in the journal Nature Medicine
also found that a blood pressure drug reverses
the effect.
Studies aimed at finding out if stress causes
cancer have not come up with a clear answer --
and some have clearly ruled out any link between
stressful life events, such as divorce or job
loss, and later cancer.
But many people believe stress can cause cancer.
Dr. Anil Sood of The University of Texas M.D.
Anderson Cancer Center and colleagues noticed
that ovarian cancer patients who reported high
levels of stress in their lives also had higher
levels of a protein called VEGF, which stimulates
blood vessel growth in tumors.
The patients who had more social support in their
lives had lower levels of VEGF.
So the team infected mice with ovarian cancer
and then stressed some by confining alone them
in a small space for two or six hours. Mice stressed
for six hours had 3.6 times as many tumors.
And in half the stressed mice the tumors had
already spread to the liver or spleen.
To their surprise, Sood's team found that the
tumor cells have receptors, molecular doorways,
that are configured for stress hormones.
When activated, they start a process known as
angiogenesis -- making the little blood vessels
that tumors need to nourish themselves. Not only
was VEGF activated, but so were two other compounds
involved in sustaining tumors called MMP2 and
MMP9.
"This study provides a new understanding of how
chronic stress and stress factors drive tumor
growth," Sood said in a statement.
So then the researchers gave the mice a beta-blocker
heart drug called propranolol, which lowers blood
pressure using these same stress receptors, called
beta adrenergic receptors.
"The concept of stress hormone receptors directly
driving cancer growth is very new," Sood said.
"Not much had been known about how often these
receptors are expressed in cancer, and more importantly,
whether they had any functional significance.
Our research opens a new area of investigation."