Related Experiment Video
Updated: Jun 28, 2026

Genetic Profiling and Genome-Scale Dropout Screening to Identify Therapeutic Targets in Mouse Models of Malignant Peripheral Nerve Sheath Tumor
Published on: August 25, 2023
Is norepinephrine an etiological factor in some types of cancer?
1Krieger Mind/Brain Institute, Johns Hopkins University, Baltimore, MD 21218, USA. pfitz@mbi.mb.jhu.edu
Abstract:
I examine evidence that the signaling molecule norepinephrine (NE) is an etiological factor in some types of cancer. In support of this hypothesis, I cite the following 7 lines of evidence: (i) rodent studies of tumorigenesis in the context of NE manipulation; (ii) human studies of tricyclic antidepressant use and cancer rate; (iii) existence of pheochromocytoma, a cancer of the adrenal glands; (iv) cancer rate in families with individuals who have bipolar disorder; (v) hypertension and cancer risk; (vi) excessive body weight and cancer risk; and (vii) psychological stressors and cancer risk. Three aspects of the body's NE system are consistent with it playing an etiological role in various types of cancer: (i) NE circulates in the blood and can thereby access organ systems throughout the body, in addition to direct peripheral release by the sympathetic nervous system and being released within the brain; (ii) many of the body's organs possess NE receptors on the outer surface of at least some of their cells; (iii) by binding to its extracellular receptors, NE affects intracellular second messenger systems that could influence carcinogenesis. Most importantly, use of existing pharmaceutical drugs that either lower the level of NE (such as clonidine) or block NE receptors may lower the probability of an individual developing cancer, and this hypothesis could be tested immediately by an epidemiologist through examination of existing medical records.
Insights
Norepinephrine (NE), a signaling molecule, may contribute to the development of certain cancers. Research suggests that medications targeting NE levels or receptors could potentially reduce cancer risk, a hypothesis testable with existing data.
Area of Science:
- Oncology
- Neuroscience
- Pharmacology
Background:
- Norepinephrine (NE) is a key signaling molecule involved in physiological stress responses.
- The role of NE in cancer etiology is an emerging area of research.
- Existing evidence links NE-related factors to cancer risk.
Purpose of the Study:
- To examine the hypothesis that norepinephrine (NE) acts as an etiological factor in cancer development.
- To review evidence supporting the link between NE and tumorigenesis.
- To explore potential therapeutic strategies targeting the NE system for cancer prevention.
Main Methods:
- Review of rodent studies on NE manipulation and tumorigenesis.
- Analysis of human epidemiological data on antidepressant use and cancer rates.
- Examination of conditions associated with altered NE levels and cancer risk (pheochromocytoma, bipolar disorder, hypertension, obesity, stress).
Main Results:
- Multiple lines of evidence suggest a correlation between NE and cancer.
- NE's systemic circulation, receptor distribution, and intracellular signaling pathways support its potential role in carcinogenesis.
- Rodent studies, human epidemiological data, and clinical observations align with NE's involvement.
Conclusions:
- Norepinephrine (NE) is a plausible etiological factor in certain cancers.
- Pharmaceuticals that modulate NE levels or block NE receptors may offer a novel approach to cancer risk reduction.
- This hypothesis warrants immediate epidemiological investigation using existing medical records.
Related Concept Videos
Psychoneuroimmunology: Diabetes and Cancer
Psychoneuroimmunology: Cardiovascular Disease
A key area of focus in PNI is the relationship between stress and coronary...
Mitogens and the Cell Cycle
Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists
Phenothiazines, such as prochlorperazine...
Panic Disorder
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists