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Published on: May 6, 2022
Epigenetic regulation in biopsychosocial pathways
Kristin Litzelman1, Mukesh Verma
1Basic Biobehavioral and Psychological Sciences Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, MSC 9761, Rm 3E-620, 9609 Medical Center Drive, Bethesda, MD, 20892-9761, USA, Kristin.litzelman@mail.nih.gov.
Psychological stress can accelerate cancer progression through epigenetic changes like DNA methylation and microRNA expression. Further research is needed to clarify these complex biological pathways for improved cancer treatment.
Area of Science:
- Psychoneuroimmunology
- Cancer Biology
- Epigenetics
Background:
- Psychological stress and adverse psychosocial experiences are linked to cancer progression.
- Epigenetic modifications, including DNA methylation and microRNA expression, are emerging as potential mediators.
- The physiological stress response, involving hormones like cortisol, may influence these epigenetic changes.
Purpose of the Study:
- To explore the role of epigenetic changes in mediating the effects of stress on cancer progression.
- To identify specific biological pathways linking psychosocial factors, epigenetics, and cancer outcomes.
- To highlight opportunities for future research in this area.
Main Methods:
- Review of existing theoretical and empirical evidence from basic, animal, and human models.
- Analysis of studies investigating the association between stress exposure, stress response products (e.g., cortisol), and epigenetic modifications.
- Examination of research on the impact of epigenetic changes on tumor growth, metastasis, and chemoresistance.
Main Results:
- Preliminary evidence suggests stress exposure is associated with epigenetic changes (DNA methylation, miR expression).
- These epigenetic alterations may influence key aspects of cancer progression, including tumor growth, metastasis, and chemoresistance.
- Specific biological pathways linking stress, epigenetics, and cancer outcomes require further elucidation.
Conclusions:
- Epigenetic mechanisms represent a critical link between the psychosocial environment and cancer progression.
- Understanding these biopsychosocial pathways can inform the development of novel prevention and treatment strategies.
- Further research is warranted to fully elucidate the role of epigenetics in stress-related cancer outcomes.
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