A local sympathetic-immune axis inhibits melanoma growth in mice by dictating adrenergic control

Tingting Liu1, Daniel Y Kutsovsky1, Ethan M Earlie2

  • 1Department of Biochemistry and Biophysics, Weill Cornell Medicine, New York, NY, USA; Sandra and Edward Meyer Cancer Center, Weill Cornell Medicine, New York, NY, USA.

Neuron
|April 30, 2026
PubMed

Insights

The nervous system can both promote and inhibit melanoma growth. Sympathetic axons act as a brake by activating alpha-2 adrenergic receptors, restricting pro-tumor myeloid cells.

Area of Science:

  • Neuroscience
  • Oncology
  • Immunology

Background:

  • The nervous system's role in cancer is complex, often promoting tumor growth.
  • Contexts where the nervous system inhibits tumor progression are less understood.
  • Sympathetic innervation is observed in various cancers, but its dual role is unclear.

Purpose of the Study:

  • To investigate the role of sympathetic innervation in cutaneous melanoma growth.
  • To determine the mechanisms by which the nervous system influences melanoma progression.
  • To explore the context-dependent bidirectional neural control of tumor growth.

Main Methods:

  • Optical reconstruction of axonal innervation in mouse melanoma models.
  • Genetic depletion and optogenetic activation of sympathetic axons.
  • Analysis of adrenergic receptor (AR) signaling pathways.
  • Assessment of myeloid cell populations and T cell activity.

Main Results:

  • Progressive sympathetic axonal innervation of cutaneous melanoma was observed.
  • Depletion of sympathetic axons accelerated melanoma growth, while activation slowed it.
  • Melanomas shifted from beta-AR driven growth promotion to alpha-2 AR driven inhibition.
  • Alpha-2 AR activation restricted pro-tumor myeloid cells, independent of T cells.

Conclusions:

  • Sympathetic axons can act as a physiological brake on melanoma growth.
  • Melanoma progression is subject to context-dependent, bidirectional neural control.
  • Alpha-2 AR signaling represents a novel mechanism for neural inhibition of tumor growth.

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