与压力相关的乳腺癌发病率和进展的机制
Elizabeth Reznik1, Ava Torjani2
1Department of Internal Medicine, NewYork-Presbyterian Weill Cornell, New York, NY, USA. elr3002@nyp.org.
Cancer causes & control : CCC
|July 16, 2024
概括
心理社会压力可能会通过生物机制影响乳腺癌的发展和进展. 针对压力路径的干预措施可以改善患者的治疗结果,并可能减少癌症发病率.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 心理神经免疫学 心理神经免疫学
背景情况:
- 乳腺癌是妇女死亡的主要原因,心理社会压力经常被报道为促成因素.
- 关于压力与乳腺癌之间的联系的流行病学证据是不一致的.
- 减少压力的干预措施可能为乳腺癌患者提供治疗效益.
研究的目的:
- 审查将心理压力与乳腺癌发病率和进展联系在一起的分子和生物机制.
- 确定旨在减轻与压力有关的乳腺癌影响的干预措施的潜在治疗目标.
主要方法:
- 审查现有的关于压力影响生物通路的文献.
- 讨论下丘脑-垂体-上腺 (HPA) 轴和交感神经系统 (SNS) 的作用.
- 检查压力诱导的免疫功能障碍和化疗耐药性的检查.
主要成果:
- 压力激活HPA轴和神经神经系统,导致荷尔蒙变化.
- 慢性压力可以抑制免疫功能,可能促进癌症.
- 压力激素可能会诱导对化疗的耐药性,使治疗复杂化.
- 这些机制为药理和心理干预提供了目标.
结论:
- 了解与压力相关的生物机制对于乳腺癌管理至关重要.
- 针对压力路径的药理和心理干预措施有望改善患者的福祉和生存.
- 对高风险妇女的初级保健干预措施进行进一步的研究是有必要的,以评估对侵袭性乳腺瘤发病率的影响.
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