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Borniger. J Cancer Metastasis Treat 2019;5:23  I  http://dx.doi.org/10.20517/2394-4722.2018.107                             Page 13 of 18

               Table 2. Non-exhaustive list of primary animal model evidence for brain-tumor interactions regulating cancer incidence,
               disease progression, morbidity and mortality (see Figure 2 for more details)
                Cancer type/model               Main focus               Primary findings         Ref.
                67NR/4T1/4T07 syngeneic breast  Effects of peripheral tumors on central   Tumors alter leptin/ghrelin signaling,   [6]
                cancer cells (female BalbC mice;  regulation of sleep and metabolism  disrupting central hypocretin/orexin
                subQ/orthotopic)                                  activity to influence glucose metabolism
                                                                  and sleep via the sympathetic nervous
                                                                  system
                LL2 Lewis Lung carcinoma/B6   Dopaminergic regulation of tumor growth  Activation of VTA-dopamine neurons   [87]
                (male C57bl6j mice; subQ)                         blunts tumor growth via sympathetic
                                                                  modulation of bone-marrow myeloid
                                                                  derived suppressor cells
                p53 R270H©/+ WAP-Cre mutant   Circadian disruption-induced cancer   Chronic phase shifting accelerated   [60]
                model of Li-Fraumeni syndrome   development       spontaneous tumor growth and altered
                (mouse; transgenic)                               tumor phenotype
                N-nitroso-N-methylurea (NMU)- Effects of tumors on affective behaviors  Tumor growth is associated with   [141]
                induced mammary tumors (rat;                      central cytokine concentrations, altered
                chemically induced)                               glucocorticoid responses, and the
                                                                  development of depressive-like behavior
                Colon-26 adenocarcinoma cells   Effects of tumors on fatigue, muscle   Tumors promoted central   [142,143]
                (mouse; SubQ)         physiology, and affective behaviors  proinflammatory cytokine production and
                                                                  depressive-like behavior prior to defects
                                                                  in muscle function, behavior rescued by
                                                                  SSRI
                HeyA8, SKOV3ip1, MB-231   Effects of stress on tumor development and  Stress-induced adrenergic signaling   [12]
                orthotopic human ovarian   angiogenesis           (cAMP->PKA) promotes tumor growth
                carcinoma cells (nude mice; IP)                   and angiogenesis
                Non-metastatic        Effects of inflammation on central   Tumors reduced hypocretin/orexin   [144]
                methylcholanthrene-induced   hypocretin/orexin neurons and fatigue  transcript expression and promoted
                sarcoma (F344/NTacfBR male                        fatigue
                rats; SubQ)
                LL2 or TC-1 lung epithelial cells   Role of sleep fragmentation (SF) on tumor   SF accelerates tumor growth, likely   [13]
                (male C57Bl6 mice; subQ)  growth and progression  through a TLR4 dependent mechanism
                LL2 Lewis Lung carcinoma cells/  Role of calcitonin-gene related peptide   Inactivation of parabrachial CGRP   [109]
                Apc/min+ mice (male and female  (CGRP) neurons in cancer-associated   neurons prevents and reverses cancer-
                C57Bl6; subQ/transgenic)  cachexia                induced anorexia, fatigue, and changes in
                                                                  affective behavior
                MADB106 breast cancer cells   Role of dopaminergic system in tumor   Smaller tumors, fewer metastases, and   [84]
                (outbred “hyperreactive” Wistar  growth/metastasis  reduced angiogenesis in rats with a
                rats; subQ)                                       hyperreactive dopaminergic system
                K-ras LSL-G12D/+ ;p53 flox/flox  (KP) or   Effects of circadian disruption   Both genetic and physiologic circadian   [61]
                K-ras LSL-G12D/+  (K) lung cancer   (environmental and genetic) on lung tumor  disruption accelerate tumor growth
                model 129SvJ x C57bl6 mice (cre- growth and progression  and promote c-myc upregulation and
                dependent p53 deletion)                           metabolic reprogramming
                diethylnitrosamine-induced   Sympathetic nervous system effect on   High density of SNS bundles associated   [145]
                hepatocarcinogenesis (male   hepatocarcinogenesis  with poor prognosis, SNS activation of
                Sprague-Dawley rats)                              Kupffer cells drives inflammation
                Hepatocarcinoma Morris   Role of light and melatonin in cancer   Melatonin depleted blood accelerates   [79]
                7288CTC cells (male buffalo rats)  progression    tumor growth and metabolism compared
                or steroid receptor (SR)-1+ or SR-                to melatonin-rich blood from healthy
                1- MCF-7 human breast cancer                      women; light accelerates tumor growth in
                xenografts (female nude rats)                     dose-dependent manner
                B16 melanoma cells (male nude   Role of peripheral dopaminergic signaling in  6-OHDA ablation of dopaminergic   [146]
                mice/C57bl6 D 2  receptor-KO)  tumor growth/angiogenesis/metastasis  nerves enhanced tumor angiogenesis
                                                                  and growth, likely through D 2 -mediated
                                                                  mechanism
                GOS Glasgow osteosarcoma and  Effect of suprachiasmatic nucleus lesions on  SCN lesions drastically increased tumor   [147]
                pancreatic adenocarcinoma (P03) tumor growth      size in both cancer models examined
                xenographs (male B6D2F 1  mice;
                subQ into flank)
                TC-1 mouse lung cancer cells and  Effect of sleep fragmentation on plasma   Chronic sleep fragmentation alters the   [148]
                human lung adenocarcinoma   exosomes and tumor growth  microRNA cargo of plasma exosomes to
                cells (male C57bl6 mice and                       promote tumor cell proliferation
                obstructive sleep apnea patients)
                EG, SKOV3ip1, and 222 human   Effect of stress hormones on cancer   Adrenergic and glucocorticoid signaling   [93]
                ovarian cancer cells (nude male   invasiveness and growth  promotes tumor invasiveness (in part)
                mice)                                             via upregulation of MMPs

               VTA: ventral tegmental area; cAMP: cyclic adenosine monophosphate; PKA: protein kinase A; 6-OHDA: 6-hydroxydopamine; MMPs:
               matrix metalloproteinases
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