Abstract

Abstract Lung cancer is a leading cause of cancer death worldwide. Although smoking is a main cause, approximately 25% of lung cancer cases are not attributable to tobacco use. Epidemiological studies strongly suggest that chronic stress influences cancer development and progression. Recent mechanistic studies showed that biological signaling pathways could contribute to such effects. But the underlying mechanisms for the association between chronic stress and lung cancer development are poorly understood. The purpose of this study is to investigate whether chronic stress can induce lung cancer development and, if so, what is the mechanism underlying the chronic stress-induced lung cancer development. We observed that stress hormone, norepinephrine (NE) increased cell viability in the absence of growth factors, foci formation, and colony formation in human bronchial epithelial cells and activated the type 1 insulin-like growth factor receptor (IGF-1R) pathway. We found that chronic stress resulted in high levels of NE in serum, activation of IGF-1R in lung tissue and promoted urethane-induced lung tumor formation in vivo. Moreover, inhibition of the IGF-1R pathway suppressed NE-induced transformed phenotypes in vitro. We further confirmed that chronic stress-induced lung tumor formation was greater in mice carrying lung-specific human IGF-1R transgene (Tg) than in wild type mice. Our results indicate that chronic stress may promote lung cancer development via the IGF-1R pathway, suggesting that IGF-1R is an effective target for the chemoprevention of stress-induced lung cancer. Citation Format: Hyun-Ji Jang, Hye-Jin Boo, Yujin Jung, Hye-Young Min, Ho-Young Lee. Chronic stress promotes lung cancer development via IGF-1R pathway. [abstract]. In: Proceedings of the 106th Annual Meeting of the American Association for Cancer Research; 2015 Apr 18-22; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Res 2015;75(15 Suppl):Abstract nr 2729. doi:10.1158/1538-7445.AM2015-2729

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