Abstract

Improvements in breast cancer therapy/diagnosis have substantially increased the cancer survivor population, although many survivors report persistent mental health issues including fatigue, mood and anxiety disorders, and cognitive impairments. These behavioral symptoms impair quality-of-life and are often associated with increased inflammation. Nocturnal rodent models of cancer are critical to the identification of the neurobiological mechanisms underlying these behavioral changes. Although both behavior and immunity display distinct diurnal patterns, most rodent research in this field is performed during the rodents’ inactive (light) period, which could potentially undermine the conclusions and clinical relevance. Therefore, here we tested the extent to which mammary tumors or tumor resection (“survivors”) in mice affects behavior and neuroinflammation in a nyctohemeral (day versus night)-dependent manner. Indeed, only the dark (active) phase unmasked fatigue-like behavior and altered novel object investigation for both tumor-bearing and -resected mice relative to surgical controls. Several inflammatory markers were expressed in a time-of-day-dependent manner (lower in the dark phase) in the blood and brains of surgical control mice, whereas this temporal pattern was absent (IL-1β, CXCL1, Myd88, Cd4) or reversed (C3) in the respective tissues of tumor-bearing and -resected mice. Taken together, these data indicate that the time of day of assessment significantly modulates various persistent and transient tumor-induced behavioral and immune changes.

Highlights

  • The time of day that behavioral assessments occur affects performance outcomes in rodent and human research, with enhanced locomotion and cognitive performance occurring during their respective active phases[1,2]

  • Final tumor mass of tumor-bearing mice were comparable (p > 0.05; Supplementary Fig. 1B) to masses of resected tumors, indicating that tumor-bearing and tumor-resected mice were exposed to comparable tumor burdens

  • We demonstrate for the first time that tumors induce both time-of-day-dependent behavioral and neuroinflammatory changes

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Summary

Introduction

The time of day that behavioral assessments occur affects performance outcomes in rodent and human research, with enhanced locomotion and cognitive performance occurring during their respective active phases[1,2]. Significant evidence indicates that peripheral tumors affect brain function through peripheral-to-brain inflammatory pathways[3,4,5,6,7,8] Of note, these behavioral changes can persist for many years in cancer survivors[15,16,17]. In nocturnal rodent cancer models typical behavioral testing occurs at a temporally and visually convenient time for researchers: during the rodents’ inactive, resting period (light phase)[18,19,20]. These behavioral effects of tumors may be difficult to interpret, underestimated, and/or poorly translational. We hypothesized that tumors induce greater neuroinflammation during the light (inactive) phase, but greater behavioral changes during the dark (active) phase, in nocturnal mice

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