Stay calm: Stress fuels cancer metastasis

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It has been noticed that breast cancer patients who suffer from stress and depression following the primary treatment tend to have higher rates of relapse, metastasis and death. Even though this observation has been confirmed in mice, the mechanistic link between stress and metastasis is still unknown. Campbell et al. beautifully put the whole picture together. They proved that stimulation of the sympathetic nervous system in mice, a consequence of chronic stress and depression, promotes breast cancer cells to metastasize to bone by changing the bone marrow microenvironment. Under stress condition, the level of cytokine RANKL is increased in host bone marrow stroma, which enhances bone breakdown and makes the colonization of breast cancer cells in bone easier. Most importantly, the metastasis can be reduced by blocking the effects of stress, suggesting a new therapeutic strategy to prevent breast cancer metastasis–reducing stress in patients. 
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