The Scientist - USA (2020-04)

(Antfer) #1
04.2020 | THE SCIENTIST 45

injected mice that had malignant mela-
noma with either epinephrine or saline
and found that the hormone indeed
reduced the growth of tumors, but to a
lesser degree than what was observed
in the mice that had access to a wheel.
Something else had to be involved.
To find out what, our team tested the
effects of interleukin-6, which we sus-
pected was the additional exercise fac-
tor involved in tumor homing of immune
cells. When we exposed inactive mice to
both epinephrine and interleukin-6, the
rodents’ immune systems attacked the
tumors as effectively as if the animals
had been running.^8

While much remains to be learned
about how physical exercise influences
cancer, evidence shows that exercise
training is safe and feasible for patients
with the disease and contributes to their
physical and psychosocial health. (See
“Exercise and Depression” on page 44.)
Being active may even delay disease
progression and improve survival. A
growing number of patients, including
Mathilde, are undergoing exercise train-
ing to fight physical deterioration dur-
ing cancer treatment. As they do so, sci-
entists are working hard to understand
the pathways by which physical activity
results in anticancer activity. g

Bente Klarlund Pedersen is a professor
of integrative medicine at the University
of Copenhagen and a specialist in infec-
tious diseases and internal medicine at
the university’s Rigshospitalet hospital.
She directs both the Centre of Inflamma-
tion and Metabolism and the Centre for
Physical Activity Research.

References


  1. S.C. Moore et al., “Association of leisure-time
    physical activity with risk of 26 types of cancer
    in 1.44 million adults,” JAMA Intern Med,
    176:816–25, 2016.

  2. J.F. Christensen et al., “Exercise training in
    cancer control and treatment,” Compr Physiol,
    9:165–205, 2018.

  3. M.D. Holmes et al., “Physical activity and survival after
    breast cancer diagnosis,” JAMA, 293:2479–86, 2005.

  4. A. McTiernan, “Mechanisms linking physical activity
    with cancer,” Nat Rev Cancer, 8:205–11, 2008.

  5. C. Dethlefsen et al., “Every exercise bout
    matters: linking systemic exercise responses to
    breast cancer control,” Breast Cancer Res Treat,
    162:399–408, 2017.

  6. C. Dethlefsen et al., “Exercise regulates
    breast cancer cell viability: systemic training
    adaptations versus acute exercise responses,”
    Breast Cancer Res Treat, 159:469–79, 2016.

  7. P. Højman et al., “Molecular mechanisms linking
    exercise to cancer prevention and treatment,” Cell
    Metab, 27:10–21, 2018.

  8. L. Pedersen et al., “Voluntary running
    suppresses tumor growth through
    epinephrine- and IL-6-dependent NK cell
    mobilization and redistribution,” Cell Metab,
    23:554–62, 2016.

  9. N.P. Gannon et al., “Effects of the exercise-
    inducible myokine irisin on malignant and non-
    malignant breast epithelial cell behavior in vitro,”
    Int J Cancer, 136:E197–202, 2015.

  10. P. Højman et al., “Exercise-induced muscle-
    derived cytokines inhibit mammary cancer
    cell growth,” Am J Physiol Endocrinol Metab,
    301:E504–10, 2011.

  11. W. Aoi et al., “A novel myokine, secreted protein
    acidic and rich in cysteine (SPARC), suppresses
    colon tumorigenesis via regular exercise,” Gut,
    62:882–89, 2013.

  12. C. Dethlefsen et al., “Exercise-induced
    catecholamines activate the Hippo tumor
    suppressor pathway to reduce risks of breast
    cancer development,” Cancer Res, 77:4894–904,
    2017.


AND S TAY OUT: Exercise activates natural killer
cells (purple) and helps them home to tumors.

© ISTOCK.COM, SELVANEGRA

Free download pdf