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Review
. 2019 Apr 20;17(2):e67400.
doi: 10.5812/ijem.67400. eCollection 2019 Apr.

The Influence of Psychological Stress on the Initiation and Progression of Diabetes and Cancer

Reza Afrisham  1 , Maliheh Paknejad  1 , Omid Soliemanifar  2 , Sahar Sadegh-Nejadi  1 , Reza Meshkani  1 , Damoon Ashtary-Larky  3   4
Affiliations
Review

The Influence of Psychological Stress on the Initiation and Progression of Diabetes and Cancer

Reza Afrisham et al. Int J Endocrinol Metab. .

Abstract

Context: Psychological stress can be considered a risk factor for the initiation and progression of many pathological conditions, including type 1 and 2 diabetes mellitus and cancer.

Objectives: The aim of this review article was to evaluate the molecular and cellular mechanisms linking psychological stress to the onset and progression of diabetes and cancer.

Evidence acquisition: The current review was conducted to survey and analyze studies related to the effects of psychological stress on diabetes and cancer.

Results: Psychological stress may make individuals prone to the development of diabetes through the impairment of the hypothalamic-pituitary-adrenal (HPA) axis function, sympathetic nerves system (SNS), lipid profile, cytokines balance, renin-angiotensin system (RAS), and insulin signaling pathway. Additionally, psychological stress can contribute to the development of cancer through the perturbation in the HPA axis, SNS function, and cytokines balance. Psychological stress is also capable of decreasing the levels of oxytocin and dopamine, leading to an increased risk of cancer in susceptible individuals.

Conclusions: It seems that psychological stress plays a significant role in the onset and progression of diabetes and cancer. The identification of the pathways triggered by psychological stress would open up a new avenue for the understanding of molecular mechanisms by which diabetes and cancer could be managed or even prevented.

Keywords: Cancer; Catecholamine; Diabetes; Inflammation; Insulin Resistance; Psychological Stress.

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Figures

Figure 1.
Figure 1.. The effects of psychological stress on the development of diabetes through the HPA axis, SNS, lipid profile, inflammatory cytokines, RAS, and insulin resistance. Abbreviations: HPA, hypothalamic-pituitary-adrenal; IC, inflammatory cytokines; IR, insulin resistance; LP, lipid profile; RAS, renin-angiotensin system; SNS, sympathetic nerves system.
Figure 2.
Figure 2.. The effects of psychological stress on the development of cancer through the HPA axis, SNS, and inflammatory cytokines, as well as a decrease in the levels of oxytocin and dopamine. Abbreviations: ADRs, adrenergic receptors; DA, dopamine; EP, epinephrine; HPA, hypothalamic-pituitary-adrenal; IC, inflammatory cytokines; NE, norepinephrine; OT, oxytocin; SNS, sympathetic nerves system.
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References

    1. Soliemanifar O, Soleymanifar A, Afrisham R. Relationship between personality and biological reactivity to stress: A review. Psychiatry Investig. 2018;15(12):1100–14. doi: 10.30773/pi.2018.10.14.2. - DOI - PMC - PubMed
    1. Karavanaki K, Tsoka E, Liacopoulou M, Karayianni C, Petrou V, Pippidou E, et al. Psychological stress as a factor potentially contributing to the pathogenesis of Type 1 diabetes mellitus. J Endocrinol Invest. 2008;31(5):406–15. doi: 10.1007/BF03346384. - DOI - PubMed
    1. Black PH. The inflammatory consequences of psychologic stress: Relationship to insulin resistance, obesity, atherosclerosis and diabetes mellitus, type II. Med Hypotheses. 2006;67(4):879–91. doi: 10.1016/j.mehy.2006.04.008. - DOI - PubMed
    1. Andersen BL, Farrar WB, Golden-Kreutz D, Kutz LA, MacCallum R, Courtney ME, et al. Stress and immune responses after surgical treatment for regional breast cancer. J Natl Cancer Inst. 1998;90(1):30–6. doi: 10.1093/jnci/90.1.30. - DOI - PMC - PubMed
    1. Cohen S, Janicki-Deverts D, Miller GE. Psychological stress and disease. JAMA. 2007;298(14):1685–7. doi: 10.1001/jama.298.14.1685. - DOI - PubMed

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