Subscribe to RSS
DOI: 10.1055/a-2008-7732
Regular Voluntary Running is Associated with Increased Tumor Vascularization and Immune Cell Infiltration and Decreased Tumor Growth in Mice
Abstract
Tumors present dysfunctional vasculature that limits blood perfusion and hinders immune cells delivery. We aimed to investigate if regular voluntary running promotes tumor vascular remodelling, improves intratumoral immune cells infiltration and inhibits tumor growth. Tumors were induced in C57BL/6 male mice (n=28) by subcutaneous inoculation in the dorsal region with a suspension of RM1 cells (1.5×105 cells/500 µL PBS) and randomly allocated into two groups: sedentary (n=14) and voluntarily exercised on a wheel (n=14). Seven mice from each group were sacrificed 14 and 28 days after cells’ inoculation to evaluate tumor weight, microvessel density, vessels’ lumen regularity and the intratumoral quantity of NKG2D receptors, CD4+and CD8+T cells, by immunohistochemistry. The statistical inference was done through a two-way ANOVA. Exercised mice developed smaller tumors at 14 (0.17±0.1 g vs. 0.48±0.2 g, p<0.05) and 28 (0.92±0.7 g vs. 2.09±1.3 g, p<0.05) days, with higher microvessel density (21.20±3.2 vs. 15.86±4.0 vessels/field, p<0.05), more regular vessels’ lumen (1.06±0.2 vs. 1.43±0.2, p<0.05), and higher CD8+T cells (464.95±48.0 vs. 364.70±49.4 cells/mm2, p<0.01), after 28 days. NKG2D expression was higher in exercised mice at 14 (263.27±25.8 cells/mm2, p<0.05) and 28 (295.06±56.2 cells/mm2, p<0.001) days. Regular voluntary running modulates tumor vasculature, increases immune cells infiltration and attenuates tumor growth, in mice.
Publication History
Received: 27 January 2022
Accepted: 15 December 2022
Article published online:
17 March 2023
© 2023. Thieme. All rights reserved.
Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart,
Germany
-
References
- 1 Sung H, Ferlay J, Siegel RL. et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2021; 71: 209-249
- 2 Gonzalez H, Hagerling C, Werb Z. Roles of the immune system in cancer: from tumor initiation to metastatic progression. Genes Dev 2018; 32: 1267-1284
- 3 Vinay DS, Ryan EP, Pawelec G. et al. Immune evasion in cancer: Mechanistic basis and therapeutic strategies. Semin Cancer Biol 2015; 35: S185-S198
- 4 Nurieva R, Wang J, Sahoo A. T-cell tolerance in cancer. Immunotherapy 2013; 5: 513-531
- 5 Wang M, Zhao J, Zhang L. et al. Role of tumor microenvironment in tumorigenesis. J Cancer 2017; 8: 761-773
- 6 Sackstein R, Schatton T, Barthel SR. T-lymphocyte homing: an underappreciated yet critical hurdle for successful cancer immunotherapy. Lab Invest 2017; 97: 669-697
- 7 Damgaci S, Ibrahim-Hashim A, Enriquez-Navas PM. et al. Hypoxia and acidosis: immune suppressors and therapeutic targets. Immunology 2018; 154: 354-362
- 8 Vaupel P, Multhoff G. Accomplices of the hypoxic tumor microenvironment compromising antitumor immunity: Adenosine, lactate, acidosis, vascular endothelial growth factor, potassium ions, and phosphatidylserine. Front Immunol 2017; 8: 1887
- 9 Munn LL, Jain RK. Vascular regulation of antitumor immunity. Science 2019; 365: 544-545
- 10 Ribatti D, Nico B, Crivellato E. et al. The structure of the vascular network of tumors. Cancer Lett 2007; 248: 18-23
- 11 Chen SC, Wu PC, Wang CY. et al. Evaluation of cytotoxic T lymphocyte-mediated anticancer response against tumor interstitium-simulating physical barriers. Sci Rep 2020; 10: 13662
- 12 Labani-Motlagh A, Ashja-Mahdavi M, Loskog A. The tumor microenvironment: A milieu hindering and obstructing antitumor immune responses. Front Immunol 2020; 11: 940
- 13 Motz GT, Coukos G. Deciphering and reversing tumor immune suppression. Immunity 2013; 39: 61-73
- 14 Dewhirst MW, Secomb TW. Transport of drugs from blood vessels to tumour tissue. Nat Rev Cancer 2017; 17: 738-750
- 15 Zhao Y, Yu X, Li J. Manipulation of immunevascular crosstalk: new strategies towards cancer treatment. Acta Pharm Sin B 2020; 10: 2018-2036
- 16 Ganss R. Tumour vessel remodelling: new opportunities in cancer treatment. Vasc Biol 2020; 2: R35-R43
- 17 Esteves M, Monteiro MP, Duarte JA. The effects of physical exercise on tumor vasculature: systematic review and meta-analysis. Int J Sports Med 2021; 42: 1237-1249
- 18 Ashcraft KA, Warner AB, Jones LW. et al. Exercise as adjunct therapy in cancer. Semin Radiat Oncol 2019; 29: 16-24
- 19 Schumacher O, Galvao DA, Taaffe DR. et al. Exercise modulation of tumour perfusion and hypoxia to improve radiotherapy response in prostate cancer. Prostate Cancer Prostatic Dis 2021; 24: 1-14
- 20 Rowell LB. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev 1974; 54: 75-159
- 21 Sheng Y, Zhu L. The crosstalk between autonomic nervous system and blood vessels. Int J Physiol Pathophysiol Pharmacol 2018; 10: 17-28
- 22 Esteves M, Monteiro MP, Duarte JA. Role of Regular Physical Exercise in Tumor Vasculature: Favorable Modulator of Tumor Milieu. Int J Sports Med 2021; 42: 389-406
- 23 Pedersen BK, Hoffman-Goetz L. Exercise and the immune system: regulation, integration, and adaptation. Physiol Rev 2000; 80: 1055-1081
- 24 Hoffman-Goetz L, Pedersen BK. Exercise and the immune system: a model of the stress response. Immunol Today 1994; 15: 382-387
- 25 Koelwyn GJ, Quail DF, Zhang X. et al. Exercise-dependent regulation of the tumour microenvironment. Nat Rev Cancer 2017; 17: 620-632
- 26 Koelwyn GJ, Wennerberg E, Demaria S. et al Exercise in regulation of inflammation-immune axis function in cancer initiation and progression. Oncology (Williston Park) 2015; 29: 908-920 922
- 27 Yuan Y, Jiang YC, Sun CK. et al. Role of the tumor microenvironment in tumor progression and the clinical applications (Review). Oncol Rep 2016; 35: 2499-2515
- 28 Luckheeram RV, Zhou R, Verma AD. et al. CD4(+)T cells: differentiation and functions. Clin Dev Immunol 2012; 2012: 925135
- 29 Zhang N, Bevan MJ. CD8(+) T cells: foot soldiers of the immune system. Immunity 2011; 35: 161-168
- 30 Wensveen FM, Jelencic V, Polic B. NKG2D: A master regulator of immune cell responsiveness. Front Immunol 2018; 9: 441
- 31 Ribeiro AM, Andrade S, Pinho F. et al. Prostate cancer cell proliferation and angiogenesis in different obese mice models. Int J Exp Pathol 2010; 91: 374-386
- 32 Thompson TC, Southgate J, Kitchener G. et al. Multistage carcinogenesis induced by ras and myc oncogenes in a reconstituted organ. Cell 1989; 56: 917-930
- 33 Baley PA, Yoshida K, Qian W. et al. Progression to androgen insensitivity in a novel in vitro mouse model for prostate cancer. J Steroid Biochem Mol Biol 1995; 52: 403-413
- 34 McCabe NP, Madajka M, Vasanji A. et al. Intraosseous injection of RM1 murine prostate cancer cells promotes rapid osteolysis and periosteal bone deposition. Clin Exp Metastasis 2008; 25: 581-590
- 35 Mucci LA, Powolny A, Giovannucci E. et al. Prospective study of prostate tumor angiogenesis and cancer-specific mortality in the health professionals follow-up study. J Clin Oncol 2009; 27: 5627-5633
- 36 Betof AS, Lascola CD, Weitzel D. et al. Modulation of murine breast tumor vascularity, hypoxia and chemotherapeutic response by exercise. J Natl Cancer Inst 2015; 107: djv040
- 37 Florez Bedoya CA, Cardoso ACF, Parker N. et al. Exercise during preoperative therapy increases tumor vascularity in pancreatic tumor patients. Sci Rep 2019; 9: 13966
- 38 Faustino-Rocha AI, Silva A, Gabriel J. et al. Long-term exercise training as a modulator of mammary cancer vascularization. Biomed Pharmacother 2016; 81: 273-280
- 39 Jones LW, Antonelli J, Masko EM. et al. Exercise modulation of the host-tumor interaction in an orthotopic model of murine prostate cancer. J Appl Physiol (1985) 2012; 113: 263-272
- 40 Schadler KL, Thomas NJ, Galie PA. et al. Tumor vessel normalization after aerobic exercise enhances chemotherapeutic efficacy. Oncotarget 2016; 7: 65429-65440
- 41 Morrell MBG, Alvarez-Florez C, Zhang A. et al. Vascular modulation through exercise improves chemotherapy efficacy in Ewing sarcoma. Pediatr Blood Cancer 2019; 66: e27835
- 42 Eschke RK, Lampit A, Schenk A. et al. Impact of physical exercise on growth and progression of cancer in rodents-a systematic review and meta-analysis. Front Oncol 2019; 9: 35
- 43 Smeda M, Przyborowski K, Proniewski B. et al. Breast cancer pulmonary metastasis is increased in mice undertaking spontaneous physical training in the running wheel; a call for revising beneficial effects of exercise on cancer progression. Am J Cancer Res 2017; 7: 1926-1936
- 44 Goh J, Ladiges W. Voluntary wheel running in mice. Curr Protoc Mouse Biol 2015; 5: 283-290
- 45 Ader R, Cohen N, Felten D. Psychoneuroimmunology: interactions between the nervous system and the immune system. Lancet 1995; 345: 99-103
- 46 Lewis DI, Coote JH. Excitation and inhibition of rat sympathetic preganglionic neurones by catecholamines. Brain Res 1990; 530: 229-234
- 47 Unnerstall JR, Kopajtic TA, Kuhar MJ. Distribution of alpha 2 agonist binding sites in the rat and human central nervous system: analysis of some functional, anatomic correlates of the pharmacologic effects of clonidine and related adrenergic agents. Brain Res 1984; 319: 69-101
- 48 Won E, Kim YK. Stress, the autonomic nervous system, and the immune-kynurenine pathway in the etiology of depression. Curr Neuropharmacol 2016; 14: 665-673
- 49 Jordan BF, Sonveaux P. Targeting tumor perfusion and oxygenation to improve the outcome of anticancer therapy. Front Pharmacol 2012; 3: 94
- 50 Jones LW, Viglianti BL, Tashjian JA. et al. Effect of aerobic exercise on tumor physiology in an animal model of human breast cancer. J Appl Physiol (1985) 2010; 108: 343-348
- 51 Tretiakova M, Antic T, Binder D. et al. Microvessel density is not increased in prostate cancer: digital imaging of routine sections and tissue microarrays. Hum Pathol 2013; 44: 495-502
- 52 Barth PJ, Weingartner K, Kohler HH. et al. Assessment of the vascularization in prostatic carcinoma: a morphometric investigation. Hum Pathol 1996; 27: 1306-1310
- 53 Van Blarigan EL, Gerstenberger JP, Kenfield SA. et al. Physical activity and prostate tumor vessel morphology: Data from the health professionals follow-up study. Cancer Prev Res (Phila) 2015; 8: 962-967
- 54 Esser KA, Harpole CE, Prins GS. et al. Physical activity reduces prostate carcinogenesis in a transgenic model. Prostate 2009; 69: 1372-1377
- 55 Zheng X, Cui XX, Huang MT. et al. Inhibitory effect of voluntary running wheel exercise on the growth of human pancreatic Panc-1 and prostate PC-3 xenograft tumors in immunodeficient mice. Oncol Rep 2008; 19: 1583-1588
- 56 Sato Y. Persistent vascular normalization as an alternative goal of anti-angiogenic cancer therapy. Cancer Sci 2011; 102: 1253-1256
- 57 Castermans K, Griffioen AW. Tumor blood vessels, a difficult hurdle for infiltrating leukocytes. Biochim Biophys Acta 2007; 1776: 160-174
- 58 Hagar A, Wang Z, Koyama S. et al. Endurance training slows breast tumor growth in mice by suppressing Treg cells recruitment to tumors. BMC Cancer 2019; 19: 536
- 59 Zielinski MR, Muenchow M, Wallig MA. et al. Exercise delays allogeneic tumor growth and reduces intratumoral inflammation and vascularization. J Appl Physiol (1985) 2004; 96: 2249-2256
- 60 Rundqvist H, Velica P, Barbieri L. et al. Cytotoxic T-cells mediate exercise-induced reductions in tumor growth. Elife 2020; 9: e59996
- 61 McClellan JL, Steiner JL, Day SD. et al. Exercise effects on polyp burden and immune markers in the ApcMin/+mouse model of intestinal tumorigenesis. Int J Oncol 2014; 45: 861-868
- 62 Fridman WH, Pages F, Sautes-Fridman C. et al. The immune contexture in human tumours: impact on clinical outcome. Nat Rev Cancer 2012; 12: 298-306
- 63 Gajewski TF, Schreiber H, Fu YX. Innate and adaptive immune cells in the tumor microenvironment. Nat Immunol 2013; 14: 1014-1022
- 64 Kennedy R, Celis E. Multiple roles for CD4+T cells in anti-tumor immune responses. Immunol Rev 2008; 222: 129-144
- 65 Philip M, Schietinger A. CD8(+) T cell differentiation and dysfunction in cancer. Nat Rev Immunol 2022; 22: 209-223
- 66 van der Leun AM, Thommen DS, Schumacher TN. CD8(+) T cell states in human cancer: insights from single-cell analysis. Nat Rev Cancer 2020; 20: 218-232
- 67 Diederichsen AC, Hjelmborg J, Christensen PB. et al. Prognostic value of the CD4+/CD8+ratio of tumour infiltrating lymphocytes in colorectal cancer and HLA-DR expression on tumour cells. Cancer Immunol Immunother 2003; 52: 423-428
- 68 Nersesian S, Schwartz SL, Grantham SR. et al. NK cell infiltration is associated with improved overall survival in solid cancers: A systematic review and meta-analysis. Transl Oncol 2021; 14: 100930
- 69 Zimmer P, Bloch W, Schenk A. et al. Exercise-induced natural killer cell activation is driven by epigenetic modifications. Int J Sports Med 2015; 36: 510-515
- 70 Rooney BV, Bigley AB, LaVoy EC. et al. Lymphocytes and monocytes egress peripheral blood within minutes after cessation of steady state exercise: A detailed temporal analysis of leukocyte extravasation. Physiol Behav 2018; 194: 260-267
- 71 Shephard RJ. Adhesion molecules, catecholamines and leucocyte redistribution during and following exercise. Sports Med 2003; 33: 261-284
- 72 Benschop RJ, Nijkamp FP, Ballieux RE. et al. The effects of beta-adrenoceptor stimulation on adhesion of human natural killer cells to cultured endothelium. Br J Pharmacol 1994; 113: 1311-1316
- 73 Kruger K, Lechtermann A, Fobker M. et al. Exercise-induced redistribution of T lymphocytes is regulated by adrenergic mechanisms. Brain Behav Immun 2008; 22: 324-338
- 74 Hojman P, Gehl J, Christensen JF. et al. Molecular mechanisms linking exercise to cancer prevention and treatment. Cell Metab 2018; 27: 10-21
- 75 Patel AV, Friedenreich CM, Moore SC. et al. American college of sports medicine roundtable report on physical activity, sedentary behavior, and cancer prevention and control. Med Sci Sports Exerc 2019; 51: 2391-2402
- 76 Pedersen L, Idorn M, Olofsson GH. et al. Voluntary running suppresses tumor growth through epinephrine- and il-6-dependent nk cell mobilization and redistribution. Cell Metab 2016; 23: 554-562
- 77 Brett JO, Arjona M, Ikeda M. et al. Exercise rejuvenates quiescent skeletal muscle stem cells in old mice through restoration of Cyclin D1. Nat Metab 2020; 2: 307-317
- 78 Zhu Z, Jiang W, Sells JL. et al. Effect of nonmotorized wheel running on mammary carcinogenesis: circulating biomarkers, cellular processes, and molecular mechanisms in rats. Cancer Epidemiol Biomarkers Prev 2008; 17: 1920-1929
- 79 Joisten N, Schenk A, Zimmer P. Talking about physical “activity” or “inactivity”? The need of accurate activity controlling in exercise studies in rodents. Front Physiol 2020; 11: 611193
- 80 Cox KL, Cyarto EV, Etherton-Beer C. et al. A randomized controlled trial of physical activity with individual goal-setting and volunteer mentors to overcome sedentary lifestyle in older adults at risk of cognitive decline: the INDIGO trial protocol. BMC Geriatr 2017; 17: 215
- 81 Arikawa AY, O'Dougherty M, Kaufman BC. et al. Women in steady exercise research (WISER): study design and methods. Contemp Clin Trials 2010; 31: 457-465
- 82 Amaro-Gahete FJ, De-la OA, Jurado-Fasoli L. et al. Metabolic rate in sedentary adults, following different exercise training interventions: The FIT-AGEING randomized controlled trial. Clin Nutr 2020; 39: 3230-3240
- 83 Hong BS, Lee KP. A systematic review of the biological mechanisms linking physical activity and breast cancer. Phys Act Nutr 2020; 24: 25-31
- 84 Wang Q, Zhou W. Roles and molecular mechanisms of physical exercise in cancer prevention and treatment. J Sport Health Sci 2021; 10: 201-210
- 85 Chappell MA, Garland T, Rezende EL. et al. Voluntary running in deer mice: speed, distance, energy costs and temperature effects. J Exp Biol 2004; 207: 3839-3854
- 86 Melzer K, Kayser B, Saris WH. et al. Effects of physical activity on food intake. Clin Nutr 2005; 24: 885-895
- 87 O'Neal TJ, Friend DM, Guo J. et al. Increases in physical activity result in diminishing increments in daily energy expenditure in mice. Curr Biol 2017; 27: 423-430
- 88 van Baak MA. Physical activity and energy balance. Public Health Nutr 1999; 2: 335-339
- 89 Harriss DJ, Jones C, MacSween A. Ethical standards in sport and exercise science research: 2022 update. Int J Sports Med 2022; 43: 1065-1070