Evidence map›Paper›PMID 28340615›Full record

ArticleBreast cancer research : BCR2017

Glucocorticoids induce production of reactive oxygen species/reactive nitrogen species and DNA damage through an iNOS mediated pathway in breast cancer.

Renée L Flaherty, Matthew Owen, Aidan Fagan-Murphy, Haya Intabli, David Healy, Anika Patel, Marcus C Allen, Bhavik A Patel, Melanie S Flint

Open access · goldAbstract read
In one paragraph

Article in Breast cancer research : BCR, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 147 citations in OpenAlex.

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  13. Targeting Decidual CD16Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
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16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Renée L FlahertySchool of Pharmacy and Biomolecular Sciences, Stress, Aging and Disease Group, University of Brighton, Brighton, BN2 4GJ, UK.
Matthew OwenBrighton and Sussex Medical School, Brighton, BN1 9PX, UK.
Aidan Fagan-MurphySchool of Pharmacy and Biomolecular Sciences, Stress, Aging and Disease Group, University of Brighton, Brighton, BN2 4GJ, UK.
Haya IntabliSchool of Pharmacy and Biomolecular Sciences, Stress, Aging and Disease Group, University of Brighton, Brighton, BN2 4GJ, UK.
David HealyBrighton and Sussex Medical School, Brighton, BN1 9PX, UK.
Anika PatelSchool of Pharmacy and Biomolecular Sciences, Stress, Aging and Disease Group, University of Brighton, Brighton, BN2 4GJ, UK.
Marcus C AllenSchool of Pharmacy and Biomolecular Sciences, Stress, Aging and Disease Group, University of Brighton, Brighton, BN2 4GJ, UK.
Bhavik A PatelSchool of Pharmacy and Biomolecular Sciences, Stress, Aging and Disease Group, University of Brighton, Brighton, BN2 4GJ, UK.
Melanie S FlintSchool of Pharmacy and Biomolecular Sciences, Stress, Aging and Disease Group, University of Brighton, Brighton, BN2 4GJ, UK. M.Flint@brighton.ac.uk.
University of Brighton · GBBrighton and Sussex Medical School · GB

Funding

Biotechnology and Biological Sciences Research Council BB/K013807/1
6 · The paper itself

Abstract

backgroundPsychological stress increases the circulating levels of the stress hormones cortisol and norepinephrine (NE). Chronic exposure to elevated stress hormones has been linked to a reduced response to chemotherapy through induction of DNA damage. We hypothesize that stress hormone signalling may induce DNA damage through the production of reactive oxygen species (ROS)/reactive nitrogen species (RNS) and interference in DNA repair processes, promoting tumourigenesis.

methodsBreast cancer cell lines were incubated with physiological levels of cortisol and NE in the presence and absence of receptor antagonists and inducible nitric oxide synthase (iNOS) inhibitors and DNA damage measured using phosphorylated γ-H2AX. The rate of DNA repair was measured using comet assays and electrochemical sensors were used to detect ROS/RNS in the cell lysates from cells exposed to stress hormones. A syngeneic mouse model was used to assess the presence of iNOS in mammary tumours in stressed versus control animals and expression of iNOS was examined using western blotting and qRT-PCR.

resultsAcute exposure to cortisol and NE significantly increased levels of ROS/RNS and DNA damage and this effect was diminished in the presence of receptor antagonists. Cortisol induced DNA damage and the production of RNS was further attenuated in the presence of an iNOS inhibitor. An increase in the expression of iNOS in response to psychological stress was observed in vivo and in cortisol-treated cells. Inhibition of glucocorticoid receptor-associated Src kinase also produced a decrease in cortisol-induced RNS.

conclusionThese results demonstrate that glucocorticoids may interact with iNOS in a non-genomic manner to produce damaging levels of RNS, thus allowing an insight into the potential mechanisms by which psychological stress may impact breast cancer.

Indexed as

DNA DamageSignal TransductionAnimalsBreast NeoplasmsCell Line, TumorDNA RepairFemaleGene Expression Regulation, NeoplasticGlucocorticoidsHumansMiceModels, BiologicalNitric Oxide Synthase Type IIOxidative StressReactive Nitrogen SpeciesReactive Oxygen SpeciesGlucocorticoidsNitric Oxide Synthase Type IIReactive Nitrogen SpeciesReactive Oxygen SpeciesBreast cancerGlucocorticoidiNOSNorepinephrineStress

Identifiers

PMID28340615
PMCPMC5366114
OpenAlexW2598455898

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.