A Transformation Strategy Targeting the Neuroendocrine-immune Axis to Reprogram Anti-tumor Immunity
Abstract
"immune licensing" effect on the tumor microenvironment(TME). This article demonstrates how positive psychosocial factors and exercise
interventions can reshape immune surveillance by remodeling tryptophan metabolism, reducing glucocorticoid load, and activating the central
reward system. Based on current translational research, this paper proposes that integrating drug repositioning and lifestyle prescribing into
the standard anti-tumor treatment framework, along with assessing and modulating neuroendocrine status, holds promise as a key to overcom
ing immunotherapy resistance.
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[1] Zeng Y, Hu CH, Li YZ, Zhou JS,Wang SX, Liu MD, et al.Association between pretreatment emotional distress and immune checkpoint
inhibitor response in non-small-cell lung cancer.Nat Med. 2024;30(6):1680-8 .
[2] Mok H, OstendorfE, Ganninger A,Adler AJ, Hazan G, Haspel JA. Circadian immunity from bench to bedside: a practical guide. J Clin
Invest. 2024;134(3).
[3] Zimmer P, Schmidt ME, Prentzell MT, Berdel B, Wiskemann J, Kellner KH, et al. Resistance Exercise Reduces Kynurenine Pathway
Metabolites in Breast Cancer Patients Undergoing Radiotherapy. Front Oncol. 2019;9:962 .
[4] Rangel M, Lopes KG, Qin X, Borges JP. Exercise-induced adaptations in the kynurenine pathway: implications for health and disease
management. Front Sports Act Living. 2025;7:1535152 .
[5] Martin KS,Azzolini M, Lira Ruas J. The kynurenine connection: how exercise shifts muscle tryptophan metabolism and affects energy
homeostasis, the immune system, and the brain.Am J Physiol Cell Physiol. 2020;318(5):C818-c30 .
[6] Cheng TC, Lee YH, Chang YP, Lee DC. Improved urinary melatonin level as the perspective indicator that leads to better sleeping qual
ity in bladder cancer patients. TherAdv Urol. 2020;12:1756287220940870 .
[7] Lavado-Fernndez E, Prez-Montes C, Robles-Garca M, Santos-Ledo A, Garca-Macia M. Melatonin at the Crossroads of Oxidative
Stress, Immunity, and Cancer Therapy.Antioxidants (Basel). 2026;15(1).
[8] Lanza G, Mogavero MP, Salemi M, Ferri R. The Triad of Sleep, Immunity, and Cancer:A Mediating Perspective. Cells. 2024;13(15).
[9] Fang L, Gao D, Wang T, Zhao H, Zhang Y, Wang S. From nature to clinic: Quercetins role in breast cancer immunomodulation. Front
Immunol. 2024;15:1483459 .
[10] Qiao G, Chen M, Mohammadpour H, MacDonald CR, Bucsek MJ, Hylander BL, et al. Chronic Adrenergic Stress Contributes to Meta
bolic Dysfunction and an Exhausted Phenotype in T Cells in the Tumor Microenvironment. Cancer Immunol Res. 2021;9(6):651-64 .
[11] Hiller JG, Cole SW, Crone EM, Byrne DJ, Shackleford DM, Pang JB, et al. Preoperative ?-Blockade with Propranolol Reduces Biomar
kers of Metastasis in Breast Cancer:A Phase II Randomized Trial. Clin Cancer Res. 2020;26(8):1803-11 .
[12] Xiong SY, Wen HZ, Dai LM, Lou YX, Wang ZQ,Yi YL, et al.A brain-tumor neural circuit controls breast cancer progression in mice. J
Clin Invest. 2023;133(24).
[13] Xiao L, Li X, Fang C,Yu J, Chen T. Neurotransmitters: promising immune modulators in the tumor microenvironment. Front Immunol.
2023;14:1118637 .
[14] Valente-Silva P, Cervenka I, Ferreira DMS, Correia JC, Edman S, Horwath O, et al. Effects of Tryptophan Supplementation and Exer
cise on the Fate of Kynurenine Metabolites in Mice and Humans. Metabolites. 2021;11(8).
[15] Cui Y, Han X, Liu H, Xie Q, Guan Y,Yin B, et al. Impact of endogenous glucocorticoid on response to immune checkpoint blockade in
patients with advanced cancer. Front Immunol. 2023;14:1081790 .
DOI: http://dx.doi.org/10.70711/pmr.v3i6.9146
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