Hijacking of the nervous system in cancer: mechanism and therapeutic targets

Abstract The activity of neurons in the vicinity of tumors is linked to a spectrum of cellular mechanisms, including the facilitation of tumor cell proliferation, synapse formation, angiogenesis, and macrophage polarization. This review consolidates the current understanding of neuro-oncological reg...

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Main Authors: Yu Zhang, Qili Liao, Xuyang Wen, Jiayan Fan, Tifei Yuan, Xuemei Tong, Renbing Jia, Peiwei Chai, Xianqun Fan
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Molecular Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12943-025-02246-5
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author Yu Zhang
Qili Liao
Xuyang Wen
Jiayan Fan
Tifei Yuan
Xuemei Tong
Renbing Jia
Peiwei Chai
Xianqun Fan
author_facet Yu Zhang
Qili Liao
Xuyang Wen
Jiayan Fan
Tifei Yuan
Xuemei Tong
Renbing Jia
Peiwei Chai
Xianqun Fan
author_sort Yu Zhang
collection DOAJ
description Abstract The activity of neurons in the vicinity of tumors is linked to a spectrum of cellular mechanisms, including the facilitation of tumor cell proliferation, synapse formation, angiogenesis, and macrophage polarization. This review consolidates the current understanding of neuro-oncological regulation, underscoring the nuanced interplay between neurological and oncological processes (termed as Cancer-Neuroscience). First, we elucidated how the nervous system accelerates tumor growth, metastasis, and the tumor microenvironment both directly and indirectly through the action of signaling molecules. Importantly, neural activity is also implicated in modulating the efficacy of therapeutic interventions, including immunotherapy. On the contrary, the nervous system potentially has a suppressive effect on tumorigenesis, further underscoring a dual-edged role of neurons in cancer progression. Consequently, targeting specific signaling molecules within neuro-oncological regulatory pathways could potentially suppress tumor development. Future research is poised to explore the intricate mechanisms governing neuro-tumor interactions more deeply, while concurrently refining treatment strategies for tumors by targeting the crosstalk between cancer and neurons.
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institution Kabale University
issn 1476-4598
language English
publishDate 2025-02-01
publisher BMC
record_format Article
series Molecular Cancer
spelling doaj-art-74a13bd86afd46c9b7d4b8770aaabfc52025-02-09T12:15:54ZengBMCMolecular Cancer1476-45982025-02-0124111410.1186/s12943-025-02246-5Hijacking of the nervous system in cancer: mechanism and therapeutic targetsYu Zhang0Qili Liao1Xuyang Wen2Jiayan Fan3Tifei Yuan4Xuemei Tong5Renbing Jia6Peiwei Chai7Xianqun Fan8Department of Ophthalmology, Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Ophthalmology, Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Ophthalmology, Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Ophthalmology, Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineShanghai Mental Health Center, Shanghai Jiao Tong University School of MedicineDepartment of Biochemistry and Molecular Cell Biology, Shanghai Key Laboratory for Tumor Microenvironment and Inflammation, Key Laboratory of Cell Differentiation and Apoptosis of Chinese Ministry of Education, Shanghai Jiao Tong University School of MedicineDepartment of Ophthalmology, Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Ophthalmology, Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Ophthalmology, Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineAbstract The activity of neurons in the vicinity of tumors is linked to a spectrum of cellular mechanisms, including the facilitation of tumor cell proliferation, synapse formation, angiogenesis, and macrophage polarization. This review consolidates the current understanding of neuro-oncological regulation, underscoring the nuanced interplay between neurological and oncological processes (termed as Cancer-Neuroscience). First, we elucidated how the nervous system accelerates tumor growth, metastasis, and the tumor microenvironment both directly and indirectly through the action of signaling molecules. Importantly, neural activity is also implicated in modulating the efficacy of therapeutic interventions, including immunotherapy. On the contrary, the nervous system potentially has a suppressive effect on tumorigenesis, further underscoring a dual-edged role of neurons in cancer progression. Consequently, targeting specific signaling molecules within neuro-oncological regulatory pathways could potentially suppress tumor development. Future research is poised to explore the intricate mechanisms governing neuro-tumor interactions more deeply, while concurrently refining treatment strategies for tumors by targeting the crosstalk between cancer and neurons.https://doi.org/10.1186/s12943-025-02246-5CancerNervous systemNeurotransmittersNeurotrophic factorsTumor microenvironmentTherapeutic implications
spellingShingle Yu Zhang
Qili Liao
Xuyang Wen
Jiayan Fan
Tifei Yuan
Xuemei Tong
Renbing Jia
Peiwei Chai
Xianqun Fan
Hijacking of the nervous system in cancer: mechanism and therapeutic targets
Molecular Cancer
Cancer
Nervous system
Neurotransmitters
Neurotrophic factors
Tumor microenvironment
Therapeutic implications
title Hijacking of the nervous system in cancer: mechanism and therapeutic targets
title_full Hijacking of the nervous system in cancer: mechanism and therapeutic targets
title_fullStr Hijacking of the nervous system in cancer: mechanism and therapeutic targets
title_full_unstemmed Hijacking of the nervous system in cancer: mechanism and therapeutic targets
title_short Hijacking of the nervous system in cancer: mechanism and therapeutic targets
title_sort hijacking of the nervous system in cancer mechanism and therapeutic targets
topic Cancer
Nervous system
Neurotransmitters
Neurotrophic factors
Tumor microenvironment
Therapeutic implications
url https://doi.org/10.1186/s12943-025-02246-5
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