A Hidden Risk Factor for Colorectal Cancer


Chronic Stress: A Hidden Risk Factor for Colorectal Cancer

While stress is known to significantly contribute to the onset of various health issues, a new study on Sunday showed how stress can worsen colorectal cancer (CRC). ()

Chronic stress can upset the delicate balance of gut bacteria, which may accelerate the development of colorectal cancer (CRC). Through experiments involving eliminating certain gut bacteria and inducing stress, they identified a specific bacterial species as a promising target for potential therapeutic interventions.

The team from West China Hospital, Sichuan University of China, used an antibiotic cocktail — vancomycin, ampicillin, neomycin, and metronidazole — to eradicate gut microbiota. It was followed by faecal microbiota transplantation to find whether gut microbiota was necessary for chronic stress to fasten the progression of colorectal cancer.

Chronic Stress and Gut Bacteria

The results showed that while chronic stress increased tumour growth, it also decreased beneficial gut bacteria, particularly the Lactobacillus genus, — essential for a healthy immune response against cancer. “Stress-related CRC progression can be attributed to a reduction in beneficial gut bacteria, as this weakens the body’s immune response against cancer,” said lead researcher Dr. Qing Li from the varsity.

Lactobacillus — being sensitive to vancomycin and ampicillin — was found depleted in both the control and stress groups by the antibiotic cocktail. To further explore how Lactobacillus influences CD8+ T cell levels — which play a crucial role in the body’s anti-tumour immunity — and CRC progression the researchers supplemented mice with Lactobacillus during chronic stress and observed reduced tumour formation.

“Through faecal analysis, we found that Lactobacillus plantarum (L. plantarum) specifically regulated bile acid metabolism and enhanced the function of CD8+ T cells. This indicates how Lactobacillus may enhance anti-tumour immunity,” Li said. The research showed potential for Lactobacillus-based therapies in treating patients, particularly those affected by chronic stress.

“Restoring beneficial bacteria in the gut, such as Lactobacillus, could strengthen the body’s natural defences against colorectal cancer,” concluded Li. The study was presented at the United European Gastroenterology Week 2024 in Vienna, Austria.

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Reference:

  1. Disruption of the intestinal clock drives dysbiosis and impaired barrier function in colorectal cancer – (https://www.science.org/doi/10.1126/sciadv.ado1458)

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