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Link between sleep, cancer progression explored by Stanford researcher

STANFORD, Calif. - A good night's sleep may be one weapon in the fight against cancer, according to researchers at Stanford University School of Medicine. Their work is among the first of its kind to piece together the link between mental well-being and cancer recovery.

Previous studies have found that cancer patients who go through group therapy or have a strong social network fare better than those with weaker social support. The question has been how psychosocial factors exert their influence on cancer cells. David Spiegel, MD, the Jack, Lulu and Sam Willson Professor and professor in psychiatry and behavioral sciences, and Sandra Sephton, PhD, a former postdoctoral scholar now at the University of Louisville School of Medicine, suggest that a person's sleep/wake cycle might be the connection.

Spiegel will present this work at the annual American Association for the Advancement of Science meeting at a Feb. 13 session titled "Biology and Behavior: New Pathways to Cancer Control?" "Psychosocial factors affect your behavior patterns, such as exercise, what you eat and drink, and your sleep," Spiegel said. Of these factors, how well you sleep can seriously alter the balance of hormones in your body. This makes the sleep/wake cycle, also called the circadian rhythm, a good candidate for linking a person's social network to his or her cancer prognosis.

Spiegel suggested two possible ways in which the circadian rhythm may influence cancer progression. The first involves a hormone called melatonin, which the brain churns out during sleep. Melatonin belongs to a class of compounds called antioxidants that mop up damaging free-radical compounds. With a disrupted circadian rhythm, the body produces less melatonin and the cell's DNA may be more prone to cancer-causing mutations.

Melatonin also slows the ovaries' production of estrogen. For many ovarian and breast tumors, estrogen spurs the cancerous cells to continue dividing. Shift work
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Contact: Amy Adams
amyadams@stanford.edu
650-723-3900
Stanford University Medical Center
13-Feb-2004


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