Within-person changes in cancer-related distress predict breast cancer survivors' inflammation across treatment
PSYCHONEUROENDOCRINOLOGY
Authors: Renna, Megan E.; Shrout, M. Rosie; Madison, Annelise A.; Alfano, Catherine M.; Povoski, Stephen P.; Lipari, Adele M.; Agnese, Doreen M.; Carson, William E., III; Kiecolt-Glaser, Janice K.
Abstract
Background: Among breast cancer survivors, elevated inflammation has been linked to greater recurrence risk. Psychological processes, such as cancer-related distress, can pose threats to a survivor's longevity and wellbeing. Although distress can heighten inflammation, little is known about how fluctuations in distress during and after treatment impact a woman's own inflammation - the primary question of this study. Methods: Breast cancer survivors (n = 165, stages 0-III) completed a baseline visit before treatment and two follow-up visits 6 and 18 months after. At each visit, women completed the Impact of Events Scale to assess cancer-related distress, and a blood sample was collected to measure proinflammatory cytokines IL-6, TNF-alpha, IL-1 beta, and IL-8. This longitudinal study related fluctuations in survivor's own cancer-related distress (i.e., within-person effects), as well as average effects of cancer-related distress between survivors (i.e., between-person effects) to inflammatory changes across visits. Results: Women had elevated inflammation at visits where they expressed more cancer-related distress than what was typical. In contrast, the average cancer-related distress was not associated with inflammation. Conclusion: Larger increases in a women's cancer-related distress was linked with higher inflammation across visits. Comparing a survivor's own cancer-related distress to her average levels may prove useful in identifying links between distress and inflammation.
Cellular uptake and anti-inflammatory effects of palm oil-derived delta (delta)-tocotrienol in microglia
CELLULAR IMMUNOLOGY
Authors: Tan, Shi Wei; Ali, Daud Ahmad bin Israf; Khaza'ai, Huzwah; Wong, Jia Woei; Vidyadaran, Sharmili
Abstract
Tocopherols long dominated studies on vitamin E, although interest has shifted to tocotrienols. It was previously shown that delta-tocotrienol derived from palm oil reduced nitric oxide released by BV2 microglia as early as 18 h after lipopolysaccharide stimulation. The current study measured delta-tocotrienol uptake by BV2 over a 24 h incubation period and its anti-inflammatory effects on primary microglia. Uptake of 17.5 mu g/mL delta-tocotrienol by BV2 microglia began as early as 5 min and rose steeply to 21 +/- 3% of the amount administered at 24 h. The amount of delta-tocotrienol retained in the lipopolysaccharide-stimulated microglia at 24 h was 14 +/- 2%, with no substantial difference seen in unstimulated microglia. The same delta-tocotrienol regimen reduced nitric oxide levels by 82% at 24 h after lipopolysaccharide stimulation (p < 0.05). This was accompanied by decreased inducible nitric oxide synthase protein expression by 67 +/- 5% compared to untreated controls (p < 0.05). In primary microglia, delta-tocotrienol downregulated IL-1 beta production, but TNF-alpha and IL-6 were not affected. delta-Tocotrienol also reduced prostaglandin E2 production by similar to 78%% and decreased transcription of COX-2 and 5-LOX, but not COX-1. This study showed the anti-inflammatory effects of delta-tocotrienol derived from palm oil and opens up interest for tocotrienol supplementation to reduce the effects of inflammatory conditions.