Neural regulation of drug resistance in cancer treatment

Biochim Biophys Acta Rev Cancer. 2019 Jan;1871(1):20-28. doi: 10.1016/j.bbcan.2018.10.001. Epub 2018 Nov 9.

Abstract

The treatment of cancer has made great progress. However, drug resistance remains problematic. Multiple physiologic processes of tumor development can be dominated by central and sympathetic nervous systems. The interactions between the nervous system, immune system, and tumor occur consistently and dynamically. Recent evidence suggests that nerves and neural signals are intimately involved in the development of resistance to cancer therapies. In this review, we will provide an overview of the recent progress in this rapidly growing area and discuss the potential new strategies for targeting the neural signaling pathway to improve the effectiveness of chemotherapies, targeted therapies, and immunotherapies.

Keywords: Cancer; Drug resistance; Immunotherapy; Nervous systems; Neural signals.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Drug Resistance, Neoplasm / physiology*
  • Humans
  • Immunotherapy / methods
  • Neoplasms / drug therapy
  • Neoplasms / physiopathology*
  • Nervous System Physiological Phenomena*
  • Neuroimmunomodulation / physiology