4.4 Review

Role of the parasympathetic nervous system in cancer initiation and progression

Journal

CLINICAL & TRANSLATIONAL ONCOLOGY
Volume 23, Issue 4, Pages 669-681

Publisher

SPRINGER INTERNATIONAL PUBLISHING AG
DOI: 10.1007/s12094-020-02465-w

Keywords

Acetylcholine; Cancer; Heart rate variability; Vagal nerve stimulation; Vagotomy; Vagus nerve

Categories

Funding

  1. Slovak Research and Development Agency [APVV-17-0090]
  2. VEGA [2/0028/16]

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The nervous system plays a crucial role in cancer initiation and progression. While the sympathetic nervous system stimulates carcinogenesis and cancer growth, the role of the parasympathetic nervous system in cancer is less clear, with studies suggesting both inhibitory and stimulatory effects. This paper aims to critically evaluate the available data on the role of the parasympathetic nervous system in cancer.
The nervous system plays an important role in cancer initiation and progression. Accumulated evidences clearly show that the sympathetic nervous system exerts stimulatory effects on carcinogenesis and cancer growth. However, the role of the parasympathetic nervous system in cancer has been much less elucidated. Whereas retrospective studies in vagotomized patients and experiments employing vagotomized animals indicate the parasympathetic nervous system has an inhibitory effect on cancer, clinical studies in patients with prostate cancer indicate it has stimulatory effects. Therefore, the aim of this paper is a critical evaluation of the available data related to the role of the parasympathetic nervous system in cancer.

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