Sympathetic innervation induced by nerve growth factor promotes malignant transformation in gastric cancer

Abstract Sympathetic nerves regulate nearly all human organs. Their peripheral nerves are present in tumor tissue. Activation of the sympathetic nervous system promotes malignant transformation in several cancers. This study aimed to quantify sympathetic nerve density (SND) in gastric cancer and inv...

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Main Authors: Takefumi Itami, Yukinori Kurokawa, Takaomi Hagi, Shinnosuke Nagano, Rennosuke Nakamoto, Yu Kamakura, Tsuyoshi Takahashi, Takuro Saito, Kazuyoshi Yamamoto, Kota Momose, Kotaro Yamashita, Koji Tanaka, Tomoki Makino, Kiyokazu Nakajima, Hidetoshi Eguchi, Yuichiro Doki
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-025-87492-9
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author Takefumi Itami
Yukinori Kurokawa
Takaomi Hagi
Shinnosuke Nagano
Rennosuke Nakamoto
Yu Kamakura
Tsuyoshi Takahashi
Takuro Saito
Kazuyoshi Yamamoto
Kota Momose
Kotaro Yamashita
Koji Tanaka
Tomoki Makino
Kiyokazu Nakajima
Hidetoshi Eguchi
Yuichiro Doki
author_facet Takefumi Itami
Yukinori Kurokawa
Takaomi Hagi
Shinnosuke Nagano
Rennosuke Nakamoto
Yu Kamakura
Tsuyoshi Takahashi
Takuro Saito
Kazuyoshi Yamamoto
Kota Momose
Kotaro Yamashita
Koji Tanaka
Tomoki Makino
Kiyokazu Nakajima
Hidetoshi Eguchi
Yuichiro Doki
author_sort Takefumi Itami
collection DOAJ
description Abstract Sympathetic nerves regulate nearly all human organs. Their peripheral nerves are present in tumor tissue. Activation of the sympathetic nervous system promotes malignant transformation in several cancers. This study aimed to quantify sympathetic nerve density (SND) in gastric cancer and investigate the relationship between SND and nerve growth factor (NGF) in human clinical samples using immunohistochemistry. Patients with high SND in tumor tissue had significantly shorter survival. High NGF expression in tumor tissue was significantly associated with increased SND and poorer prognosis. In vitro studies demonstrated that nerve elongation of PC12 cells, a model for sympathetic neuron-like cells, was promoted by co-culture with gastric cancer cells expressing high NGF levels whereas nerve elongation was suppressed by NGF knockdown. Furthermore, noradrenaline, a neurotransmitter released from sympathetic nerve endings, induced malignant transformation by promoting epithelial–mesenchymal transition, increasing invasiveness and enhancing the ability of gastric cancer cells to migrate. These findings suggest that gastric cancer with high NGF expression might promote sympathetic innervation within tumor tissue, fostering malignant transformation through noradrenaline signaling. Thus, suppressing sympathetic nerve elongation or activation in gastric cancer might be a target for new therapeutic interventions.
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spelling doaj-art-8acc19e0783a4223b0d3d37b715d459f2025-02-02T12:20:58ZengNature PortfolioScientific Reports2045-23222025-01-0115111210.1038/s41598-025-87492-9Sympathetic innervation induced by nerve growth factor promotes malignant transformation in gastric cancerTakefumi Itami0Yukinori Kurokawa1Takaomi Hagi2Shinnosuke Nagano3Rennosuke Nakamoto4Yu Kamakura5Tsuyoshi Takahashi6Takuro Saito7Kazuyoshi Yamamoto8Kota Momose9Kotaro Yamashita10Koji Tanaka11Tomoki Makino12Kiyokazu Nakajima13Hidetoshi Eguchi14Yuichiro Doki15Department of Gastroenterological Surgery, Osaka University Graduate School of MedicineDepartment of Gastroenterological Surgery, Osaka University Graduate School of MedicineDepartment of Gastroenterological Surgery, Osaka University Graduate School of MedicineDepartment of Gastroenterological Surgery, Osaka University Graduate School of MedicineDepartment of Gastroenterological Surgery, Osaka University Graduate School of MedicineDepartment of Gastroenterological Surgery, Osaka University Graduate School of MedicineDepartment of Gastroenterological Surgery, Osaka University Graduate School of MedicineDepartment of Gastroenterological Surgery, Osaka University Graduate School of MedicineDepartment of Gastroenterological Surgery, Osaka University Graduate School of MedicineDepartment of Gastroenterological Surgery, Osaka University Graduate School of MedicineDepartment of Gastroenterological Surgery, Osaka University Graduate School of MedicineDepartment of Gastroenterological Surgery, Osaka University Graduate School of MedicineDepartment of Gastroenterological Surgery, Osaka University Graduate School of MedicineDepartment of Gastroenterological Surgery, Osaka University Graduate School of MedicineDepartment of Gastroenterological Surgery, Osaka University Graduate School of MedicineDepartment of Gastroenterological Surgery, Osaka University Graduate School of MedicineAbstract Sympathetic nerves regulate nearly all human organs. Their peripheral nerves are present in tumor tissue. Activation of the sympathetic nervous system promotes malignant transformation in several cancers. This study aimed to quantify sympathetic nerve density (SND) in gastric cancer and investigate the relationship between SND and nerve growth factor (NGF) in human clinical samples using immunohistochemistry. Patients with high SND in tumor tissue had significantly shorter survival. High NGF expression in tumor tissue was significantly associated with increased SND and poorer prognosis. In vitro studies demonstrated that nerve elongation of PC12 cells, a model for sympathetic neuron-like cells, was promoted by co-culture with gastric cancer cells expressing high NGF levels whereas nerve elongation was suppressed by NGF knockdown. Furthermore, noradrenaline, a neurotransmitter released from sympathetic nerve endings, induced malignant transformation by promoting epithelial–mesenchymal transition, increasing invasiveness and enhancing the ability of gastric cancer cells to migrate. These findings suggest that gastric cancer with high NGF expression might promote sympathetic innervation within tumor tissue, fostering malignant transformation through noradrenaline signaling. Thus, suppressing sympathetic nerve elongation or activation in gastric cancer might be a target for new therapeutic interventions.https://doi.org/10.1038/s41598-025-87492-9
spellingShingle Takefumi Itami
Yukinori Kurokawa
Takaomi Hagi
Shinnosuke Nagano
Rennosuke Nakamoto
Yu Kamakura
Tsuyoshi Takahashi
Takuro Saito
Kazuyoshi Yamamoto
Kota Momose
Kotaro Yamashita
Koji Tanaka
Tomoki Makino
Kiyokazu Nakajima
Hidetoshi Eguchi
Yuichiro Doki
Sympathetic innervation induced by nerve growth factor promotes malignant transformation in gastric cancer
Scientific Reports
title Sympathetic innervation induced by nerve growth factor promotes malignant transformation in gastric cancer
title_full Sympathetic innervation induced by nerve growth factor promotes malignant transformation in gastric cancer
title_fullStr Sympathetic innervation induced by nerve growth factor promotes malignant transformation in gastric cancer
title_full_unstemmed Sympathetic innervation induced by nerve growth factor promotes malignant transformation in gastric cancer
title_short Sympathetic innervation induced by nerve growth factor promotes malignant transformation in gastric cancer
title_sort sympathetic innervation induced by nerve growth factor promotes malignant transformation in gastric cancer
url https://doi.org/10.1038/s41598-025-87492-9
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