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Articles

Associations between psychosocial factors and circulating cytokines in breast cancer survivors

ORCID Icon, , , , &
Pages 1074-1088 | Received 27 Jan 2021, Accepted 03 Nov 2021, Published online: 17 Nov 2021
 

Abstract

Objective

Research has established links between social isolation and heightened levels of proinflammatory cytokines (e.g., interleukin-6 [IL-6], tumour necrosis factor alpha [TNF-α]). Recent advances allow for the examination of cytokines that may also play a role in antiviral immunity (interferon-gamma [IFN-γ]). The present work explored how various features of social experience relate to circulating cytokines in breast cancer survivors, as inflammation has been tied to cancer recurrence and mortality.

Design

Female breast cancer survivors (N = 43) completed a blood draw to assess circulating levels of proinflammatory cytokines (IL-6, TNF-α) and levels of a cytokine that also relates to antiviral immunity (IFN-γ).

Main Outcome Measures

We examined associations between cytokines and different aspects of social experience, including household size, psychosocial well-being, and social threat anxiety.

Results

Circulating levels of IFN-γ were associated with larger household size (r = 0.32, p = 0.04) and higher levels of psychosocial well-being (r = 0.33, p = 0.04). Additionally, heightened levels of IL-6 were associated with social threat anxiety (r = 0.38, p = 0.01). Heightened IL-6 was also associated with household size (r = 0.33, p = 0.03).

Conclusion

These findings are consistent with work suggesting that antiviral immunity and inflammation may have distinct contributions to the links between social experience and health, particularly for those previously diagnosed with breast cancer.

Disclosure of interest

No potential conflict of interest was reported by the author(s).

Figure 1. Associations between social experience and IFN-γ and IL-6 cytokines. Raw correlations are shown between measures of household size (A, B), psychosocial well-being (C, D), and social threat anxiety (E, F), and plasma levels of IFN-γ and IL-6. Horizontal axes for psychosocial well-being and social threat anxiety are standardised z-scores. Plotted cytokines values (vertical axes) are natural log transformed but axes are labelled with non-transformed values for ease of interpretation. *p < 0.05.

Figure 1. Associations between social experience and IFN-γ and IL-6 cytokines. Raw correlations are shown between measures of household size (A, B), psychosocial well-being (C, D), and social threat anxiety (E, F), and plasma levels of IFN-γ and IL-6. Horizontal axes for psychosocial well-being and social threat anxiety are standardised z-scores. Plotted cytokines values (vertical axes) are natural log transformed but axes are labelled with non-transformed values for ease of interpretation. *p < 0.05.

Data availability statement

The data that support the findings of this study are openly available in the Open Science Framework at http://doi.org/10.17605/OSF.IO/KQ984. Because participants may be identified by the combination of demographic and/or cancer diagnosis or treatment variables, some data are not publicly available in order to protect the privacy of research participants.

Notes

1 Treatment percentages do not sum to 100%, as participants often indicated that they had undergone more than one treatment.

Additional information

Funding

This work was supported by the National Cancer Institute Network on Biobehavioral Pathways in Cancer under Contract No. HHSN261200800001E (to N.I.E.) and the National Institute of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development under grant 1T32HD091059 and 1F31HD100144 (to C.J.L.).

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