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Sleep Disorders and Cancer Risk

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Part of the book series: Energy Balance and Cancer ((EBAC,volume 8))

Abstract

Sleep disturbance is emerging as a novel risk factor for cancer and a number of other chronic diseases. Disruption of circadian rhythm with resultant perturbed homeostasis is believed to drive sleep disturbance-associated tumorigenesis. Much of the supporting evidence comes from studies of shift work and, more recently, short duration of sleep with risks of various types of cancer and precancerous lesions. Less is known about the relationship of other sleep disorders, which encompass a number of conditions that broadly affect sleep health, with cancer. This chapter reviews current knowledge of the association between common sleep disorders and cancer and briefly discusses the molecular mechanisms underlying the link between sleep disturbance and cancer. Effective intervention on sleep health can potentially be a new avenue for reducing cancer risk and enhancing survival.

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References

  1. Ayas NT, White DP, Al-Delaimy WK, et al. A prospective study of self-reported sleep duration and incident diabetes in women. Diabetes Care. 2003;26:380–4.

    Article  PubMed  Google Scholar 

  2. Kripke DF, Garfinkel L, Wingard DL, Klauber MR, Marler MR. Mortality associated with sleep duration and insomnia. Arch Gen Psychiatry. 2002;59:131–6.

    Article  PubMed  Google Scholar 

  3. Patel SR, Ayas NT, Malhotra MR, et al. A prospective study of sleep duration and mortality risk in women. Sleep. 2004;27:440–4.

    PubMed  Google Scholar 

  4. Patel SR, Malhotra A, White DP, Gottlieb DJ, Hu FB. Association between reduced sleep and weight gain in women. Am J Epidemiol. 2006;164:947–54.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Viswanathan AN, Hankinson SE, Schernhammer ES. Night shift work and the risk of endometrial cancer. Cancer Res. 2007;67:10618–22.

    Article  CAS  PubMed  Google Scholar 

  6. Davis S, Mirick DK. Circadian disruption, shift work and the risk of cancer: a summary of the evidence and studies in Seattle. Cancer Causes Control. 2006;17:539–45.

    Article  PubMed  Google Scholar 

  7. Kubo T, Ozasa K, Mikami K, et al. Prospective cohort study of the risk of prostate cancer among rotating-shift workers: findings from the Japan collaborative cohort study. Am J Epidemiol. 2006;164:549–55.

    Article  PubMed  Google Scholar 

  8. Schernhammer ES, Laden F, Speizer FE, et al. Rotating night shifts and risk of breast cancer in women participating in the nurses’ health study. J Natl Cancer Inst. 2001;93:1563–8.

    Article  CAS  PubMed  Google Scholar 

  9. Schernhammer ES, Laden F, Speizer FE, et al. Night-shift work and risk of colorectal cancer in the nurses’ health study. J Natl Cancer Inst. 2003;95:825–8.

    Article  PubMed  Google Scholar 

  10. Thompson CL, Larkin EK, Patel S, Berger NA, Redline S, Li L. Short duration of sleep increases risk of colorectal adenoma. Cancer. 2011;117:841–7.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Liang JA, Sun LM, Muo CH, Sung FC, Chang SN, Kao CH. Non-apnea sleep disorders will increase subsequent liver cancer risk–a nationwide population-based cohort study. Sleep Med. 2012;13:869–74.

    Article  PubMed  Google Scholar 

  12. Roth T. Insomnia: definition, prevalence, etiology, and consequences. J Clin Sleep Med. 2007;3:S7–10.

    PubMed Central  PubMed  Google Scholar 

  13. Luo J, Sands M, Wactawski-Wende J, Song Y, Margolis KL. Sleep disturbance and incidence of thyroid cancer in postmenopausal women the Women’s Health Initiative. Am J Epidemiol. 2013;177:42–9.

    Article  PubMed  Google Scholar 

  14. Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med. 2002;165:1217–39.

    Article  PubMed  Google Scholar 

  15. Almendros I, Montserrat JM, Torres M, et al. Obesity and intermittent hypoxia increase tumor growth in a mouse model of sleep apnea. Sleep Med. 2012;13:1254–60.

    Article  PubMed  Google Scholar 

  16. Almendros I, Montserrat JM, Ramirez J, et al. Intermittent hypoxia enhances cancer progression in a mouse model of sleep apnoea. Eur Respir J. 2012;39:215–7.

    Article  CAS  PubMed  Google Scholar 

  17. Nieto FJ, Peppard PE, Young T, Finn L, Hla KM, Farre R. Sleep-disordered breathing and cancer mortality: results from the Wisconsin Sleep Cohort Study. Am J Respir Crit Care Med. 2012;186:190–4.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Campos-Rodriguez F, Martinez-Garcia MA, Martinez M, et al. Association between obstructive sleep apnea and cancer incidence in a large multicenter Spanish cohort. Am J Respir Crit Care Med. 2012;187:99–105.

    Article  PubMed  Google Scholar 

  19. Storch KF, Lipan O, Leykin I, et al. Extensive and divergent circadian gene expression in liver and heart. Nature. 2002;417:78–83.

    Article  CAS  PubMed  Google Scholar 

  20. Schernhammer ES, Kroenke CH, Laden F, Hankinson SE. Night work and risk of breast cancer. Epidemiology. 2006;17:108–11.

    Article  PubMed  Google Scholar 

  21. Davis S, Mirick DK, Stevens RG. Night shift work, light at night, and risk of breast cancer. J Natl Cancer Inst. 2001;93:1557–62.

    Article  CAS  PubMed  Google Scholar 

  22. Stevens RG. Light-at-night, circadian disruption and breast cancer: assessment of existing evidence. Int J Epidemiol. 2009;38:963–70.

    Article  PubMed Central  PubMed  Google Scholar 

  23. Hahn RA. Profound bilateral blindness and the incidence of breast cancer. Epidemiology. 1991;2:208–10.

    Article  CAS  PubMed  Google Scholar 

  24. Feychting M, Osterlund B, Ahlbom A. Reduced cancer incidence among the blind. Epidemiology. 1998;9:490–4.

    Article  CAS  PubMed  Google Scholar 

  25. Pukkala E, Verkasalo PK, Ojamo M, Rudanko SL. Visual impairment and cancer: a population-based cohort study in Finland. Cancer Causes Control. 1999;10:13–20.

    Article  CAS  PubMed  Google Scholar 

  26. Kliukiene J, Tynes T, Andersen A. Risk of breast cancer among Norwegian women with visual impairment. Br J Cancer. 2001;84:397–9.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  27. Wu J, Dauchy RT, Tirrell PC, et al. Light at night activates IGF-1R/PDK1 signaling and accelerates tumor growth in human breast cancer xenografts. Cancer Res. 2011;71:2622–31.

    Article  CAS  PubMed  Google Scholar 

  28. Kloog I, Haim A, Stevens RG, Portnov BA. Global co-distribution of light at night (LAN) and cancers of prostate, colon, and lung in men. Chronobiol Int. 2009;26:108–25.

    Article  PubMed  Google Scholar 

  29. Cao Q, Gery S, Dashti A, et al. A role for the clock gene per1 in prostate cancer. Cancer Res. 2009;69:7619–25.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  30. Mostafaie N, Kallay E, Sauerzapf E, et al. Correlated downregulation of estrogen receptor beta and the circadian clock gene Per1 in human colorectal cancer. Mol Carcinog. 2009;48:642–7.

    Article  CAS  PubMed  Google Scholar 

  31. Yeh KT, Yang MY, Liu TC, et al. Abnormal expression of period 1 (PER1) in endometrial carcinoma. J Pathol. 2005;206:111–20.

    Article  CAS  PubMed  Google Scholar 

  32. Chen R, Yang K, Zhao NB, et al. Abnormal expression of PER1 circadian-clock gene in oral squamous cell carcinoma. Onco Targets Ther. 2012;5:403–7.

    CAS  PubMed Central  PubMed  Google Scholar 

  33. Wang X, Yan D, Teng M, et al. Reduced expression of PER3 is associated with incidence and development of colon cancer. Ann Surg Oncol. 2012;19:3081–8.

    Article  PubMed  Google Scholar 

  34. Hsu CM, Lin SF, Lu CT, Lin PM, Yang MY. Altered expression of circadian clock genes in head and neck squamous cell carcinoma. Tumour Biol. 2012;33:149–55.

    Article  CAS  PubMed  Google Scholar 

  35. Hoffman AE, Yi CH, Zheng T, et al. CLOCK in breast tumorigenesis: genetic, epigenetic, and transcriptional profiling analyses. Cancer Res. 2010;70:1459–68.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  36. Wang F, Hu Z, Yang R, et al. A variant affecting miRNAs binding in the circadian gene Neuronal PAS domain protein 2 (NPAS2) is not associated with breast cancer risk. Breast Cancer Res Treat. 2011;127:769–75.

    Article  CAS  PubMed  Google Scholar 

  37. Hoffman AE, Zheng T, Yi CH, et al. The core circadian gene cryptochrome 2 influences breast cancer risk, possibly by mediating hormone signaling. Cancer Prev Res (Phila). 2010;3:539–48.

    Article  CAS  Google Scholar 

  38. Li J, Humphreys K, Heikkinen T, et al. A combined analysis of genome-wide association studies in breast cancer. Breast Cancer Res Treat. 2011;126:717–27.

    Article  CAS  PubMed  Google Scholar 

  39. Hoffman AE, Zheng T, Stevens RG, et al. Clock-cancer connection in non-Hodgkin’s lymphoma: a genetic association study and pathway analysis of the circadian gene cryptochrome 2. Cancer Res. 2009;69:3605–13.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  40. Zhu Y, Stevens RG, Hoffman AE, et al. Testing the circadian gene hypothesis in prostate cancer: a population-based case–control study. Cancer Res. 2009;69:9315–22.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  41. Pachman DR, Barton DL, Swetz KM, Loprinzi CL. Troublesome symptoms in cancer survivors: fatigue, insomnia, neuropathy, and pain. J Clin Oncol. 2012;30:3687–96.

    Article  PubMed  Google Scholar 

  42. Cella D, Davis K, Breitbart W, Curt G. Cancer-related fatigue: prevalence of proposed diagnostic criteria in a United States sample of cancer survivors. J Clin Oncol. 2001;19:3385–91.

    CAS  PubMed  Google Scholar 

  43. Davidson JR, MacLean AW, Brundage MD, Schulze K. Sleep disturbance in cancer patients. Soc Sci Med. 2002;54:1309–21.

    Article  PubMed  Google Scholar 

  44. Rosen G, Brand SR. Sleep in children with cancer: case review of 70 children evaluated in a comprehensive pediatric sleep center. Support Care Cancer. 2011;19:985–94.

    Article  PubMed  Google Scholar 

  45. Langford DJ, Lee K, Miaskowski C. Sleep disturbance interventions in oncology patients and family caregivers: a comprehensive review and meta-analysis. Sleep Med Rev. 2012;16:397–414.

    Article  PubMed  Google Scholar 

  46. Girschik J, Heyworth J, Fritschi L. Self-reported sleep duration, sleep quality, and breast cancer risk in a population-based case–control study. Am J Epidemiol. 2013;177:316–27.

    Article  PubMed  Google Scholar 

  47. Verkasalo PK, Lillberg K, Stevens RG, et al. Sleep duration and breast cancer: a prospective cohort study. Cancer Res. 2005;65:9595–600.

    Article  CAS  PubMed  Google Scholar 

  48. Jiao L, Duan Z, Sangi-Haghpeykar H, Hale L, White DL, El-Serag HB. Sleep duration and incidence of colorectal cancer in postmenopausal women. Br J Cancer. 2013;108:213–21.

    Article  PubMed  Google Scholar 

  49. McElroy JA, Newcomb PA, Titus-Ernstoff L, Trentham-Dietz A, Hampton JM, Egan KM. Duration of sleep and breast cancer risk in a large population-based case–control study. J Sleep Res. 2006;15:241–9.

    Article  PubMed  Google Scholar 

  50. Kakizaki M, Kuriyama S, Sone T, et al. Sleep duration and the risk of breast cancer: the Ohsaki Cohort Study. Br J Cancer. 2008;99:1502–5.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  51. Wu AH, Wang R, Koh WP, Stanczyk FZ, Lee HP, Yu MC. Sleep duration, melatonin and breast cancer among Chinese women in Singapore. Carcinogenesis. 2008;29:1244–8.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  52. Pinheiro SP, Schernhammer ES, Tworoger SS, Michels KB. A prospective study on habitual duration of sleep and incidence of breast cancer in a large cohort of women. Cancer Res. 2006;66:5521–5.

    Article  CAS  PubMed  Google Scholar 

  53. Sturgeon SR, Luisi N, Balasubramanian R, Reeves KW. Sleep duration and endometrial cancer risk. Cancer Causes Control. 2012;23:547–53.

    Article  PubMed  Google Scholar 

  54. Thompson CL, Li L. Association of sleep duration and breast cancer OncotypeDX recurrence score. Breast Cancer Res Treat. 2012;134:1291–5.

    Article  PubMed Central  PubMed  Google Scholar 

  55. Kang TH, Sancar A. Circadian regulation of DNA excision repair: implications for chrono-chemotherapy. Cell Cycle. 2009;8:1665–7.

    Article  CAS  PubMed  Google Scholar 

  56. Bass J. Circadian topology of metabolism. Nature. 2012;491:348–56.

    Article  CAS  PubMed  Google Scholar 

  57. Savvidis C, Koutsilieris M. Circadian rhythm disruption in cancer biology. Mol Med. 2012;18:1249–60.

    CAS  PubMed Central  PubMed  Google Scholar 

  58. Kondratov RV, Antoch MP. Circadian proteins in the regulation of cell cycle and genotoxic stress responses. Trends Cell Biol. 2007;17:311–7.

    Article  CAS  PubMed  Google Scholar 

  59. Khanna KK, Lavin MF, Jackson SP, Mulhern TD. ATM, a central controller of cellular responses to DNA damage. Cell Death Differ. 2001;8:1052–65.

    Article  CAS  PubMed  Google Scholar 

  60. Unsal-Kacmaz K, Mullen TE, Kaufmann WK, Sancar A. Coupling of human circadian and cell cycles by the timeless protein. Mol Cell Biol. 2005;25:3109–16.

    Article  PubMed Central  PubMed  Google Scholar 

  61. Gauger MA, Sancar A. Cryptochrome, circadian cycle, cell cycle checkpoints, and cancer. Cancer Res. 2005;65:6828–34.

    Article  CAS  PubMed  Google Scholar 

  62. Matsuo T, Yamaguchi S, Mitsui S, Emi A, Shimoda F, Okamura H. Control mechanism of the circadian clock for timing of cell division in vivo. Science. 2003;302:255–9.

    Article  CAS  PubMed  Google Scholar 

  63. Hoffman AE, Zheng T, Ba Y, et al. Phenotypic effects of the circadian gene cryptochrome 2 on cancer-related pathways. BMC Cancer. 2010;10:110.

    Article  PubMed Central  PubMed  Google Scholar 

  64. Kang TH, Reardon JT, Kemp M, Sancar A. Circadian oscillation of nucleotide excision repair in mammalian brain. Proc Natl Acad Sci U S A. 2009;106:2864–7.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  65. Patel SR, Hu FB. Short sleep duration and weight gain: a systematic review. Obesity (Silver Spring). 2008;16:643–53.

    Article  Google Scholar 

  66. Nock NL, Li L, Larkin EK, Patel SR, Redline S. Empirical evidence for “syndrome Z”: a hierarchical 5-factor model of the metabolic syndrome incorporating sleep disturbance measures. Sleep. 2009;32:615–22.

    PubMed Central  PubMed  Google Scholar 

  67. Shlisky JD, Hartman TJ, Kris-Etherton PM, Rogers CJ, Sharkey NA, Nickols-Richardson SM. Partial sleep deprivation and energy balance in adults: an emerging issue for consideration by dietetics practitioners. J Acad Nutr Diet. 2012;112:1785–97.

    Article  PubMed  Google Scholar 

  68. Hall J, Roberts R, Vora N. Energy homoeostasis: the roles of adipose tissue-derived hormones, peptide YY and Ghrelin. Obes Facts. 2009;2:117–25.

    CAS  PubMed  Google Scholar 

  69. Cummings DE, Weigle DS, Frayo RS, et al. Plasma ghrelin levels after diet-induced weight loss or gastric bypass surgery. N Engl J Med. 2002;346:1623–30.

    Article  PubMed  Google Scholar 

  70. Mavri A, Poredos P, Suran D, Gaborit B, Juhan-Vague I. Effect of diet-induced weight loss on endothelial dysfunction: early improvement after the first week of dieting. Heart Vessels. 2011;26:31–8.

    Article  PubMed  Google Scholar 

  71. Kolaczynski JW, Ohannesian JP, Considine RV, Marco CC, Caro JF. Response of leptin to short-term and prolonged overfeeding in humans. J Clin Endocrinol Metab. 1996;81:4162–5.

    Article  CAS  PubMed  Google Scholar 

  72. Cermakian N, Boivin DB. The regulation of central and peripheral circadian clocks in humans. Obes Rev. 2009;10 Suppl 2:25–36.

    Article  CAS  PubMed  Google Scholar 

  73. Mussig K, Remer T, Maser-Gluth C. Brief review: glucocorticoid excretion in obesity. J Steroid Biochem Mol Biol. 2010;121:589–93.

    Article  PubMed  Google Scholar 

  74. Markwald RR, Melanson EL, Smith MR, et al. Impact of insufficient sleep on total daily energy expenditure, food intake, and weight gain. Proc Natl Acad Sci U S A. 2013;110:5695–700.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  75. Karbownik M, Reiter RJ, Burkhardt S, Gitto E, Tan DX, Lewinski A. Melatonin attenuates estradiol-induced oxidative damage to DNA: relevance for cancer prevention. Exp Biol Med (Maywood). 2001;226:707–12.

    CAS  Google Scholar 

  76. Erren TC. Sleep duration and cancer risk: time to use a “sleep-years” index? Cancer Causes Control. 2012;23:1399–403.

    Article  PubMed  Google Scholar 

  77. Beccuti G, Pannain S. Sleep and obesity. Curr Opin Clin Nutr Metab Care. 2011;14:402–12.

    Article  PubMed Central  PubMed  Google Scholar 

  78. Calle EE, Kaaks R. Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms. Nat Rev Cancer. 2004;4:579–91.

    Article  CAS  PubMed  Google Scholar 

  79. Sasco AJ, Secretan MB, Straif K. Tobacco smoking and cancer: a brief review of recent epidemiological evidence. Lung Cancer. 2004;45 Suppl 2:S3–9.

    Article  PubMed  Google Scholar 

  80. Clague J, Bernstein L. Physical activity and cancer. Curr Oncol Rep. 2012;14:550–8.

    Article  PubMed Central  PubMed  Google Scholar 

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Correspondence to Cheryl L. Thompson Ph.D. .

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Thompson, C.L., Li, L. (2014). Sleep Disorders and Cancer Risk. In: Redline, S., Berger, N. (eds) Impact of Sleep and Sleep Disturbances on Obesity and Cancer. Energy Balance and Cancer, vol 8. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9527-7_8

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