PMID- 24196800 OWN - NLM STAT- MEDLINE DCOM- 20131203 LR - 20131107 IS - 1556-8539 (Print) IS - 1556-8539 (Linking) VI - 7 IP - 4 DP - 2012 TI - Enhancement of cancer stem cell susceptibility to conventional treatments through complementary yoga therapy: possible cellular and molecular mechanisms. PG - 261-7 LID - jsc.2013.7.4.261 [pii] AB - Cancer stem cells (CSCs) are stem-like tumor populations that are reported to contribute towards tumor growth, maintenance and recurrence after therapy. Hypoxia increases CSC fraction and promotes acquisition of a stem-cell-like state. Cancer stem cells are critically dependant on the hypoxia-inducible factor-1 (HIF-1) for survival, self-renewal, tumor growth and maintenance of their undifferentiated phenotype. Recent researches show that stage of differentiation of the tumor cells is predictive of their susceptibility to natural killer cell (NK) cell mediated cytotoxicity and cancer stem cells are significant targets of NK cell cytotoxicity. Studies also show that reversion of tumor cells to a less-differentiated phenotype can be achieved by blocking NFkappaB. Yoga therapy (yogic lifestyle modifications encompassing physical postures, breathing practices, relaxation techniques and meditations) is known to modulate neural, endocrine and immune functions at the cellular level through influencing cell cycle control, aging, oxidative stress, apoptosis and several pathways of stress signaling molecules. Yoga therapy has also been shown to enhance natural killer cell activity and modulate stress and DNA damage in breast cancer patients receiving radiotherapy. Recent study found that brief daily yogic meditation may reverse the pattern of increased NFkappaB-related transcription of pro-inflammatory cytokines in leukocytes. Thus, yoga therapy has the potential to reduce cancer stem cell survival, self -renewal and tumor growth by modifying the tumor micro-environment through various mechanisms such as; 1) reducing HIF-1 activity by enhanced oxygenation, 2) promoting NK cell activity directly (or indirectly through down regulating NFkappaB expression), thereby enhancing NK cell mediated CSC lysis, and 3) by minimizing the aberrant expressions or activities of various hormones, cytokines, chemokines and tumor signaling pathways. Yoga therapy may have a synergistic effect with conventional modalities of treatment in preventing cancer progression and recurrences. FAU - Bhargav, Hemant AU - Bhargav H FAU - Metri, Kashinath AU - Metri K FAU - Raghuram, Nagarathna AU - Raghuram N FAU - Ramarao, Nagendra Hongasandra AU - Ramarao NH FAU - Koka, Prasad S AU - Koka PS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - J Stem Cells JT - Journal of stem cells JID - 101295936 SB - IM MH - Cell Hypoxia MH - Combined Modality Therapy MH - Humans MH - Neoplasms/immunology/metabolism/pathology/*therapy MH - Neoplastic Stem Cells/immunology/metabolism/*pathology MH - Signal Transduction MH - Treatment Outcome MH - Tumor Microenvironment MH - *Yoga EDAT- 2012/01/01 00:00 MHDA- 2013/12/16 06:00 CRDT- 2013/11/08 06:00 PHST- 2013/11/08 06:00 [entrez] PHST- 2012/01/01 00:00 [pubmed] PHST- 2013/12/16 06:00 [medline] AID - jsc.2013.7.4.261 [pii] PST - ppublish SO - J Stem Cells. 2012;7(4):261-7.