The connection between stress, sleep and colorectal cancer progression

Studies indicate that disruptions to the body’s natural circadian rhythm can lead to changes in the gut microbiome, crucial for maintaining intestinal health
colon cancer
Photo credit: Shutterstock.com / Emily-frost

Recent research has shed light on the relationship between stress, sleep disruption and colorectal cancer progression. As understanding of cancer risk factors evolves, the role of the gut microbiome and circadian rhythms has emerged as a significant area of study.


Stress and irregular work hours — particularly night shifts — have long been associated with increased cancer risk, including colorectal cancer. Studies indicate that disruptions to the body’s natural circadian rhythm can lead to changes in the gut microbiome, crucial for maintaining intestinal health. A disrupted microbiome can increase intestinal permeability and inflammation, both linked to cancer progression.


Key findings from recent research:

– Stress and circadian disruption can negatively affect the gut microbiome, potentially accelerating colorectal cancer progression.


– Studies on genetically modified mice have shown chronic stress can lead to a higher tumor burden.

– Mice receiving fecal transplants from stressed mice exhibited more significant tumor growth compared to those receiving transplants from non-stressed controls.

Dr. Shuji Ogino, a professor at Harvard Medical School, emphasizes the importance of sleep in regulating bodily functions, including those related to the gut microbiome. He notes that sleep disturbances can disrupt hormonal balance and impair the body’s cancer suppression mechanisms.

Ways to improve sleep:

1. Maintain a consistent sleep schedule, even on weekends.
2. Create a relaxing bedtime routine, such as reading or gentle stretching.
3. Limit exposure to blue light from electronic devices before bedtime.

Ways to reduce stress:

1. Practice mindfulness meditation or deep breathing exercises.
2. Engage in regular physical activity or exercise.
3. Prioritize social connections and seek support from friends and family.

At UEG Week 2024, researchers from Sichuan University presented findings further elucidating the connection between stress and colorectal cancer. Their study involved inducing chronic stress in mouse models and conducting fecal transplants to observe effects on cancer progression.

Lead researcher Dr. Qing Li noted a significant correlation between chronic stress and changes in gut microbiota, which influenced tumor growth. Certain beneficial bacteria, such as Lactobacillus, were lower in stressed mice.

Dr. Li’s research indicates supplementing with Lactobacillus plantarum during periods of chronic stress may inhibit colorectal cancer progression. This opens the door for potential intervention strategies aimed at managing stress and promoting gut health.

A study published in Science Advances explored how circadian rhythm disruptions affect cancer risk. Researchers utilized genetically engineered mouse models predisposed to colorectal cancer and those with disrupted circadian rhythms. The combination resulted in significant changes to the gut microbiome, affecting intestinal permeability and inflammation levels.

Dr. Anton Bilchik, a surgical oncologist, remarked that disruptions in the circadian clock could increase the risk of colorectal cancer and potentially other cancers. This is particularly concerning given the rising incidence of early-onset colorectal cancer.

The interplay between stress, sleep and colorectal cancer progression underscores the need for a holistic approach to cancer prevention and treatment. By understanding how lifestyle factors influence gut health and cancer risk, patients and healthcare providers can work together to develop effective strategies for managing stress and promoting better sleep hygiene.

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