A single bout of resistance or high-intensity interval training increases anti-cancer myokines and suppresses cancer cell growth in vitro in survivors of breast cancer

Breast Cancer Res Treat. 2025 Aug;213(1):171-180. doi: 10.1007/s10549-025-07772-w. Epub 2025 Jul 3.

Abstract

Purpose: Breast cancer is the leading cause of cancer-related death in women, highlighting the need for strategies to mitigate recurrence and mortality. We examined the effects of a single bout of resistance training (RT) versus high-intensity interval training (HIIT) on anti-cancer myokines and in vitro cancer cell suppression.

Methods: Thirty-two survivors of breast cancer were randomly allocated to a single bout of RT (n = 16) or HIIT (n = 16). Blood was collected before, immediately post (0P) and 30 min post (30P) exercise. We measured serum levels of decorin, interleukin 6 (IL-6), secreted protein acidic and rich in cysteine (SPARC), and oncostatin M (OSM) and cell growth of MDA-MB-231 cells in vitro using real time cellular analysis at each time point.

Results: Decorin, IL-6, and SPARC significantly increased (9 to 47%, p < 0.05) from baseline to 0P in both groups. IL-6 remained elevated in both groups at 30 min post-intervention (30P), while OSM levels were elevated only in the RT group at 30P. Between groups, IL-6 was significantly increased in HIIT at 0P (p = 0.001). Cancer cell growth was significantly reduced at 0P and 30P compared to baseline in RT (20 to 21%, p < 0.05) and HIIT (19 to 29%, p < 0.05), with significantly greater effects on MDA-MB-231 cell growth reduction in favour of HIIT at 0P (p = 0.001).

Conclusion: A single bout of RT or HIIT can increase levels of anti-cancer myokines and reduce the growth of MDA-MB-231 cells in vitro in survivors of breast cancer, potentially contributing to a lower risk of recurrence. This highlights the importance of exercise as a treatment with promising anti-cancer effects.

Keywords: Breast cancer; Cancer cell; High intensity interval training; Myokine; Resistance training.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Breast Neoplasms* / blood
  • Breast Neoplasms* / pathology
  • Breast Neoplasms* / rehabilitation
  • Breast Neoplasms* / therapy
  • Cancer Survivors
  • Cell Line, Tumor
  • Cell Proliferation
  • Decorin / blood
  • Female
  • High-Intensity Interval Training* / methods
  • Humans
  • Interleukin-6 / blood
  • Middle Aged
  • Myokines
  • Oncostatin M / blood
  • Osteonectin / blood
  • Resistance Training* / methods

Substances

  • Decorin
  • Osteonectin
  • Interleukin-6
  • Oncostatin M
  • SPARC protein, human
  • Myokines