Physical activity as a molecular modulator to enhance immunotherapy and drug sensitivity in the endometrial cancer–comorbidity continuum - Report - MDSpire

Physical activity as a molecular modulator to enhance immunotherapy and drug sensitivity in the endometrial cancer–comorbidity continuum

  • By

  • Jing Wang

  • Zhenyu Yang

  • Yang Wu

  • Menghao Tang

  • Yihan Wang

  • Hongyun Zheng

  • Xinming Ye

  • Mei Du

  • July 7, 2026

  • 0 min

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Clinical Report: The Role of Physical Activity in Endometrial Cancer Treatment

Overview

This review explores the role of physical activity in endometrial cancer (EC) patients with comorbid conditions. It highlights the molecular mechanisms through which exercise may modulate the tumor microenvironment.

Background

Endometrial cancer is the most common gynecologic malignancy, often complicated by comorbidities such as hypertension and chronic kidney disease, which can hinder effective treatment. The systemic inflammatory burden and uremic toxins associated with these conditions can impair the efficacy of immunotherapies. Understanding the role of physical activity in this context is crucial for optimizing treatment strategies.

Data Highlights

No numerical data or trial data provided in the source material.

Key Findings

  • Physical activity may act as a systems-level molecular modulator in endometrial cancer treatment.
  • Exercise can remodel the tumor microenvironment by repolarizing Tumor-Associated Macrophages and reducing Myeloid-Derived Suppressor Cells.
  • Enhanced cytotoxic T cell infiltration is associated with increased physical activity.
  • Exercise-induced shear stress promotes eNOS phosphorylation, which may normalize tumor vasculature.
  • Personalized exercise prescriptions may serve as a non-pharmacological adjuvant in EC patients.

Clinical Implications

Incorporating physical activity into treatment plans for endometrial cancer patients with comorbidities may be beneficial.

Conclusion

Physical activity presents a promising adjunctive strategy in the management of endometrial cancer, particularly for patients facing therapeutic challenges due to comorbidities.

Related Resources & Content

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  2. the asco post, Exercise Therapy as Candidate Anticancer Strategy, 2025 -- Exercise Therapy as Candidate Anticancer Strategy
  3. roswell park comprehensive cancer center, Immunotherapies, Antibody Drug Conjugants Among Advances in Endometrial Cancer Treatment Options -- Immunotherapies, Antibody Drug Conjugants Among Advances in Endometrial Cancer Treatment Options
  4. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) -- NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®)
  5. Blood Cancer Journal — Factors Influencing Lifestyle Choices in Patients with Multiple Myeloma
  6. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®)
  7. Dostarlimab for Primary Advanced or Recurrent Endometrial Cancer | New England Journal of Medicine
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Original Source(s)

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