Changes in circulating immune cells and cytokines after high-intensity aerobic exercise in patients with prostate cancer undergoing active surveillance from the ERASE randomized controlled trial - Scorecard - MDSpire
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Impact of High-Intensity Aerobic Exercise on Immune Cell Dynamics and Cytokine Levels in Prostate Cancer Patients Undergoing Active Surveillance: Insights from the ERASE Randomized Controlled Trial

  • By

  • Dong-Woo Kang

  • Dhruvesh Patel

  • Catherine J. Field

  • Normand G. Boulé

  • Adrian S. Fairey

  • Keri L. Schadler

  • Kerry S. Courneya

  • September 7, 2026

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Clinical Scorecard: Impact of High-Intensity Aerobic Exercise on Immune Cell Dynamics and Cytokine Levels in Prostate Cancer Patients Undergoing Active Surveillance: Insights from the ERASE Randomized Controlled Trial

At a Glance

CategoryDetail
ConditionLocalized Prostate Cancer
Key MechanismsHigh-intensity interval training (HIIT) effects on immune cell dynamics and cytokine levels.
Target PopulationMen with localized prostate cancer undergoing active surveillance.
Care SettingClinical trial setting

Key Highlights

  • HIIT significantly increased the circulating proportion of NK-cell subsets.
  • PBMC-mediated cytotoxicity improved with HIIT compared to usual care.
  • IL-4 and IL-12p70 levels decreased significantly in the HIIT group.
  • Attendance in the HIIT group was 96% of prescribed sessions.
  • No significant changes in T cell or B cell subsets were observed.

Guideline-Based Recommendations

Diagnosis

  • Histologically confirmed very low to favorable intermediate-risk prostate cancer.

Management

  • Consider supervised high-intensity interval training for patients undergoing active surveillance.

Monitoring & Follow-up

  • Assess immune cell dynamics and cytokine levels before and after exercise interventions.

Risks

  • Exclusion of patients with contraindications to vigorous physical activity.

Patient & Prescribing Data

52 men with localized prostate cancer undergoing active surveillance.

12-week supervised HIIT program showed significant immune modulation.

Clinical Best Practices

  • Implement structured exercise programs in cancer care settings.
  • Monitor immune responses in patients undergoing active surveillance.

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