“…Furthermore, it is well established that insulin, prolactin and corticosterone exert synergistic effects on neoplastic transformation (Ball et al, 1988;Singh et al, 1980;Giovannucci, 1995;Tran et al, 1996;Haraguchi et al, 1992) and tumor cell growth, e.g., by inducing the expression of different oncogenes in mammary epithelial cells (Romagnolo et al, 1993;Haraguchi et al, 1997;Wennbo et al, 1997). In addition, levels of insulin, corticosterone and prolactin are influenced by cytokines derived from inflammatory and other types of immune cell, which therefore may mediate changes in the levels of these hormones during tumor development (Besedovsky et al, 1991;Harel et al, 1995;Rabinovitch et al, 1990;del Rey and Besedovsky, 1987).…”