Sympathetic-nerve fibers (green) are closely intertwined
with blood vessels (white) release norepinephrine that
stimulates vessel proliferation that fuels tumor growth.
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In a 2013 Science study the researchers led by Paul Frenette, professor of medicine and cell biology at Einstein, showed that nerves of the sympathetic nervous system, the flight or fight response nerves, promote tumor growth by producing norepinephrine, a chemical that gives a sudden boost to skeletal muscle contractions and rate and force of heart muscle contractions. The researchers found that norepinephrine binds to and stimulates receptors on tumor connective-tissue cells, helping the tumor to spread.