The adipocyte microenvironment and cancer

被引:79
作者
Mukherjee, Abir [1 ]
Bilecz, Agnes J. [1 ]
Lengyel, Ernst [1 ]
机构
[1] Univ Chicago, Ctr Integrat Sci, Dept Obstet & Gynecol, Sect Gynecol Oncol, 5841 S Maryland Ave, Chicago, IL 60637 USA
关键词
Adipose tissue; Lipids; Cancer; Metabolism; Immune cells; Metastasis; OMENTAL MILKY SPOTS; NATURAL-KILLER-CELLS; ACID-BINDING PROTEIN; HUMAN ADIPOSE-TISSUE; OVARIAN-CANCER; NEUTROPHIL ELASTASE; INSULIN-RESISTANCE; BREAST-CANCER; IMMUNE-RESPONSE; NK CELLS;
D O I
10.1007/s10555-022-10059-x
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Many epithelial tumors grow in the vicinity of or metastasize to adipose tissue. As tumors develop, crosstalk between adipose tissue and cancer cells leads to changes in adipocyte function and paracrine signaling, promoting a microenvironment that supports tumor growth. Over the last decade, it became clear that tumor cells co-opt adipocytes in the tumor microenvironment, converting them into cancer-associated adipocytes (CAA). As adipocytes and cancer cells engage, a metabolic symbiosis ensues that is driven by bi-directional signaling. Many cancers (colon, breast, prostate, lung, ovarian cancer, and hematologic malignancies) stimulate lipolysis in adipocytes, followed by the uptake of fatty acids (FA) from the surrounding adipose tissue. The FA enters the cancer cell through specific fatty acid receptors and binding proteins (e.g., CD36, FATP1) and are used for membrane synthesis, energy metabolism (beta-oxidation), or lipid-derived cell signaling molecules (derivatives of arachidonic and linolenic acid). Therefore, blocking adipocyte-derived lipid uptake or lipid-associated metabolic pathways in cancer cells, either with a single agent or in combination with standard of care chemotherapy, might prove to be an effective strategy against cancers that grow in lipid-rich tumor microenvironments.
引用
收藏
页码:575 / 587
页数:13
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