The Impact of Obesity on Breast Cancer

被引:94
作者
Argolo, Daniel F. [1 ]
Hudis, Clifford A. [2 ,3 ]
Iyengar, Neil M. [2 ,3 ]
机构
[1] CLION CAM Grp, Altino Serbeto de Barros 119,7th Floor, BR-41830907 Salvador, BA, Brazil
[2] Mem Sloan Kettering Canc Ctr, 300 East 66th St,8th Floor, New York, NY 10065 USA
[3] Weill Cornell Med Coll, New York, NY 10065 USA
关键词
Obesity; Inflammation; Adipose tissue; Insulin; Metabolic syndrome; Breast cancer; BODY-MASS INDEX; CROWN-LIKE STRUCTURES; SEX-STEROID HORMONES; ADIPOSE STROMAL CELLS; NECROSIS-FACTOR-ALPHA; AROMATASE EXPRESSION; CIRCULATING ADIPONECTIN; RECONSTRUCTION ANALYSIS; ENDOCRINE THERAPY; GENE-EXPRESSION;
D O I
10.1007/s11912-018-0688-8
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The rates of obesity are increasing worldwide and this condition is now recognized as a leading preventable cause of cancer. Several diseases are directly related to obesity, including diabetes, hypertension, atherosclerosis, stroke, musculoskeletal disorders, and a diverse range of malignances-such as breast cancer. Obesity is associated with an increased risk of postmenopausal estrogen receptor-positive breast cancer and worse cancer-related outcomes for all breast tumor subtypes. Several mechanisms have been proposed to contribute to the obesity-cancer link, including high levels of circulating and local estrogens, altered amounts of adipokines (leptin and adiponectin), disrupted insulin/IGF signaling, modifications within the microbiome, and local and systemic effects of inflammation. Here we will review recent advances in our understanding of the complex signaling pathways underlying the obesity-cancer link. An improved understanding of these processes is anticipated to propel novel and effective intervention strategies to reduce the global obesity-cancer burden.
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页数:8
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