Obesity and cancer: Local and systemic mechanisms Journal Article


Authors: Iyengar, N. M.; Hudis, C. A.; Dannenberg, A. J.
Article Title: Obesity and cancer: Local and systemic mechanisms
Abstract: Obesity is a leading modifiable risk factor for the development of several epithelial malignancies. In addition to increasing risk, obesity also confers worse prognosis for many cancers. Obesity represents an overall state of energy imbalance frequently associated with systemic effects including insulin resistance, altered hormone signaling, and high circulating levels of proinflammatory mediators. In addition to its systemic effects, obesity causes subclinical white adipose inflammation including increased tissue levels of proinflammatory mediators. Both local and systemic effects are likely to contribute to the development and progression of cancer. An understanding of the interplay between local and systemic alterations involved in the obesity-cancer link provides the basis for developing interventions aimed at mitigating the protumorigenic effects.
Keywords: androgen; cancer risk; neoplasm; leptin; inflammation; estrogen; obesity; carcinogenesis; body mass index; insulin; insulin resistance; tumor growth; adiponectin; macrophages; lipid metabolism; metabolic disorder; adipose tissue; metabolic syndrome; tumor microenvironment; hyperinsulinemia; adipocyte; white adipose tissue; adipocytokine; adipocytes; steroid hormone; human; priority journal; article
Journal Title: Annual Review of Medicine
Volume: 66
ISSN: 0066-4219
Publisher: Annual Reviews  
Date Published: 2015-01-01
Start Page: 297
End Page: 309
Language: English
DOI: 10.1146/annurev-med-050913-022228
PROVIDER: scopus
PUBMED: 25587653
DOI/URL:
Notes: Export Date: 2 March 2015 -- Source: Scopus
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  1. Clifford Hudis
    905 Hudis
  2. Neil Mukund Iyengar
    150 Iyengar