Obesity-induced changes in cancer cells and their microenvironment : Mechanisms and therapeutic perspectives to manage dysregulated lipid metabolism

Copyright © 2023 Elsevier Ltd. All rights reserved..

Obesity has been closely related to cancer progression, recurrence, metastasis, and treatment resistance. We aim to review recent progress in the knowledge on the obese macroenvironment and the generated adipose tumor microenvironment (TME) inducing lipid metabolic dysregulation and their influence on carcinogenic processes. Visceral white adipose tissue expansion during obesity exerts systemic or macroenvironmental effects on tumor initiation, growth, and invasion by promoting inflammation, hyperinsulinemia, growth-factor release, and dyslipidemia. The dynamic relationship between cancer and stromal cells of the obese adipose TME is critical for cancer cell survival and proliferation as well. Experimental evidence shows that secreted paracrine signals from cancer cells can induce lipolysis in cancer-associated adipocytes, causing them to release free fatty acids and acquire a fibroblast-like phenotype. Such adipocyte delipidation and phenotypic change is accompanied by an increased secretion of cytokines by cancer-associated adipocytes and tumor-associated macrophages in the TME. Mechanistically, the availability of adipose TME free fatty acids and tumorigenic cytokines concomitant with the activation of angiogenic processes creates an environment that favors a shift in the cancer cells toward an aggressive phenotype associated with increased invasiveness. We conclude that restoring the aberrant metabolic alterations in the host macroenvironment and in adipose TME of obese subjects would be a therapeutic option to prevent cancer development. Several dietary, lipid-based, and oral antidiabetic pharmacological therapies could potentially prevent tumorigenic processes associated with the dysregulated lipid metabolism closely linked to obesity.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:93

Enthalten in:

Seminars in cancer biology - 93(2023) vom: 28. Aug., Seite 36-51

Sprache:

Englisch

Beteiligte Personen:

Lee-Rueckert, Miriam [VerfasserIn]
Canyelles, Marina [VerfasserIn]
Tondo, Mireia [VerfasserIn]
Rotllan, Noemi [VerfasserIn]
Kovanen, Petri T [VerfasserIn]
Llorente-Cortes, Vicenta [VerfasserIn]
Escolà-Gil, Joan Carles [VerfasserIn]

Links:

Volltext

Themen:

Adipocytes, cancer
Cholesterol
Cytokines
Fatty Acids, Nonesterified
Fibroblasts, fatty acids
Journal Article
Lipids
Macrophages
Obesity
Review
Tumor microenvironment

Anmerkungen:

Date Completed 12.06.2023

Date Revised 02.01.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.semcancer.2023.05.002

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM356594718