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Obesity and Breast Cancer: A Complex Relationship
Victoria M Gershuni1, Rexford S Ahima2, Julia Tchou3
1Department of Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104, USA.
Current Surgery Reports
|April 7, 2018
Summary
Obesity increases breast cancer risk through chronic inflammation and hormonal changes. Weight loss can reverse these effects, highlighting obesity as a modifiable risk factor for breast cancer.
Area of Science:
- Oncology
- Endocrinology
- Metabolism
Background:
- Rising obesity prevalence in the US is linked to increased breast cancer incidence, poorer prognosis, and higher mortality.
- Obesity creates a pro-tumorigenic environment characterized by chronic inflammation, insulin resistance, adipokine imbalance, and elevated estrogen signaling.
Purpose of the Study:
- To elucidate the complex mechanisms linking obesity to increased breast cancer risk.
- To highlight obesity as a modifiable risk factor for breast cancer.
Main Methods:
- Review of epidemiological data on obesity and breast cancer.
- Analysis of mechanistic pathways involving inflammation, endocrine dysfunction, and hormone production in obesity-associated breast cancer.
Main Results:
- Epidemiological data confirm obesity (BMI > 30) correlates with higher breast cancer incidence, worse outcomes, and increased mortality.
- Obesity promotes tumor development via chronic inflammation, insulin resistance, adipokine imbalance, and increased estrogen signaling, affecting mammary tissue growth, proliferation, and survival.
Conclusions:
- Obesity is a significant, modifiable risk factor for breast cancer.
- Weight loss interventions targeting diet and exercise can positively alter cellular processes, including proliferation, apoptosis, estrogen levels, and insulin sensitivity, thereby mitigating breast cancer risk.
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