Gucalp Ayca, Iyengar Neil M, Hudis Clifford A, Dannenberg Andrew J
Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Medicine, Weill Cornell Medical College, New York, NY, USA.
Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Medicine, Weill Cornell Medical College, New York, NY, USA.
Semin Oncol. 2016 Feb;43(1):154-160. doi: 10.1053/j.seminoncol.2015.09.012. Epub 2015 Sep 8.
The incidence of obesity, a leading modifiable risk factor for common solid tumors, is increasing. Effective interventions are needed to minimize the public health implications of obesity. Although the mechanisms linking increased adiposity to malignancy are incompletely understood, growing evidence points to complex interactions among multiple systemic and tissue-specific pathways including inflamed white adipose tissue. The metabolic and inflammatory consequences of white adipose tissue dysfunction collectively provide a plausible explanation for the link between overweight/obesity and carcinogenesis. Gaining a better understanding of these underlying molecular pathways and developing risk assessment tools that identify at-risk populations will be critical in implementing effective and novel cancer prevention and management strategies.
肥胖是常见实体瘤的主要可改变风险因素,其发病率正在上升。需要采取有效的干预措施,以尽量减少肥胖对公众健康的影响。尽管肥胖增加与恶性肿瘤之间的联系机制尚未完全了解,但越来越多的证据表明,包括炎症性白色脂肪组织在内的多个全身和组织特异性途径之间存在复杂的相互作用。白色脂肪组织功能障碍的代谢和炎症后果共同为超重/肥胖与致癌作用之间的联系提供了合理的解释。更好地了解这些潜在的分子途径并开发能够识别高危人群的风险评估工具,对于实施有效的新型癌症预防和管理策略至关重要。