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肥胖与乳腺癌:一例炎症性脂肪组织病例

Obesity and Breast Cancer: A Case of Inflamed Adipose Tissue.

作者信息

Kolb Ryan, Zhang Weizhou

机构信息

Department of Pathology, Immunology and Laboratory Medicine, Gainesville, FL 32610, USA.

University of Florida Health Cancer Center, Gainesville, FL 32610, USA.

出版信息

Cancers (Basel). 2020 Jun 25;12(6):1686. doi: 10.3390/cancers12061686.

Abstract

Obesity is associated with an increased risk of estrogen receptor-positive breast cancer in postmenopausal women and a worse prognosis for all major breast cancer subtypes regardless of menopausal status. While the link between obesity and the pathogenesis of breast cancer is clear, the molecular mechanism of this association is not completely understood due to the complexity of both obesity and breast cancer. The aim of this review is to highlight the association between obesity and breast cancer and discuss the literature, which indicates that this association is due to chronic adipose tissue inflammation. We will discuss the epidemiological data for the association between breast cancer incidence and progression as well as the potential molecular mechanisms for this association. We will focus on the role of inflammation within the adipose tissue during the pathogenesis of breast cancer. A better understanding of how obesity and adipose tissue inflammation affects the pathogenesis of breast cancer will lead to new strategies to reduce breast cancer risk and improve patient outcomes for obese patients.

摘要

肥胖与绝经后女性雌激素受体阳性乳腺癌风险增加相关,且无论绝经状态如何,对所有主要乳腺癌亚型而言,肥胖都会导致更差的预后。虽然肥胖与乳腺癌发病机制之间的联系已很明确,但由于肥胖和乳腺癌的复杂性,这种关联的分子机制尚未完全阐明。本综述的目的是强调肥胖与乳腺癌之间的关联,并讨论相关文献,这些文献表明这种关联是由于慢性脂肪组织炎症所致。我们将讨论乳腺癌发病率和进展之间关联的流行病学数据,以及这种关联的潜在分子机制。我们将重点关注脂肪组织炎症在乳腺癌发病机制中的作用。更好地理解肥胖和脂肪组织炎症如何影响乳腺癌的发病机制,将有助于制定新的策略来降低乳腺癌风险,并改善肥胖患者的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f1e/7352736/3fb54577eaef/cancers-12-01686-g001.jpg

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