Ku Hui-Chen, Cheng Ching-Feng
Department of Pediatrics, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan.
Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan.
Tzu Chi Med J. 2022 Jun 27;34(4):359-366. doi: 10.4103/tcmj.tcmj_62_22. eCollection 2022 Oct-Dec.
Prostate cancer (PC) and breast cancer (BC) are the most common cancers in men and women, respectively, in developed countries. The increased incidence of PC and BC largely reflects an increase in the prevalence of obesity and metabolic syndrome. In pathological conditions involving the development and progression of PC and BC, adipose tissue plays an important role via paracrine and endocrine signaling. The increase in the amount of local adipose tissue, specifically periprostatic adipose tissue, may be a key contributor to the PC pathobiology. Similarly, breast adipose tissue secretion affects various aspects of BC by influencing tumor progression, angiogenesis, metastasis, and microenvironment. In this context, the role of white adipose tissue (WAT) has been extensively studied. However, the influence of browning of the WAT on the development and progression of PC and BC is unclear and has received less attention. In this review, we highlight that adipose tissue plays a vital role in the regulation of the tumor microenvironment in PC or BC and highlight the probable underlying mechanisms linking adipose tissue with PC or BC. We further discuss whether the browning of WAT could be a therapeutic strategy for the treatment of PC and BC.
在发达国家,前列腺癌(PC)和乳腺癌(BC)分别是男性和女性中最常见的癌症。PC和BC发病率的上升很大程度上反映了肥胖和代谢综合征患病率的增加。在涉及PC和BC发生发展的病理状况下,脂肪组织通过旁分泌和内分泌信号发挥重要作用。局部脂肪组织,特别是前列腺周围脂肪组织数量的增加,可能是PC病理生物学的关键促成因素。同样,乳腺脂肪组织分泌通过影响肿瘤进展、血管生成、转移和微环境,对BC的各个方面产生影响。在此背景下,白色脂肪组织(WAT)的作用已得到广泛研究。然而,WAT褐变对PC和BC发生发展的影响尚不清楚,且较少受到关注。在本综述中,我们强调脂肪组织在PC或BC肿瘤微环境调节中起着至关重要的作用,并强调脂肪组织与PC或BC之间可能的潜在机制。我们还进一步讨论了WAT褐变是否可能成为治疗PC和BC的一种治疗策略。