Frontiers in Oncology (Jun 2022)

Advances in the Prevention and Treatment of Obesity-Driven Effects in Breast Cancers

  • Kuo Chen,
  • Jin Zhang,
  • Narasimha M. Beeraka,
  • Narasimha M. Beeraka,
  • Chengyun Tang,
  • Yulia V. Babayeva,
  • Mikhail Y. Sinelnikov,
  • Xinliang Zhang,
  • Jiacheng Zhang,
  • Junqi Liu,
  • Igor V. Reshetov,
  • Olga A. Sukocheva,
  • Pengwei Lu,
  • Ruitai Fan

DOI
https://doi.org/10.3389/fonc.2022.820968
Journal volume & issue
Vol. 12

Abstract

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Obesity and associated chronic inflammation were shown to facilitate breast cancer (BC) growth and metastasis. Leptin, adiponectin, estrogen, and several pro-inflammatory cytokines are involved in the development of obesity-driven BC through the activation of multiple oncogenic and pro-inflammatory pathways. The aim of this study was to assess the reported mechanisms of obesity-induced breast carcinogenesis and effectiveness of conventional and complementary BC therapies. We screened published original articles, reviews, and meta-analyses that addressed the involvement of obesity-related signaling mechanisms in BC development, BC treatment/prevention approaches, and posttreatment complications. PubMed, Medline, eMedicine, National Library of Medicine (NLM), and ReleMed databases were used to retrieve relevant studies using a set of keywords, including “obesity,” “oncogenic signaling pathways,” “inflammation,” “surgery,” “radiotherapy,” “conventional therapies,” and “diet.” Multiple studies indicated that effective BC treatment requires the involvement of diet- and exercise-based approaches in obese postmenopausal women. Furthermore, active lifestyle and diet-related interventions improved the patients’ overall quality of life and minimized adverse side effects after traditional BC treatment, including postsurgical lymphedema, post-chemo nausea, vomiting, and fatigue. Further investigation of beneficial effects of diet and physical activity may help improve obesity-linked cancer therapies.

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