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OBESITY AND CANCER –
AN UNCANNY ALLY
ARINDAM SAIN(CSIR-JRF), M.Sc.
(Human Physiology)
PHYSIOLOGY NEWS
• What is obesity?
o Obesity is a condition in which a
person has an unhealthy amount
and/or distribution of body fat.
o To measure obesity, researchers
commonly use a scale known as
the body mass index (BMI). BMI is
calculated by dividing a person’s
weight (in kilograms) by their height
(in meters) squared (commonly
expressed as kg/m2).
o It is estimated that 20% of all cancer
cases are caused by obesity.
PHYSIOLOGY NEWSNational Cancer Institute
PHYSIOLOGY NEWS
Cancers associated with Overweight and Obesity
PHYSIOLOGY NEWS
Contribution of Adipose Tissue to Development of
Cancer.
 Solid tumor growth requires the interaction of tumor cells with the
surrounding tissue, leading to a view of tumors as communities rather than
exclusively tumor cells.
 Adipose tissue, or fat, plays important roles in cancer risk and outcome
because many tumors grow close to or in direct contact with adipose.
 The adipose community—or microenvironment—includes adipocytes and
adipose-associated stromal and vascular components, such as fibroblasts and
other connective tissue cells and extracellular signalling and matrix
components
 Obesity dramatically modifies the adipose tissue microenvironment in
numerous ways, which intriguingly resemble shifts observed within the tumor
microenvironment.
 Understanding neighboring adipose is critical in tumorigenesis.
PHYSIOLOGY NEWS
Tumors as communities
Cozzo et al. , 2018
PHYSIOLOGY NEWS
Changes in Adipose Tissue During Weight Gain
Khandekar et al., 2011
PHYSIOLOGY NEWS
Adipokine and inflammatory signalling in obesity
PHYSIOLOGY NEWS
Obesity and Breast Cancer Risk
 Obesity increases postmenopausal ER positive breast cancer risk and
mortality.
 Increased estrogens and inflammatory mediators contribute to the aggressive
breast cancer phenotype in obesity.
 Observational studies support ongoing trials to test whether exercise/weight
loss interventions will decrease breast cancer mortality.
PHYSIOLOGY NEWS
The Role of Obesity in Tumorigenesis
CANCER J CLIN 2017
Obese Tissue Extracellular Matrix (ECM) Induces Invasive
Traits in Breast Cancer Cells
Druso et al., 2018 PHYSIOLOGY NEWS
PHYSIOLOGY NEWS
The effects of obesity and weight loss on breast cancer
metastasis
NATURE CELL BIOLOGY
PHYSIOLOGY NEWS
Obesity and cancer: inflammation bridges the two
Kolb et al., 2016
• Interaction between Adipose Tissue and epithelium
during cancer initiation and progression
PHYSIOLOGY NEWS
Factors proposed to affect obesity and carcinogenesis
PHYSIOLOGY NEWSStone et al., 2019
PHYSIOLOGY NEWS
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Obesity and cancer- an Uncanny Ally.

  • 1. OBESITY AND CANCER – AN UNCANNY ALLY ARINDAM SAIN(CSIR-JRF), M.Sc. (Human Physiology) PHYSIOLOGY NEWS
  • 2. • What is obesity? o Obesity is a condition in which a person has an unhealthy amount and/or distribution of body fat. o To measure obesity, researchers commonly use a scale known as the body mass index (BMI). BMI is calculated by dividing a person’s weight (in kilograms) by their height (in meters) squared (commonly expressed as kg/m2). o It is estimated that 20% of all cancer cases are caused by obesity. PHYSIOLOGY NEWSNational Cancer Institute
  • 3. PHYSIOLOGY NEWS Cancers associated with Overweight and Obesity
  • 4. PHYSIOLOGY NEWS Contribution of Adipose Tissue to Development of Cancer.  Solid tumor growth requires the interaction of tumor cells with the surrounding tissue, leading to a view of tumors as communities rather than exclusively tumor cells.  Adipose tissue, or fat, plays important roles in cancer risk and outcome because many tumors grow close to or in direct contact with adipose.  The adipose community—or microenvironment—includes adipocytes and adipose-associated stromal and vascular components, such as fibroblasts and other connective tissue cells and extracellular signalling and matrix components  Obesity dramatically modifies the adipose tissue microenvironment in numerous ways, which intriguingly resemble shifts observed within the tumor microenvironment.  Understanding neighboring adipose is critical in tumorigenesis.
  • 5. PHYSIOLOGY NEWS Tumors as communities Cozzo et al. , 2018
  • 6. PHYSIOLOGY NEWS Changes in Adipose Tissue During Weight Gain Khandekar et al., 2011
  • 7. PHYSIOLOGY NEWS Adipokine and inflammatory signalling in obesity
  • 8. PHYSIOLOGY NEWS Obesity and Breast Cancer Risk  Obesity increases postmenopausal ER positive breast cancer risk and mortality.  Increased estrogens and inflammatory mediators contribute to the aggressive breast cancer phenotype in obesity.  Observational studies support ongoing trials to test whether exercise/weight loss interventions will decrease breast cancer mortality.
  • 9. PHYSIOLOGY NEWS The Role of Obesity in Tumorigenesis CANCER J CLIN 2017
  • 10. Obese Tissue Extracellular Matrix (ECM) Induces Invasive Traits in Breast Cancer Cells Druso et al., 2018 PHYSIOLOGY NEWS
  • 11. PHYSIOLOGY NEWS The effects of obesity and weight loss on breast cancer metastasis NATURE CELL BIOLOGY
  • 12. PHYSIOLOGY NEWS Obesity and cancer: inflammation bridges the two Kolb et al., 2016
  • 13. • Interaction between Adipose Tissue and epithelium during cancer initiation and progression PHYSIOLOGY NEWS
  • 14. Factors proposed to affect obesity and carcinogenesis PHYSIOLOGY NEWSStone et al., 2019