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Obesity, Inflammation, and Breast Cancer

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Obesity, Inflammation and Cancer

Part of the book series: Energy Balance and Cancer ((EBAC,volume 7))

Abstract

Obesity, which is rising in incidence worldwide, is important with regard to the treatment of breast cancer, disease progression, and carcinogenesis. Obesity is a risk factor for the development of hormone receptor-positive breast cancer in postmenopausal women and is associated with reduced benefits from treatment. Furthermore, irrespective of breast cancer subtype, obesity is associated with worse outcomes after diagnosis. There is increasing evidence of specific biological underpinnings for these observations, including higher circulating estrogen levels, insulin resistance, altered levels of adipokines, and the consequences of chronic in-breast inflammation. Increasing adiposity also has important implications for local therapy including surgery and radiotherapy. This chapter reviews the complex interactions between obesity and breast cancer.

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Abbreviations

AMPK:

5′-Adenosine monophosphate-activated protein kinase

BCSS:

Breast cancer-specific survival

BMI:

Body mass index

CEBP-α:

CCAAT/enhancer binding protein-α

CI:

Confidence interval

CLS:

Crown-like structures

DFS:

Disease-free survival

ER:

Estrogen receptor

FFA:

Free fatty acid

HER2:

Human epidermal growth factor receptor-2

HR:

Hazard ratio

hsCRP:

High-sensitivity C-reactive protein

IGF-1:

Insulin-like growth factor-1

IL-1α:

Interleukin-1α

IL-1β:

Interleukin-1β

IL-6:

Interleukin-6

NSAID:

Nonsteroidal anti-inflammatory drug

OR:

Odds ratio

OS:

Overall survival

PGE2 :

Prostaglandin E2

PPAR-γ:

Peroxisome proliferator-activated receptor-γ

PR:

Progesterone receptor

RR:

Relative risk

SERM:

Selective estrogen receptor modulator

SHBG:

Sex hormone-binding globulin

TLR-2:

Toll-like receptor-2

TLR-4:

Toll-like receptor-4

TNF-α:

Tumor necrosis factor-α

TRAM:

Transverse rectus abdominis myocutaneous

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Acknowledgments

This work was supported by NCI 1R01CA154481, the Breast Cancer Research Foundation, and the Botwinick-Wolfensohn Foundation (in memory of Mr. and Mrs. Benjamin Botwinick).

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Iyengar, N.M., Morris, P.G., Hudis, C.A., Dannenberg, A.J. (2013). Obesity, Inflammation, and Breast Cancer. In: Dannenberg, A., Berger, N. (eds) Obesity, Inflammation and Cancer. Energy Balance and Cancer, vol 7. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6819-6_8

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