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Adipokines and Prostate Cancer

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Energy Balance and Prostate Cancer

Part of the book series: Energy Balance and Cancer ((EBAC,volume 14))

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Abstract

Adipokines (adipocytokines) have been suggested to play a role in the well-established association of obesity and prostate cancer. Adipokines are secreted by adipose tissue and dysregulated in obese individuals. Given their association with multiple pathways, it has been hypothesized that adipokines mediate the association between obesity and prostate cancer risk and aggressiveness. Mechanistic studies have provided good evidence of the role of leptin in prostate cancer cellular proliferation. In clinical studies, circulating levels of many adipokines have been associated with risk of prostate cancer, however many of these have been met with mixed results or suffered from small sample sizes, so there remains significant opportunities for more research in the area. In contrast, there has been evidence that inherited genetic variation in adipokines and their receptors may increase prostate cancer risk, with strong evidence particularly for LEP and TNFa. However, more studies in this area are needed as well. Although there is room for more research to understand the role of adipokines in clinical prostate cancer management, it is reasonable to hypothesize that adipokines can help manage the association between obesity and prostate cancer. With growing rates of obesity, in turn the impact of adipokines on prostate cancer risk and progression will increase. Thus, understanding adipokines in relation to prostate cancer may provide therapeutic and preventative measures to reduce the risk and progression of prostate cancer.

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Thompson, C.L., Reece, M. (2018). Adipokines and Prostate Cancer. In: Platz, E., Berger, N. (eds) Energy Balance and Prostate Cancer. Energy Balance and Cancer, vol 14. Springer, Cham. https://doi.org/10.1007/978-3-319-64940-5_4

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