2021
DOI: 10.3390/ijms22031359
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Cellular and Molecular Players in the Interplay between Adipose Tissue and Breast Cancer

Abstract: The incidence and severity of obesity are rising in most of the world. In addition to metabolic disorders, obesity is associated with an increase in the incidence and severity of a variety of types of cancer, including breast cancer (BC). The bidirectional interaction between BC and adipose cells has been deeply investigated, although the molecular and cellular players involved in these mechanisms are far from being fully elucidated. Here, we review the current knowledge on these interactions and describe how … Show more

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Cited by 6 publications
(6 citation statements)
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References 176 publications
(218 reference statements)
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“…WAT grafting is widely used for breast reconstruction after tumor excision. However, the safety of this procedure is questionable, because WAT is a rich source of endothelial progenitor cells and, thus, may markedly contribute to the formation and vascularization of new breast cancer lesions [ 23 , 24 , 25 ]. Due to their positive impact on metabolism, fat grafts have additionally emerged over the last decades as an innovative treatment option for obesity-related metabolic pathologies [ 12 ].…”
Section: Discussionmentioning
confidence: 99%
“…WAT grafting is widely used for breast reconstruction after tumor excision. However, the safety of this procedure is questionable, because WAT is a rich source of endothelial progenitor cells and, thus, may markedly contribute to the formation and vascularization of new breast cancer lesions [ 23 , 24 , 25 ]. Due to their positive impact on metabolism, fat grafts have additionally emerged over the last decades as an innovative treatment option for obesity-related metabolic pathologies [ 12 ].…”
Section: Discussionmentioning
confidence: 99%
“…In obesity, the adipose tissue expands and changes the homeostasis of the adipose tissue, resulting in adipose tissue dysfunction with deregulated adipokine, cytokine, and growth factor secretion [ 8 , 17 ]. Oxygen demands exceed the supply, leading to hypoxic conditions, adipocyte cell death, and a shift towards a pro-inflammatory state [ 18 , 19 ]. The immune cell landscape changes with the invasion of the pro-inflammatory M1 macrophages and CD8 + T cells, among others [ 17 , 18 ].…”
Section: Obesity-associated Changes In Breast Tissuementioning
confidence: 99%
“…The EMT process and promotion of breast cancer are further suggested to be stimulated by progenitor cells in white adipose tissue, represented by both endothelial cells and adipose stromal cells [ 169 ]. The role of adipose progenitor cells in obesity has been thoroughly addressed in a review by Reggiani et al [ 19 ]. In a 4T1 mouse mammary cancer model, leptin increased the expression of VEGF, thereby promoting angiogenesis leading to breast cancer progression [ 164 ].…”
Section: Breast Cancer Progression and Local Obesity-associated Biomarkersmentioning
confidence: 99%
“…In this culture method, cells are organized in three-dimensional structures, mimicking cell-to-cell interactions and tissue-specific stiffness, oxygen, and nutrient consumptions [24]. However, in several tumor types also, the microenvironment plays a crucial role; several immune and matrix cells may have pro/anticancer functions [25][26][27][28][29].…”
Section: In Vitro Models To Study Tumor Resistancementioning
confidence: 99%