Obesity and cancer—extracellular matrix, angiogenesis, and adrenergic signaling as unusual suspects linking the two diseases
Open accessAbstract
Obesity is an established risk factor for several human cancers. Given the association between excess body weight and cancer, the increasing rates of obesity worldwide are worrisome. A variety of obesity-related factors has been implicated in cancer initiation, progression, and response to therapy. These factors include circulating nutritional factors, hormones, and cytokines, causing hyperinsulinemia, inflammation, and adipose tissue dysfunction. The impact of these conditions on cancer development and progression has been the focus of extensive literature. In this review, we concentrate on processes that can link obesity and cancer, and which provide a novel perspective: extracellular matrix remodeling, angiogenesis, and adrenergic signaling. We describe molecular mechanisms involved in these processes, which represent putative targets for intervention. Liver, pancreas, and breast cancers were chosen as exemplary disease models. In view of the expanding epidemic of obesity, a better understanding of the tumorigenic process in obese individuals might lead to more effective treatments and preventive measures.
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Obesity is associated with chronic low-grade inflammation and a plethora of metabolic dysfunctions such as insulin resistance, impaired glucose tolerance and hypertension.
“Obesity is associated with chronic low-grade inflammation and a plethora of metabolic dysfunctions such as insulin resistance, impaired glucose tolerance and hypertension.”
From A deep-learning framework reveals whole-body perturbations at cell level (2026) · cites this paper as [13]
Obesity increases the risk of developing secondary comorbidities, including type 2 diabetes, peripheral neuropathies, cardiovascular diseases, stroke and numerous cancer types.
“Obesity increases the risk of developing secondary comorbidities, including type 2 diabetes, peripheral neuropathies, cardiovascular diseases, stroke and numerous cancer types12,13, underscoring the systemic effects of excess body fat and the need for holistic characterizations of the underlying structural and cellular changes.”
From A deep-learning framework reveals whole-body perturbations at cell level (2026) · cites this paper as [13]
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Flagged first, then by citations
Cited by
Sorted by citations
Obesity: pathophysiology and therapeutic interventions
Kong, Y., Yang, H., Nie, R., Zhang, X., Zuo, F., Zhang, H., & Nian, X. (2025) · Molecular Biomedicine · doi:10.1186/s43556-025-00264-9 · Cited by 89 · see citing works
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Self-citation
- Authors
- Pellegata, N. S., Berriel Diaz, M., Rohm, M., & Herzig, S.
- Affiliations
- University Hospital Heidelberg (DE)
- Corresponding author
- Herzig, Stephan
- Venue
- Cancer and Metastasis Reviews
- Published
- 2022-09
- Volume
- 41
- Issue
- 3
- Pages
- 517-547
- ISSN
- 0167-7659 (ISSN-L)
- 1573-7233
- PMC
- PMC9470659
- OpenAlex
- W4294992477
- Cited by
- 33
- References
- 266
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 6 · 2023: 12
- FWCI
- 0.82
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Cancer and Metastasis Reviews (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion, other-oa)
- Site cant be reached (submittedVersion, cc-by)
- PuSH - Publication Server of Helmholtz Zentrum München (submittedVersion)
- Funders
- Deutsche Krebshilfe (70115158)
- H2020 European Research Council (949017)
- Helmholtz Association (Initiative, Networking Fund)
- European Foundation for the Study of Diabetes
- Helmholtz Future Topic Aging and Metabolic Programming (AMPro, ZT-0026)
- Else-Kröner-Fresenius-Stiftung (2020 EKSE.23)
- Edith-Haberland-Wagner Stiftung
- DFG (CRC/Transregio 205/2 314061271)
- Helmholtz Zentrum München - Deutsches Forschungszentrum für Gesundheit und Umwelt (GmbH)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Lipids, and Metabolism
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- obesity, cancer, extracellular matrix remodeling, angiogenesis, adrenergic signaling, obesity-related cancer risk, liver cancer, pancreatic cancer, breast cancer, inflammation, hyperinsulinemia, adipose tissue dysfunction, tumor progression
- MeSH terms
- Adipose Tissue, Extracellular Matrix, Humans, Neoplasms, Obesity, Adrenergic Agents
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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