Unravelling the role of obesity and lipids during tumor progression

Front Pharmacol. 2023 Mar 30:14:1163160. doi: 10.3389/fphar.2023.1163160. eCollection 2023.

Abstract

The dysregulation of the biochemical pathways in cancer promotes oncogenic transformations and metastatic potential. Recent studies have shed light on how obesity and altered lipid metabolism could be the driving force for tumor progression. Here, in this review, we focus on liver cancer and discuss how obesity and lipid-driven metabolic reprogramming affect tumor, immune, and stroma cells in the tumor microenvironment and, in turn, how alterations in these cells synergize to influence and contribute to tumor growth and dissemination. With increasing evidence on how obesity exacerbates inflammation and immune tolerance, we also touch upon the impact of obesity and altered lipid metabolism on tumor immune escape.

Keywords: NASH; adipocytes; hepatocellular carcinoma; lipid; obesity.

Publication types

  • Review

Grants and funding

This work is supported by the National Research Foundation of Singapore (NRF-CRP26-2021RS-0001) and the National Medical Research Council of Singapore (NMRC/OFLCG/003/2018).