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Mechanistic Insights into the Link between Obesity and Prostate Cancer

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MDPI
DOI: 10.3390/ijms22083935

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obesity; prostate cancer; adipose tissue; chronic inflammation; cytokines; adipokines; insulin-like growth factor

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Obesity is associated with the risk of prostate cancer through mechanisms such as chronic low-level inflammation and biological changes that promote malignant transformation. Understanding these mechanisms may be valuable in developing effective prostate cancer prevention strategies and treatments.
Obesity is a pandemic of increasing worldwide prevalence. There is evidence of an association between obesity and the risk of prostate cancer from observational studies, and different biologic mechanisms have been proposed. The chronic low-level inflammation within the adipose tissue in obesity results in oxidative stress, activation of inflammatory cytokines, deregulation of adipokines signaling, and increased circulating levels of insulin and insulin-like growth factors (IGF). These mechanisms may be involved in epithelial to mesenchymal transformation into a malignant phenotype that promotes invasiveness, aggressiveness, and metastatic potential of prostate cancer. A thorough understanding of these mechanisms may be valuable in the development of effective prostate cancer prevention strategies and treatments. This review provides an overview of these mechanisms.

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