Hyperinsulinemia in Obesity, Inflammation, and Cancer DOI Creative Commons
Anni Zhang, Elizabeth A. Wellberg, Janel L. Kopp

et al.

Diabetes & Metabolism Journal, Journal Year: 2021, Volume and Issue: 45(3), P. 285 - 311

Published: March 29, 2021

The relative insufficiency of insulin secretion and/or action causes diabetes. However, obesity and type 2 diabetes mellitus can be associated with an absolute increase in circulating insulin, a state known as hyperinsulinemia. Studies are beginning to elucidate the cause-effect relationships between hyperinsulinemia numerous consequences metabolic dysfunctions. Here, we review recent evidence demonstrating that may play role inflammation, aging development cancers. In this review, will focus on mechanisms excess production action, placing findings have challenged dogma context existing body literature. Where relevant, elaborate specific signal transduction components actions chronic By discussing involvement various other diseases, identify more effective therapeutics or lifestyle interventions for preventing treating obesity, cancer. We also seek pertinent questions ripe future investigation.

Language: Английский

The Time Is Right for a New Classification System for Diabetes: Rationale and Implications of the β-Cell–Centric Classification Schema DOI Open Access
Stanley S. Schwartz,

Solomon Epstein,

Barbara E. Corkey

et al.

Diabetes Care, Journal Year: 2016, Volume and Issue: 39(2), P. 179 - 186

Published: Jan. 12, 2016

The current classification system presents challenges to the diagnosis and treatment of patients with diabetes mellitus (DM), in part due its conflicting confounding definitions type 1 DM, 2 latent autoimmune adults (LADA). schema also lacks a foundation that readily incorporates advances our understanding disease treatment. For appropriate coherent therapy, we propose an alternate system. β-cell-centric DM is new approach obviates inherent unintended confusions model presupposes all originates from final common denominator-the abnormal pancreatic β-cell. It recognizes interactions between genetically predisposed β-cells number factors, including insulin resistance (IR), susceptibility environmental influences, immune dysregulation/inflammation, lead range hyperglycemic phenotypes within spectrum DM. Individually or concert, often self-perpetuating, these factors contribute β-cell stress, dysfunction, loss through at least 11 distinct pathways. Available, yet underutilized, treatments provide rational choices for personalized therapies target individual mediating pathways hyperglycemia work any given patient, without risk drug-related hypoglycemia weight gain imposing further burden on β-cells. This article issues urgent call review toward consensus new, more useful

Language: Английский

Citations

291

Preserving Healthy Muscle during Weight Loss DOI Creative Commons
Edda Cava,

Nai Chien Yeat,

Bettina Mittendorfer

et al.

Advances in Nutrition, Journal Year: 2017, Volume and Issue: 8(3), P. 511 - 519

Published: May 1, 2017

Language: Английский

Citations

290

Drosophila melanogaster: A Model Organism to Study Cancer DOI Creative Commons
Zhasmine Mirzoyan, Manuela Sollazzo, Mariateresa Allocca

et al.

Frontiers in Genetics, Journal Year: 2019, Volume and Issue: 10

Published: Feb. 28, 2019

Cancer is a multistep disease driven by the activation of specific oncogenic pathways concomitantly with loss function tumor suppressor genes that act as sentinels to control physiological growth. The conservation most these signaling in Drosophila, and ability easily manipulate them genetically, has made fruit fly useful model organism study cancer biology. In this review we outline basic mechanisms conserved between humans flies responsible inducing uncontrolled growth development. Second, describe classic novel Drosophila models used different cancers, objective discuss their strengths limitations on use identify signals driving cell autonomously within organs, drug discovery for therapeutic approaches.

Language: Английский

Citations

259

Lifestyle and dietary environmental factors in colorectal cancer susceptibility DOI
Neil Murphy, Vı́ctor Moreno, David J. Hughes

et al.

Molecular Aspects of Medicine, Journal Year: 2019, Volume and Issue: 69, P. 2 - 9

Published: June 28, 2019

Language: Английский

Citations

243

Neural circuitry and immunity DOI
Valentin A. Pavlov, Kevin J. Tracey

Immunologic Research, Journal Year: 2015, Volume and Issue: 63(1-3), P. 38 - 57

Published: Oct. 28, 2015

Language: Английский

Citations

232

Epidemiology of Triple-Negative Breast Cancer DOI
Frederick M. Howard, Olufunmilayo I. Olopade

The Cancer Journal, Journal Year: 2021, Volume and Issue: 27(1), P. 8 - 16

Published: Jan. 1, 2021

Abstract Triple-negative breast cancer accounted for 12% of cancers diagnosed in the United States from 2012 to 2016, with a 5-year survival 8% 16% lower than hormone receptor–positive disease. However, preventive and screening strategies remain tailored demographics less lethal luminal cancers. This review examines ethnic, genetic, modifiable risk factors associated triple-negative cancer, which providers must recognize address societal disparities this deadly Most notable is that disproportionately affect African American women carriers germline BRCA PALB2 mutations. Even controlling treatment delays, stage, socioeconomic factors, Americans nearly twice as likely die their To level playing field, we integrate genomic predictors disease epidemiologic characteristics molecular subtypes provide personalized assessment, screening, each patient.

Language: Английский

Citations

222

Cancer, obesity, diabetes, and antidiabetic drugs: is the fog clearing? DOI
Adi J. Klil‐Drori, Laurent Azoulay, Michaël Pollak

et al.

Nature Reviews Clinical Oncology, Journal Year: 2016, Volume and Issue: 14(2), P. 85 - 99

Published: Aug. 9, 2016

Language: Английский

Citations

200

Type 2 Diabetes Mellitus and Cancer: The Role of Pharmacotherapy DOI
Gadi Shlomai, Brian A. Neel,

Derek LeRoith

et al.

Journal of Clinical Oncology, Journal Year: 2016, Volume and Issue: 34(35), P. 4261 - 4269

Published: Dec. 10, 2016

Purpose Type 2 diabetes mellitus (T2DM) is becoming increasingly prevalent worldwide. Epidemiologic data suggest that T2DM associated with an increased incidence and mortality from many cancers. The purpose of this review to discuss the links between cancer, effects various antidiabetic medications on cancer mortality, anticancer therapies diabetes. Design This study a preclinical clinical regarding glucose homeostasis. Results risk greater types. Metformin use has been decrease in there are ongoing randomized trials investigating metformin cancer-related outcomes. However, association other antidiabetes conflicting. Glucocorticoids, hormone-based therapies, inhibitors target phosphatidylinositol 3-kinase-Akt-mammalian rapamycin pathway, insulin-like growth factor 1 receptor–targeted therapy have high rates hyperglycemia. These agents mediate their deleterious metabolic by reducing insulin secretion increasing resistance peripheral tissues. Conclusion Studies must be performed optimize screening strategies individuals T2DM. A understanding mechanisms link needed identify targets for who develop cancer. Data studies further elucidate progression. As several alter homeostasis, physicians need aware these potential effects. Careful patient monitoring during treatment necessary.

Language: Английский

Citations

195

Diabetes, Obesity, and Breast Cancer DOI Open Access

Chifei Kang,

Derek LeRoith,

Emily J. Gallagher

et al.

Endocrinology, Journal Year: 2018, Volume and Issue: 159(11), P. 3801 - 3812

Published: Sept. 12, 2018

The rates of obesity and diabetes are increasing worldwide, whereas the age onset for both decreasing steadily. Obesity associated with multiple factors that contribute to increased risk a number different cancers, including breast cancer. These hyperinsulinemia, elevated IGFs, hyperglycemia, dyslipidemia, adipokines, inflammatory cytokines, gut microbiome. In this review, we discuss current understanding complex signaling pathways underlying these involved in obesity/diabetes-breast cancer link, focus particularly on roles insulin/IGF system dyslipidemia preclinical models. We review some therapeutic strategies target metabolic derangements Future research directions potential also discussed.

Language: Английский

Citations

190

Cancer and heart disease: associations and relations DOI Creative Commons
Rudolf A. de Boer, Wouter C. Meijers,

Peter van der Meer

et al.

European Journal of Heart Failure, Journal Year: 2019, Volume and Issue: 21(12), P. 1515 - 1525

Published: July 18, 2019

Emerging evidence supports that cancer incidence is increased in patients with cardiovascular (CV) disease and heart failure (HF), HF frequently die from cancer. Recently, data have been generated showing circulating factors relation to promote tumour growth development murine models, providing proof a causal relationship exists between both diseases. Several common pathophysiological mechanisms linking exist, include inflammation, neuro‐hormonal activation, oxidative stress dysfunctional immune system. These shared mechanisms, combination risk factors, concert may explain why are prone develop Investigating the new insights rapidly becoming an exciting field of research, we herein review most recent data. Besides call for clinical awareness, essential optimize treatment strategies having developed history HF. Finally, ongoing future trials should strive comprehensive phenotyping CV end points, allow optimal usefulness data, better describe understand characteristics these two lethal

Language: Английский

Citations

188