A recent study has shown that obesity and ageing induce T cell dysfunction and an upregulation of programmed cell death 1 (PD-1) on T cells across species, which is partially mediated by leptin. However, the polarization of T cells towards an exhaustive phenotype correlated with improved response rates to anti-PD-1 therapy in the setting of obesity.
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References
Lauby-Secretan, B. et al. Body fatness and cancer—viewpoint of the IARC Working Group. N. Engl. J. Med. 375, 794–798 (2016).
O’Sullivan, J. et al. Obesity and gastrointestinal cancer: the interrelationship of adipose and tumour microenvironments. Nat. Rev. Gastroenterol. Hepatol. 15, 699–714 (2018).
Quail, D. F. & Dannenberg, A. J. The obese adipose tissue microenvironment in cancer development and progression. Nat. Rev. Endocrinol. https://doi.org/10.1038/s41574-018-0126-x (2018).
Lennon, H. et al. The obesity paradox in cancer: a review. Curr. Oncol. Rep. 18, 56 (2016).
Sheng, X. et al. Adipocytes sequester and metabolize the chemotherapeutic daunorubicin. Mol. Cancer Res. 15, 1704–1713 (2017).
Baracos, V. E. et al. Cancer-associated cachexia. Nat. Rev. Dis. Primers 4, 17105 (2018).
Park, Y. J., Kuen, D. S. & Chung, Y. Future prospects of immune checkpoint blockade in cancer: from response prediction to overcoming resistance. Exp. Mol. Med. 50, 109 (2018).
Galvin, K. C. et al. Extratumoural PD-1 blockade does not perpetuate obesity-associated inflammation in oesophageal adenocarcinoma. Cancer Lett. 418, 230–238 (2018).
Abella, V. et al. Leptin in the interplay of inflammation, metabolism and immune system disorders. Nat. Rev. Rheumatol. 13, 100–109 (2017).
Galluzzi, L. et al. The hallmarks of successful anticancer immunotherapy. Sci. Transl Med. 10, eaat7807 (2018).
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Lysaght, J. The ‘obesity paradox’ in action with cancer immunotherapy. Nat Rev Endocrinol 15, 132–133 (2019). https://doi.org/10.1038/s41574-019-0161-2
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DOI: https://doi.org/10.1038/s41574-019-0161-2