PMID- 22093240 OWN - NLM STAT- MEDLINE DCOM- 20120120 LR - 20220317 IS - 1467-789X (Electronic) IS - 1467-7881 (Linking) VI - 12 IP - 12 DP - 2011 Dec TI - Multiple signal pathways in obesity-associated cancer. PG - 1063-70 LID - 10.1111/j.1467-789X.2011.00917.x [doi] AB - Obesity is increasing worldwide and reaches to a large proportion of the population in developed countries. Thus, obesity-associated cancer has become a major health problem. Multiple cancer risk factors in obesity have been identified including insulin/insulin-like growth factor axis, adipokines and cytokines; and multiple intracellular signal pathways have been studied. However, the role of each signal pathway in obesity-associated cancer is controversial. In this review, the recent studies on signal pathways in obesity-associated cancer are summarized and a unified explanation is provided. Multiple risk factors could initially activate phosphoinositide 3-kinase (PI3K/Akt), mitogen-activated protein kinase (MAPK) and signal transducer and activator of transcription 3 (STAT3) pathways. With increased severity of obesity, mammalian target of rapamycin (mTOR), which is down-stream of both PI3K/Akt and MAPK, is highly activated. Activated mTOR in turn inhibits the PI3K/Akt pathway and further activates the STAT3 pathway. This may explain the activation of the PI3K/Akt pathway at the early stage of obesity and its inhibition at the later stage. mTOR inhibition may be used for cancer therapy, but it may be necessary to be combined with the PI3K/Akt inhibitor as decreased mTOR activity will release its feedback inhibition on the PI3K/Akt pathway, which is under the influence of multiple cancer risk factors in obesity. Thus, dual inhibitors of PI3K and mTOR may provide a novel approach. CI - (c) 2011 The Author. obesity reviews (c) 2011 International Association for the Study of Obesity. FAU - Chen, J AU - Chen J AD - Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, New South Wales, Australia. jiezhong@uow.edu.au LA - eng PT - Journal Article PT - Review DEP - 20110822 PL - England TA - Obes Rev JT - Obesity reviews : an official journal of the International Association for the Study of Obesity JID - 100897395 RN - 0 (STAT3 Transcription Factor) RN - 0 (STAT3 protein, human) RN - 67763-96-6 (Insulin-Like Growth Factor I) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Humans MH - Insulin-Like Growth Factor I/metabolism MH - MAP Kinase Signaling System/drug effects/*physiology MH - *Molecular Targeted Therapy MH - Neoplasms/*drug therapy/enzymology MH - Obesity/*drug therapy MH - STAT3 Transcription Factor/metabolism MH - Signal Transduction/drug effects/*physiology MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/metabolism EDAT- 2011/11/19 06:00 MHDA- 2012/01/21 06:00 CRDT- 2011/11/19 06:00 PHST- 2011/11/19 06:00 [entrez] PHST- 2011/11/19 06:00 [pubmed] PHST- 2012/01/21 06:00 [medline] AID - 10.1111/j.1467-789X.2011.00917.x [doi] PST - ppublish SO - Obes Rev. 2011 Dec;12(12):1063-70. doi: 10.1111/j.1467-789X.2011.00917.x. Epub 2011 Aug 22.