Evidence map›Paper›PMID 40993663›Full record

ReviewJournal of translational medicine2025

Microenvironmental determinants of cancer progression during obesity: emerging evidence and novel perspectives.

Rossella Salemi, Valentina Sergi, Maria Sofia Basile, Sara Bravaccini, Lucia Frittitta, Adriana Carol Eleonora Graziano, Agnese Filippello, Roberta Malaguarnera, Ernestina Marianna De Francesco

Abstract readReview
In one paragraph

Review in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rossella SalemiDepartment of Medicine and Surgery, "Kore" University of Enna, 94100, Enna, Italy.
Valentina SergiEndocrinology Unit, Department of Clinical and Experimental Medicine, Garibaldi - Nesima Hospital, University of Catania, 95122, Catania, Italy.
Maria Sofia BasileDepartment of Medicine and Surgery, "Kore" University of Enna, 94100, Enna, Italy.
Sara BravacciniDepartment of Medicine and Surgery, "Kore" University of Enna, 94100, Enna, Italy.
Lucia FrittittaEndocrinology Unit, Department of Clinical and Experimental Medicine, Garibaldi - Nesima Hospital, University of Catania, 95122, Catania, Italy.
Adriana Carol Eleonora GrazianoDepartment of Medicine and Surgery, "Kore" University of Enna, 94100, Enna, Italy.
Agnese FilippelloDepartment of Medicine and Surgery, "Kore" University of Enna, 94100, Enna, Italy. agnese.filippello@unikore.it.ORCID 0000-0001-6593-8823
Roberta Malaguarnera *Department of Medicine and Surgery, "Kore" University of Enna, 94100, Enna, Italy.
Ernestina Marianna De Francesco *Department of Medicine and Surgery, "Kore" University of Enna, 94100, Enna, Italy.

Funding

Fondazione AIRC per la ricerca sul cancro ETS 21651Ministero della Salute T3-AN-14Ministero dell'Istruzione, dell'Università e della Ricerca Ministero dell'Istruzione, dell'Università e della RicercaMinistero dell'Istruzione, dell'Università e della Ricerca P202272FJCMinistero dell'Istruzione, dell'Università e della Ricerca P2022MALRPMUR-PNRR MUR-PNRR
6 · The paper itself

Abstract

Obesity is a global pandemic representing a significant public health threat, with a rising number of affected individuals and numerous associated co-morbidities, including cancer. In obese cancer patients, higher mortality rates are usually observed compared to normal weight/lean individuals. The imbalanced metabolic asset of obese patients fosters tumor growth and its progression by impacting not only on cancer cells, but also affecting their cross-talk with the tumor microenvironment, which represents a relevant and multifaceted player in disease progression. Herein, we deliver a detailed overview of certain peculiar players implicated in the reprogramming of the tumor microenvironment during obesity toward disease evolution. We highlight the key metabolic, molecular and cellular players that co-opt cancer cells and their microenvironment to foster disease progression. We emphasize the role of certain hormones and growth factors-dependent pathways (Insulin/IGF signaling system and VEGF/VEGFR axis) together with inflammatory pathways (RAGE signaling system) in triggering microenvironmental-dependent evolution of neoplastic disease during obesity. Finally, we underline current pitfalls and envisage innovative tools and future directions for better investigating tumor progression in obesity.

Indexed as

Disease ProgressionNeoplasmsObesityTumor MicroenvironmentAnimalsHumansSignal TransductionInsulin/IGF systemObesityRAGETumor microenvironment

Identifiers

PMID40993663
PMCPMC12462175

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.