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Publication : Metabolically activated adipose tissue macrophages link obesity to triple-negative breast cancer.

First Author  Tiwari P Year  2019
Journal  J Exp Med Volume  216
Issue  6 Pages  1345-1358
PubMed ID  31053611 Mgi Jnum  J:279077
Mgi Id  MGI:6315124 Doi  10.1084/jem.20181616
Citation  Tiwari P, et al. (2019) Metabolically activated adipose tissue macrophages link obesity to triple-negative breast cancer. J Exp Med 216(6):1345-1358
abstractText  Obesity is associated with increased incidence and severity of triple-negative breast cancer (TNBC); however, mechanisms underlying this relationship are incompletely understood. Here, we show that obesity reprograms mammary adipose tissue macrophages to a pro-inflammatory metabolically activated phenotype (MMe) that alters the niche to support tumor formation. Unlike pro-inflammatory M1 macrophages that antagonize tumorigenesis, MMe macrophages are pro-tumorigenic and represent the dominant macrophage phenotype in mammary adipose tissue of obese humans and mice. MMe macrophages release IL-6 in an NADPH oxidase 2 (NOX2)-dependent manner, which signals through glycoprotein 130 (GP130) on TNBC cells to promote stem-like properties including tumor formation. Deleting Nox2 in myeloid cells or depleting GP130 in TNBC cells attenuates obesity-augmented TNBC stemness. Moreover, weight loss reverses the effects of obesity on MMe macrophage inflammation and TNBC tumor formation. Our studies implicate MMe macrophage accumulation in mammary adipose tissue as a mechanism for promoting TNBC stemness and tumorigenesis during obesity.
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