Evidence map›Paper›PMID 36038791›Full record

ReviewCancer metastasis reviews2022

Obesity: a perfect storm for carcinogenesis.

Benjamin H L Harris, Valentine M Macaulay, David A Harris, Paul Klenerman, Fredrik Karpe, Simon R Lord, Adrian L Harris, Francesca M Buffa

Open access · hybridAbstract readReview
In one paragraph

Review in Cancer metastasis reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 2% of its field
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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Weight cycling and cancer risk in the Sister Study.American journal of epidemiology · 2026
    Article
  4. Review
  5. Review
  6. Lifestyle-Based Approaches to Cancer Prevention and Treatment: Diet, Physical Activity, and Integrative Strategies.Pathophysiology : the official journal of the International Society for Pathophysiology · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. Observational
  11. Review
  12. Article
  13. Review
  14. Review
  15. Intermittent Fasting: Implications for Obesity-Related Colorectal Tumorigenesis.Endocrinology and metabolism clinics of North America · 2025
    Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. 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

8 authors at 4 institutions in 1 country.

Benjamin H L HarrisDepartment of Oncology, University of Oxford, Oxford, OX3 7DQ, UK. benjamin.harris@oncology.ox.ac.uk.
Valentine M MacaulayNuffield Department of Surgical Sciences, University of Oxford, Oxford, OX3 9DU, UK.
David A HarrisSt Anne's College, 56 Woodstock Rd, Oxford, OX2 6HS, UK.
Paul KlenermanPeter Medawar Building for Pathogen Research, University of Oxford, Oxford, OX1 3SY, UK.
Fredrik KarpeOxford Centre for Diabetes, Endocrinology and Metabolism, Department of Medicine, University of Oxford, Oxford, OX3 7LE, UK.
Simon R LordEarly Phase Clinical Trials Unit, Churchill Hospital, Oxford, OX3 7LE, UK.
Adrian L HarrisDepartment of Oncology, University of Oxford, Oxford, OX3 7DQ, UK.
Francesca M BuffaDepartment of Oncology, University of Oxford, Oxford, OX3 7DQ, UK. francesca.buffa@oncology.ox.ac.uk.
University of Oxford · GBChurchill Hospital · GBMedawar Building for Pathogen Research · GBOxford Centre for Diabetes, Endocrinology and Metabolism · GB

Funding

Cancer Research UK 23969
6 · The paper itself

Abstract

Obesity-related cancers account for 40% of the cancer cases observed in the USA and obesity is overtaking smoking as the most widespread modifiable risk factor for carcinogenesis. Here, we use the hallmarks of cancer framework to delineate how obesity might influence the carcinogenic hallmarks in somatic cells. We discuss the effects of obesity on (a) sustaining proliferative signaling; (b) evading growth suppressors; (c) resisting cell death; (d) enabling replicative immortality; (e) inducing angiogenesis; (f) activating invasion and metastasis; (g) reprogramming energy metabolism; and (h) avoiding immune destruction, together with its effects on genome instability and tumour-promoting inflammation. We present the current understanding and controversies in this evolving field, and highlight some areas in need of further cross-disciplinary focus. For instance, the relative importance of the many potentially causative obesity-related factors is unclear for each type of malignancy. Even within a single tumour type, it is currently unknown whether one obesity-related factor consistently plays a predominant role, or if this varies between patients or, even in a single patient with time. Clarifying how the hallmarks are affected by obesity may lead to novel prevention and treatment strategies for the increasingly obese population.

Indexed as

CarcinogenesisNeoplasmsHumansNeovascularization, PathologicObesitySignal TransductionAdiposityBMICancerCarcinogenesisHallmarks of cancerObesity

Identifiers

PMID36038791
PMCPMC9470699
OpenAlexW4293677274

What OpenQuestion holds

Textmetadata
LicenceCC BY
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 OpenQuestion graph.