Evidence map›Paper›PMID 40231562›Full record

ArticleCancer prevention research (Philadelphia, Pa.)2025

Weight Loss Reverses the Effects of Aging and Obesity on Mammary Tumor Immunosuppression and Progression.

Laura A Smith, Dalton M Craven, Alyssa N Ho, Elaine M Glenny, Erika T Rezeli, Meredith S Carson, Evan M Paules, Magdalena Fay, Alyssa J Cozzo, Stephen D Hursting and 1 more

Abstract read
In one paragraph

Article in Cancer prevention research (Philadelphia, Pa.), 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. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Laura A SmithDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.ORCID 0009-0004-1169-4754
Dalton M CravenDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.ORCID 0009-0004-1373-0173
Alyssa N HoDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.ORCID 0009-0003-1797-6907
Elaine M GlennyDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0002-1024-4290
Erika T RezeliDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0001-5468-0150
Meredith S CarsonDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0002-2186-0195
Evan M PaulesDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0002-8344-818X
Magdalena FayDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0002-6086-931X
Alyssa J CozzoDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0001-6690-4748
Stephen D HurstingDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0003-3605-2833
Michael F ColemanDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0002-6914-848X

Funding

Higher Dietary Carbohydrates Detrimentally Impact Obesity-Associated Breast Cancer ChemoresistanceR35CA197627 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HURSTING, STEPHEN D · 2015 to 2021
$6.0M
Cancer Control Education ProgramT32CA057726 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa B Gilkey, Melissa A. Troester · 2017 to 2026
$3.7M
Obesity, Metabolism and Breast Cancer MetastasisR01CA232589 · NCI · PURDUE UNIVERSITY · PI HURSTING, STEPHEN D, TEEGARDEN, DOROTHY · 2019 to 2023
$2.6M
Breast Cancer Research Foundation (BCRF) BCRF-21-073NCI NIH HHS R01 CA232589NCI NIH HHS R35 CA197627NCI NIH HHS T32 CA057726University of North Carolina Triple-Negative Breast Cancer Center
6 · The paper itself

Abstract

Advanced age and obesity are major risk factors for breast cancer progression, including triple-negative breast cancer (TNBC). In this study, we interrogated (i) whether these factors interact to promote TNBC progression and (ii) whether weight loss mitigates the separate and combined effects of aging and obesity on TNBC. We demonstrate that aging and diet-induced obesity interact to promote TNBC growth in mice. Transcriptomic analysis revealed the suppression of antitumor immunity in tumors from aged and/or obese mice. Weight loss via intermittent calorie restriction reduced tumor growth and restored immune-related gene signatures to reverse the protumor effects of aging and/or obesity. Using publicly available genomic datasets from murine studies of obesity, weight loss, and TNBC, we identified a consensus transcriptomic signature of obesity-driven immunosuppression that predicted the survival of patients with breast cancer. This consensus signature was also suppressed by aging, obesity, and their combination. Intermittent calorie restriction reversed the effects of aging and/or obesity on the consensus signature. We conclude that aging and obesity interact to limit antitumor immunity and enhance TNBC progression and that these adverse effects can be disrupted by weight loss. PREVENTION RELEVANCE: Advanced age and obesity are important risk factors for the development and progression of breast cancers, including TNBC. We demonstrate that the suppression of signatures of antitumor immunity is a common feature of accelerated tumor progression in TNBC. We show that weight loss achieved through calorie restriction can restore such markers. See related Spotlight, p. 437.

Indexed as

AgingObesityTriple Negative Breast NeoplasmsWeight LossAnimalsCaloric RestrictionDisease ProgressionFemaleHumansMiceMice, Inbred C57BL

Identifiers

PMID40231562
PMCPMC12316554

What OpenQuestion holds

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Registered trials

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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.