A Complex Disorder

Factors that likely contribute to obesity include disruptions to intercellular signaling, increased inflammation, and changes to the gut microbiome.

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© EVAN OTO/SCIENCE SOURCE

Some 20 percent of cancer-related deaths in the U.S. can be attributed to obesity, making it the number-one preventable cause of cancer death in the country. But with myriad metabolic and inflammatory changes associated with obesity, determining the mechanisms that underlie the obesity-cancer link has proven challenging.

Obesity can increase aromatase expression, resulting in increased estradiol levels, which can promote the growth of estrogen-dependent cancers, including estrogen receptor– positive breast cancers and endometrial cancers.

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