Review Article

Obesity and Cancer Progression: Is There a Role of Fatty Acid Metabolism?

Table 1

Summary of regulators of fatty acid metabolism and their effects on cancer cell biology.

Regulator of Cancer typeAlterationAssociated outcomeReference(s)
FA metabolism

LPLProstateIncreased activityIncreased susceptibility[17]
CervicalEnhanced protein expressionIncreased invasion capacity[18]
Rectal and skinIncreased activityIncreased tumor growth[19]
LungIncreased activityLower overall survival[20, 21]

CD36/FATColon and ovarianDecreased gene expressionHigher metastatic capacity[22]
BreastDecreased gene expressionHigher metastatic capacity[23]

FATPLiverIncreased gene expressionEnhanced progression[24]

FABP4BreastDecreased gene expressionN/A[25]
BladderLow gene expressionIncreased tumor progression and invasion capacity[26ā€“29]
ProstateIncreased protein expressionIncreased migration and invasion capacities[30]
OvarianIncreased protein expressionIncreased migration and invasion capacities[31]

FABP5BreastIncreased gene expressionHigher metastatic capacity and lower recurrence-free and overall survival[32, 33]
EndometrialIncreased gene expressionNo correlated clinical outcome[34]
Liver and pancreaticIncreased protein expressionN/A[35, 36]
ProstateIncreased gene expressionIncreased tumor progression[37]
Decreased gene expressionIncreased invasion capacity and tumor growth[26, 38, 39]

FABP7BreastIncreased gene expressionLower recurrence rate, improved survival[40, 41]
Increased nuclear localizationIncreased proliferation, pleomorphism, and tumor stage[42]
Primary melanomaIncreased gene expressionN/A[43]
RenalIncreased gene expressionNo correlated clinical outcome[44, 45]

ACSL3GlioblastomaIncreased protein expressionIncreased malignant phenotype[46]
ColonIncreased gene and protein expressionN/A[47]

ACSL4LiverIncreased gene expressionIncreased proliferation[48]

ACSL5ColonIncreased gene expressionIncreased proliferation[49]

AGPAT2OvarianIncreased protein and gene expressionReduced overall survival and higher tumor grade, mitotic index, and tumor stage[50ā€“52]

AGPAT11Breast, cervical, and colonIncreased gene expressionHigher tumor grade[53]

AGPAT9ColorectalIncreased gene and protein expressionIncreased cell growth[54]

ATGLLung and skinIncreased ATGL activityIncreased tumor growth and cancer-associated cachexia[55]

HSLGastrointestinalIncreased gene and protein expressionCancer-associated cachexia[56]
Colorectal, pancreatic, stomach, and esophagealIncreased gene expressionN/A[57]

MAGLColorectalIncreased gene and protein expressionN/A[58]
Ovarian, breast, melanoma, and prostateIncreased gene expressionAggressiveness[59]

CPT1AOvarianIncreased gene expressionIncreased tumor growth[31]
BreastIncreased gene and protein expression and activityN/A[60]
GlioblastomaIncreased gene expressionHigher tumor grade[61]

CPT1CLungIncreased gene expressionN/A[62]
GlioblastomaIncreased gene expressionHigher tumor grade[61]

ACC1BreastIncreased protein expressionIncreased tumor progression[63, 64]
ProstateIncreased gene expressionN/A[65]
LungDecreased activityIncreased overall survival[66]
LiverIncreased gene expressionN/A[67]