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Table 2 The impact of adipocytes on breast cancer therapy

From: Cancer-associated adipocytes: emerging supporters in breast cancer

Therapeutic type

Therapeutic drug

Cancer cell type

Mechanism of therapeutic resistance

Ref.

Chemotherapy

Doxorubicin

T47D, MDA-MB453, BT-474, MDA-MB436, MDA-MB231, M-Wnt and E0771

Adipocytes induced an MVP-related DOX-resistant phenotype in BC cells

[104]

Paclitaxel

MDA-MB-231

Mammary-adipocyte-derived leptin upregulated CPT1B expression and FAO activity in BCSCs, thus promoting cancer cell stemness and chemoresistance

[25]

Hormonal therapy

Tamoxifen

MCF-7, MDA-MB-231, T47D and MDA-MB-435

Mature adipocytes and their secretions were able to increase mammary cancer cell proliferation and to suppress the antiproliferative effect of tamoxifen

[106,107,108]

Radiotherapy

–

SUM159PT

Tumor-surrounding adipocytes fostered a radioresistant phenotype in breast tumors through the increasing expression of IL-6 in tumor cells

[109]

–

Hs578T and 4T1

Inflammatory cytokines produced by tumors increased ATX secretion of mammary adipocytes, and enhanced the ATX-LPA inflammatory cycle, thus resisting radiotherapy

[110, 111]

Immunotherapy

Trastuzumab

BT-474, SK-BR-3, MDA-MB-453, and MDA-MB-361

Adipocytes inhibited trastuzumab-mediated ADCC in HER2-expressing BC cells via the secretion of soluble factors

[113]

Anti-PD1/PD-L1 antibody

E0771

Adipocyte PD-L1 prevented anti-PD-L1 antibody from activating important antitumor functions of CD8+ T cells

[114]

  1. Abbreviations: DOX doxorubicin; MVP major vault protein; BC breast cancer; BCSCs breast cancer stem cells; CPT1B carnitine palmitoyltransferase 1B; FAO fatty acid β-oxidation; ADCC antibody-dependent cellular cytotoxicity; HER2 human epidermal growth factor receptor 2