{"id":136153,"date":"2025-07-09T11:12:48","date_gmt":"2025-07-09T15:12:48","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/camed\/?post_type=bu-article&#038;p=136153"},"modified":"2025-07-09T11:12:49","modified_gmt":"2025-07-09T15:12:49","slug":"determining-obesitys-role-in-triple-negative-breast-cancer","status":"publish","type":"bu-article","link":"https:\/\/www.bumc.bu.edu\/camed\/news-events\/articles\/2025\/determining-obesitys-role-in-triple-negative-breast-cancer\/","title":{"rendered":"Determining Obesity\u2019s Role in Triple-Negative Breast Cancer"},"content":{"rendered":"\t<div class=\"wp-block-editorial-leadin news-block-editorial-leadin is-style-side-by-side has-media has-media-focus-center-middle\">\n\t\t<div class=\"container-lockup\">\n\n\t\t\t<div class=\"wp-block-leadin-media\">\n\t\t\t\t\n\t\t\t\t<img width=\"600\" height=\"520\" src=\"\/camed\/files\/2025\/07\/Role-of-obesity-in-triple-neg-breast-cancer.jpg\" class=\"\" alt=\"blue and red staining against black background\" loading=\"lazy\" srcset=\"https:\/\/www.bumc.bu.edu\/camed\/files\/2025\/07\/Role-of-obesity-in-triple-neg-breast-cancer.jpg 600w, https:\/\/www.bumc.bu.edu\/camed\/files\/2025\/07\/Role-of-obesity-in-triple-neg-breast-cancer-415x360.jpg 415w, https:\/\/www.bumc.bu.edu\/camed\/files\/2025\/07\/Role-of-obesity-in-triple-neg-breast-cancer-591x512.jpg 591w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<p class=\"wp-block-editorial-leadin-caption wp-prepress-component-caption\">Phalloidin (red) stained cell (cytoskeleton) and DAPI (blue) stained (DNA) of cells after treatment with exosomes from mice on a high-fat diet. They show extended branching and cytoskeleton reorganization, indicating a strong &#8220;muscle&#8221; so they can move better, thus showing the potential of being more aggressive in terms of migration and invasion of tumoral cells.<\/p>\n\t\t\t\n\n\t\t\t\n\t\t\t\t<div class=\"container-words-outer\">\n\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"container-words-inner\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"wp-prepress-tag\">Research<\/span>\n\t\t\t\t\t\t\t\t<h1 class=\"head\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/Determine%20Obesity\u2019s%20Role%20in%20Triple-Negative%20Breast\"><strong>Determining Obesity\u2019s Role in Triple-Negative Breast<\/strong> Cancer<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/h1>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\t\t<\/div>\n\n\t\t\t\n\t\t<\/div>\n\n\t\t\n\t<\/div>\n\n\t\n<div class=\"wp-prepress-component-metabar js-block-editorial-metabar news-prepress-layout-metabar\">\n\t<div class=\"wp-prepress-component-metabar-wrapper\">\n\t\t\t\t\t<div class=\"wp-prepress-component-metabar-date\">July 9, 2025<\/div>\n\t\t\n\t\t\t\t<div class=\"wp-prepress-component-metabar-credits\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wp-prepress-component-metabar-share js-bu-prepress-share-tools\">\n\t\t\t<span class=\"icon-twitter\"><span>Twitter<\/span><\/span>\n\t\t\t<span class=\"icon-facebook\"><span>Facebook<\/span><\/span>\n\t\t\t<span class=\"icon-action\"><\/span>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\t\n\n\n<p class=\"has-drop-cap\">Breast cancer is the most commonly diagnosed cancer among women worldwide and represents a major public health concern due to its high incidence and significant mortality rates. In the U.S. alone, approximately 297,790 new cases of invasive breast cancer were reported in women in 2023, resulting in an estimated 43,700 deaths.<\/p>\n\n\n\n<p>Among the various subtypes of breast cancer, triple-negative breast cancer (TNBC) stands out due to its aggressive nature and poor prognosis. It is characterized by the absence of three critical hormone receptors: estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2, which are common targets for breast cancer therapies. Consequently, TNBC lacks targeted treatment options, relying primarily on conventional cytotoxic therapies, often referred to as chemotherapy in which drugs kill or damage cancer cells. This limitation contributes to the subtype&#8217;s high recurrence rates and significantly lower survival rates compared to other forms of breast cancer.<\/p>\n\n\n\n<p>BU researchers have now discovered that exosomes\u2014messenger nanovesicles that carry proteins, RNA, and other molecules to other cells\u2014released into the blood by different organs and tissues in obese, insulin-resistant models, carry signals that turn otherwise slow-moving TNBC cells into highly mobile, invasive cells. This is the first time a <a href=\"https:\/\/bmccancer.biomedcentral.com\/articles\/10.1186\/s12885-025-14447-8\">study<\/a> has shown that exosomes from an obese, diabetic environment directly cause this aggressive change in TNBC, and that Rho-proteins (molecular switches that turn \u201con\u201d or turn \u201coff\u201d signal transduction pathways) play a key role in driving the change.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright size-full is-resized\"><img loading=\"lazy\" src=\"\/camed\/files\/2025\/07\/Llevenes-Pablo.jpg\" alt=\"headshot of Pablo Llevenes\" class=\"wp-image-136160\" width=\"200\" height=\"211\" srcset=\"https:\/\/www.bumc.bu.edu\/camed\/files\/2025\/07\/Llevenes-Pablo.jpg 504w, https:\/\/www.bumc.bu.edu\/camed\/files\/2025\/07\/Llevenes-Pablo-341x360.jpg 341w, https:\/\/www.bumc.bu.edu\/camed\/files\/2025\/07\/Llevenes-Pablo-485x512.jpg 485w\" sizes=\"(max-width: 200px) 100vw, 200px\" \/><figcaption>Pablo Llevenes<\/figcaption><\/figure><\/div>\n\n\n\n<p>\u201cObesity and type 2 diabetes are very common and already known to worsen many cancers. Our research shows one clear biological way, via exosomes, how being obese can make a deadly breast cancer subtype even more aggressive,\u201d explained first author <a href=\"https:\/\/www.bumc.bu.edu\/ppb\/profile\/pablo-llevenes\/\">Pablo Llevenes<\/a>, a PhD candidate in biomolecular pharmacology at Boston University Chobanian &amp; Avedisian School of Medicine.<\/p>\n\n\n\n<p>The researchers used two groups of experimental models that consumed different diets for three months. One group was fed a high-fat diet that made them overweight and insulin-resistant, while the other group ate a low-fat diet and stayed lean. After 12 weeks, exosomes were collected from the blood and fat tissue of both sets of models. The researchers then added those exosomes to cultured TNBC cells for three days to see how the cells changed shape and moved. Next, they injected those treated cancer cells into healthy models and after four weeks, they removed the lungs and brains, isolated the cancer cells, and grew them in dishes to count the number of colonies formed, visualizing this way the metastatic burden&nbsp; and allowing them to compare how exosomes from obese versus lean models affected the cancer\u2019s ability to spread.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft size-large\"><img loading=\"lazy\" width=\"211\" height=\"211\" src=\"\/camed\/files\/2019\/01\/denis_circle.png\" alt=\"headshot Gerald Denis\" class=\"wp-image-65667\" srcset=\"https:\/\/www.bumc.bu.edu\/camed\/files\/2019\/01\/denis_circle.png 211w, https:\/\/www.bumc.bu.edu\/camed\/files\/2019\/01\/denis_circle-150x150.png 150w, https:\/\/www.bumc.bu.edu\/camed\/files\/2019\/01\/denis_circle-100x100.png 100w\" sizes=\"(max-width: 211px) 100vw, 211px\" \/><figcaption>Gerald Denis, PhD, MSc<\/figcaption><\/figure><\/div>\n\n\n\n<p>According to the researchers, by revealing how obesity-driven exosomes push aggressive breast cancer to spread, they hope to unlock new blood tests and drug targets, like Rho-protein inhibitors that stop this deadly process. \u201cThese findings support the development of clinical tests to quantify obesity-derived exosomes in patient plasma as noninvasive biomarkers of metastatic risk, allowing earlier identification and tailored management of aggressive TNBC. Ultimately, our goal is to improve survival and quality of life for patients facing both metabolic disease and hard-to-treat cancers,\u201d says corresponding author <a href=\"https:\/\/profiles.bu.edu\/Gerald.Denis\">Gerald V. Denis<\/a>, PhD, MSc, Shipley Prostate Cancer Research Professor and professor of pharmacology, physiology &amp; biophysics.<\/p>\n\n\n\n<p>These <a href=\"https:\/\/bmccancer.biomedcentral.com\/articles\/10.1186\/s12885-025-14447-8\">findings<\/a> appear online in the journal BMC Cancer.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Breast cancer is the most commonly diagnosed cancer among women worldwide and represents a major public health concern due to its high incidence and significant mortality rates. In the U.S. alone, approximately 297,790 new cases of invasive breast cancer were reported in women in 2023, resulting in an estimated 43,700 deaths. Among the various subtypes [&hellip;]<\/p>\n","protected":false},"author":903,"featured_media":136154,"comment_status":"closed","ping_status":"closed","template":"","meta":{"bu_prepress_billboard":"","_bu_prepress_primary_term":"","_bu_prepress_primary_term_manual":"Research"},"tags":[],"bu-publication":[367],"medicine-article-category":[],"medicine-topic":[],"news-article-category":[],"news-topic":[],"bu_edition":[390],"media_type":[],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/bu-article\/136153"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/bu-article"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/types\/bu-article"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/users\/903"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/comments?post=136153"}],"version-history":[{"count":3,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/bu-article\/136153\/revisions"}],"predecessor-version":[{"id":136163,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/bu-article\/136153\/revisions\/136163"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/media\/136154"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/media?parent=136153"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/tags?post=136153"},{"taxonomy":"bu-publication","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/bu-publication?post=136153"},{"taxonomy":"medicine-article-category","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/medicine-article-category?post=136153"},{"taxonomy":"medicine-topic","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/medicine-topic?post=136153"},{"taxonomy":"news-article-category","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/news-article-category?post=136153"},{"taxonomy":"news-topic","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/news-topic?post=136153"},{"taxonomy":"bu_edition","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/bu_edition?post=136153"},{"taxonomy":"media_type","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/media_type?post=136153"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}