Figure 1.
Schematic depiction of the impact of natural killer (NK) cell dysfunction on the increased risk for tumor development in obesity. Dietary factors, like high energy intake or high intake of saturated fatty acids, promote the development of overweight and obesity and mediate direct effects on NK cell function. Obesity is associated with an excessive growth of adipose tissue and a dysregulated secretion of adipokines, like leptin (), adiponectin (
), interleukin-6 (
), estrogens (
), and others. The obesity-related metabolic environment leads to an altered NK cell functionality including a dysbalance of the expression of activating and inhibiting NK cell receptors as well as NK cell receptor ligands (
,
) on tumor cells. This NK cell dysfunction is associated with a decreased killing capacity of malignant cells and an increased risk for tumor development.