RT Journal Article SR Electronic T1 Larger organ size caused by obesity is a mechanism for higher cancer risk JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.07.27.223529 DO 10.1101/2020.07.27.223529 A1 Haley Grant A1 Yifan Zhang A1 Lu Li A1 Yan Wang A1 Satomi Kawamoto A1 Sophie Pénisson A1 Daniel F. Fouladi A1 Shahab Shayesteh A1 Alejandra Blanco A1 Saeed Ghandili A1 Eva Zinreich A1 Jefferson S. Graves A1 Seyoun Park A1 Scott Kern A1 Jody Hooper A1 Alan L. Yuille A1 Elliot K Fishman A1 Linda Chu A1 Cristian Tomasetti YR 2020 UL http://biorxiv.org/content/early/2020/07/29/2020.07.27.223529.abstract AB Obesity increases significantly cancer risk in various organs. Although this has been recognized for decades, the mechanism through which this happens has never been explained. Here, we show that obese people (BMI ≥30) have on average 55% (95%CI: 46%-66%), 68% (95%CI: 59%-76%), and 39% (95%CI: 29%-49%) larger kidneys, liver, and pancreas, respectively. We also find a significant linear relationship between the increase in organ volume and the increase in cancer risk (P-value<10−12). These results provide a mechanism explaining why obese individuals have higher cancer risk in several organs: the larger the organ volume the more cells at risk of becoming cancerous. These findings are important for a better understanding of the effects that obesity has on cancer risk and, more generally, for the development of better preventive strategies to limit the mortality caused by obesity.Competing Interest StatementUnder a license agreement between Thrive Earlier Detection and the Johns Hopkins University, C.T. and the University are entitled to royalty distributions. C.T. is also a paid consultant to Bayer AG and Johnson & Johnson. These arrangements have been reviewed and approved by the Johns Hopkins University in accordance with its conflict of interest policies.