Allergies: diseases closely related to cancer

Belén Tirado-Rodríguez , Sara Huerta-Yépez
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Abstract

Allergies are hypersensitivity reactions that occur through specific type Th2 immunological mechanisms characterized by different soluble mediators, as well as specific cells of the immune system. In recent decades, evidence has emerged relating this disease with cancer development. However, most of the results of epidemiology studies have been controversial and contradictory. There are mainly two trends. While the first indicates that allergies can reduce the risk of cancer, the other indicates that they may increase this risk. The first trend can be explained by the immunosurveillance hypothesis, which states that the increased immune surveillance after the immune hyper-responsiveness can inhibit or exert a protective effect against the development of cancer. Similarly, the prophylaxis hypothesis suggests that the physical effects of allergy symptoms can prevent cancer by removing potential carcinogens.

In contrast, the opposing hypothesis propose that there is a deviation of the immune response toward Th2, which favors the development of cancer, or that the process of chronic inflammation favors the generation of mutations, and therefore the development of cancer.

With the purpose of understanding more about these two hypotheses, the main soluble and cellular factors of allergic diseases that could be playing a key role in the development or inhibition of cancer were considered in this review.

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过敏:与癌症密切相关的疾病
过敏是通过特定的Th2型免疫机制发生的超敏反应,这种机制以不同的可溶性介质和免疫系统的特定细胞为特征。近几十年来,有证据表明这种疾病与癌症发展有关。然而,大多数流行病学研究结果一直存在争议和矛盾。主要有两种趋势。第一项研究表明,过敏可以降低患癌症的风险,而另一项研究表明,过敏可能会增加患癌症的风险。第一种趋势可以用免疫监视假说来解释,该假说认为免疫超反应后免疫监视的增加可以抑制或发挥对癌症发展的保护作用。同样,预防假说表明,过敏症状的物理效应可以通过去除潜在的致癌物来预防癌症。相反,相反的假说认为,免疫反应对Th2有偏差,这有利于癌症的发展,或者慢性炎症的过程有利于突变的产生,从而促进癌症的发展。为了进一步了解这两种假说,本文对过敏性疾病中可能在癌症发展或抑制中起关键作用的主要可溶性因子和细胞因子进行了综述。
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