The Link between Obesity and Gastrointestinal Cancers: a Short Review.

Fawzy Akad, Veronica Mocanu, Bogdan Filip, Manuela Poroh, Teodor Oboroceanu, Nada Akad, Sorin Nicolae Peiu, Dragos Scripcariu, Viorel Scripcariu
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Abstract

Gastrointestinal cancer represents one of the most encountered oncologic pathologies and research studies are performed thoroughly in order to identify the exact causes and possible novel therapies. Obesity is a complex manifestation associated with numerous physiological and primarily molecular changes capable of tackling the behavior of tumoral cells and the nearby or faraway microenvironment. Adipose tissue has been once considered to have limited physiological roles, but in recent years it has been recognized as an active endocrine organ, secreting substances such as growth factors and adipokines. From an epidemiological perspective, obesity - particularly morbid obesity - is linked to an unfavorable progression of cancer. A key mechanism that may elucidate the association between obesity and cancer involves the insulin and insulin-like growth factor (IGF-1) pathway, sex hormones, and adipokines.

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肥胖与胃肠道癌症之间的联系:简短回顾。
胃肠道癌症是最常见的肿瘤病理之一,为了找出确切的病因和可能的新疗法,人们进行了大量的研究。肥胖是一种复杂的表现形式,与许多生理变化有关,主要是分子变化,能够影响肿瘤细胞的行为以及附近或远处的微环境。脂肪组织曾一度被认为生理作用有限,但近年来它被认为是一个活跃的内分泌器官,能分泌生长因子和脂肪因子等物质。从流行病学的角度来看,肥胖--尤其是病态肥胖--与癌症的不利发展有关。可以阐明肥胖与癌症之间关系的一个关键机制涉及胰岛素和胰岛素样生长因子(IGF-1)途径、性激素和脂肪因子。
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