肥胖与肾癌发生和发展之间相关性的研究进展:叙述性综述。

IF 1.5 4区 医学 Q4 ONCOLOGY Translational cancer research Pub Date : 2024-10-31 Epub Date: 2024-10-29 DOI:10.21037/tcr-24-744
Le Kang, Xu Chen, Peng Qi, Zhongwei Ma, Dali Han, Xingxing Zhang, Panfeng Shang
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引用次数: 0

摘要

背景和目的:肥胖是肾癌发病的重要危险因素,近十年来,肥胖导致肾癌发生和发展的机制得到了进一步的研究和证实。肥胖悖论 "现象的出现使得肥胖与肾癌生存预后的相关性备受争议。本综述根据近十年来新发现的证据,总结了肥胖与肾癌发生和发展的相关性,以期为后续研究提供参考:方法:为了研究肥胖与肾癌之间相关性的进展,我们对最新文献进行了全面、非系统性的综述。对 PubMed、Web of Science 和 Embase 进行了检索,最后一次检索是在 2024 年 7 月 15 日:本综述讨论了肥胖与肾癌发生和发展之间的相关性,并总结了近 10 年来新发现的流行病学证据和相关机制。最新证据表明,肥胖是肾癌发生的重要危险因素。结论:流行病学显示,肾癌的高发与肥胖在地区和种族上是一致的。肥胖促进肾癌发生和发展的内在机制主要包括:脂肪细胞因子表达异常、脂质代谢异常、胰岛素样生长因子-I(IGF-I)轴异常和高胰岛素血症/胰岛素抵抗、缺氧和炎症。由于脂肪组织毗邻肾脏,肾周脂肪组织对肾癌预后的影响存在争议,一些证据支持 "肥胖悖论 "的观点。
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Research progress on the correlation between obesity and the occurrence and development of kidney cancer: a narrative review.

Background and objective: Obesity is an important risk factor for the onset of kidney cancer, and the mechanism of obesity leading to the occurrence and development of kidney cancer has been further studied and confirmed in the past decade. The emergence of the "obesity paradox" phenomenon has made the correlation between obesity and the prognosis of kidney cancer survival controversial. This review summarizes the association between obesity and the occurrence and development of kidney cancer based on newly discovered evidence in the past 10 years, in order to provide reference for follow-up research.

Methods: A comprehensive, non-systematic review of the latest literature was carried out in order to investigate the progress of the correlation between obesity and kidney cancer. PubMed, Web of Science and Embase were being examined and the last run was on July 15, 2024.

Key content and findings: The correlation between obesity and the occurrence and development of kidney cancer was discussed in this review, and the newly discovered evidence of epidemiology and related mechanisms in the past 10 years was summarized. The latest evidence suggests that obesity is an important risk factor for the development of kidney cancer. Perirenal fat plays an important role in promoting kidney cancer progression and prognosis.

Conclusions: Epidemiology shows that the high rates of kidney cancer and obesity coincide in terms of region and ethnicity. The underlying mechanisms associated with obesity in promoting the occurrence and development of kidney cancer mainly include: abnormal expression of adipocytokines, abnormal lipid metabolism, abnormalities in the insulin-like growth factor-I (IGF-I) axis and hyperinsulinemia/insulin resistance, hypoxia and inflammation. As adipose tissue is adjacent to the kidney, the effect of perirenal adipose tissue on the prognosis of kidney cancer is controversial, and some evidence supports the idea of the "obesity paradox".

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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
252
期刊介绍: Translational Cancer Research (Transl Cancer Res TCR; Print ISSN: 2218-676X; Online ISSN 2219-6803; http://tcr.amegroups.com/) is an Open Access, peer-reviewed journal, indexed in Science Citation Index Expanded (SCIE). TCR publishes laboratory studies of novel therapeutic interventions as well as clinical trials which evaluate new treatment paradigms for cancer; results of novel research investigations which bridge the laboratory and clinical settings including risk assessment, cellular and molecular characterization, prevention, detection, diagnosis and treatment of human cancers with the overall goal of improving the clinical care of cancer patients. The focus of TCR is original, peer-reviewed, science-based research that successfully advances clinical medicine toward the goal of improving patients'' quality of life. The editors and an international advisory group of scientists and clinician-scientists as well as other experts will hold TCR articles to the high-quality standards. We accept Original Articles as well as Review Articles, Editorials and Brief Articles.
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