肥胖:乳腺癌的危险因素

A. Roy, S. Basu, A. Bandyopadhyay
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引用次数: 0

摘要

背景肥胖是一种全球健康负担,也是最有害的疾病之一,由于现代生活方式的改变,其发病率大幅上升。有说服力的证据表明,肥胖是发展为癌症恶性肿瘤的一个独立预后因素,尤其是在绝经后妇女中。客观的这篇综述旨在全面关注与肥胖相关的乳腺癌症的生物化学、激素和免疫途径,以便可以临时制定潜在的治疗方法,从而为这种威胁许多人生命的威胁提供治疗。方法。对已发表材料的文献综述,这些材料对最近或当前关于肥胖问题的文献进行了审查。后果身体肥胖(主要是内脏肥胖)的增加可能是肥胖个体易患癌症风险的原因,尽管这些癌症的发病机制可能因受影响的器官而异。讨论了影响肥胖相关致癌作用的代谢和生化变化,包括氧化应激和身体炎症水平的升高以及促炎细胞因子的升高。还包括关于血清胰岛素、胰岛素样生长因子、性类固醇水平升高和脂肪因子(脂联素和瘦素)失衡的相关参考文献。结论。有说服力的证据表明,肥胖是发展为癌症恶性肿瘤的一个独立预后因素,尤其是在绝经后妇女中。因此,产生新的有效治疗干预措施来对抗这种疾病,同时积极改变生活方式,可能是即兴的,可以治愈这种威胁许多人生命的威胁。
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OBESITY: A CAUSATIVE RISK FACTOR OF BREAST CANCER
Background. Obesity, a global health burden and one of the most deleterious diseases have substantially increased prevalence attributable to changing lifestyle of modern times. Persuasive evidence indicates obesity as an independent prognostic factor for developing malignancy in the form of breast cancer particularly in post-menopausal women. Objective. This review aims to focus in comprehensive manner on the biochemical, hormonal and immunological pathways governing the obesity linked breast cancer so that potential treatments may be improvised consequently to provide a cure to this menace, threatening the lives of many. Methods. Literature review of published materials that provide examination of recent or current literature on problem of obesity. Results. Increased body fatness, mainly visceral adiposity may account for predisposing an obese individual to the risk of encountering cancer although the mechanisms for such cancers may vary depending upon the organ affected. Metabolic and biochemical alterations influencing obesity related carcinogenesis, consisting of heightened oxidative stress and bodily inflammation levels with the concomitant rise in pro-inflammatory cytokines are discussed. Pertinent references about elevated levels of serum insulin, insulin-like growth factor, sex steroids and the imbalance in adipokines (adiponectin and leptin) are included as well. Conclusions. Persuasive evidence indicates obesity as an independent prognostic factor for developing malignancy in the form of breast cancer particularly in post-menopausal women. Generation of novel and effective therapeutic interventions for combating the ailment along with positive lifestyle modifications may be improvised consequently to provide a cure to this menace, threatening the lives of many.
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审稿时长
36 weeks
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