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癌症预防策略:饮食的作用。

Strategies for cancer prevention: the role of diet.

作者信息

Milner J A

机构信息

Nutrition Department, The Pennsylvania State University and Nutritional Science Research Group, Division of Cancer Prevention, National Cancer Institute, 6116 Executive Boulevard Suite 703, Rockville, MD 20892, USA.

出版信息

Br J Nutr. 2002 May;87 Suppl 2:S265-72. doi: 10.1079/BJNBJN/2002547.

Abstract

Linkages between diet habits and cancer risk have surfaced from a multitude of epidemiological and preclinical studies. Collectively these studies provide rather compelling evidence that dietary components modify the incidence and biological behavior of tumors. While the risk of breast, prostate, colon, lung and liver cancers are frequently associated with dietary patterns, inconsistencies are not uncommon. These inconsistencies likely reflect the multi-factorial and complex nature of cancer and the specificity that individual dietary constituents have in modifying cancer related genetic pathways. The complexity of defining the role of diet is underscored by the numerous and diverse essential and non-essential components that may alter one or more phases of the cancer process. The explosive increase in the recognition of genes and pathways for regulating cell growth and development, and evaluating the response to hormones and other chemicals synthesized by the body, offers exciting opportunities for unraveling the molecular targets by which dietary components influence cancer prevention. It is recognized that all cells have unique 'signatures' that are characterized by active and inactive genes and cellular products. It is certainly plausible that bridging knowledge about these unique cellular characteristics with the molecular targets for nutrients can be used to assist in optimizing nutrition and minimizing cancer risk.

摘要

饮食习惯与癌症风险之间的联系已在众多流行病学和临床前研究中显现出来。总体而言,这些研究提供了相当有说服力的证据,表明饮食成分会改变肿瘤的发病率和生物学行为。虽然乳腺癌、前列腺癌、结肠癌、肺癌和肝癌的风险通常与饮食模式有关,但不一致的情况也并不罕见。这些不一致很可能反映了癌症的多因素和复杂性质,以及个体饮食成分在改变癌症相关遗传途径方面的特异性。饮食中众多不同的必需和非必需成分可能会改变癌症过程的一个或多个阶段,这凸显了确定饮食作用的复杂性。在识别调节细胞生长和发育的基因和途径,以及评估对身体合成的激素和其他化学物质的反应方面的爆炸性增长,为揭示饮食成分影响癌症预防的分子靶点提供了令人兴奋的机会。人们认识到,所有细胞都有独特的“特征”,其特点是有活性和无活性的基因及细胞产物。将关于这些独特细胞特征的知识与营养素的分子靶点联系起来,肯定有可能用于帮助优化营养并将癌症风险降至最低。

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