Vasto Sonya, Carruba Giuseppe, Candore Giuseppina, Italiano Emilio, Di Bona Danilo, Caruso Calogero
Department of Pathobiology and Biomedical Methodologies, Immunohaemathology and Transfusion Medicine Unit, University Hospital, University of Palermo, Palermo, Italy.
Future Oncol. 2008 Oct;4(5):637-45. doi: 10.2217/14796694.4.5.637.
Prostate cancer remains a major health concern for the male population throughout the Western world. It is today widely accepted that inflammation has a role in many human cancers. In fact, inflammation is thought to incite carcinogenesis by causing cell and genome damage, promoting cellular turnover and creating a tissue microenvironment that can enhance cell replication, angiogenesis and tissue repair. Accordingly, there is a body of literature suggesting a link between chronic inflammation and prostate cancer, in which prostate inflammation may contribute to the promotion of prostate cancer development. On the other hand, high levels of endogenous gonadal steroids are considered as risk factors for prostate cancer. Interestingly, it is clear that elevation of estrogens in the presence of testosterone results in a prostate-specific inflammatory response. Thus, it is possible that early inflammatory events stimulated by sex hormones serve as a prerequisite for the onset of prostate cancer.
前列腺癌仍然是整个西方世界男性群体主要的健康问题。如今,炎症在许多人类癌症中所起的作用已被广泛认可。事实上,炎症被认为可通过导致细胞和基因组损伤、促进细胞更新以及创造能够增强细胞复制、血管生成和组织修复的组织微环境来诱发癌变。因此,有大量文献表明慢性炎症与前列腺癌之间存在联系,其中前列腺炎症可能有助于前列腺癌的发展。另一方面,高水平的内源性性腺类固醇被视为前列腺癌的风险因素。有趣的是,很明显在睾酮存在的情况下雌激素升高会引发前列腺特异性炎症反应。因此,性激素刺激引发的早期炎症事件有可能是前列腺癌发病的先决条件。