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癌症恶病质中脂肪组织炎症的调节:运动的影响

Regulation of inflammation in the adipose tissue in cancer cachexia: effect of exercise.

作者信息

Lira Fábio S, Rosa José C, Zanchi Nelo E, Yamashita Alex S, Lopes Renato D, Lopes Antonio C, Batista Miguel L, Seelaender Marília

机构信息

Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil.

出版信息

Cell Biochem Funct. 2009 Mar;27(2):71-5. doi: 10.1002/cbf.1540.

Abstract

The paraneoplastic syndrome of cachexia is considered a degenerative chronic inflammatory disease, being deeply related to the increase of pro-inflammatory factors, especially tumour necrosis factor alpha (TNF-alpha). It is known that the adipose tissue is affected by cachexia and contributing with the secretion of pro-inflammatory factors which reach the adjacent tissues and the circulation. The effect of pro-inflammatory factors is balanced by the effect of anti-inflammatory factors, such as interleukin 10 (IL-10). The IL-10/TNF-alpha ratio has been recently postulated as a marker for the assessment of the degree of inflammation, which correlates with disease-associated morbidity and mortality. In order to counteract inflammation in chronic disease, our group has currently adopted chronic endurance exercise in models of cancer cachexia and chronic heart failure. Since it is clear that white adipose tissue is strongly implicated in the secretion of both pro- and anti-inflammatory factors in disease, we chose to address its contribution to cachexia-related inflammation and the effect of endurance training on the capacity of cytokine expression and secretion by this tissue. Our results show an enhancement of IL-10 adipose tissue content, and increased IL-10/TNF-alpha ratio induced by endurance training. The mechanisms are discussed.

摘要

恶病质副肿瘤综合征被认为是一种退行性慢性炎症性疾病,与促炎因子尤其是肿瘤坏死因子α(TNF-α)的增加密切相关。已知脂肪组织会受到恶病质影响,并通过分泌促炎因子作用于邻近组织和进入循环系统。促炎因子的作用与抗炎因子如白细胞介素10(IL-10)的作用相互平衡。最近,IL-10/TNF-α比值被假定为评估炎症程度的标志物,它与疾病相关的发病率和死亡率相关。为了对抗慢性疾病中的炎症,我们团队目前在癌症恶病质和慢性心力衰竭模型中采用了慢性耐力运动。由于白色脂肪组织在疾病中对促炎和抗炎因子的分泌都有重要影响,我们选择研究其对恶病质相关炎症的作用以及耐力训练对该组织细胞因子表达和分泌能力的影响。我们的结果显示,耐力训练可提高脂肪组织中IL-10的含量,并增加IL-10/TNF-α比值。文中还讨论了相关机制。

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