Uemura Hiroji, Kubota Yoshinobu
Department of Urology, Yokohama City University Graduate School of Medicine.
Nihon Rinsho. 2009 Apr;67(4):807-11.
Since a low prevalence of cancer in hypertensive patients receiving angiotensin converting enzyme inhibitors was reported, a biological action of angiotensin II (Ang-II) on the development or progression of cancer has been drawn attention. Recently, a widespread use of AT1 receptor blockers (ARBs) has contributed more attractive information on the involvement of Ang-II in cancer. Interestingly, there is increasing evidence that the renin -angiotensin system is implicated in the development of various cancers. From basic and clinical data, we believe that ARB has a novel ability to decelerate prostate specific antigen elevation especially in hormone refractory cancer and suppress the incidence of prostate cancer, which implies that ARB may have a chemopreventive activity for prostate cancer.
由于有报道称接受血管紧张素转换酶抑制剂治疗的高血压患者癌症患病率较低,血管紧张素II(Ang-II)对癌症发生或发展的生物学作用已引起关注。最近,血管紧张素II型受体阻滞剂(ARBs)的广泛使用为Ang-II参与癌症提供了更有吸引力的信息。有趣的是,越来越多的证据表明肾素-血管紧张素系统与各种癌症的发生有关。基于基础和临床数据,我们认为ARB具有减缓前列腺特异性抗原升高的新能力,尤其是在激素难治性癌症中,并能抑制前列腺癌的发病率,这意味着ARB可能对前列腺癌具有化学预防活性。