Ahmad Aamir, Banerjee Sanjeev, Wang Zhiwei, Kong Dejuan, Majumdar Adhip P N, Sarkar Fazlul H
Department of Pathology, Wayne State University, School of Medicine, Detroit, MI 48201, USA.
Curr Aging Sci. 2009 Dec;2(3):174-86. doi: 10.2174/1874609810902030174.
The biochemical phenomenon of aging, as universal as it is, still remains poorly understood. A number of diseases are associated with aging either as a cause or consequence of the aging process. The incidence of human cancers increases exponentially with age and therefore cancer stands out as a disease that is intricately connected to the process of aging. Emerging evidence clearly suggests that there is a symbiotic relationship between aging, inflammation and chronic diseases such as cancer; however, it is not clear whether aging leads to the induction of inflammatory processes thereby resulting in the development and maintenance of chronic diseases or whether inflammation is the causative factor for inducing both aging and chronic diseases such as cancer. Moreover, the development of chronic diseases especially cancer could also lead to the induction of inflammatory processes and may cause premature aging, suggesting that longitudinal research strategies must be employed for dissecting the interrelationships between aging, inflammation and cancer. Here, we have described our current understanding on the importance of inflammation, activation of NF-kappaB and various cytokines and chemokines in the processes of aging and in the development of chronic diseases especially cancer. We have also reviewed the prevailing theories of aging and provided succinct evidence in support of novel theories such as those involving cancer stem cells, the molecular understanding of which would likely hold a great promise towards unraveling the complex relationships between aging, inflammation and cancer.
衰老的生化现象虽然普遍存在,但人们对其仍知之甚少。许多疾病与衰老相关,要么是衰老过程的原因,要么是其结果。人类癌症的发病率随年龄呈指数增长,因此癌症是一种与衰老过程密切相关的疾病。新出现的证据清楚地表明,衰老、炎症和诸如癌症等慢性疾病之间存在共生关系;然而,尚不清楚是衰老导致炎症过程的诱导,从而导致慢性疾病的发生和维持,还是炎症是诱导衰老和诸如癌症等慢性疾病的致病因素。此外,慢性疾病尤其是癌症的发展也可能导致炎症过程的诱导,并可能导致早衰,这表明必须采用纵向研究策略来剖析衰老、炎症和癌症之间的相互关系。在此,我们描述了我们目前对炎症、NF-κB激活以及各种细胞因子和趋化因子在衰老过程以及慢性疾病尤其是癌症发展中的重要性的理解。我们还回顾了流行的衰老理论,并提供了简洁的证据来支持诸如涉及癌症干细胞等新理论,对其分子层面的理解可能对揭示衰老、炎症和癌症之间的复杂关系大有希望。