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[人类结肠与年龄相关的微观和分子变化及其在老年人结直肠癌发生中的作用]

[Age-related microscopic and molecular changes of the human colon, and their role in the development of colorectal cancer in elderly people].

作者信息

Leiszter Katalin, Galamb Orsolya, Sipos Ferenc, Tóth Kinga, Valcz Gábor, Patai V Arpád, Molnár Jeannette, Molnár Béla, Tulassay Zsolt

机构信息

Semmelweis Egyetem, Altalános Orvostudományi Kar II. Belgyógyászati Klinika Budapest Szentkirályi.

出版信息

Orv Hetil. 2010 May 30;151(22):885-92. doi: 10.1556/OH.2010.28882.

Abstract

The gastrointestinal effect of aging, the recognition of its molecular background and the mapping its connections with several diseases like sporadic colorectal cancer of elder people are a new and promising area of molecular gastroenterology. Nowadays, it is a well-known fact that some age-related molecular changes (e.g.: DNA methylation, telomere shortening) can be detected in several types of colorectal cancers. The known epidemiologic and molecular biologic features of sporadic colorectal cancer are not enough to explain the genetic, gene expression or epigenetic changes that may be involved in the increase of the disease over 45-50 age years. The connections of these alterations to the process of aging are also unclear. The understanding and custom-tailored modification of these mechanisms are of great clinical importance regarding of prevention and modern therapeutic strategies. In this review, we aimed to summarize the age-related microscopic and molecular changes of the human colon, as well as their role in the development of colorectal cancer of the elder people.

摘要

衰老的胃肠道效应、对其分子背景的认识以及绘制其与几种疾病(如老年人散发性结直肠癌)的联系,是分子胃肠病学中一个新的且有前景的领域。如今,一个众所周知的事实是,在几种类型的结直肠癌中可以检测到一些与年龄相关的分子变化(例如:DNA甲基化、端粒缩短)。散发性结直肠癌已知的流行病学和分子生物学特征不足以解释在45 - 50岁以上疾病增加过程中可能涉及的基因、基因表达或表观遗传变化。这些改变与衰老过程的联系也不清楚。对于预防和现代治疗策略而言,理解并定制性地改变这些机制具有重大的临床意义。在这篇综述中,我们旨在总结人类结肠与年龄相关的微观和分子变化,以及它们在老年人结直肠癌发生中的作用。

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