Department of Development of Therapeutic Programs, National Cancer Institute "Regina Elena", Via Elio Chianesi 53, 00144 Rome, Italy.
Cancer Lett. 2010 Dec 1;298(1):1-8. doi: 10.1016/j.canlet.2010.08.009. Epub 2010 Sep 9.
Epidemiological studies clearly outline some disparities in cancer onset, progression as well as prognosis and therapeutic response between sexes. In particular, in lung cancer, the leading cause of cancer death, at least in Western countries, a gender disparity appears now to emerge, especially for non-small cell lung cancer (NSCLC). Such a disparity is apparently due to a variety of mechanisms, ranging from genetic and epigenetic differences to gender-specific lifestyle as well as to behavioral causes and, clearly, to sex hormones activity. Here we briefly recapitulate gender differences in terms of risk factors, histopathological features and pathogenetic mechanisms in NSCLC, and hypothesize that a gender-oriented pharmacology could beneficially impact on innovative therapeutic strategies.
流行病学研究清楚地阐明了癌症发病、进展以及预后和治疗反应方面的一些性别差异。特别是在肺癌中,作为癌症死亡的主要原因,至少在西方国家,一种性别差异似乎正在出现,特别是在非小细胞肺癌(NSCLC)中。这种差异显然归因于多种机制,从遗传和表观遗传差异到性别特异性生活方式以及行为原因,并且显然归因于性激素活性。在这里,我们简要回顾了 NSCLC 中与危险因素、组织病理学特征和发病机制相关的性别差异,并假设基于性别的药理学可能对创新的治疗策略产生有益的影响。