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结直肠癌的化学预防概念。

Concept of chemoprevention in colorectal cancer.

机构信息

Colm O'Morain, Dean of Health Sciences, Trinity College Dublin 2, Ireland.

出版信息

World J Gastrointest Oncol. 2009 Oct 15;1(1):21-5. doi: 10.4251/wjgo.v1.i1.21.

DOI:10.4251/wjgo.v1.i1.21
PMID:21160769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2999096/
Abstract

Colorectal cancer remains a significant cause of morbidity and mortality throughout the world. The incidence of colorectal cancer is nearly four-fold higher in more-developed as compared with less-developed regions of the world. At present an early detection of colorectal cancer remains a crucial step in determining the therapeutic outcomes. Screening programmes have been introduced in an effort to detect colorectal cancer at an early stage or at a precancerous colonic polyp stage. These programmes should be used by the health professionals as an opportunity to educate the public regarding the use of chemoprevention in colorectal cancer, which is the main focus of this review and an attractive concept needing further evaluation.

摘要

结直肠癌仍然是全世界发病率和死亡率的主要原因。与世界上欠发达地区相比,结直肠癌的发病率在发达国家高出近四倍。目前,结直肠癌的早期发现仍然是决定治疗效果的关键步骤。筛查计划已经推出,旨在早期发现结直肠癌或癌前结肠息肉阶段。卫生专业人员应利用这些计划,向公众宣传结直肠癌的化学预防,这是本次审查的主要重点,也是一个需要进一步评估的有吸引力的概念。

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本文引用的文献

1
Nonsteroidal anti-inflammatory drug use after 3 years of aspirin use and colorectal adenoma risk: observational follow-up of a randomized study.服用阿司匹林3年后使用非甾体抗炎药与结直肠腺瘤风险:一项随机研究的观察性随访
J Natl Cancer Inst. 2009 Feb 18;101(4):267-76. doi: 10.1093/jnci/djn484. Epub 2009 Feb 10.
2
Diet and cancer prevention: the roles of observation and experimentation.饮食与癌症预防:观察与实验的作用。
Nat Rev Cancer. 2008 Sep;8(9):694-703. doi: 10.1038/nrc2441.
3
Dietary patterns as identified by factor analysis and colorectal cancer among middle-aged Americans.通过因子分析确定的饮食模式与美国中年人的结直肠癌
Am J Clin Nutr. 2008 Jul;88(1):176-84. doi: 10.1093/ajcn/88.1.176.
4
Upregulation of p21Waf1/Cip1 expression in vivo by butyrate administration can be chemoprotective or chemopromotive depending on the lipid component of the diet.体内通过给予丁酸盐上调p21Waf1/Cip1表达,根据饮食中的脂质成分,可能具有化学保护作用或化学促进作用。
Carcinogenesis. 2008 Jul;29(7):1415-20. doi: 10.1093/carcin/bgn144. Epub 2008 Jun 20.
5
Mismatch repair polymorphisms and risk of colon cancer, tumour microsatellite instability and interactions with lifestyle factors.错配修复基因多态性与结肠癌风险、肿瘤微卫星不稳定性以及与生活方式因素的相互作用。
Gut. 2009 May;58(5):661-7. doi: 10.1136/gut.2007.144220. Epub 2008 Jun 3.
6
Processed meat and colorectal cancer: a review of epidemiologic and experimental evidence.加工肉类与结直肠癌:流行病学及实验证据综述
Nutr Cancer. 2008;60(2):131-44. doi: 10.1080/01635580701684872.
7
A prospective study of red and processed meat intake in relation to cancer risk.一项关于红肉和加工肉类摄入量与癌症风险关系的前瞻性研究。
PLoS Med. 2007 Dec;4(12):e325. doi: 10.1371/journal.pmed.0040325.
8
Weight change and cancer risk in a cohort of more than 65,000 adults in Austria.奥地利一个超过65000名成年人队列中的体重变化与癌症风险
Ann Oncol. 2008 Apr;19(4):641-8. doi: 10.1093/annonc/mdm549. Epub 2007 Dec 4.
9
Aspirin dose and duration of use and risk of colorectal cancer in men.男性阿司匹林剂量、使用时长与结直肠癌风险
Gastroenterology. 2008 Jan;134(1):21-8. doi: 10.1053/j.gastro.2007.09.035. Epub 2007 Sep 26.
10
Chemopreventive properties of pinoresinol-rich olive oil involve a selective activation of the ATM-p53 cascade in colon cancer cell lines.富含松脂醇的橄榄油的化学预防特性涉及结肠癌细胞系中ATM-p53级联反应的选择性激活。
Carcinogenesis. 2008 Jan;29(1):139-46. doi: 10.1093/carcin/bgm255. Epub 2007 Nov 13.