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结直肠癌的基因解析

Genetic unraveling of colorectal cancer.

作者信息

Rasool Sabha, Rasool Vamiq, Naqvi Tahira, Ganai Bashir A, Shah Bhahwal Ali

机构信息

Department of Biochemistry, University of Kashmir, Hazratbal, Srinagar, 190006, Kashmir, India.

出版信息

Tumour Biol. 2014 Jun;35(6):5067-82. doi: 10.1007/s13277-014-1713-7. Epub 2014 Feb 27.

Abstract

Colorectal cancer is a common disease in both men and women (being the third most common cancer in men and the second most common among women) and thus represents an important and serious public health issue, especially in the western world. Although it is a well-established fact that cancers of the large intestine produce symptoms relatively earlier at a stage that can be easily cured by resection, a large number of people lose their lives to this deadly disease each year. Recent times have seen an important change in the incidence of colorectal cancer in different parts of the world. The etiology of colorectal cancer is multifactorial and is likely to involve the actions of genes at multiple levels along the multistage carcinogenesis process. Exhaustive efforts have been made out in the direction of unraveling the role of various environmental factors, gene mutations, and polymorphisms worldwide (as well as in Kashmir-"a valley of gastrointestinal cancers") that have got a role to play in the development of this disease so that antitumor drugs could be developed against this cancer, first, and, finally, the responsiveness or resistance to these agents could be understood for combating this global issue.

摘要

结直肠癌在男性和女性中都是一种常见疾病(在男性中是第三大常见癌症,在女性中是第二大常见癌症),因此是一个重要且严重的公共卫生问题,尤其是在西方世界。尽管大肠癌症在相对较早的阶段就会产生症状,而这个阶段通过切除手术很容易治愈,这是一个既定事实,但每年仍有大量的人死于这种致命疾病。近年来,世界各地结直肠癌的发病率发生了重要变化。结直肠癌的病因是多因素的,可能涉及多阶段致癌过程中多个层面的基因作用。人们已经在全球范围内(以及在克什米尔——“胃肠癌高发地区”)竭尽全力去揭示各种环境因素、基因突变和基因多态性在这种疾病发展过程中所起的作用,以便首先开发出针对这种癌症的抗肿瘤药物,最后了解对这些药物的反应性或耐药性,从而应对这一全球性问题。

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