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心血管、糖尿病和癌症三联症:证据、机制和分类。

Cardiovascular, diabetes, and cancer strips: evidences, mechanisms, and classifications.

机构信息

1 Department of Cardiovascular Medicine, Nanchang University, Nanchang 330006, China ; 2 Cardiovascular Center, Peking University People's Hospital, Beijing 100044, China.

出版信息

J Thorac Dis. 2014 Sep;6(9):1319-28. doi: 10.3978/j.issn.2072-1439.2014.07.15.

Abstract

OBJECTIVES

To report and name firstly that there are cardiovascular disease (CVD), diabetes mellitus (DM) and cancers (CDC) strips; and disclose their mechanisms, classifications, and clinical significances.

STUDY DESIGN

Narrative and systematic review study and interpretive analysis.

DATA SOURCES AND STUDY SELECTION

to collect and present related evidences on CDC strips from evidence-based, open-access, both Chinese- and English-language literatures in recent 10 years on clinical trials from PubMed according to keywords "CVD, DM and cancers" as well as authors' extensive clinical experience with the treatment of more than fifty thousands of patients with CVD, diabetes and cancers over the past decades, and analyze their related mechanisms and categories which based on authors' previous works.

DATA EXTRACTION

data were mainly extracted from 48 articles which are listed in the reference section of this review. Qualitative, quantitative and mixed data were included, narratively and systematically reviewed.

RESULTS

With several conceptual and technical breakthrough, authors present related evidences on CDC strips, these are, CVD and DM, DM and cancers, cancers and CVD linked, respectively; And "Bad SEED" +/- "bad soil" theory or doctrine may explain this phenomenon due to "internal environmental injure, abnormal or unbalance" in human body resulting from the role of risk factors (RFs) related multi-pathways and multi-targets, which including organ & tissue (e.g., vascular-specific), cell and gene-based mechanisms. Their classifications include main strips/type B, and Branches/type A as showed by tables and figures in this article.

CONCLUSIONS

There are CDC strips and related mechanisms and classifications. CDC strips may help us to understand, prevent, and control related common non-communicable diseases (NCDs) as well as these high risk strips.

摘要

目的

首次报告并命名心血管疾病(CVD)、糖尿病(DM)和癌症(CDC)三联症;并揭示其机制、分类和临床意义。

研究设计

叙述性和系统性综述研究及解释性分析。

数据来源和研究选择

根据关键词“CVD、DM 和癌症”,从PubMed 中检索近 10 年来关于临床试验的循证、开放获取的中英文文献,收集和呈现与 CDC 三联症相关的证据,并结合作者过去几十年治疗 5 万多名 CVD、糖尿病和癌症患者的丰富临床经验,根据作者之前的工作,分析其相关机制和分类。

数据提取

数据主要从本综述参考文献中列出的 48 篇文章中提取。纳入定性、定量和混合数据,进行叙述性和系统性综述。

结果

通过几个概念和技术突破,作者提出了与 CDC 三联症相关的证据,分别为 CVD 和 DM、DM 和癌症、癌症和 CVD 之间的联系;“不良种子”+/ - “不良土壤”理论或学说可能解释了这一现象,因为人体内部环境的损伤、异常或失衡是由与多途径和多靶点相关的危险因素(RFs)引起的,包括器官和组织(如血管特异性)、细胞和基因机制。它们的分类包括本文中的主要条带/类型 B 和分支/类型 A,如图表所示。

结论

存在 CDC 三联症及相关机制和分类。CDC 三联症可以帮助我们理解、预防和控制相关的常见非传染性疾病(NCDs)以及这些高危三联症。

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