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食用红肉和加工肉类的致癌性:自国际癌症研究机构(IARC)做出决定以来的科学新闻综述。

Carcinogenicity of consumption of red meat and processed meat: A review of scientific news since the IARC decision.

作者信息

Domingo José L, Nadal Martí

机构信息

Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia, Spain.

Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia, Spain.

出版信息

Food Chem Toxicol. 2017 Jul;105:256-261. doi: 10.1016/j.fct.2017.04.028. Epub 2017 Apr 24.

Abstract

In October 2015, the International Agency for Research on Cancer (IARC) issued a press release on the results of the evaluation of the carcinogenicity of red and processed meat. Based on the accumulated scientific literature, the consumption of red meat was classified as "probably carcinogenic to humans" and processed meat as "carcinogenic to humans". Given the importance of this topic, this review was aimed at revising the current state-of-the-art on the carcinogenicity of red and processed meat, some time after the IARC decision. Some new epidemiological studies and new reviews clearly supporting the IARC decision have been published during these months. However, a number of gaps still exist. It is basic to establish the mechanisms leading to the increased risk of colorectal cancer (CRC) and other cancers arising from red and processed meat consumption. Another important pending issue is to establish the role of known/suspected carcinogens contained in uncooked or unprocessed meats, as well as the influence of cooking. Finally, it would be highly recommended to conduct new epidemiological studies to elucidate whether the consumption of white meat, such as pork and/or poultry, are -positively or inversely-associated with an increased risk of CRC and other types of cancer.

摘要

2015年10月,国际癌症研究机构(IARC)发布了一份关于红肉和加工肉类致癌性评估结果的新闻稿。基于积累的科学文献,红肉的消费被归类为“可能对人类致癌”,加工肉类则被归类为“对人类致癌”。鉴于这一话题的重要性,本次综述旨在在IARC做出决定一段时间后,对红肉和加工肉类致癌性的当前研究现状进行修订。在这几个月里,已经发表了一些新的流行病学研究和新的综述,明确支持IARC的决定。然而,仍然存在一些差距。确定导致因食用红肉和加工肉类而增加结直肠癌(CRC)及其他癌症风险的机制至关重要。另一个重要的悬而未决的问题是确定生肉或未加工肉类中已知/疑似致癌物的作用,以及烹饪的影响。最后,强烈建议开展新的流行病学研究,以阐明食用白肉,如猪肉和/或家禽肉,与CRC及其他类型癌症风险增加之间是正相关还是负相关。

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