Andersen Dana K, Korc Murray, Petersen Gloria M, Eibl Guido, Li Donghui, Rickels Michael R, Chari Suresh T, Abbruzzese James L
Division of Digestive Diseases and Nutrition, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD.
Division of Endocrinology, Department of Medicine, and Department of Biochemistry and Molecular Biology, Indiana University School of Medicine, and Indiana University Melvin and Bren Simon Cancer Center and Pancreatic Cancer Signature Center, Indianapolis, IN.
Diabetes. 2017 May;66(5):1103-1110. doi: 10.2337/db16-1477.
The relationships between diabetes and pancreatic ductal adenocarcinoma (PDAC) are complex. Longstanding type 2 diabetes (T2DM) is a risk factor for pancreatic cancer, but increasing epidemiological data point to PDAC as also a cause of diabetes due to unknown mechanisms. New-onset diabetes is of particular interest to the oncology community as the differentiation of new-onset diabetes caused by PDAC as distinct from T2DM may allow for earlier diagnosis of PDAC. To address these relationships and raise awareness of the relationships between PDAC and diabetes, a symposium entitled Diabetes, Pancreatogenic Diabetes, and Pancreatic Cancer was held at the American Diabetes Association's 76th Scientific Sessions in June 2016. This article summarizes the data presented at that symposium, describing the current understanding of the interrelationships between diabetes, diabetes management, and pancreatic cancer, and identifies areas where additional research is needed.
糖尿病与胰腺导管腺癌(PDAC)之间的关系很复杂。长期的2型糖尿病(T2DM)是胰腺癌的一个危险因素,但越来越多的流行病学数据表明,由于未知机制,PDAC也是糖尿病的一个病因。新发糖尿病尤其引起肿瘤学界的关注,因为区分由PDAC引起的新发糖尿病与T2DM可能有助于早期诊断PDAC。为了探讨这些关系并提高对PDAC与糖尿病之间关系的认识,2016年6月在美国糖尿病协会第76届科学会议上举办了一场题为“糖尿病、胰腺源性糖尿病和胰腺癌”的研讨会。本文总结了该研讨会上展示的数据,描述了目前对糖尿病、糖尿病管理和胰腺癌之间相互关系的理解,并确定了需要进一步研究的领域。