Department of Visceral-, Thoracic- and Vascular Surgery, Philipps-University Marburg, Marburg, Germany.
Hopp Children's Cancer Center at the NCT Heidelberg (KiTZ), Heidelberg, Germany.
Digestion. 2018;97(4):275-287. doi: 10.1159/000485741. Epub 2018 Mar 27.
Pancreatic ductal adenocarcinoma is one of the most lethal types of cancer with a 5-year survival rate of around 7%. Due to the relatively poor prognosis, the potential need of an effective chemoprevention is highly needed.
Different risk factors like smoking or hereditary tumour syndromes should be known for early detection of pancreatic intraepithelial neoplasia. Chemopreventive dietary agents include curcumin, capsaicin and flavonoid, whereas potential chemopreventive drugs compromise aspirin, metformin or statins. This review aims to give an overview on potential risk factors for the development of pancreatic cancer. Furthermore, we try to summarise known chemopreventive agents to support the fight against this lethal disease. Key Messages: On the one hand, there are natural agents that exhibit preventive properties and can lead to the prohibition of pancreatic cancer. On the other hand, there are drugs and agents that are currently used in other contexts and are thus already approved and studied in terms of their mechanisms of effects and the related secondary effects.
胰腺导管腺癌是最致命的癌症类型之一,5 年生存率约为 7%。由于预后相对较差,因此非常需要有效的化学预防。
为了早期发现胰腺上皮内瘤变,应该了解不同的危险因素,如吸烟或遗传性肿瘤综合征。化学预防饮食剂包括姜黄素、辣椒素和类黄酮,而潜在的化学预防药物包括阿司匹林、二甲双胍或他汀类药物。本综述旨在概述胰腺癌发展的潜在危险因素。此外,我们还试图总结已知的化学预防剂,以支持对抗这种致命疾病。
一方面,有一些天然药物具有预防作用,可以预防胰腺癌的发生。另一方面,还有一些药物和制剂目前在其他情况下使用,因此已经根据其作用机制和相关的次要作用得到了批准和研究。