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年轻癌症幸存者的早衰。

Premature Aging in Young Cancer Survivors.

机构信息

Department of Population Sciences, City of Hope, Duarte, CA.

Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.

出版信息

J Natl Cancer Inst. 2019 Mar 1;111(3):226-232. doi: 10.1093/jnci/djy229.

Abstract

Advances in early detection, treatment, and supportive care have resulted in an estimated 16 million cancer survivors who are alive in the United States today. Outcomes have notably improved for children with cancer as well as young adults with hematologic malignancies due, in part, to the intensification of cancer treatment, including the use of hematopoietic cell transplantation. Emerging evidence suggests that these cancer survivors are at risk for premature aging, manifesting as early onset of chronic health conditions and a higher risk of mortality compared with the general population. Although the pathophysiology of premature aging in these survivors has not been fully elucidated, emerging concepts in aging research could help shed light on this phenomenon. Longitudinal studies are needed to better characterize aging in these survivors, setting the stage for much-needed interventions to halt the trajectory of accelerated aging. These efforts will be enhanced through collaborations between translational researchers, clinical oncologists, primary care providers, geriatricians, patient caretakers, and other stakeholders committed to improving the lives of the growing population of survivors.

摘要

早期检测、治疗和支持性护理方面的进展,使得目前美国约有 1600 万癌症幸存者。由于癌症治疗的强化,包括造血细胞移植的应用,儿童癌症和血液系统恶性肿瘤的年轻患者的预后显著改善。新出现的证据表明,这些癌症幸存者存在过早衰老的风险,表现为慢性健康状况的早发和与普通人群相比更高的死亡率。尽管这些幸存者过早衰老的病理生理学尚未完全阐明,但衰老研究中的新观点可能有助于阐明这一现象。需要进行纵向研究来更好地描述这些幸存者的衰老情况,为急需的干预措施奠定基础,以阻止加速衰老的轨迹。通过转化研究人员、临床肿瘤学家、初级保健提供者、老年病学家、患者护理人员和其他致力于改善不断增长的幸存者群体生活的利益相关者之间的合作,这些努力将得到加强。

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