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炎症:癌症、衰老和心血管疾病的共同诱因——拓展心血管肿瘤学概念。

Inflammation: a common contributor to cancer, aging, and cardiovascular diseases-expanding the concept of cardio-oncology.

机构信息

Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 77 Avenue Louis Pasteur, Boston, MA, USA.

Division of Clinical Pharmacology, Department of Medicine IV, Center of Integrated Protein Science Munich (CIPS-M), Klinikum der Universität München, Munich, Germany.

出版信息

Cardiovasc Res. 2019 Apr 15;115(5):824-829. doi: 10.1093/cvr/cvz058.

Abstract

Inflammation participates in the pathogenesis of both cancer and cardiovascular disease. This review examines the mechanistic commonalities between these two scourges of humanity through the lens of inflammation biology. Inflammatory pathways contribute to the initiation, the progression, and the complication of both malignant tumours and atherosclerotic plaques. Modulation of inflammatory pathways have proven transformative in the treatment of cancers and have crossed the threshold of clinical reality as treatments to reduce the risk of cardiovascular events. The finding that clonal haematopoiesis drives both leukaemia and cardiovascular events provides yet another link between these two seemingly disparate diseases. The nascent specialty of cardio-oncology has initially focused on the cardiovascular complications of cancer therapies. The recognition of a more profound pathophysiologic connection between cancer and cardiovascular diseases should expand the concept of cardio-oncology. Embracing the mechanistic connection and transcending traditional barriers between disciplines offers immense opportunities for speeding innovative research that can address the growing burden of both cancer and cardiovascular disease.

摘要

炎症参与了癌症和心血管疾病的发病机制。本综述通过炎症生物学的视角,探讨了这两种人类祸害之间在发病机制上的共同之处。炎症途径有助于恶性肿瘤和动脉粥样硬化斑块的起始、进展和并发症的发生。炎症途径的调节已被证明在癌症治疗中具有变革性,并且已经跨越了作为降低心血管事件风险的治疗方法的临床现实门槛。克隆性造血会导致白血病和心血管事件的发现,为这两种看似不同的疾病之间提供了另一个联系。心血管肿瘤学这一新兴专业最初侧重于癌症治疗的心血管并发症。对癌症和心血管疾病之间更深刻的病理生理联系的认识,应该扩大心血管肿瘤学的概念。接受机制上的联系,并超越学科之间的传统障碍,为加快创新研究提供了巨大的机会,这些研究可以解决癌症和心血管疾病负担日益增加的问题。

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