Department of Environmental Medicine/Department of Gastroenterology, Human Nutrition and Internal Medicine, Poznan University of Medical Sciences, Fredry 10, 61-701, Poznan, Poland.
Department of Hypertensiology, Angiology and Internal Medicine, Poznan University of Medical Sciences, Fredry 10, 61-701, Poznan, Poland.
Dig Dis Sci. 2019 Oct;64(10):2740-2749. doi: 10.1007/s10620-019-05603-9. Epub 2019 Apr 9.
Obesity is a risk factor for all major gastrointestinal cancers. With the rapid increase in the prevalence of obesity worldwide, this link could lead to an elevated burden of cancers of the digestive system. Currently, three main mechanisms explaining the link between excess adiposity and gastrointestinal cancer risk are being considered, including altered insulin signaling, obesity-associated chronic low-grade inflammation, and altered sex hormone metabolism, although new potential mechanisms emerge. This review is aimed to present our current knowledge on biological mechanisms involved in adiposity-related gastrointestinal carcinogenesis supported by results collected in epidemiological studies.
肥胖是所有主要胃肠道癌症的一个危险因素。随着全球肥胖症患病率的迅速增加,这种联系可能会导致消化系统癌症负担的增加。目前,有三种主要的机制被认为可以解释肥胖与胃肠道癌症风险之间的联系,包括胰岛素信号改变、肥胖相关的慢性低度炎症和性激素代谢改变,尽管新的潜在机制正在出现。这篇综述旨在介绍目前在流行病学研究中收集到的结果所支持的与肥胖相关的胃肠道致癌作用中的生物学机制方面的知识。