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甲状腺激素与糖尿病、癌症和衰老。

Thyroid hormones in diabetes, cancer, and aging.

机构信息

Department of Cell Therapy and Regeneration, Andalusian Center for Molecular Biology and Regenerative Medicine-CABIMER, Junta de Andalucía-University of Pablo de Olavide-University of Seville-CSIC, Seville, Spain.

Biomedical Research Network on Diabetes and Related Metabolic Diseases-CIBERDEM, Instituto de Salud Carlos III, Madrid, Spain.

出版信息

Aging Cell. 2020 Nov;19(11):e13260. doi: 10.1111/acel.13260. Epub 2020 Oct 13.

Abstract

Thyroid function is central in the control of physiological and pathophysiological processes. Studies in animal models and human research have determined that thyroid hormones modulate cellular processes relevant for aging and for the majority of age-related diseases. While several studies have associated mild reductions on thyroid hormone function with exceptional longevity in animals and humans, alterations in thyroid hormones are serious medical conditions associated with unhealthy aging and premature death. Moreover, both hyperthyroidism and hypothyroidism have been associated with the development of certain types of diabetes and cancers, indicating a great complexity of the molecular mechanisms controlled by thyroid hormones. In this review, we describe the latest findings in thyroid hormone research in the field of aging, diabetes, and cancer, with a special focus on hepatocellular carcinomas. While aging studies indicate that the direct modulation of thyroid hormones is not a viable strategy to promote healthy aging or longevity and the development of thyromimetics is challenging due to inefficacy and potential toxicity, we argue that interventions based on the use of modulators of thyroid hormone function might provide therapeutic benefit in certain types of diabetes and cancers.

摘要

甲状腺功能是生理和病理生理过程控制的核心。动物模型研究和人类研究已经确定,甲状腺激素调节与衰老和大多数与年龄相关的疾病相关的细胞过程。虽然一些研究表明甲状腺激素功能的轻微降低与动物和人类的异常长寿有关,但甲状腺激素的改变是与不健康的衰老和过早死亡相关的严重医疗状况。此外,甲状腺功能亢进和甲状腺功能减退症都与某些类型的糖尿病和癌症的发生有关,这表明甲状腺激素控制的分子机制非常复杂。在这篇综述中,我们描述了甲状腺激素在衰老、糖尿病和癌症领域研究的最新发现,特别关注肝细胞癌。虽然衰老研究表明,直接调节甲状腺激素不是促进健康衰老或长寿的可行策略,而且由于无效和潜在毒性,开发甲状腺激素模拟物具有挑战性,但我们认为,基于使用甲状腺激素功能调节剂的干预措施可能会为某些类型的糖尿病和癌症提供治疗益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a96/7681062/7cb2f151e829/ACEL-19-e13260-g001.jpg

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