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膳食抗氧化剂对宫颈癌发生的预防作用。

The Preventive Effect of Dietary Antioxidants on Cervical Cancer Development.

作者信息

Ono Ayumi, Koshiyama Masafumi, Nakagawa Miwa, Watanabe Yumiko, Ikuta Eri, Seki Keiko, Oowaki Makiko

机构信息

Graduate School of Human Nursing, The University of Shiga Prefecture, Shiga 522-8533, Japan.

Department of Women's Health, Graduate School of Human Nursing, The University of Shiga Prefecture, Shiga 522-8533, Japan.

出版信息

Medicina (Kaunas). 2020 Nov 10;56(11):604. doi: 10.3390/medicina56110604.

Abstract

Cervical cancer results from a continuous process, starting from a normal cervical epithelium after human papillomavirus (HPV) infection and progressing to cervical intraepithelial neoplasia (CIN), before finally developing into invasive squamous carcinoma (ISC). In recent decades, dietary antioxidants, such as vitamins, have received much attention in relation to cancer prevention. We reviewed the relevant literature to investigate the dietary and nutrient intake on cervical cancer. The intake of vitamins A and D and carotenoids may inhibit early cervical cancer development. The intake of folate may prevent or inhibit HPV infection rom progressing to various grades of CIN. The intake of vitamins C and E may widely inhibit the process of cervical cancer development. Polyphenols are often used in cases of cervical cancer in combination chemotherapy and radiation therapy. Regarding nutrients, different antioxidants may have differing abilities to intervene in the natural history of cervical diseases associated with HPV infection. Regarding foods, the intake of both vegetables and fruits containing multiple vitamins may widely suppress cervical cancer development. Most previous papers have described epidemiological studies. Thus, further research using in vitro and in vivo approaches will be needed to clarify the effects of the dietary and nutrient intake in detail.

摘要

宫颈癌源于一个连续的过程,始于人乳头瘤病毒(HPV)感染后的正常宫颈上皮,发展为宫颈上皮内瘤变(CIN),最终发展为浸润性鳞状癌(ISC)。近几十年来,饮食中的抗氧化剂,如维生素,在癌症预防方面受到了广泛关注。我们回顾了相关文献,以研究饮食和营养摄入与宫颈癌的关系。维生素A、D和类胡萝卜素的摄入可能抑制宫颈癌的早期发展。叶酸的摄入可能预防或抑制HPV感染发展为不同级别的CIN。维生素C和E的摄入可能广泛抑制宫颈癌的发展过程。多酚常用于宫颈癌的联合化疗和放射治疗。关于营养素,不同的抗氧化剂可能具有不同的能力来干预与HPV感染相关的宫颈疾病的自然病程。关于食物,摄入富含多种维生素的蔬菜和水果可能广泛抑制宫颈癌的发展。以前的大多数论文都描述了流行病学研究。因此,需要进一步采用体外和体内方法进行研究,以详细阐明饮食和营养摄入的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/710e/7698010/d021424d4403/medicina-56-00604-g001.jpg

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