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维生素 D 与肺癌:关联、预防和治疗。

Vitamin D and Lung Cancer; Association, Prevention, and Treatment.

机构信息

Department of Thoracic Surgery, The Affiliated Xiangshan Hospital of Wenzhou Medial University, Ningbo, P.R. China.

Department of Thoracic Surgery, Ningbo First Hospital, Ningbo, P.R. China.

出版信息

Nutr Cancer. 2021;73(11-12):2188-2200. doi: 10.1080/01635581.2020.1844245. Epub 2020 Nov 23.

Abstract

Lung cancer is one of the common types of malignant disorders and the most prevalent cause of cancer-related mortality in the world. Although a wide range of approaches has been examined, strategies in prevention and treatment of lung cancer are still inadequate. Studies show that Vitamin D (VitD) is involved in various biological pathways and has been associated with the etiopathogenesis of several diseases, like cancers. In Vitro and In Vivo experiments have disclosed that VitD plays immunomodulatory and anti-tumor functions. Several lines of evidence have indicated that VitD is involved in the inflammatory settings of the lung. Epidemiological studies have reported that sufficient levels of VitD might be critical in the prevention of lung cancer. Polymorphisms in the genes encoding the different molecules involved in the signaling of VitD might affect the lung cancer risk as well as the quality and quantity of responses to different treatments. In this review article, we intended to clarify the implications of VitD in the normal biology and physiology of the lung and discuss diverse line of evidence about the possible role of VitD in the prevention or treatment of lung cancer.

摘要

肺癌是常见的恶性疾病之一,也是世界上癌症相关死亡率最高的疾病。尽管已经研究了多种方法,但肺癌的预防和治疗策略仍不尽如人意。研究表明,维生素 D(VitD)参与多种生物学途径,与多种疾病(如癌症)的发病机制有关。体外和体内实验表明,VitD 具有免疫调节和抗肿瘤作用。有几条证据表明 VitD 参与了肺部的炎症环境。流行病学研究报告称,VitD 水平充足对于预防肺癌至关重要。编码参与 VitD 信号转导的不同分子的基因多态性可能会影响肺癌风险,以及对不同治疗方法的质量和数量的反应。在这篇综述文章中,我们旨在阐明 VitD 在肺部正常生物学和生理学中的意义,并讨论 VitD 在预防或治疗肺癌方面的可能作用的不同证据。

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