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[生酮饮食:癌症治疗的一种新营养策略?]

[Ketogenic diet: a new nutritional strategy for cancer therapy?].

作者信息

Charlot Anouk, Conrad Ombline, Zoll Joffrey

机构信息

Université de Strasbourg, CRBS, UR3072 « Mitochondrie, stress oxydant et protection musculaire », 1 rue Eugène Boeckel, 67000 Strasbourg, France.

Université de Strasbourg, CNRS UMR 7021, Laboratoire Bioimagerie et Pathologies, Faculté de Pharmacie, 74 route du Rhin, 67400 Illkirch, France.

出版信息

Biol Aujourdhui. 2020;214(3-4):115-123. doi: 10.1051/jbio/2020014. Epub 2020 Dec 24.

DOI:10.1051/jbio/2020014
PMID:33357370
Abstract

Cancer is a disease that can appear in several tissues and that kills more than 150 000 people in France every year. Cancer cells have mutations in their genome that lead to changes in their metabolism, compared to healthy cells. They use mostly glycolysis as their energy source, but not fatty acid oxidation. Currently, treatments used against cancer are nonspecific and have many side effects. Thus it appears increasingly important to find new strategies against cancer cells progression while protecting surrounding healthy cells and decreasing side effects. Ketogenic diet, which is a low-sugar high-fat diet, could be an interesting candidate as it alters the energy machinery of the cell and keeps away its primary energy source (glucose). This diet is largely used to treat refractory epilepsy and begins to be studied in oncology as well. This article describes the scientific evidence of the beneficial effects of the ketogenic diet and aims at showing how this complementary treatment could be useful against several cancers.

摘要

癌症是一种可出现在多种组织中的疾病,在法国每年导致超过15万人死亡。与健康细胞相比,癌细胞的基因组发生了突变,这导致其新陈代谢发生变化。它们主要利用糖酵解作为能量来源,而非脂肪酸氧化。目前,用于治疗癌症的方法缺乏特异性且有许多副作用。因此,找到既能对抗癌细胞进展,又能保护周围健康细胞并减少副作用的新策略显得越来越重要。生酮饮食是一种低糖高脂饮食,它可能是一个有趣的候选方案,因为它会改变细胞的能量机制并排除其主要能量来源(葡萄糖)。这种饮食在很大程度上用于治疗难治性癫痫,目前也开始在肿瘤学领域进行研究。本文描述了生酮饮食有益作用的科学证据,旨在展示这种辅助治疗方法如何对多种癌症有用。

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Sci China Life Sci. 2025 Apr;68(4):1010-1024. doi: 10.1007/s11427-023-2637-2. Epub 2025 Jan 14.
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Current advances in cancer energy metabolism under dietary restriction: a mini review.限制饮食条件下癌症能量代谢的最新进展:一篇综述
Med Oncol. 2024 Jul 26;41(9):209. doi: 10.1007/s12032-024-02452-z.
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Beneficial Diets and Pancreatic Cancer: Molecular Mechanisms and Clinical Practice.有益饮食与胰腺癌:分子机制与临床实践
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