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短链脂肪酸:在糖尿病患者中抗击炎症和预防肿瘤发生的战士。

Short-Chain Fatty Acids: A Soldier Fighting Against Inflammation and Protecting From Tumorigenesis in People With Diabetes.

机构信息

Department of Radiation Oncology, Chongqing University Cancer Hospital and Chongqing Cancer Institute and Hospital, Chongqing, China.

Chongqing Public Health Medical Center, Chongqing, China.

出版信息

Front Immunol. 2020 Dec 8;11:590685. doi: 10.3389/fimmu.2020.590685. eCollection 2020.

Abstract

Converging evidences showed that people with diabetes mellitus (DM) have significantly higher risk for different cancers, of which the exact mechanism underlying the association has not been fully realized. Short-chain fatty acids (SCFAs), the fermentation products of the intestinal microbiota, are an essential source for energy supply in gut epithelial cells. They have been reported to improve intestinal barrier integrity, prevent microbial translocation, and further dampen inflammation. Gut dysbiosis and reduction in SCFA-producing bacteria as well as SCFAs production in the intestine are commonly seen in metabolic disorders including DM and obesity. Moreover, inflammation can contribute to tumor initiation and progression through multiple pathways, such as enhancing DNA damage, accumulating mutations in tumor suppressor genes Tp53, and activating nuclear factor-kappa B (NF-κB) signaling pathways. Based on these facts, we hypothesize that lower levels of microbial SCFAs resulted from gut dysbiosis in diabetic individuals, enhance microbial translocation, and increase the inflammatory responses, inducing tumorigenesis ulteriorly. To this end, we will discuss protective properties of microbial SCFAs and explore the pivotal roles SCFAs played in the link of DM with cancer, so as to take early precautions to reduce the risk of cancer in patients with DM.

摘要

越来越多的证据表明,糖尿病患者(DM)患不同癌症的风险显著增加,但两者之间的确切关联机制尚未完全阐明。短链脂肪酸(SCFAs)是肠道微生物发酵的产物,是肠道上皮细胞能量供应的重要来源。有研究报道,SCFAs 可改善肠道屏障完整性,防止微生物易位,并进一步抑制炎症。肠道菌群失调和产 SCFA 细菌减少以及肠道内 SCFAs 产生减少,在包括糖尿病和肥胖症在内的代谢紊乱中很常见。此外,炎症可以通过多种途径促进肿瘤的发生和发展,例如增强 DNA 损伤、积累肿瘤抑制基因 Tp53 的突变,以及激活核因子-κB(NF-κB)信号通路。基于这些事实,我们假设糖尿病患者肠道菌群失调导致微生物 SCFAs 水平降低,增强了微生物易位,并增加了炎症反应,进而诱导肿瘤发生。为此,我们将讨论微生物 SCFAs 的保护特性,并探讨 SCFAs 在糖尿病与癌症之间联系中发挥的关键作用,以便及早采取预防措施,降低糖尿病患者患癌症的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48f8/7752775/46e03df373f5/fimmu-11-590685-g001.jpg

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