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乳腺癌患者血清脂肪酸合酶水平与 n-3 脂肪酸摄入量。

Serum fatty acid synthase levels and n-3 fatty acid intake in patients with breast cancer.

机构信息

Graduate Program in Human Nutrition, Department of Nutrition, University of Brasilia, UnB, Brasilia 70910-900, Brazil.

University Hospital of Brasilia, University of Brasília, UnB, Brasilia 70910-900, Brazil.

出版信息

Clin Nutr ESPEN. 2021 Apr;42:142-147. doi: 10.1016/j.clnesp.2020.12.027. Epub 2021 Feb 11.

Abstract

PURPOSE

Fatty acid synthase (FASN) is a key enzyme in fatty acid biosynthesis that is usually over-expressed in patients with breast cancer, but its relationship with the patient's dietary habit is not clear. A higher intake of n-3 polyunsaturated fatty acids is related to reduced breast carcinogenesis in vitro and in vivo. The aim of this study was to clinically investigate the association between serum FASN levels and fatty acid intake in women newly diagnosed with breast cancer.

METHODS

In a case-control cross-sectional study, with 18 breast cancer patients and 29 controls, we evaluated nutritional status, dietary intake, and serum FASN levels. Statistical analyses were carried out with parametric and non-parametric tests, according to the sample's normality distribution.

RESULTS

The mean age of breast cancer group (n = 18) and control group (n = 29) was 46.8 ± 9.7 y and 44.4. ± 8.6 y, respectively. Mean serum concentration of FASN in breast cancer group was significantly higher (132.51 ± 95.05 ng/mL) than in control group (36.88 ± 20.87 ng/mL) (p < 0.0001). Among breast cancer group, serum FASN levels of premenopausal women were significantly higher than those of postmenopausal women (p = 0.026). There was no significant difference between the early and late disease stages in regard to serum FASN levels in breast cancer group. Mean nutrient intake was similar and n-3 docosahexaenoic acid intake was low in both groups. We observed no association regarding fatty acid intake and serum FASN levels.

CONCLUSION

These data suggest that dietary n-3 fatty acid has no association with serum FASN levels among newly diagnosed breast cancer patients.

摘要

目的

脂肪酸合酶(FASN)是脂肪酸生物合成中的关键酶,通常在乳腺癌患者中过度表达,但它与患者饮食习惯的关系尚不清楚。较高的 n-3 多不饱和脂肪酸摄入量与体外和体内乳腺癌发生减少有关。本研究旨在临床研究新诊断为乳腺癌的女性血清 FASN 水平与脂肪酸摄入之间的关系。

方法

在病例对照横断面研究中,我们评估了 18 名乳腺癌患者和 29 名对照者的营养状况、饮食摄入和血清 FASN 水平。根据样本的正态分布,采用参数和非参数检验进行统计分析。

结果

乳腺癌组(n=18)和对照组(n=29)的平均年龄分别为 46.8±9.7 岁和 44.4±8.6 岁。乳腺癌组血清 FASN 浓度明显高于对照组(132.51±95.05ng/ml 比 36.88±20.87ng/ml)(p<0.0001)。在乳腺癌组中,绝经前妇女的血清 FASN 水平明显高于绝经后妇女(p=0.026)。在乳腺癌组中,早晚期疾病阶段之间的血清 FASN 水平无显著差异。两组的平均营养素摄入量相似,n-3 二十二碳六烯酸摄入量均较低。我们没有观察到脂肪酸摄入与血清 FASN 水平之间存在关联。

结论

这些数据表明,饮食中 n-3 脂肪酸与新诊断的乳腺癌患者的血清 FASN 水平无关。

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