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心力衰竭与癌症双向关系的机制及预防策略(综述)

Mechanism and prevention strategy of a bidirectional relationship between heart failure and cancer (Review).

作者信息

Cai He, Men Hongbo, Cao Pengyu, Zheng Yang

机构信息

Cardiovascular Center, The First Hospital of Jilin University, Jilin University, Changchun, Jilin 130021, P.R. China.

出版信息

Exp Ther Med. 2021 Dec;22(6):1463. doi: 10.3892/etm.2021.10898. Epub 2021 Oct 20.

Abstract

The relationship between cancer and heart failure has been extensively studied in the last decade. These studies have focused on describing heart injury caused by certain cancer treatments, including radiotherapy, chemotherapy and targeted therapy. Previous studies have demonstrated a higher incidence of cancer in patients with heart failure. Heart failure enhances an over-activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system, and subsequently promotes cancer development. Other studies have found that heart failure and cancer both have a common pathological origin, flanked by chronic inflammation in certain organs. The present review aims to summarize and describe the recent discoveries, suggested mechanisms and relationships between heart failure and cancer. The current review provides more ideas on clinical prevention strategies according to the pathological mechanism involved.

摘要

在过去十年中,癌症与心力衰竭之间的关系已得到广泛研究。这些研究主要集中于描述某些癌症治疗(包括放疗、化疗和靶向治疗)所导致的心脏损伤。先前的研究表明,心力衰竭患者患癌症的几率更高。心力衰竭会增强交感神经系统和肾素-血管紧张素-醛固酮系统的过度激活,进而促进癌症发展。其他研究发现,心力衰竭和癌症都有一个共同的病理起源,某些器官存在慢性炎症。本综述旨在总结和描述心力衰竭与癌症之间的最新发现、推测机制及关系。根据所涉及的病理机制,本综述为临床预防策略提供了更多思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c90/8561773/8db2b9f47aa5/etm-22-06-10898-g00.jpg

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