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炎症是否会导致衰老过程中的癌症发病率和死亡率?一项概念性综述。

Does Inflammation Contribute to Cancer Incidence and Mortality during Aging? A Conceptual Review.

作者信息

Guerville Florent, Bourdel-Marchasson Isabelle, Déchanet-Merville Julie, Pellegrin Isabelle, Soubeyran Pierre, Appay Victor, Lemoine Maël

机构信息

ImmunoConcEpT, CNRS UMR5164, INSERM ERL1303, Université de Bordeaux, F-33076 Bordeaux, France.

Clinical Gerontology Department, Bordeaux University Hospital, F-33000 Bordeaux, France.

出版信息

Cancers (Basel). 2022 Mar 23;14(7):1622. doi: 10.3390/cancers14071622.

Abstract

Aging is associated with chronic low-grade inflammation, cancer incidence and mortality. As inflammation contributes to cancer initiation and progression, one could hypothesize that age-associated chronic low-grade inflammation contributes to the increase in cancer incidence and/or mortality observed during aging. Here, we review the evidence supporting this hypothesis: (1) epidemiological associations between biomarkers of systemic inflammation and cancer incidence and mortality in older people, (2) therapeutic clues suggesting that targeting inflammation could reduce cancer incidence and mortality and (3) experimental evidence from animal models highlighting inflammation as a link between various mechanisms of aging and cancer initiation and progression. Despite a large body of literature linking aging, inflammation and cancer, convincing evidence for the clear implication of specific inflammatory pathways explaining cancer incidence or mortality during aging is still lacking. Further dedicated research is needed to fill these gaps in evidence and pave the way for the development of applications in clinical care.

摘要

衰老与慢性低度炎症、癌症发病率及死亡率相关。由于炎症会促进癌症的发生和发展,因此可以推测,与年龄相关的慢性低度炎症会导致衰老过程中癌症发病率和/或死亡率的上升。在此,我们综述支持这一假说的证据:(1)老年人全身炎症生物标志物与癌症发病率及死亡率之间的流行病学关联;(2)提示靶向炎症可降低癌症发病率及死亡率的治疗线索;(3)来自动物模型的实验证据,突出了炎症作为衰老的各种机制与癌症发生及发展之间的联系。尽管有大量文献将衰老、炎症和癌症联系起来,但仍缺乏确凿证据来明确表明特定炎症途径在解释衰老过程中的癌症发病率或死亡率方面的明确作用。需要进一步开展专门研究来填补这些证据空白,并为临床护理应用的开发铺平道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0821/8996949/1926ca2298cf/cancers-14-01622-g001.jpg

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