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癌症恶病质的分子机制与当前治疗选择

Molecular Mechanisms and Current Treatment Options for Cancer Cachexia.

作者信息

Ahmad Syed Sayeed, Ahmad Khurshid, Shaikh Sibhghatulla, You Hye Jin, Lee Eun-Young, Ali Shahid, Lee Eun Ju, Choi Inho

机构信息

Department of Medical Biotechnology, Yeungnam University, Gyeongsan 38541, Gyeongsangbuk-do, Korea.

Research Institute of Cell Culture, Yeungnam University, Gyeongsan 38541, Gyeongsangbuk-do, Korea.

出版信息

Cancers (Basel). 2022 Apr 23;14(9):2107. doi: 10.3390/cancers14092107.

Abstract

Cancer cachexia is a condition marked by functional, metabolic, and immunological dysfunctions associated with skeletal muscle (SM) atrophy, adipose tissue loss, fat reduction, systemic inflammation, and anorexia. Generally, the condition is caused by a variety of mediators produced by cancer cells and cells in tumor microenvironments. Myostatin and activin signaling, IGF-1/PI3K/AKT signaling, and JAK-STAT signaling are known to play roles in cachexia, and thus, these pathways are considered potential therapeutic targets. This review discusses the current state of knowledge of the molecular mechanisms underlying cachexia and the available therapeutic options and was undertaken to increase understanding of the various factors/pathways/mediators involved and to identify potential treatment options.

摘要

癌症恶病质是一种以功能、代谢和免疫功能障碍为特征的病症,与骨骼肌萎缩、脂肪组织丢失、体重减轻、全身炎症和厌食症相关。一般来说,这种病症是由癌细胞和肿瘤微环境中的细胞产生的多种介质引起的。已知肌肉生长抑制素和激活素信号传导、IGF-1/PI3K/AKT信号传导以及JAK-STAT信号传导在恶病质中起作用,因此,这些途径被认为是潜在的治疗靶点。本综述讨论了恶病质潜在分子机制的当前知识状态以及可用的治疗选择,旨在增进对所涉及的各种因素/途径/介质的理解,并确定潜在的治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de03/9105812/c01f3fd4db35/cancers-14-02107-g001.jpg

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