Terracina Sergio, Ferraguti Giampiero, Petrella Carla, Bruno Sabina Maria, Blaconà Giovanna, Di Certo Maria Grazia, Minni Antonio, Greco Antonio, Musacchio Angela, Ralli Massimo, Tarani Luigi, Ceccanti Mauro, Polimeni Antonella, Triaca Viviana, Fiore Marco
Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy.
Institute of Biochemistry and Cell Biology, National Research Council (IBBC-CNR), Rome, Italy.
Curr Cancer Drug Targets. 2023;23(2):87-102. doi: 10.2174/1568009622666220816120353.
Evidence shows that there is a synergistic, bidirectional association between cancer and aging with many shared traits. Age itself is a risk factor for the onset of most cancers, while evidence suggests that cancer and its treatments might accelerate aging by causing genotoxic and cytotoxic insults. Aging has been associated with a series of alterations that can be linked to cancer: i) genomic instability caused by DNA damage or epigenetic alterations coupled with repair errors, which lead to progressive accumulation of mutations; ii) telomere attrition with possible impairment of telomerase, shelterin complex, or the trimeric complex (Cdc13, Stn1 and Ten1 - CST) activities associated with abnormalities in DNA replication and repair; iii) altered proteostasis, especially when leading to an augmented proteasome, chaperon and autophagy-lysosome activity; iv) mitochondrial dysfunction causing oxidative stress; v) cellular senescence; vi) stem cells exhaustion, intercellular altered communication and deregulated nutrient sensing which are associated with microenvironmental modifications which may facilitate the subsequential role of cancer stem cells. Nowadays, anti-growth factor agents and epigenetic therapies seem to assume an increasing role in fighting aging-related diseases, especially cancer. This report aims to discuss the impact of age on cancer growth.
证据表明,癌症与衰老之间存在协同的双向关联,且有许多共同特征。年龄本身就是大多数癌症发病的一个风险因素,而有证据表明,癌症及其治疗可能通过造成基因毒性和细胞毒性损伤来加速衰老。衰老与一系列可与癌症相关联的改变有关:i)由DNA损伤或表观遗传改变以及修复错误导致的基因组不稳定,进而导致突变的逐步积累;ii)端粒磨损,可能伴有端粒酶、端粒保护蛋白复合体或与DNA复制和修复异常相关的三聚体复合体(Cdc13、Stn1和Ten1 - CST)活性受损;iii)蛋白质稳态改变,尤其是当导致蛋白酶体、伴侣蛋白和自噬 - 溶酶体活性增强时;iv)线粒体功能障碍导致氧化应激;v)细胞衰老;vi)干细胞耗竭、细胞间通讯改变和营养感应失调,这些与微环境改变相关,可能促进癌症干细胞的后续作用。如今,抗生长因子药物和表观遗传疗法在对抗与衰老相关的疾病,尤其是癌症方面似乎发挥着越来越重要的作用。本报告旨在讨论年龄对癌症生长的影响。