Shi Canxia, de Wit Sanne, Učambarlić Emina, Markousis-Mavrogenis George, Screever Elles M, Meijers Wouter C, de Boer Rudolf A, Aboumsallem Joseph Pierre
Department of Cardiology, University Medical Center Groningen, University of Groningen, 9700 RB Groningen, The Netherlands.
Department of Cardiology, Erasmus MC, 3000 CA Rotterdam, The Netherlands.
Cancers (Basel). 2023 Jan 25;15(3):729. doi: 10.3390/cancers15030729.
Within the aging population, the frequency of cancer is increasing dramatically. In addition, multiple genetic and environmental factors lead to common multifactorial diseases, including cardiovascular disease, chronic kidney disease, chronic obstructive pulmonary disease, and metabolic-associated fatty liver disease. In recent years, there has been a growing awareness of the connection between cancer and multifactorial diseases, as well as how one can affect the other, resulting in a vicious cycle. Although the exact mechanistic explanations behind this remain to be fully explored, some progress has been made in uncovering the common pathologic mechanisms. In this review, we focus on the nature of the link between cancer and common multifactorial conditions, as well as specific shared mechanisms, some of which may represent either preventive or therapeutic targets. Rather than organ-specific interactions, we herein focus on the shared mechanisms among the multifactorial diseases, which may explain the increased cancer risk. More research on this subject will highlight the significance of developing new drugs that target multiple systems rather than just one disease.
在老年人群中,癌症的发病率正在急剧上升。此外,多种遗传和环境因素导致了常见的多因素疾病,包括心血管疾病、慢性肾病、慢性阻塞性肺疾病和代谢相关脂肪性肝病。近年来,人们越来越意识到癌症与多因素疾病之间的联系,以及它们如何相互影响从而形成恶性循环。尽管其背后的确切机制仍有待充分探索,但在揭示共同的病理机制方面已经取得了一些进展。在本综述中,我们关注癌症与常见多因素疾病之间联系的本质,以及特定的共同机制,其中一些机制可能代表预防或治疗靶点。我们在此关注的不是器官特异性相互作用,而是多因素疾病之间的共同机制,这可能解释了癌症风险增加的原因。对此主题进行更多研究将凸显开发针对多个系统而非单一疾病的新药的重要性。