Department of Human Biology, School of Medicine, International Medical University, Bukit Jalil 57000, Kuala Lumpur, Malaysia.
World J Gastroenterol. 2023 Jul 21;29(27):4271-4288. doi: 10.3748/wjg.v29.i27.4271.
Hepatocellular carcinoma (HCC), the predominant type of liver cancer, is a major contributor to cancer-related fatalities across the globe. Diabetes has been identified as a significant risk factor for HCC, with recent research indicating that the hormone resistin could be involved in the onset and advancement of HCC in diabetic individuals. Resistin is a hormone that is known to be involved in inflammation and insulin resistance. Patients with HCC have been observed to exhibit increased resistin levels, which could be correlated with more severe disease stages and unfavourable prognoses. Nevertheless, the exact processes through which resistin influences the development and progression of HCC in diabetic patients remain unclear. This article aims to examine the existing literature on the possible use of resistin levels as a biomarker for HCC development and monitoring. Furthermore, it reviews the possible pathways of HCC initiation due to elevated resistin and offers new perspectives on comprehending the fundamental mechanisms of HCC in diabetic patients. Gaining a better understanding of these processes may yield valuable insights into HCC's development and progression, as well as identify possible avenues for prevention and therapy.
肝细胞癌(HCC)是肝癌的主要类型,也是全球癌症相关死亡的主要原因之一。糖尿病已被确定为 HCC 的一个重要危险因素,最近的研究表明,激素抵抗素可能参与了糖尿病患者 HCC 的发生和发展。抵抗素是一种已知参与炎症和胰岛素抵抗的激素。患有 HCC 的患者表现出抵抗素水平升高,这可能与更严重的疾病阶段和不利的预后相关。然而,抵抗素影响糖尿病患者 HCC 发展和进展的确切过程尚不清楚。本文旨在检查关于抵抗素水平作为 HCC 发展和监测的生物标志物的可能用途的现有文献。此外,它还回顾了由于抵抗素升高而导致 HCC 发生的可能途径,并为理解糖尿病患者 HCC 的基本机制提供了新的视角。更好地理解这些过程可能为 HCC 的发展和进展提供有价值的见解,并确定预防和治疗的可能途径。