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环境因素、DNA 甲基化与癌症。

Environment factors, DNA methylation, and cancer.

机构信息

Department of General Surgery, Second Hospital of Lanzhou University, Lan Zhou, China.

Key Laboratory of the Digestive System Tumors of Gansu Province, Second Hospital of Lanzhou University, Lan Zhou, China.

出版信息

Environ Geochem Health. 2023 Nov;45(11):7543-7568. doi: 10.1007/s10653-023-01749-8. Epub 2023 Sep 16.

Abstract

Today, the rapid development of science and technology and the rapid change in economy and society are changing the way of life of human beings and affecting the natural, living, working, and internal environment on which human beings depend. At the same time, the global incidence of cancer has increased significantly yearly, and cancer has become the number one killer that threatens human health. Studies have shown that diet, living habits, residential environment, mental and psychological factors, intestinal flora, genetics, social factors, and viral and non-viral infections are closely related to human cancer. However, the molecular mechanisms of the environment and cancer development remain to be further explored. In recent years, DNA methylation has become a key hub and bridge for environmental and cancer research. Some environmental factors can alter the hyper/hypomethylation of human cancer suppressor gene promoters, proto-oncogene promoters, and the whole genome, causing low/high expression or gene mutation of related genes, thereby exerting oncogenic or anticancer effects. It is expected to develop early warning markers of cancer environment based on DNA methylation, thereby providing new methods for early detection of cancers, diagnosis, and targeted therapy. This review systematically expounds on the internal mechanism of environmental factors affecting cancer by changing DNA methylation, aiming to help establish the concept of cancer prevention and improve people's health.

摘要

如今,科学技术的飞速发展和经济社会的快速变化正在改变人类的生活方式,影响着人类赖以生存的自然、生活、工作和内在环境。同时,全球癌症发病率逐年显著增加,癌症已成为威胁人类健康的头号杀手。研究表明,饮食、生活习惯、居住环境、精神心理因素、肠道菌群、遗传因素、社会因素以及病毒和非病毒感染等都与人类癌症密切相关。然而,环境与癌症发生发展的分子机制仍有待进一步探索。近年来,DNA 甲基化已成为环境与癌症研究的关键枢纽和桥梁。一些环境因素可以改变人类抑癌基因启动子、原癌基因启动子和全基因组的超/低甲基化,导致相关基因的低/高表达或基因突变,从而发挥致癌或抗癌作用。有望基于 DNA 甲基化开发癌症环境的早期预警标志物,从而为癌症的早期检测、诊断和靶向治疗提供新方法。本综述系统阐述了环境因素通过改变 DNA 甲基化影响癌症的内在机制,旨在帮助树立癌症预防理念,提高人们的健康水平。

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