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癌症的营养与膳食干预:差距、挑战与未来展望。

Nutrition and Dietary Intervention in Cancer: Gaps, Challenges, and Future Perspectives.

机构信息

Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.

Department of Biological Sciences, National University of Medical Sciences, Rawalpindi, Pakistan.

出版信息

Cancer Treat Res. 2024;191:281-307. doi: 10.1007/978-3-031-55622-7_11.

Abstract

The term "cancer" refers to the state in which cells in the body develop mutations and lose control over their replication. Malignant cancerous cells invade in various other tissue sites of the body. Chemotherapy, radiation, and surgery are the first-line modalities for the majority of solid cancers. These treatments work by mitigating the DNA damage of cancerous cells, but they can also cause harm to healthy cells. These side effects might be immediate or delayed, and they can cause a high rate of morbidity and mortality. Dietary interventions have a profound impact on whole-body metabolism, including immunometabolism and oncometabolism which have been shown to reduce cancer growth, progression, and metastasis in many different solid tumor models with promising outcomes in early phase clinical studies. Dietary interventions can improve oncologic or quality-of-life outcomes for patients that are undergoing chemotherapy or radiotherapy. In this chapter, we will focus on the impact of nutritional deficiencies, several dietary interventions and their proposed mechanisms which are used as a novel therapy in controlling and managing cancers.

摘要

“癌症”一词是指体内细胞发生突变并失去对其复制控制的状态。恶性癌细胞会侵入身体的其他各种组织部位。化疗、放疗和手术是大多数实体瘤的一线治疗方法。这些治疗方法通过减轻癌细胞的 DNA 损伤起作用,但也会对健康细胞造成伤害。这些副作用可能是即时的或延迟的,它们会导致高发病率和死亡率。饮食干预对全身代谢有深远影响,包括免疫代谢和致癌代谢,已在许多不同的实体瘤模型中显示出可减少癌症生长、进展和转移的作用,在早期临床研究中取得了有希望的结果。饮食干预可以改善正在接受化疗或放疗的患者的肿瘤学或生活质量结局。在本章中,我们将重点关注营养缺乏的影响、几种饮食干预及其作为控制和管理癌症的新疗法的拟议机制。

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