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禁食:对抗多柔比星诱导的心脏毒性的双刃剑。

Fasting: A Complex, Double-Edged Blade in the Battle Against Doxorubicin-Induced Cardiotoxicity.

机构信息

Department of Central Laboratory, Cancer Hospital of Dalian University of Technology, Liaoning Cancer Hospital & Institute, No. 44, Xiaoheyan Road, Dadong District, Shenyang, 110042, China.

Department of Biobank, Cancer Hospital of Dalian University of Technology, Liaoning Cancer Hospital & Institute, No. 44, Xiaoheyan Road, Dadong District, Shenyang, 110042, China.

出版信息

Cardiovasc Toxicol. 2024 Dec;24(12):1395-1409. doi: 10.1007/s12012-024-09925-7. Epub 2024 Oct 1.

Abstract

In recent years, there has been a surge in the popularity of fasting as a method to enhance one's health and overall well-being. Fasting is a customary practice characterized by voluntary refraining from consuming food and beverages for a specified duration, ranging from a few hours to several days. The potential advantages of fasting, including enhanced insulin sensitivity, decreased inflammation, and better cellular repair mechanisms, have been well documented. However, the effects of fasting on cancer therapy have been the focus of recent scholarly investigations. Doxorubicin (Dox) is one of the most widely used chemotherapy medications for cancer treatment. Unfortunately, cardiotoxicity, which may lead to heart failure and other cardiovascular issues, has been linked to Dox usage. This study aims to comprehensively examine the possible advantages and disadvantages of fasting concerning Dox-induced cardiotoxicity. Researchers have investigated the potential benefits of fasting in lowering the risk of Dox-induced cardiac damage to solve this problem. Nevertheless, new studies indicate that prolonged alternate-day fasting may adversely affect the heart's capacity to manage the cardiotoxic properties of Dox. Though fasting may benefit overall health, it is essential to proceed cautiously and consider the potential risks in certain circumstances.

摘要

近年来,禁食作为一种增进健康和整体幸福感的方法越来越受欢迎。禁食是一种习惯性的做法,其特点是自愿在特定时间内不进食食物和饮料,时间从几个小时到几天不等。禁食的潜在好处,包括增强胰岛素敏感性、减少炎症和更好的细胞修复机制,已经得到了充分的证明。然而,禁食对癌症治疗的影响一直是最近学术研究的焦点。多柔比星(Dox)是癌症治疗中最广泛使用的化疗药物之一。不幸的是,多柔比星的使用与心脏毒性有关,这可能导致心力衰竭和其他心血管问题。本研究旨在全面研究禁食对多柔比星诱导的心脏毒性的可能利弊。为了解决这个问题,研究人员已经研究了禁食在降低多柔比星诱导的心脏损伤风险方面的潜在益处。然而,新的研究表明,长时间隔日禁食可能会对心脏处理多柔比星的心脏毒性的能力产生不利影响。虽然禁食可能有益于整体健康,但在某些情况下,谨慎行事并考虑潜在风险是很重要的。

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