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肺癌与空气污染之间关联的最新进展

Update in Association between Lung Cancer and Air Pollution.

作者信息

Yoo Jiye, Lee Yongchan, Park Youngil, Lee Jongin, Choi Joon Young, Lee Heekwan, Lim Jeong Uk

机构信息

Institute for Environmental Convergence Technology, Department of Environmental Engineering, Incheon National University, Incheon, Republic of Korea.

Department of Occupational and Environmental Medicine, Seoul St. Mary's Hospital, College of Medicine, the Catholic University of Korea, Seoul, Republic of Korea.

出版信息

Tuberc Respir Dis (Seoul). 2025 Apr;88(2):228-236. doi: 10.4046/trd.2024.0092. Epub 2024 Dec 11.

Abstract

A significant portion of newly diagnosed lung cancer cases occurs in populations exposed to air pollution. The World Health Organization has identified air pollution as a human carcinogen, prompting many countries to implement monitoring systems for ambient particulate matter (PM). PM is composed of a complex mixture of organic and inorganic particles, both solid and liquid, that are found in the air. Given the carcinogenic properties of PM and the high prevalence of lung cancer among exposed populations, exploring their connection and clinical implications is critical for effectively preventing lung cancer in this group. This review explores the relationship between ambient PM and lung cancer. Epidemiological studies have demonstrated a dose-response relationship between PM exposure and lung cancer risk. PM exposure induces oxidative stress, disrupts the body's redox balance, and causes DNA damage, which is a crucial factor in cancer development. Recent findings on the strong correlation between ambient PM and adenocarcinoma highlight the importance of understanding the specific molecular and pathological mechanisms underlying pollution-related lung cancer. In addition to efforts to control emission sources at the international level, a more individualized approach is essential for preventing PM-related lung cancer.

摘要

相当一部分新诊断出的肺癌病例发生在暴露于空气污染的人群中。世界卫生组织已将空气污染确定为人类致癌物,促使许多国家实施环境颗粒物(PM)监测系统。PM 是空气中发现的由有机和无机颗粒(包括固体和液体)组成的复杂混合物。鉴于 PM 的致癌特性以及暴露人群中肺癌的高发病率,探索它们之间的联系及其临床意义对于有效预防该人群中的肺癌至关重要。这篇综述探讨了环境 PM 与肺癌之间的关系。流行病学研究表明,PM 暴露与肺癌风险之间存在剂量反应关系。PM 暴露会诱导氧化应激,破坏人体的氧化还原平衡,并导致 DNA 损伤,而 DNA 损伤是癌症发展的关键因素。最近关于环境 PM 与腺癌之间强相关性的研究结果凸显了了解污染相关肺癌潜在的特定分子和病理机制的重要性。除了在国际层面努力控制排放源之外,采用更个性化的方法对于预防与 PM 相关的肺癌至关重要。

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