Wu Xin, Zhang Xin, Yu Xiaopeng, Liang Hongyuan, Tang Shaoshan, Wang Yao
Department of General Surgery, Shengjing Hospital of China Medical University, Shengyang, China.
Oncology Department, Shengjing Hospital of China Medical University, Shengyang, China.
Ecotoxicol Environ Saf. 2025 Jan 15;290:117437. doi: 10.1016/j.ecoenv.2024.117437. Epub 2024 Dec 12.
Liver cancer, namely hepatocellular carcinoma (HCC), is a major global health concern deeply influenced by environmental factors. Air pollutants emerged as significant contributors to its incidence. This review explores the association between air pollution-specifically particulate matter (PM2.5), industrial chemicals like vinyl chloride, and benzene-and the increased risk of liver cancer. Mechanistically, air pollutants may cause liver damage by inducing oxidative stress, inflammation, and genetic mutations, contributing to cancer development. Epidemiological evidence from cohort and geographic studies highlights a positive correlation between long-term exposure to air pollutants and elevated incidence and mortality of liver cancer. Furthermore, air pollution has been shown to worsen survival outcomes in liver cancer patients, particularly those diagnosed at early stages. The review emphasizes the need for stricter air quality regulations and relevant research for underlying mechanisms exposed to air pollution. Addressing air pollution exposure could be crucial for reducing liver cancer risks and improving public health outcomes.
肝癌,即肝细胞癌(HCC),是一个受环境因素深刻影响的重大全球健康问题。空气污染物已成为其发病率的重要促成因素。本综述探讨了空气污染(特别是细颗粒物(PM2.5))、氯乙烯和苯等工业化学品与肝癌风险增加之间的关联。从机制上讲,空气污染物可能通过诱导氧化应激、炎症和基因突变导致肝损伤,从而促进癌症发展。队列研究和地理研究的流行病学证据表明,长期接触空气污染物与肝癌发病率和死亡率升高之间存在正相关。此外,空气污染已被证明会使肝癌患者的生存结果恶化,尤其是那些早期诊断的患者。该综述强调需要更严格的空气质量法规以及针对接触空气污染潜在机制的相关研究。解决空气污染暴露问题对于降低肝癌风险和改善公共卫生结果可能至关重要。