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高脂饮食与辐射反应改变

High-Fat Diet and Altered Radiation Response.

作者信息

Kantapan Jiraporn, Katsube Takanori, Wang Bing

机构信息

Molecular Imaging and Therapy Research Unit, Department of Radiologic Technology, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200, Thailand.

Institute for Radiological Science, National Institutes for Quantum Science and Technology (QST), Chiba 263-8555, Japan.

出版信息

Biology (Basel). 2025 Mar 22;14(4):324. doi: 10.3390/biology14040324.

Abstract

High-fat diets (HFDs) have become increasingly prevalent in modern societies, driving rising rates of obesity and metabolic syndrome. Concurrently, radiation exposure from medical treatments and environmental sources poses health risks shaped by both biological and environmental factors. This review explores the intersection between HFDs and radiation sensitivity/susceptibility, focusing on how diet-induced metabolic alterations influence the body's response to radiation. Evidence from preclinical and clinical studies indicates that HFDs significantly alter metabolism, leading to increased oxidative stress and immune system dysregulation. These metabolic changes can exacerbate radiation-induced oxidative stress, inflammation, and DNA damage, potentially increasing radiation sensitivity in normal tissues. Conversely, obesity and HFD-induced metabolic disruptions may activate cellular pathways involved in DNA repair, cell survival, and inflammatory responses, fostering tumor resistance and modifying the tumor microenvironment, which may impair the efficacy of radiation therapy in cancer treatment. Understanding the interplay between diet and radiation exposure is critical for optimizing public health guidelines and improving therapeutic outcomes. These findings underscore the need for further research into dietary interventions that may mitigate radiation-associated risks.

摘要

高脂饮食(HFDs)在现代社会中越来越普遍,导致肥胖和代谢综合征的发病率不断上升。与此同时,来自医学治疗和环境源的辐射暴露带来了由生物和环境因素共同塑造的健康风险。本综述探讨了高脂饮食与辐射敏感性/易感性之间的交叉点,重点关注饮食诱导的代谢改变如何影响身体对辐射的反应。临床前和临床研究的证据表明,高脂饮食会显著改变新陈代谢,导致氧化应激增加和免疫系统失调。这些代谢变化会加剧辐射诱导的氧化应激、炎症和DNA损伤,可能会增加正常组织对辐射的敏感性。相反,肥胖和高脂饮食诱导的代谢紊乱可能会激活参与DNA修复、细胞存活和炎症反应的细胞途径,促进肿瘤抗性并改变肿瘤微环境,这可能会损害癌症治疗中放射治疗的疗效。了解饮食与辐射暴露之间的相互作用对于优化公共卫生指南和改善治疗效果至关重要。这些发现强调了进一步研究可能减轻辐射相关风险的饮食干预措施的必要性。

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