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接受胰高血糖素样肽-1(GLP-1)激动剂治疗的患者患侵袭性前列腺癌和疾病进展的风险会更低吗?

May Patients Receiving GLP-1 Agonists Be at Lower Risk of Prostate Cancer Aggressiveness and Progression?

作者信息

Drewa Julia, Lazar-Juszczak Katarzyna, Adamowicz Jan, Juszczak Kajetan

机构信息

Department of Urology and Andrology, Collegium Medicum, Nicolaus Copernicus University, 85-094 Bydgoszcz, Poland.

Primary Health Care Clinic of the Ujastek Medical Center, Krakow University of Health Promotion, 31-158 Cracow, Poland.

出版信息

Cancers (Basel). 2025 May 6;17(9):1576. doi: 10.3390/cancers17091576.

DOI:10.3390/cancers17091576
PMID:40361502
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12071316/
Abstract

INTRODUCTION

GLP-1 receptor agonists are valuable therapeutic agents for managing obesity and type 2 diabetes. The link between prostate cancer and obesity was described. The modulation of incretin hormone-dependent pathways may decrease the prostate cancer aggressiveness and progression.

OBJECTIVES

The purpose of this study was to review and summarize the literature on the role of GLP-1 agonists in prostate cancer.

MATERIAL & METHODS: We performed a scoping literature review of PubMed from January 2002 to February 2025. Search terms included "glucagon-peptide like 1", "incretin hormone", "GLP-1 receptor agonist", and "prostate cancer". Secondary search involved reference lists of eligible articles. The key criterion was to identify studies that included GLP-1 receptor, incretin hormones, GLP-1 receptor agonists, and their role in prostate cancer development.

RESULTS

77 publications were selected for inclusion in this review. The studies contained in publications allowed us to summarize the data on the role of GLP-1 receptor and it's agonists in prostate cancer biology and development. The following review aims to discuss and provide information about the role of incretin hormones in prostate cancer pathogenesis and its clinical implication in patients with prostate cancer.

CONCLUSION

Incretin hormone-dependent pathways play an important role in prostate cancer pathogenesis. Moreover, GLP-1 receptor agonists seems to be a promising therapeutical agents when it comes to finding new therapies in patients with more aggressive and/or advanced stages of prostate cancer.

摘要

引言

胰高血糖素样肽-1(GLP-1)受体激动剂是治疗肥胖症和2型糖尿病的重要药物。已有研究描述了前列腺癌与肥胖之间的联系。肠促胰岛素依赖性途径的调节可能会降低前列腺癌的侵袭性和进展。

目的

本研究的目的是回顾和总结关于GLP-1激动剂在前列腺癌中作用的文献。

材料与方法

我们对2002年1月至2025年2月期间的PubMed进行了范围综述。检索词包括“胰高血糖素样肽-1”、“肠促胰岛素”、“GLP-1受体激动剂”和“前列腺癌”。二次检索涉及符合条件文章的参考文献列表。关键标准是确定包括GLP-1受体、肠促胰岛素、GLP-1受体激动剂及其在前列腺癌发生发展中作用的研究。

结果

77篇出版物被选入本综述。这些出版物中的研究使我们能够总结关于GLP-1受体及其激动剂在前列腺癌生物学和发展中作用的数据。以下综述旨在讨论并提供有关肠促胰岛素在前列腺癌发病机制中的作用及其对前列腺癌患者临床意义的信息。

结论

肠促胰岛素依赖性途径在前列腺癌发病机制中起重要作用。此外,在寻找针对侵袭性更强和/或晚期前列腺癌患者的新疗法时,GLP-1受体激动剂似乎是一种有前景的治疗药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb37/12071316/5c70064d9957/cancers-17-01576-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb37/12071316/8783d15eeee5/cancers-17-01576-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb37/12071316/5c70064d9957/cancers-17-01576-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb37/12071316/8783d15eeee5/cancers-17-01576-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb37/12071316/5c70064d9957/cancers-17-01576-g002.jpg

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本文引用的文献

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Periprostatic Adipose Tissue as a Contributor to Prostate Cancer Pathogenesis: A Narrative Review.前列腺周围脂肪组织在前列腺癌发病机制中的作用:一项叙述性综述
Cancers (Basel). 2025 Jan 23;17(3):372. doi: 10.3390/cancers17030372.
2
Mapping the effectiveness and risks of GLP-1 receptor agonists.绘制胰高血糖素样肽-1受体激动剂的有效性和风险图谱。
Nat Med. 2025 Mar;31(3):951-962. doi: 10.1038/s41591-024-03412-w. Epub 2025 Jan 20.
3
Enzalutamide with standard first-line therapy for metastatic hormone-sensitive prostate cancer: a plain language summary of the ENZAMET trial (ANZUP 1304).
恩杂鲁胺联合标准一线疗法治疗转移性激素敏感性前列腺癌:ENZAMET试验(ANZUP 1304)的通俗易懂总结
Future Oncol. 2025 Mar;21(6):627-636. doi: 10.1080/14796694.2024.2440277. Epub 2025 Jan 17.
4
Differential Effects of GLP-1 Receptor Agonists on Cancer Risk in Obesity: A Nationwide Analysis of 1.1 Million Patients.胰高血糖素样肽-1受体激动剂对肥胖人群癌症风险的不同影响:一项对110万患者的全国性分析
Cancers (Basel). 2024 Dec 30;17(1):78. doi: 10.3390/cancers17010078.
5
Body mass index, obesity and risk of prostate cancer: a systematic review and meta-analysis.体重指数、肥胖与前列腺癌风险:一项系统综述与荟萃分析
Cent European J Urol. 2024;77(2):176-188. doi: 10.5173/ceju.2023.162. Epub 2024 Mar 15.
6
Glucagon-like peptide-1 receptor: mechanisms and advances in therapy.胰高血糖素样肽-1 受体:作用机制与治疗进展。
Signal Transduct Target Ther. 2024 Sep 18;9(1):234. doi: 10.1038/s41392-024-01931-z.
7
GLP-1 single, dual, and triple receptor agonists for treating type 2 diabetes and obesity: a narrative review.用于治疗2型糖尿病和肥胖症的GLP-1单受体、双受体和三受体激动剂:一项叙述性综述
EClinicalMedicine. 2024 Aug 30;75:102782. doi: 10.1016/j.eclinm.2024.102782. eCollection 2024 Sep.
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Mechanisms of action and therapeutic applications of GLP-1 and dual GIP/GLP-1 receptor agonists.胰高血糖素样肽-1(GLP-1)及双重葡萄糖依赖性促胰岛素多肽(GIP)/GLP-1受体激动剂的作用机制与治疗应用
Front Endocrinol (Lausanne). 2024 Jul 24;15:1431292. doi: 10.3389/fendo.2024.1431292. eCollection 2024.
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GLP-1 agonists: US sees 700% increase over four years in number of patients without diabetes starting treatment.胰高血糖素样肽-1(GLP-1)激动剂:美国非糖尿病患者开始接受治疗的人数在四年内增长了700%。
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From Diabetes to Oncology: Glucagon-like Peptide-1 (GLP-1) Receptor Agonist's Dual Role in Prostate Cancer.从糖尿病到肿瘤学:胰高血糖素样肽-1(GLP-1)受体激动剂在前列腺癌中的双重作用
Cancers (Basel). 2024 Apr 18;16(8):1538. doi: 10.3390/cancers16081538.