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饮食与营养在癌症发生发展及管理中的作用:从分子机制到个性化干预

The Role of Diet and Nutrition in Cancer Development and Management: From Molecular Mechanisms to Personalized Interventions.

作者信息

Ruban Maxim, Pozhidaeva Elizaveta, Bolotina Larisa, Kaprin Andrey

机构信息

P. Hertsen Moscow Oncology Research Institute-Branch of the National Medical Research Radiological Centre, 105425 Moscow, Russia.

Department of Urology and Operative Nephrology, Peoples' Friendship University of Russia (RUDN University), Mikluho-Maklaya St., 6, 117198 Moscow, Russia.

出版信息

Foods. 2025 May 18;14(10):1788. doi: 10.3390/foods14101788.

Abstract

Diet plays a crucial role in cancer development and progression, beyond traditional risk factors. This review aims to summarize current evidence on the role of diet and specific nutrients in cancer development and progression, focusing on molecular mechanisms. We also discuss the potential of personalized dietary interventions, based on tumor and patient characteristics, in enhancing cancer prevention and treatment strategies. The review covers the impact of calories, protein, sugar, and other dietary components on signaling pathways and growth factors involved in carcinogenesis. We examine the influence of obesity, insulin resistance, and other metabolic factors on cancer risk and outcomes. The article also explores current dietary strategies, including calorie restriction, ketogenic diets, and the role of the gut microbiome in modulating response to anticancer therapies. Finally, we highlight the need for further research to develop targeted, personalized dietary recommendations based on an individual's tumor profile, stage of disease, and other clinical factors. Integrating such personalized dietary approaches into cancer prevention and treatment holds promise for improving patient outcomes and quality of life.

摘要

除了传统风险因素外,饮食在癌症的发生和发展中起着至关重要的作用。本综述旨在总结关于饮食及特定营养素在癌症发生和发展中作用的现有证据,重点关注分子机制。我们还将讨论基于肿瘤和患者特征的个性化饮食干预措施在加强癌症预防和治疗策略方面的潜力。该综述涵盖了热量、蛋白质、糖及其他饮食成分对致癌过程中信号通路和生长因子的影响。我们研究肥胖、胰岛素抵抗及其他代谢因素对癌症风险和预后的影响。本文还探讨了当前的饮食策略,包括热量限制、生酮饮食以及肠道微生物群在调节对抗癌疗法反应中的作用。最后,我们强调需要进一步开展研究,以便根据个体的肿瘤特征、疾病阶段及其他临床因素制定有针对性的个性化饮食建议。将这种个性化饮食方法纳入癌症预防和治疗有望改善患者的预后和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7e5/12110988/5553b9ddc504/foods-14-01788-g001.jpg

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