Cardiovascular, diabetes, and cancer strips: evidences, mechanisms, and classifications

Chun-Song Hu1, Qing-Hua Wu1, Da-Yi Hu1

  • 11 Department of Cardiovascular Medicine, Nanchang University, Nanchang 330006, China ; 2 Cardiovascular Center, Peking University People's Hospital, Beijing 100044, China.

Insights

This study introduces cardiovascular disease (CVD), diabetes mellitus (DM), and cancer (CDC) strips, detailing their mechanisms and classifications. Understanding these interconnected disease pathways is crucial for managing non-communicable diseases.

Area of Science:

  • Medical Science
  • Pathophysiology
  • Disease Mechanisms

Background:

  • Cardiovascular disease (CVD), diabetes mellitus (DM), and cancers (CDC) are leading causes of non-communicable diseases (NCDs).
  • The interrelationships and shared underlying mechanisms between these conditions are not fully elucidated.
  • Existing research often examines these diseases in isolation, necessitating a holistic approach.

Purpose of the Study:

  • To identify and name "CDC strips" representing the co-occurrence of CVD, DM, and cancers.
  • To elucidate the mechanisms, classifications, and clinical significance of these interconnected disease pathways.
  • To provide a framework for understanding and managing these common NCDs.

Main Methods:

  • A narrative and systematic review of evidence-based literature from the past 10 years.
  • Interpretive analysis integrating literature findings with extensive clinical experience.
  • Data extraction from 48 selected articles, including qualitative, quantitative, and mixed data.

Main Results:

  • Evidence supports the existence of "CDC strips" linking CVD and DM, DM and cancers, and cancers and CVD.
  • The "Bad SEED" +/- "bad soil" theory is proposed to explain these links, involving internal environmental factors and risk factors.
  • Mechanisms involve multi-pathway and multi-target interactions at organ, tissue, cellular, and genetic levels.
  • Classifications include main strips (Type B) and branches (Type A).

Conclusions:

  • The concept of "CDC strips" provides a novel framework for understanding the links between CVD, DM, and cancers.
  • Understanding these strips, their mechanisms, and classifications is vital for the prevention and control of NCDs.
  • This research offers insights into managing high-risk individuals and disease clusters.
Abstract

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