酒精及其相关的肝癌发生
Rachael Jacob1, David S Prince2,3, Charlotte Kench1
1AW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Journal of gastroenterology and hepatology
|June 1, 2023
概括
饮酒显著增加了肝癌的风险,特别是肝细胞癌 (HCC). 早期检测和了解风险因素对于管理与酒精有关的肝病和预防晚期瘤至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
背景情况:
- 酒精消费是肝硬化和肝细胞癌 (HCC) 的主要驱动因素.
- 与酒精相关的HCC (aHCC) 患病率在东欧最高,是肝癌死亡率的增长原因.
- 瘤通常在晚期被诊断出来,在监测协议之外.
研究的目的:
- 总结目前对酒精相关肝细胞癌 (aHCC) 的理解.
- 突出导致aHCC的风险因素和协同效应.
- 概述涉及与酒精有关的肝癌发生的机制性途径.
主要方法:
- 审查有关饮酒和肝癌的现有文献.
- 对aHCC患病率和死亡率的流行病学数据的分析.
- 关于与酒精有关的肝癌发生的机制研究的综合.
主要成果:
- 更多的酒精摄入量,性别和遗传变异是aHCC的关键风险因素.
- 吸烟,肥胖,糖尿病和其他肝脏疾病协同提高酒精消费者的HCC风险.
- 机制包括乙甲毒性,氧化应激,免疫激活和微生物组变化.
结论:
- 酒精是HCC的主要,不断增长的原因,通常是晚期诊断的.
- 多种因素相互作用,增加HCC的风险.
- 了解复杂的途径对于预防和治疗策略至关重要.
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