炎症和代谢障碍之间的时间关系及其对癌症风险的影响
Chenan Liu1,2,3,4, Tong Liu1,2,3,4, Qingsong Zhang5
1Department of Gastrointestinal Surgery, Department of Clinical Nutrition, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
炎症显著影响代谢障碍,而联合炎症和代谢障碍会增加癌症风险,特别是在消化和肥胖相关的癌症中. 这凸显了管理这些疾病对于预防癌症的重要性.
科学领域:
- 生物医学科学 生物医学科学
- 流行病学 流行病学
- 在瘤学瘤学.
背景情况:
- 炎症和代谢障碍与癌症的发展有关.
- 确切的时间关系和同时暴露对癌症发病的影响尚未完全理解.
研究的目的:
- 研究炎症和代谢障碍之间的时间关系.
- 评估同时暴露于炎症和代谢障碍对整体和特定癌症风险的影响.
主要方法:
- 有两个阶段的前性研究:时间关系的交叉滞后分析和风险评估的Cox比例危险模型.
- 使用高灵敏度C反应蛋白 (CRP) 测量炎症和通过代谢综合征严重程度Z-score (MetS-Z) 测量代谢障碍.
- 分析了3.98年和11.04年调查的数据,包括2304例癌症病例.
主要成果:
- 炎症 (CRP) 对代谢障碍 (MetS-Z) 的影响更大,而不是相反.
- 同时暴露于高水平的CRP和MetS-Z显著增加了整体癌症风险 (HR=1.54).
- 代谢综合征的严重程度调解了炎症与整体,消化系统和与肥胖有关的癌症之间的联系.
结论:
- 炎症在代谢障碍的发展中起着更为主导的作用,而不是相反.
- 同时高炎症和代谢障碍会大幅增加癌症风险.
- 代谢综合征的严重程度是炎症癌症途径的关键调解者,特别是在消化和肥胖相关的癌症中.
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