绝经后妇女接受胰岛素耐药性乳腺癌治疗:临床,分析,横截面
Claudio Lera Orsatti1,2,3, Fabio Lera Orsatti2, João Pedro Esteves Alves De Souza1
1Department of Health Sciences, Universidade do Oeste Paulista - UNOESTE, Jaú, Brazil.
Women & health
|August 1, 2024
概括
在绝经后的女性中,血清热冲击蛋白70 (HSP70) 与胰岛素抵抗 (IR) 有关,特别是在乳腺癌患者中. 对于热冲击蛋白60 (HSP60) 或细胞因子,没有发现这种关联.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
背景情况:
- 胰岛素抵抗 (IR) 和炎症与绝经后健康和乳腺癌有关.
- 热冲击蛋白 (HSP) 参与细胞应激反应,可能在代谢和瘤疾病中发挥作用.
研究的目的:
- 在绝经后的妇女中,研究细胞因子,热冲击蛋白 (HSP60,HSP70) 和胰岛素耐药性 (常态模型评估IR - HOMA-IR) 的血清水平之间的关联.
- 为了比较这些标志物在有和没有乳腺癌的绝经后妇女之间.
主要方法:
- 一项对381名绝经后妇女进行的横截面研究 (94名患有乳腺癌,278名没有).
- 使用ELISA测量血清细胞因子 (TNF-α,IL-10,IL-6) 和热冲击蛋白 (HSP60,HSP70) 的水平.
- 分析了人类测量和实验室数据,包括HOMA-IR.
主要成果:
- 与没有癌症的女性相比,患有乳腺癌的女性表现出更高的HOMA-IR,IL-6,TNF-α和HSP60水平,以及较低的IL-10和HSP70水平.
- 仅在患有乳腺癌的女性中 (β=0.22,p=0.030) 观察到HSP70和HOMA-IR之间的显著正相关性.
- 在两组中都没有发现细胞因子,HSP60和HOMA-IR之间的显著关联.
结论:
- 血清HSP70与被诊断患有乳腺癌的绝经后妇女的胰岛素抵抗有关.
- 这些发现表明HSP70在这种人群中胰岛素抵抗和乳腺癌之间的相互作用中可能发挥作用.
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