环境暴露和肝细胞癌的风险
Divya Rayapati1, Katherine A McGlynn2, John D Groopman3
1Department of Medicine, Division of Gastroenterology and Hepatology, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Hepatology communications
|January 15, 2025
概括
肝细胞癌 (HCC) 流行病学正在发生变化,随着传统风险的增加,MASLD和2型糖尿病等代谢问题也在增加. 公共卫生工作必须解决这些因素和差异,以打击全球日益增加的肝癌率.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 全球肝细胞癌 (HCC) 流行病学正在经历重大转变.
- 确定的风险因素如病毒性肝炎 (HBV,HCV),酒精和亚拉托克辛暴露仍然存在.
- 新出现的风险因素,包括与代谢功能障碍相关的脂肪性肝病 (MASLD) 和2型糖尿病,越来越普遍.
研究的目的:
- 审查HCC不断发展的全球流行病学.
- 检查环境暴露和代谢条件对HCC发病率的影响.
- 突出全面预防战略的需要.
主要方法:
- 对HCC的流行病学数据和风险因素的文献综述.
- 分析既有和新兴风险因素的趋势.
- 综合有关环境,生活方式和代谢影响的信息.
主要成果:
- 全球HCC发病率正在上升,这是由复杂的因素相互作用所驱动的.
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 和2型糖尿病是显著的新兴驱动因素.
- 环境暴露 (空气污染,化学物质) 和生活方式选择加剧了风险.
结论:
- 有效的HCC预防需要解决传统和新兴风险因素.
- 公共卫生倡议必须解决代谢和社会经济差异.
- 采取包容性,扩张性的方法至关重要,以减轻日益增长的全球肝癌负担,特别是在服务不足的地区.
相关概念视频
Cancer Prevention
6.0K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.0K
Types of Toxins
1.6K
Humans continually engage with an environment rich in potentially harmful chemicals. These are introduced to our bodies through inhalation, ingestion, or skin contact. These chemicals exist in various forms, such as air and environmental pollutants, agricultural chemicals, organic solvents, and heavy metals.
Air pollutants, primarily gases, pose significant threats to respiratory health, leading to conditions like hypoxia, lung cancer, and in extreme cases, death.
Environmental pollutants like...
Air pollutants, primarily gases, pose significant threats to respiratory health, leading to conditions like hypoxia, lung cancer, and in extreme cases, death.
Environmental pollutants like...
1.6K
Mutagenicity and Carcinogenicity
1.2K
Mutagenicity and carcinogenicity refer to the ability of drugs to cause genetic defects and induce cancer, respectively. The International Agency for Research on Cancer (IARC) classifies agents into four groups based on their carcinogenic potential. Group 1 agents are known human carcinogens; group 2A agents are probably carcinogenic to humans; group 3 agents lack data to support their role in carcinogenesis; and group 4 includes agents for which data support that they are not likely to be...
1.2K
Gene-Environment Interactions
248
Gene expression is a dynamic process that is significantly influenced by environmental factors. This interaction underlies the complex nature of biological development and the phenotypic differences observed among individuals, even among those with identical genetic makeups. Factors such as radiation, temperature, behavior, nutrition, and stress play pivotal roles in determining how genes are expressed. The concept of the reaction range is central to understanding this interaction. It posits...
248
The Tumor Microenvironment
6.5K
Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
6.5K
Liver Regeneration
3.2K
The liver is an important organ in vertebrates that plays an essential role in metabolism. It is also responsible for storing and redistributing nutrients such as carbohydrates, fats, and vitamins in the body. Additionally, the liver releases bile salts which are critical for digesting food and eliminating toxic metabolites from the body.
Cells of Liver
The liver comprises four major types of cells— hepatocytes, stellate, Kupffer, and sinusoidal endothelial cells. The hepatocytes are...
Cells of Liver
The liver comprises four major types of cells— hepatocytes, stellate, Kupffer, and sinusoidal endothelial cells. The hepatocytes are...
3.2K


