多模式癌症治疗和加速大脑衰老:机制,生物标志物和临床后果
Mark Voynov1, Maria Pospelova1, Alexandra Nikolaeva1
1Almazov National Medical Research Centre, Akkuratova Str. 2, 197341 Saint Petersburg, Russia.
Current oncology (Toronto, Ont.)
|February 26, 2026
概括
癌症治疗可以通过加速大脑衰老,导致长期的认知障碍或化学大脑. 了解这种加速的大脑衰老是改善癌症幸存者护理和开发新生物标志物的关键.
科学领域:
- 神经科学是一个神经科学.
- 在瘤学瘤学.
- 老年学是指老年学的学科.
背景情况:
- 癌症疗法可以改善生存率,但会导致长期的神经问题.
- 与癌症治疗相关的认知障碍 (CRCI) 或"化学大脑"影响了许多幸存者.
- CRCI的症状包括认知缺陷和神经精神问题,表明大脑加速衰老.
研究的目的:
- 审查证据,将多模式癌症治疗与加速大脑衰老联系起来.
- 探索涉及的分子,细胞和神经成像机制.
- 讨论加速大脑衰老的潜力,作为CRCI的一个范例.
主要方法:
- 临床,分子和神经成像数据的综合.
- 机制的审查:氧化应激,神经炎症,BBB功能障碍,衰老,表观遗传学.
- 对生物标志物和神经成像 (MRI) 发现的分析.
主要成果:
- 癌症疗法诱导分子和细胞变化,反映了生理大脑衰老.
- 衰老的生物标志物 (炎症媒介,衰老标志物) 在治疗后升高.
- 神经成像显示了大脑的结构和功能变化,包括大脑年龄估计增加.
结论:
- CRCI可以被定义为加速的大脑衰老.
- 这种模式可能会增强风险分层和生物标志物发现.
- 它为癌症患者提供了个性化生存护理的途径.
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