Research progress on the association between calcium–gene interactions and the risk of colorectal adenoma
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摘要: 结直肠癌是胃肠道中常见的恶性肿瘤,近几年,结直肠癌的发病率和死亡率保持着上升趋势,居高不下。而结直肠腺瘤是结直肠癌最重要的癌前病变,其发病机制对于结直肠癌早期诊疗至关重要。结直肠腺瘤的发病机制较为复杂,一般涉及多个基因的相互作用和信号通路。且钙剂与结直肠腺瘤的关联研究在近年来也引起广泛关注。因此,本文对钙与基因的相互作用和结直肠腺瘤发病风险的关系进行综述,为结直肠癌的早期筛查、诊断和早期治疗提供参考。Abstract: Colorectal cancer is a common malignancy in gastrointestinal tract. In recent years, the incidence and mortality rates of colorectal cancer have maintained an upward trend and remain high. Colorectal adenoma is the most prominent precancerous lesion associated with colorectal cancer, and its pathogenesis is very important for the early diagnosis and treatment of colorectal cancer. The pathogenesis of colorectal adenoma is complicated, generally involving interactions among multiple genes and signaling pathways. Studies of associations between calcium and colorectal adenoma have attracted widespread attention in recent years. This review summarizes the relationships between calcium and gene interactions and the risk of colorectal adenoma, providing references for the early screening, diagnosis, and early treatment of colorectal cancer.
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Key words:
- colorectal adenoma /
- gene /
- calcium /
- chemoprevention
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图 1 结直肠癌发生分子基础[15]
表 1 结直肠肿瘤风险的分子表型生物标志物[15]
序号 种类 生物标志物表达 1 结肠癌发生途径 APC途径 APC, E-cadherin MMR途径 MSH2、MLH1、TGFβ RⅡ、bax 2 细胞周期 细胞增殖 短期 Mib-1(Ki-67) 长期 hTERT 细胞分化 p21 细胞凋亡 抑制 bcl-2 促进 bax 3 细胞黏附 E-cadherin 4 炎症 COX-2、CRP、 IL-6、 IL-1β、 IL-8、 IL-10、 TNFα 5 氧化平衡 8-OH-dG 6 维生素D/钙代谢 CaSR、VDR、 CYP27B1、CYP24 7 生长因子信号 TGFα、 TGFβ1、 IGF-Ⅰ、 IGFBP3 -
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