钙-基因与结直肠腺瘤发病风险关联的研究进展

赖小练 黄立敏 景楚滢 鲁朔焱 李丹 王慧敏 李勇

赖小练, 黄立敏, 景楚滢, 鲁朔焱, 李丹, 王慧敏, 李勇. 钙-基因与结直肠腺瘤发病风险关联的研究进展[J]. 中国肿瘤临床, 2021, 48(23): 1225-1229. doi: 10.12354/j.issn.1000-8179.2021.20210199
引用本文: 赖小练, 黄立敏, 景楚滢, 鲁朔焱, 李丹, 王慧敏, 李勇. 钙-基因与结直肠腺瘤发病风险关联的研究进展[J]. 中国肿瘤临床, 2021, 48(23): 1225-1229. doi: 10.12354/j.issn.1000-8179.2021.20210199
Xiaolian Lai, Limin Huang, Chuying Jing, Shuoyan Lu, Dan Li, Huimin Wang, Yong Li. Research progress on the association between calcium–gene interactions and the risk of colorectal adenoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2021, 48(23): 1225-1229. doi: 10.12354/j.issn.1000-8179.2021.20210199
Citation: Xiaolian Lai, Limin Huang, Chuying Jing, Shuoyan Lu, Dan Li, Huimin Wang, Yong Li. Research progress on the association between calcium–gene interactions and the risk of colorectal adenoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2021, 48(23): 1225-1229. doi: 10.12354/j.issn.1000-8179.2021.20210199

钙-基因与结直肠腺瘤发病风险关联的研究进展

doi: 10.12354/j.issn.1000-8179.2021.20210199
基金项目: 本文课题受国家自然科学基金项目 (编号:81960587)和贵州省科技计划项目 (编号:黔科合支撑[2021]一般067)资助。
详细信息
    作者简介:

    赖小练:专业方向为钙重吸收基因及钙摄入水平与贵州黔南地区结直肠腺瘤的相关性研究

    通讯作者:

    李勇 liyong7229771@163.com

Research progress on the association between calcium–gene interactions and the risk of colorectal adenoma

Funds: This work was supported by the National Natural Science Foundation of China (No. 81960587) and the Guizhou Science and Technology Project (No. Qiankehe Support [2021] General 067).
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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。

     

  • 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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  • 收稿日期:  2021-01-19

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