环境内分泌干扰物对结直肠癌发生发展的影响及其潜在调控机制研究进展
Advances in Research on the Effects of Environmental Endocrine Disrupting Chemicals on the Development of Colorectal Cancer and their Potential Regulatory Mechanisms
投稿时间:2025-01-10  修订日期:2025-04-08
DOI:
中文关键词:  环境内分泌干扰物  结直肠癌  作用机制  环境暴露
英文关键词:environmental endocrine disrupting chemicals  colorectal cancer  mechanism of Action  environmental exposure
基金项目:国家自然,国家自然科学基金项目(面上项目,重点项目,重大项目)
作者单位邮编
戴霖 遵义医科大学第二附属医院胃肠外科 563006
王彪 遵义医科大学第二附属医院胃肠外科 563006
张念杰 遵义医科大学第二附属医院胃肠外科 563006
杨雪峰* 遵义医科大学第二附属医院胃肠外科 563000
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中文摘要:
      结直肠癌(colorectal cancer,CRC)是常见的胃肠道恶性肿瘤之一,其发生发展与遗传、环境和饮食结构改变等因素密切相关,其中环境因素占据重要位置。随着工业化和城市化的不断推进,环境内分泌干扰物(environmental endocrine disrupting chemicals,EDCs) 已严重影响公共卫生安全。研究发现,EDCs可通过饮水、食物等途径进入人体,并可多种途径驱动CRC的发生、发展:①破坏肠道黏膜屏障、诱发肠道菌群失调;②影响炎症因子的表达及异常释放;③诱导氧化应激;④激活PI3K/AKT、Wnt/β-catenin等信号通路,促进细胞增殖-凋亡失衡及上皮-间质转化(epithelial-mesenchymal transition,EMT)进程。研究表明,EDCs与CRC的发病风险及进展存在一定关联。因此,本文就EDCs的来源和种类、对CRC的影响和可能调控机制、在CRC风险评估、预后中的潜在价值进行综述,旨在为研究CRC的潜在环境暴露危险因素提供依据,并为CRC的预防和治疗提供新思路。
英文摘要:
      Colorectal cancer (CRC) is one of the common gastrointestinal malignancies, and its occurrence and development are closely related to genetic, environmental and dietary changes, of which environmental factors occupy an important position. With the continuous advancement of industrialization and urbanization, environmental endocrine disrupting chemicals (EDCs) have seriously affected public health safety. Studies have found that EDCs can enter the human body through drinking water, food and other routes, and can drive the occurrence and development of CRC in a variety of ways: ①destroying the intestinal mucosal barrier and inducing intestinal flora imbalance; ②affecting the expression and abnormal release of inflammatory factors; ③inducing oxidative stress; ④ activating PI3K/AKT, Wnt/β-catenin and other signaling pathways to promote cell proliferation-apoptosis imbalance and epithelial-mesenchymal transition (EMT) process. Studies have shown that EDCs are associated with the risk and progression of CRC. Therefore, this article reviews the origin and types of EDCs, their effects on CRC and possible regulatory mechanisms, and their potential value in CRC risk assessment and prognosis in order to provide a basis for studying potential environmental exposure risk factors for CRC and provide new ideas for the prevention and treatment of CRC.
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