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性类固醇在结直肠癌中的作用:发病机制与医学应用

Role of sex steroids in colorectal cancer: pathomechanisms and medical applications.

作者信息

Wu Jianglan, Bai Yanan, Lu Yuwen, Yu Zixuan, Zhang Shumeng, Yu Bin, Chen Lingli, Li Jie

机构信息

Hunan University of Traditional Chinese Medicine Changsha 410208, Hunan, China.

Department of Gastroenterology, The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine Changsha 410007, Hunan, China.

出版信息

Am J Cancer Res. 2024 Jul 15;14(7):3200-3221. doi: 10.62347/OEBS6893. eCollection 2024.

Abstract

Given that the colon represents the most extensive hormone-responsive tissue in the human body, it prompts a compelling inquiry into whether the progression of its cancer is intimately linked to hormonal dynamics. Consequently, the interplay between sex steroids - a pivotal constituent of hormones - and colorectal cancer has increasingly captivated scientific interest. Upon a comprehensive review of pertinent literature both domestically and internationally, this study delineates the present landscape of three pivotal steroids - estrogen, progestin, and androgen - in the context of colorectal cancer. More specifically, this investigation probes into the potential utility of these steroids in providing therapeutic interventions, diagnostic insights, and prognostic indicators. Furthermore, this study also delves into the mechanistic pathways through which sex steroid interventions exert influence on colorectal cancer. It was discovered that the trio of sex steroid hormones partakes in an array of biological processes, thereby influencing the onset and progression of colorectal cancer. In conclusion, this study posits that a profound interconnection exists between colorectal cancer and sex steroids, suggesting that elucidating the targets of their action mechanisms could unveil novel avenues for the diagnosis and prevention of colorectal cancer.

摘要

鉴于结肠是人体中最广泛的激素反应性组织,这引发了一个引人注目的问题,即其癌症的进展是否与激素动态密切相关。因此,性激素(激素的关键组成部分)与结直肠癌之间的相互作用越来越引起科学关注。在对国内外相关文献进行全面综述后,本研究描绘了三种关键类固醇——雌激素、孕激素和雄激素——在结直肠癌背景下的现状。更具体地说,本研究探讨了这些类固醇在提供治疗干预、诊断见解和预后指标方面的潜在效用。此外,本研究还深入研究了性激素干预对结直肠癌产生影响的机制途径。研究发现,这三种性激素参与了一系列生物过程,从而影响结直肠癌的发生和进展。总之,本研究认为结直肠癌与性激素之间存在着深刻的联系,这表明阐明其作用机制的靶点可能会揭示结直肠癌诊断和预防的新途径。

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