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癌症与衰老的演变:一部受限史。

The evolution of cancer and ageing: a history of constraint.

作者信息

de Magalhães João Pedro

机构信息

Genomics of Ageing and Rejuvenation Lab, Department of Inflammation and Ageing, College of Medicine and Health, University of Birmingham, Birmingham, UK.

出版信息

Nat Rev Cancer. 2025 Aug 26. doi: 10.1038/s41568-025-00861-4.

Abstract

Ageing and cancer are ubiquitous in animals. They are fundamental and generally intrinsic to multicellular life. Nonetheless, ageing and cancer rates vary widely across species and understanding their evolution and interaction is of great biological interest. Although cancer arises from uncontrolled cell proliferation, ageing involves cell loss and degeneration, making them seemingly opposite yet interconnected processes. Because cancer can affect young individuals, natural selection will favour the evolution of cancer resistance over processes that maintain health in later life. As such, I propose that species evolve longer lifespans under the constraints imposed by the need to reduce cancer risk. Mechanisms that suppress cancer, such as telomere shortening and cellular senescence, may inadvertently promote ageing by limiting cell proliferation and tissue regeneration. Selection for tumour suppression may also impact stem cell ageing and contribute to the limited ability of adult tissues to regenerate. Overall, although cancer resistance is essential for the evolution of longevity, tumour suppression mechanisms may also contribute to ageing-related tissue degeneration and functional decline. Studying the trade-offs between the evolution of tumour suppression processes and their impact later in life may provide important insights into ageing processes.

摘要

衰老和癌症在动物界普遍存在。它们是多细胞生命的基本特征,通常也是内在属性。然而,衰老和癌症的发生率在不同物种间差异很大,了解它们的进化和相互作用具有重大的生物学意义。虽然癌症源于不受控制的细胞增殖,但衰老涉及细胞丢失和退化,这使得它们看似相反却又相互关联。由于癌症会影响年轻个体,自然选择将更倾向于进化出抗癌能力,而非那些在生命后期维持健康的过程。因此,我认为物种在降低癌症风险的需求所施加的限制下进化出更长的寿命。抑制癌症的机制,如端粒缩短和细胞衰老,可能会通过限制细胞增殖和组织再生而无意中促进衰老。对肿瘤抑制的选择也可能影响干细胞衰老,并导致成体组织再生能力有限。总体而言,虽然抗癌能力对于长寿的进化至关重要,但肿瘤抑制机制也可能导致与衰老相关的组织退化和功能衰退。研究肿瘤抑制过程的进化与其在生命后期的影响之间的权衡,可能为衰老过程提供重要的见解。

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