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中国临床药理学与治疗学 ›› 2023, Vol. 28 ›› Issue (11): 1315-1320.doi: 10.12092/j.issn.1009-2501.2023.11.015

• 综述与讲座 • 上一篇    下一篇

脂肪细胞因子在子宫内膜癌中的作用及研究进展

马怡彤1,3,马建红1,3,高亚婷1,3,刘  畅2,3   

  1. 1兰州大学第一临床医学院,兰州  730000,甘肃;2兰州大学第一医院妇产科,兰州  730000,甘肃;3甘肃省妇科肿瘤重点实验室,兰州  730000,甘肃

  • 收稿日期:2023-06-20 修回日期:2023-09-22 出版日期:2023-11-26 发布日期:2023-11-10
  • 通讯作者: 刘畅,男,博士,主任医师,教授,博士生导师,研究方向:妇科肿瘤。 E-mail:lch@lzu.edu.cn
  • 作者简介:马怡彤,女,硕士,研究方向:妇科肿瘤。 E-mail:3072059600@qq.com
  • 基金资助:
    甘肃省科技计划项目(创新基地和人才计划)(21JR1RA081)

Pathogenic mechanism and research progress of adipocytokines in endometrial cancer

MA Yitong1,3, MA Jianhong1,3, GAO Yating1,3, LIU Chang2,3   

  1. 1 The First Clinical Medical College of Lanzhou University, 2 Department of Obstetrics and Gynecology, The First Hospital of Lanzhou University, 3 Key Laboratory of Gynecological Oncology of Gansu Province, Lanzhou 730000, Gansu, China 
  • Received:2023-06-20 Revised:2023-09-22 Online:2023-11-26 Published:2023-11-10

摘要: 子宫内膜癌(endometrial carcinoma,EC)是最常见的妇科恶性肿瘤之一,其发病率和死亡率均呈上升趋势。通常可在疾病早期诊断,预后良好;然而,复发及转移患者预后较差。肥胖作为EC的危险因素之一,其在EC中复杂且广泛的致癌作用已被验证,而脂肪组织分泌的脂肪细胞因子在EC中的致癌和促癌机制也引发了持续的关注。本综述对既往关于脂肪细胞因子在子宫内膜癌中的作用及研究进展的相关文献进行了高度归纳和总结,阐明了脂肪细胞因子与EC的发生风险、分期分级以及远期预后的相关性,以及其在EC发生发展中的信号通路及作用机制。这些信息将可能有助于EC中全新的分子标记物的开发,新的治疗靶点的发现以及相关靶向药物的研究,进而在未来打破当下EC的早期筛查、早期诊断以及对复发及转移患者的治疗困境,从而改善EC患者的远期预后。

关键词: 子宫内膜肿瘤, 肥胖, 脂肪因子, 细胞因子

Abstract:

Endometrial carcinoma (EC) is one of the most common gynecologic tumors, and its incidence and mortality are increasing.The prognosis is usually favorable when the disease is diagnosed at an early stage. However, the prognosis for patients with recurrence and metastasis is relatively poor. As one of the risk factors for EC, the complex and widespread oncogenic role of obesity in EC has been validated, then the oncogenic and pro-carcinogenic mechanisms of adipocytokines secreted by adipose tissue in EC have attracted continuous attention. This review highly summarizes and concludes the previous relevant literature on the role of adipocytokines in endometrial cancer and the progress of research, and elucidates the correlation between adipocytokines and the occurrence risk, stage grading, and long-term prognosis of EC, as well as their signaling pathways and mechanisms of action in the development of EC. All this information will likely contribute to the development of novel molecular markers in EC, the discovery of new therapeutic targets, and the study of related targeted drugs, which may in turn break the current dilemma of early screening, early diagnosis, and treatment of recurrent and metastatic patients in EC in the future, resulting in an improvement of the long-term prognosis of patients with EC.

Key words: endometrial neoplasms, obesity, adipokines, cytokines

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