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中国临床药理学与治疗学 ›› 2021, Vol. 26 ›› Issue (1): 76-81.doi: 10.12092/j.issn.1009-2501.2021.01.010

• 综述与讲座 • 上一篇    下一篇

昼夜节律睡眠-觉醒障碍与恶性肿瘤发生发展的关系

李佳怡1,张益梦1,王晨曦1,李 军2,潘 燕1   

  1. 1北京大学医学部基础医学院药理学系,北京100191;2北京大学第三医院消化科,北京 100191
  • 收稿日期:2020-06-22 修回日期:2020-12-15 出版日期:2021-01-26 发布日期:2021-02-01
  • 通讯作者: 潘燕,女,医学博士,副教授,研究方向:抗肿瘤转移和耐药研究。 Tel: 010-82801890 E-mail: pannay26@bjmu.edu.cn
  • 作者简介:李佳怡,女,本科,研究方向:抗肿瘤转移和耐药研究。 Tel: 010-82801890 E-mail: 18511028682@163.com 张益梦,女,共同第一作者,本科,研究方向:抗肿瘤转移和耐药研究。 Tel: 010-82801890 E-mail: zym1998@pku.edu.cn
  • 基金资助:
    国家自然科学基金面上项目(81773765,81270049)

Relationship between circadian rhythm sleep-wake disorders and the development of malignant tumor

LI Jiayi1, ZHANG Yimeng1, WANG Chenxi1, LI Jun2, PAN Yan1   

  1. 1 Department of Pharmacology, Basic Medical College, Health Science Center, Peking University, Beijing 100191, China

  • Received:2020-06-22 Revised:2020-12-15 Online:2021-01-26 Published:2021-02-01

摘要: 昼夜节律睡眠-觉醒障碍是指睡眠-觉醒周期与人体24 h生物节律失调所致的一类睡眠疾病,它可以影响人体的认知功能和代谢等过程,还能促进恶性肿瘤的发生发展——通过改变时钟基因表达直接促进肿瘤增殖,并通过抑制褪黑素的分泌等内分泌机制间接加速肿瘤发展。本文阐述了昼夜节律睡眠-觉醒障碍的定义、它导致的病理状态以及它对恶性肿瘤发生发展的影响,以期为昼夜节律性睡眠-觉醒障碍影响的肿瘤发生发展的防治提供可能的治疗措施。

关键词: 昼夜节律, 睡眠障碍, 轮班工作, 恶性肿瘤

Abstract: The circadian rhythm regulates many physiological processes of the human body. The circadian rhythm sleep-wake disorder refers to a type of disease caused by the mismatch of sleep-wake cycle and circadian rhythm. It affects the human body's cognitive function and metabolic processes. The circadian rhythm sleep-wake disorder also promotes the growth of malignant tumors, directly and indirectly,  by changing the expression of clock genes and inhibiting the secretion of melatonin. This article discusses circadian rhythm sleep-wake disorders; the subgroups it includes, the pathological state it causes, and the relationship between it and the development of malignant tumor. We hope to provide possible treatment measures for tumors affected by circadian sleep-wake disorders.

Key words: circadian rhythm, sleep disorders, shift work, cancer

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