Inflammatory Bowel Disease and Risk of Colorectal Cancer: An Overview From Pathophysiology to Pharmacological Prevention.

Inflammatory Bowel Disease and Risk of Colorectal Cancer: An Overview From Pathophysiology to Pharmacological Prevention.
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DOI:
10.3389/fphar.2021.772101
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发表时间:
2021
影响因子:
5.6
通讯作者:
Stocco G
Stocco G
中科院分区:
医学2区
文献类型:
--
作者:
Lucafò M;Curci D;Franzin M;Decorti G;Stocco G

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炎症性肠病(IBD)患者患结直肠癌(CRC)的风险增加归因于长期的慢性炎症,以及遗传改变和微生物群等环境因素的影响。此外,越来越多的数据表明,IBD相关结直肠癌(IBD-CRC)可能通过不同于散发性结直肠癌的肿瘤发生途径启动和发展。这篇小综述总结了目前对 IBD-CRC 的认识,重点关注其发病机制的主要机制,以及用于治疗 IBD 患者的免疫调节剂和生物制剂在干扰致癌过程中的炎症过程中的重要作用。
Increased risk of colorectal cancer (CRC) in inflammatory bowel disease (IBD) patients has been attributed to long-standing chronic inflammation, with the contribution of genetic alterations and environmental factors such as the microbiota. Moreover, accumulating data indicate that IBD-associated CRC (IBD-CRC) may initiate and develop through a pathway of tumorigenesis distinct from that of sporadic CRC. This mini-review summarizes the current knowledge of IBD-CRC, focusing on the main mechanisms underlying its pathogenesis, and on the important role of immunomodulators and biologics used to treat IBD patients in interfering with the inflammatory process involved in carcinogenesis.
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