Leptin in colorectal cancer: literature review.

IF 1.3 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY
Hormone Molecular Biology and Clinical Investigation Pub Date : 2025-08-29 eCollection Date: 2025-09-01 DOI:10.1515/hmbci-2025-0027
Dhouha Bacha, Khouloud Ayed, Rahma Boughriba, Rym Akrout, Marwa Weslati, Asma Gati
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引用次数: 0

Abstract

Introduction: The aim of this review was to review and summarize the current evidence regarding the expression and role of leptin and its receptor (LEPR) in colorectal cancer (CRC). This includes discussing their involvement in carcinogenesis, progression, and prognosis, as well as assessing their potential as biomarkers and therapeutic targets.

Content: We conducted a scoping literature review using several databases. We included studies in English or French that analyzed the expression of leptin and LEPR in the serum or tissue of CRC patients. Additionally, the GEPIA2 platform was employed to investigate the association between leptin and LEPR expression levels and overall survival, as well as their expression across pathological stages and microsatellite subtypes in CRC.

Summary: A total of 76 eligible studies published between 1994 and 2024 were included. Analyses through immunohistochemical methods, transcriptomics, and serum measurements indicated elevated expression of leptin and LEPR in CRC. However, findings regarding their prognostic value varied: some studies reported a link between high leptin and LEPR levels and poor prognosis, while others found no correlation or even suggested favorable outcomes. This variability in results can be attributed to differences in methodology, patient diversity, and genetic polymorphisms.

Outlook: The leptin-LEPR system seems to play a significant role in the development and progression of CRC, but its exact prognostic impact remains uncertain due to inconsistent findings. Further standardized and large-scale studies are necessary to clarify its clinical relevance. The leptin-LEPR axis shows promise as a biomarker and potential therapeutic target, particularly in the context of obesity-related CRC.

结直肠癌中的瘦素:文献综述。
本综述的目的是回顾和总结目前关于瘦素及其受体(LEPR)在结直肠癌(CRC)中的表达和作用的证据。这包括讨论它们在癌变、进展和预后中的作用,以及评估它们作为生物标志物和治疗靶点的潜力。内容:我们使用几个数据库进行了范围界定文献综述。我们纳入了英语或法语研究,分析了CRC患者血清或组织中瘦素和LEPR的表达。此外,GEPIA2平台被用于研究瘦素和LEPR表达水平与总生存率之间的关系,以及它们在结直肠癌病理分期和微卫星亚型中的表达。总结:共纳入了1994年至2024年间发表的76项符合条件的研究。通过免疫组织化学方法、转录组学和血清测量分析表明,在结直肠癌中瘦素和LEPR的表达升高。然而,关于其预后价值的研究结果各不相同:一些研究报告了高瘦素和LEPR水平与预后不良之间的联系,而另一些研究则没有发现相关性,甚至表明预后良好。这种结果的可变性可归因于方法、患者多样性和遗传多态性的差异。展望:瘦素- lepr系统似乎在结直肠癌的发生和进展中发挥重要作用,但由于研究结果不一致,其确切的预后影响仍不确定。需要进一步的标准化和大规模研究来阐明其临床意义。瘦素- lepr轴显示出作为生物标志物和潜在治疗靶点的希望,特别是在肥胖相关的结直肠癌中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Hormone Molecular Biology and Clinical Investigation
Hormone Molecular Biology and Clinical Investigation BIOCHEMISTRY & MOLECULAR BIOLOGY-
CiteScore
2.60
自引率
0.00%
发文量
55
期刊介绍: Hormone Molecular Biology and Clinical Investigation (HMBCI) is dedicated to the provision of basic data on molecular aspects of hormones in physiology and pathophysiology. The journal covers the treatment of major diseases, such as endocrine cancers (breast, prostate, endometrium, ovary), renal and lymphoid carcinoma, hypertension, cardiovascular systems, osteoporosis, hormone deficiency in menopause and andropause, obesity, diabetes, brain and related diseases, metabolic syndrome, sexual dysfunction, fetal and pregnancy diseases, as well as the treatment of dysfunctions and deficiencies. HMBCI covers new data on the different steps and factors involved in the mechanism of hormone action. It will equally examine the relation of hormones with the immune system and its environment, as well as new developments in hormone measurements. HMBCI is a blind peer reviewed journal and publishes in English: Original articles, Reviews, Mini Reviews, Short Communications, Case Reports, Letters to the Editor and Opinion papers. Ahead-of-print publishing ensures faster processing of fully proof-read, DOI-citable articles.
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