控制肥胖和相关免疫反应变化在预防和治疗癌症中的重要性——植物疗法的帮助

Kulvinder Kochar Kaur, G. Allahbadia, M. Singh
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引用次数: 1

摘要

比如肥胖的炎症,下丘脑炎症,胃肠道炎症,以及其他影响医学治疗发展的疾病,它们比减肥手术更有优势,但还没有成功地获得任何稳定的、可以长期使用的药物治疗。自然杀伤细胞(NK)是属于先天免疫系统的淋巴细胞群之一。根据定义,它们是具有杀死感染或转化细胞的能力的细胞,无需任何事先激活。除了它们的细胞毒性外,它们还可以产生炎性细胞因子,如干扰素γ (IFNγ),因此是早期免疫反应的关键部分。鉴于这些能力,这些nk细胞是宿主保护的重要组成部分,主要是抗肿瘤和抗病毒免疫。在过去的10年里,人们做了大量的工作来研究肥胖对nk细胞生物学的影响,全面介绍了nk细胞功能的全身性失调。最近,各种出版物都研究了nk细胞在脂肪组织(AT)稳态和肥胖的病理发生中的作用。在世界范围内,癌症已成为导致死亡的主要原因,每年有760万人死亡美国疾病控制中心(CDC)的一份报告指出,40%的癌症病例是肥胖引起的,仅2014年就有63万例癌症确诊病例这项研究与世界各地的发现相似在与肥胖有关的癌症中观察到的激素、细胞因子和免疫等多因素变化。肥胖与胰岛素水平升高有关,胰岛素水平升高进一步促进了一些与肥胖相关的癌症的发展,如结肠直肠癌、胰腺癌、肝癌和子宫内膜癌。各种各样的研究也发现了肥胖与瘦素(一种在肥胖儿童和成人中升高的脂肪因子水平)和癌症之间的联系。大多数试图研究瘦素与肥胖关系的研究人员主要集中在乳腺癌上,在这种情况下,瘦素具有直接刺激乳腺癌细胞增殖的能力肥胖相关癌症发生的另一个共同因素是肥胖引起的慢性炎症各种研究都强调炎症与癌症发展之间的相互作用,例如炎症性肠病患者的结肠癌变因此,我们回顾了NK细胞在肥胖中自然杀伤(NK)细胞功能的改变与癌症和2型糖尿病等合并症的发展之间的关系
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Importance of controlling obesity and associated immune response changes in prevention and treatment of cancer–with plant therapies of help
like inflammation in general in obesity ,hypothalamic inflammation ,GIT inflammation ,and others which have influenced development of medical treatments having edge over bariatric surgery but have not been successful in getting any stable medical therapy that can be used for long.6–10 Natural Killer (NK)cells represent one of the populations of the lymphocytes belonging to the innate immune system. By definition they are the cells that have the capacity to kill infected or transformed cells without needing any previous activation. Besides their cytotoxic capacity, they can also produce inflammatory cytokines like interferon gamma (IFNγ) and thus are a key part of early immune responses. In view of these abilities which make them stand out, these NKcells is very important part for host protection, mainly antitumor and antiviral immunity. In the last 10years, a lot of work has been done to study the effect of obesity on NKcell biology, giving a full briefing of systemic dysregulation of NKcell functions. Recently various publications have examined the role of NKcells in the homeostasis of adipose tissue (AT) and the aetopathogenesis of obesity. Worldwide, cancer has become a leading cause of mortality, with 7.6 million deaths occurring yearly.11 A report from centre of diseases control (CDC)in United States have pointed to obesity being responsible for 40% of cases of cancer ,that accounts for 630,000 diagnosis in 2014 alone.12 This study is similar to what has been found all over the world.13 Multifactorial changes like hormones, cytokines and immunity observed in cancers related to obesity. Obesity is related to increased insulin levels that further promote the development of some obesity related cancers like colorectal, pancreatic, liver and endometrial.14–16 Various studies have also picked up links with leptin, an adipokine levels that are raised in obese children and adults and cancer. Most researchers trying to study leptin in relation to obesity have mainly concentrated on breast cancer, in which case leptin has the ability to directly stimulate breast cancer cells proliferation.17 Also the other part common to obesity related cancer occurring is the chronic inflammation present in obesity.18 Various studies have emphasized on the interaction between inflammation and cancer developing as exemplified by colonic carcinogenesis in patients suffering from inflammatory bowel disease.19 Thus we have reviewed the role of NK cells in how the Alteration in Natural Killer (NK)cell Function in Obesity, correlates with the development of comorbidities like cancer and type 2 diabetes.20
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