癌症和癌症治疗中的加速衰老:生物标志物的现状

IF 2.9 2区 医学 Q2 ONCOLOGY
Cancer Medicine Pub Date : 2025-05-05 DOI:10.1002/cam4.70929
Soniya Abraham, Jay Parekh, Seohyuk Lee, Humayra Afrin, Mariya Rozenblit, Kim R. M. Blenman, Rachel J. Perry, Leah M. Ferrucci, Jessica Liu, Melinda L. Irwin, Maryam Lustberg
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引用次数: 0

摘要

人类衰老是一个受生物和时间因素影响的异质性过程。生物年龄反映了个体的生理储备和功能状态。越来越多的证据表明,癌症及其治疗加速了生物衰老。许多生物标志物已被评估,以评估癌症患者的生物年龄。这些生物标志物正在成为预测癌症相关毒性和个体功能能力以及个性化治疗的潜在工具。方法综述了肿瘤患者衰老生物标志物的研究进展,重点介绍了细胞衰老标志物和表观遗传修饰标志物。我们评估了现有的证据,支持它们作为化疗和放疗患者毒性的预测因子。结果白细胞介素-6 (IL-6)、白细胞端粒长度(LTL)和DNA甲基化年龄等生物标志物显示出评估生物年龄、脆弱性和功能储备的潜力。p16INK4A的表达在预测治疗诱导的毒性和制定治疗决策方面具有前景。然而,在将这些生物标志物用作决策辅助工具之前,还需要进一步的验证性研究来进一步验证这些生物标志物。结论衰老生物标志物在个体化癌症治疗和预测治疗相关毒性方面具有前景。然而,需要进一步的研究来验证其可靠性并支持其融入临床实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Accelerated Aging in Cancer and Cancer Treatment: Current Status of Biomarkers

Accelerated Aging in Cancer and Cancer Treatment: Current Status of Biomarkers

Background

Aging in humans is a heterogeneous process influenced by both biological and chronological factors. Biological age reflects an individual's physiological reserve and functional status. Increasing evidence suggests that cancer and its therapies accelerate biological aging. Many biomarkers have been evaluated to assess the biological age of patients with cancer. These biomarkers are emerging as potential tools to predict cancer-related toxicity and an individual's functional capacity as well as to individualize treatment.

Methods

This review summarizes the current literature on aging biomarkers in cancer patients, with a focus on markers of cellular senescence and epigenetic modification. We evaluate the existing evidence supporting their use as predictors of toxicity in patients undergoing chemotherapy and radiation therapy.

Results

Biomarkers such as interleukin-6 (IL-6), leukocyte telomere length (LTL), and DNA methylation age show potential for assessing biological age, frailty, and functional reserve. The expression of p16INK4A has demonstrated promise in predicting therapy-induced toxicity and making treating decisions. However, additional confirmatory studies are necessary to further validate these biomarkers before they can be utilized as decision aids.

Conclusion

Aging biomarkers hold promise for individualizing cancer therapy and predicting treatment-related toxicity. However, further studies are essential to validate their reliability and support their integration into clinical practice.

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来源期刊
Cancer Medicine
Cancer Medicine ONCOLOGY-
CiteScore
5.50
自引率
2.50%
发文量
907
审稿时长
19 weeks
期刊介绍: Cancer Medicine is a peer-reviewed, open access, interdisciplinary journal providing rapid publication of research from global biomedical researchers across the cancer sciences. The journal will consider submissions from all oncologic specialties, including, but not limited to, the following areas: Clinical Cancer Research Translational research ∙ clinical trials ∙ chemotherapy ∙ radiation therapy ∙ surgical therapy ∙ clinical observations ∙ clinical guidelines ∙ genetic consultation ∙ ethical considerations Cancer Biology: Molecular biology ∙ cellular biology ∙ molecular genetics ∙ genomics ∙ immunology ∙ epigenetics ∙ metabolic studies ∙ proteomics ∙ cytopathology ∙ carcinogenesis ∙ drug discovery and delivery. Cancer Prevention: Behavioral science ∙ psychosocial studies ∙ screening ∙ nutrition ∙ epidemiology and prevention ∙ community outreach. Bioinformatics: Gene expressions profiles ∙ gene regulation networks ∙ genome bioinformatics ∙ pathwayanalysis ∙ prognostic biomarkers. Cancer Medicine publishes original research articles, systematic reviews, meta-analyses, and research methods papers, along with invited editorials and commentaries. Original research papers must report well-conducted research with conclusions supported by the data presented in the paper.
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