乳糜泻和癌症之间关系的最新进展,以及无麸质饮食对降低风险的影响(综述)

N. Kalra, Anuska Mukerjee, S. Sinha, Vaishnavi Muralidhar, Yeliz Serin, A. Tiwari, Anil K. Verma
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引用次数: 2

摘要

乳糜泻(cD)是一种由遗传易感个体摄入麸质引起的慢性肠病。乳糜泻是一种常见的食物相关疾病,全球患病率约为1%。未能遵循唯一可用的治疗方法,即标准无谷蛋白饮食(GFD),会增加不良结果的风险,如难治性乳糜泻。研究报告称,长期避免无谷蛋白饮食可能会导致乳糜泻患者发生某些类型的癌症。胃肠道癌症和肠道淋巴瘤的风险增加与乳糜泻有关。另一方面,最近的研究表明,结肠癌的风险患有乳糜泻的患者患卵巢癌和乳腺癌的风险较低。研究还表明,严格的GFD对降低癌症风险有积极作用。然而,在这方面只进行了有限数量的研究,这些研究的结果值得进一步核实。这篇综述文章总结和讨论了cD和癌症之间的可能联系,以及它们之间联系的可能原因。此外,本综述还讨论了严格的GFD是否能降低乳糜泻患者发生某些类型癌症的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Current updates on the association between celiac disease and cancer, and the effects of the gluten‑free diet for modifying the risk (Review)
celiac disease (cD) is a chronic enteropathy caused by the ingestion of gluten in genetically susceptible individ‐ uals. cD is a common food‐related disorder with a prevalence of ~1% worldwide. Failure to follow the only available treat‐ ment, i.e., a standard gluten‐free diet (GFD), increases the risk of adverse outcomes, such as refractory cD. Studies have reported that the long‐term avoidance of a GFD may lead to the development of certain types of cancer in patients with cD. An increased risk of gastrointestinal cancers and intes‐ tinal lymphomas are associated with cD. On the other hand, recent studies have demonstrated that the risk of colon cancer, ovarian and breast cancer is low in patients with cD. It has also been demonstrated that a strict GFD exerts a positive effect in reducing the cancer risk. However, only a limited number of studies have been conducted in this area, and the outcomes of these studies warrant further verifications. The present review article summarises and discusses the possible links between cD and cancer, and the probable reasons behind their association. In addition, the present review also discusses whether a strict GFD reduces the risk of developing certain types of cancer in patients with cD.
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