国际妇产科学杂志 ›› 2019, Vol. 46 ›› Issue (5): 556-559.

• 综述 • 上一篇    下一篇

瘦素与妇科恶性肿瘤的相关性研究进展

胡瑞娇,姜继勇,王秀莹   

  1. 116033 大连医科大学附属大连市妇产医院
  • 收稿日期:2019-04-01 修回日期:2019-05-26 出版日期:2019-10-15 发布日期:2019-10-21
  • 通讯作者: 王秀莹,E-mail:wangxiuying_1972@163.com E-mail:wangxiuying_1972@163.com
  • 基金资助:
     

Advances in Research on the Relationship between Leptin and Gynecological Malignant Tumors

HU Rui-jiao, JIANG Ji-yong, WANG Xiu-ying   

  1. Dalian Obstetrics and Gynecology Hospital Affiliated to Dalian Medical University,Dalian 116033,Liaoning Province,China
  • Received:2019-04-01 Revised:2019-05-26 Published:2019-10-15 Online:2019-10-21
  • Contact: WANG Xiu-ying,E-mail:wangxiuying_1972@163.com E-mail:wangxiuying_1972@163.com
  • Supported by:
     

摘要: 肥胖可能通过多种机制增加妇科恶性肿瘤的发病率并影响其预后,如慢性炎症、性激素失调或脂肪因子的异常分泌等,其中瘦素作为重要的脂肪因子之一,在多种妇科恶性肿瘤的发生、发展中起着重要作用。在不同类型妇科恶性肿瘤中,瘦素高低水平不同,瘦素水平可作为子宫内膜癌发生的独立危险因素。瘦素可通过作用于瘦素受体激活多种信号转导途径,从而增加肿瘤细胞增殖、迁移,增强肿瘤细胞侵袭性,促进肿瘤血管生成,抑制肿瘤细胞凋亡。了解瘦素与妇科恶性肿瘤之间的关系,有助于更好地了解妇科恶性肿瘤的发病机制,对预防肿瘤的发生、早期诊断及晚期患者的预后都有重要的临床意义。深入开展这方面的研究将可能为妇科恶性肿瘤的诊治提供一个新的思路。

关键词: 瘦素, 肥胖症, 受体, 瘦素, 生殖器肿瘤, 女(雌)性

Abstract: Obesity may increase the incidence of gynecological malignant tumors and affect the prognosis by various mechanisms, such as chronic inflammation, dysregulation of sex hormones or abnormal secretion of adipokines, among which Leptin is one of the important adipokines and plays an important role in the occurrence and development of various gynecological malignant tumors. In different types of gynecological malignant tumors, leptin levels are different so it can be used as an independent risk factor for endometrial cancer. Leptin can activates a variety of signal transduction pathways by acting on Leptin receptors thus increasing tumor cell proliferation, migration, enhancing tumor cell invasiveness, promoting tumor angiogenesis and inhibiting tumor cell apoptosis. Understanding the relationship between Leptin and gynecological malignant tumors is helpful to better understand the pathogenesis of gynecological malignant tumors and has important clinical significance for preventing tumorigenesis, early diagnosis and prognosis of patients with advanced disease. In-depth research in this field will provide a new idea for the diagnosis and treatment of gynecological malignant tumors.

Key words: 【Keywords】Obesity, Leptin, Leptin Receptor, Gynecological Malignant Tumors

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