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Nutraceutical Approach for Preventing Obesity-Related Colorectal and Liver Carcinogenesis

机译:预防肥胖相关大肠和肝癌发生的营养方法

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摘要

Obesity and its related metabolic abnormalities, including insulin resistance, alterations in the insulin-like growth factor-1 (IGF-1)/IGF-1 receptor (IGF-1R) axis, and the state of chronic inflammation, increase the risk of colorectal cancer (CRC) and hepatocellular carcinoma (HCC). However, these findings also indicate that the metabolic disorders caused by obesity might be effective targets to prevent the development of CRC and HCC in obese individuals. Green tea catechins (GTCs) possess anticancer and chemopreventive properties against cancer in various organs, including the colorectum and liver. GTCs have also been known to exert anti-obesity, antidiabetic, and anti-inflammatory effects, indicating that GTCs might be useful for the prevention of obesity-associated colorectal and liver carcinogenesis. Further, branched-chain amino acids (BCAA), which improve protein malnutrition and prevent progressive hepatic failure in patients with chronic liver diseases, might be also effective for the suppression of obesity-related carcinogenesis because oral supplementation with BCAA reduces the risk of HCC in obese cirrhotic patients. BCAA shows these beneficial effects because they can improve insulin resistance. Here, we review the detailed relationship between metabolic abnormalities and the development of CRC and HCC. We also review evidence, especially that based on our basic and clinical research using GTCs and BCAA, which indicates that targeting metabolic abnormalities by either pharmaceutical or nutritional intervention may be an effective strategy to prevent the development of CRC and HCC in obese individuals.
机译:肥胖及其相关的代谢异常,包括胰岛素抵抗,胰岛素样生长因子-1(IGF-1)/ IGF-1受体(IGF-1R)轴的改变以及慢性炎症状态,都增加了结直肠癌的风险癌症(CRC)和肝细胞癌(HCC)。但是,这些发现还表明,由肥胖引起的代谢紊乱可能是预防肥胖个体中CRC和HCC发生的有效靶标。绿茶儿茶素(GTC)在包括大肠和肝脏在内的各种器官中都具有抗癌和化学预防的特性。还已知GTC发挥抗肥胖,抗糖尿病和抗炎作用,这表明GTC可能对预防肥胖相关的结直肠和肝癌发生有用。此外,改善慢性肝病患者蛋白质营养不良并预防进行性肝衰竭的支链氨基酸(BCAA)也可能有效抑制肥胖相关的致癌作用,因为口服BCAA可以降低肥胖患者的HCC风险。肥胖肝硬化患者。 BCAA显示出这些有益效果,因为它们可以改善胰岛素抵抗。在这里,我们审查代谢异常与CRC和HCC的发展之间的详细关系。我们还审查了证据,尤其是基于我们使用GTC和BCAA进行的基础和临床研究得出的证据,该证据表明通过药物或营养干预来靶向代谢异常可能是预防肥胖个体发生CRC和HCC的有效策略。

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