国际肿瘤学杂志 ›› 2018, Vol. 45 ›› Issue (3): 183-186.doi: 10.3760/cma.j.issn.1673-422X.2018.03.013

• 综述 • 上一篇    下一篇

糖尿病及降糖药物与胰腺癌

梁碧玉,何伟明,何小艺,丁元林,于海兵   

  1. 523808 东莞,广东医科大学流行病与卫生统计学教研室
  • 收稿日期:2017-12-04 出版日期:2018-03-08 发布日期:2018-05-16
  • 通讯作者: 于海兵 E-mail:hby616688@163.com
  • 基金资助:
    广东省科技计划(2017A020215061);东莞市医疗卫生科技计划(201605101290);东莞市国际科技(含港澳台)合作项目(2013508152017);广东医科大学博士启动项目(B2017010)

Diabetes, hypoglycemic drugs and pancreatic cancer

Liang Biyu, He Weiming, He Xiaoyi, Ding Yuanlin, Yu Haibing   

  1. Department of Epidemiology and Medical Statistics, Guangdong Medical University, Dongguan 523808, China
  • Received:2017-12-04 Online:2018-03-08 Published:2018-05-16
  • Contact: Yu Haibing E-mail:hby616688@163.com
  • Supported by:
    Science and Technology Program of Guangdong Province of China (2017A020215061); Medical and Health Technology Program of Dongguan of China (201605101290); International Technology (Including Hong Kong, Macao and Taiwan) Cooperation Program of Dongguan of China (2013508152017); Guangdong Medical University Doctoral Program (B2017010)

摘要: 约80%的胰腺癌患者会发生葡萄糖代谢的改变,表明糖尿病与胰腺癌的发生发展存在关联。有研究表明糖尿病及降糖药与胰腺癌的发生风险、临床表现及预后密切相关。目前研究发现,胰岛素抵抗、高胰岛素血症、胰岛素样生长因子相关蛋白的表达水平及炎症反应等是糖尿病与胰腺癌相互影响的可能机制,但其确切机制仍不明确,仍需进一步深入研究。

关键词: 胰腺肿瘤, 糖尿病, 降糖素类, 药理作用分子作用机制

Abstract: About 80% of the patients with pancreatic cancer have glucose metabolism alterations, which suggests an association between diabetes and the occurrence and development of pancreatic cancer. Studies have shown that diabetes and hypoglycemic agents are closely related to the occurrence risk, clinical manifestation and prognosis of pancreatic cancer. Recent findings demonstrate that insulin resistance, hyperinsulinemia, the expression level of insulinlike growth factor related protein and inflammatory reaction are the possible mechanisms of the interaction between diabetes and pancreatic cancer. However, the definite mechanism still remains unclear, and further researches are still needed.

Key words: Pancreatic neoplasms, Diabetes mellitus, Hypoglycins, Molecular mechanisms of pharmacological action