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生酮饮食与肿瘤治疗研究进展

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生酮饮食(KD)是一种以高比例脂肪、极低碳水化合物、适量蛋白质摄入为特征的饮食方案,机体热量的主要来源转为酮体,通过"模拟饥饿"状态最早成功应用于难治性癫痫的治疗.由于肿瘤细胞葡萄糖高度依赖、线粒体功能缺陷等特征,KD通过增强氧化应激、抑制炎症、加强免疫反应、抑制葡萄糖/胰岛素等多种途径发挥抗肿瘤作用.然而,也有文献发现KD可加快肿瘤例如肺癌、结直肠癌、肝癌等疾病恶化的风险.说明KD与肿瘤治疗仍存在争议,故对其潜在分子机制进行研究,可能具有一定应用价值.文章主要就KD抗癌和促瘤相关研究及其作用机制,临床应用时不良反应、用药期间注意事项等进行综述.
Research progress in ketogenic diet and tumor treatment
Ketogenic diet(KD)is a dietary regimen characterized by a high proportion of fat,extremely low carbohydrates,and moderate protein intake.The main source of body calories is shifted to ketone bodies,which were first successfully applied to the treatment of refractory epilepsy by"simulating hunger.Due to the high glucose dependence of tumor cells and mitochondrial functional defects,KD exerts anti-tumor effects through various pathways such as enhancing oxidative stress,suppressing inflammation,enhanc-ing immune response,and inhibiting glucose/insulin.However,it has also been found in the literature that KD can accelerate the risk of disease progression in tumors such as lung,colorectal,and liver cancers.This suggests that KD and tumor therapy are still controver-sial,so the study of its potential molecular mechanisms may have some application value.This article mainly reviews the research prog-ress on anti-cancer and tumor-promoting effects of KD,adverse reactions in clinical application,and precautions to be taken during the clinical application of KD.

ketogenic diettumor treatmentresearch progress

苏敏凤、曾诗惠、高永峰、陈纪涛

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510000 广州,广州医科大学附属第五医院医学研究中心

生酮饮食 肿瘤治疗 研究进展

国家自然科学基金广州市卫生健康科技一般引导项目

8200331520211A011104

2024

医学研究生学报
南京军区南京总医院

医学研究生学报

CSTPCD北大核心
影响因子:1.652
ISSN:1008-8199
年,卷(期):2024.37(3)
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