高胰岛素血症
糖尿病
癌变
背景(考古学)
胰岛素
医学
胰岛素样生长因子1受体
癌症
胰岛素受体
生物信息学
内分泌学
受体
生物
内科学
癌症研究
生长因子
胰岛素抵抗
古生物学
作者
Elena M. Frantsiyants,E.I. Surikova,Irina V. Kaplieva,Valeriya Bandovkina,Irina V. Neskubina,Elena A. Sheyko,M. I. Morozova,I. M. Kotieva
出处
期刊:Problemy e̊ndokrinologii
[Endocrinology Research Centre]
日期:2021-11-12
卷期号:67 (5): 34-42
被引量:2
摘要
Diabetes mellitus and malignant tumors are among the most common and complex diseases. Epidemiological studies have shown a strong relationship between these pathologies. The causality of this relationship has not yet been unambiguously established, but a number of probable biological mechanisms have been proposed to explain it through the effects of hyperglycemia, hyperinsulinemia on the process of oncogenesis. An important role in this is played by the axis of insulin-like growth factors, their receptors and binding proteins (IGF / IGFR / IGFBP). The review provides data on the structural elements of the insulin / IGF / IGFR / IGFBP signaling axis and their internal relationships in diabetes mellitus and in the development of malignant tumors. Significant changes in the axis that occur during the formation of the diabetic environment prepare the background, which, under certain conditions, can lead to the stimulation or inhibition of tumor development. The considered signaling system, playing a significant role in the physiology of normal cells, often functions as a decisive factor in the survival of tumor cells, providing fine context-dependent regulation of many cellular processes associated with oncogenesis. However, despite many years of in-depth studies of the pathogenesis of diabetes mellitus and malignant tumors, the molecular mechanisms of the relationship between these pathologies are still largely unclear, and the internal heterogeneity of pathologies complicates research and interpretation of the results, leaving many questions.
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