臨牀消化器内科 Vol.26 No.2(6)


特集名 メタボリックシンドロームと大腸癌
題名 高脂血症と大腸癌
発刊年月 2011年 02月
【 要旨 】 大腸癌の発生には環境要因と遺伝要因,あるいは環境要因と遺伝要因の相互作用が原因と考えられている.多くの疫学的研究がなされ,大腸癌発生とメタボリックシンドロームとの関連性が注目され,その1因子である脂質異常症(高脂血症)と大腸癌との関連性が確認された.高トリグリセライド(TG)血症にperoxisome proliferator-activated receptor gamma(PPARg)リガンドを投与し治療を施した場合,高TG血症の改善のみならず腸管腫瘍の発生も抑制することが認められた.大腸癌は生活習慣と密接に関係しており,生活習慣の改善が心血管性疾患や糖尿病を予防するように,大腸癌の予防に繫がる可能性がある.
Theme Links Between Metabolic Syndrome and Colorectal Cancer
Title Dyslipidemia (Hyperlipidemia) and Colon Cancer
[ Summary ] Recently, life styles have changed in relation to anexcessive energy intake of high fat foods and lack of physical activity due to the increased use of automobiles. As a result, there has been an increase in rates of obesity and metabolic syndrome. Metabolic syndrome is indicated by a state of glucose intolerance caused by insulin resistance, leading to development of lipid abnormalities and high blood pressure. Metabolic syndrome is associated with increased risk of colon cancer. In addition, serum levels of triglycerides(TG) and cholesterol have been demonstrated to be positively associated with colon carcinogenesis.
Peroxisome proliferator-activated receptor gamma (PPARγ) is a nuclear receptor and ligand-activated transcription factor which plays important roles in the control of energy balance. Clinical trials have shown that PPARγ agonists decrease serum levels of LDL-cholesterol and TG and increase serum levels of HDL-cholesterol. PPARγ agonists suppresse both dyslipidemia and colon cancer. PPARγ agonists could be useful as chemopreventive agents for colon cancer.
戻る