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细胞因子在肿瘤相关性贫血中的作用机制研究进展

Review on Mechanism of Cytokines in Cancer-related Anemia

  • 摘要: 肿瘤相关性贫血是肿瘤发生发展过程中最常见的并发症,肿瘤患者的贫血类型呈多样性,因影响红细胞生成或消耗的因素众多,如:慢性失血、溶血、铁代谢紊乱、肾功能不全、造血功能障碍(骨髓抑制)、炎性反应因子数量的增加、肿瘤患者恶性消耗、促红细胞生成素相对不足等均可导致贫血。目前肿瘤相关性贫血的具体发生机制尚未完全清楚,但炎性反应因子在肿瘤相关性贫血发生发展过程中起着决定性作用,其中hePcidin、IL-6、TNF-α及EPO等细胞因子扮演着重要角色。改善肿瘤患者的贫血状态,可以改善患者症状,提高患者生活质量,改善患者认知能力,增强患者社会能力,成为临床医师越来越关注的焦点。

     

    Abstract: Cancer-related anemia is the most common complication in the process of cancer development. The types of anemia in tumor patients are multifarious, because of many influence factors of producing or consuming red blood cells, such as, chronic blood loss, hemolysis, iron metabolism disorder, renal insufficiency, hematopoietic dysfunction (bone marrow suppression), an increase of inflammatory factors, malignant tumor consumption, relatively insufficient of erythropoietin, et al. The specific mechanism of cancer-related anemia is not yet clear entirely, but inflammatory factors play decisive roles in the occurrence and development of cancer-related anemia, thereinto, hePcidin, IL-6, TNF-a and EPO cytokines play important roles. Improving anemia status in tumor patients could improve symptoms, quality of life, cognitive ability and social ability.

     

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