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Avances sobre la influencia del tejido adiposo en el adenocarcinoma de próstata
Advances on the influence of adipose tissue on prostate cancer
Constanza López Fontana1,a, M. Eugenia Maselli Artolaa, M. Cristina Vanrell Rodrígueza, Nicolás A. Di Milta Mónacoa, Rafael Pérez Elizaldea, José D. López Laur*
* Cátedra Clínica Urológica. Facultad de Ciencias Médicas. Universidad Nacional de Cuyo. Mendoza. Argentina
a Laboratorio de Enfermedades Metabólicas y Cáncer. Facultad de Farmacia y Bioquímica. Universidad Juan Agustín Maza. Mendoza. Argentina
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Numerosos estudios han intentado interpretar la asociaci&#243;n entre la obesidad y el c&#225;ncer de pr&#243;stata &#40;CaP&#41;&#44; aunque los resultados no han sido concluyentes debido a que existe una gran dificultad para evaluar sus efectos de sobre el desarrollo del CaP&#46; Dicha dificultad radica en que no solo implica un exceso de grasa corporal&#44; sino tambi&#233;n una alteraci&#243;n de diversos par&#225;metros fisiol&#243;gicos que aumentan la agresividad del tumor&#46;</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Realizar una puesta al d&#237;a sobre el rol del tejido adiposo en el desarrollo del CaP&#46; Material y m&#233;todos&#58; se realiz&#243; una b&#250;squeda bibliogr&#225;fica y lectura compresiva de art&#237;culos relacionados con &#8220;tejido adiposo&#8221;&#44; &#8220;obesidad&#8221;&#44; &#8220;adipoquinas&#8221; y &#8220;c&#225;ncer de pr&#243;stata&#8221; en Pubmed y revistas cient&#237;ficas&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estudios recientes indican que la obesidad influir&#237;a en la carcinog&#233;nesis prost&#225;tica mediante factores promotores &#40;andr&#243;genos&#44; leptina&#44; VEGF&#44; IL-6&#44; insulina e IGF-1&#41; y factores protectores &#40;adiponectina e IGFBP-3&#41;&#46; Los mecanismos potenciales mediante los cuales la obesidad podr&#237;a iniciar&#44; promover o favorecer la progresi&#243;n del CaP son los bajos niveles de testosterona y altos niveles de estr&#243;genos&#44; el s&#237;ndrome metab&#243;lico coexistente&#44; el aumento en la secreci&#243;n de leptina&#44; VEGF&#44; IL-6 y TNF-&#945;y disminuci&#243;n de adiponectina&#44; y la excesiva ingesta de grasas saturadas&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El exceso de tejido adiposo en el organismo podr&#237;a promover la progresi&#243;n del CaP&#44; m&#225;s que ser un factor de riesgo&#46; Sin embargo&#44; futuros estudios son necesarios para esclarecer a&#250;n m&#225;s la relaci&#243;n entre las adipoquinas y el CaP con el fin de desarrollar nuevas medidas de prevenci&#243;n y tratamiento de este tumor&#46;</p>"
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        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Numerous studies have investigated the association between obesity and prostate cancer &#40;CaP&#41;&#44; although the results have not been concluding due to the great difficulty to evaluate the effects of obesity on the development of this type of tumor&#46;</p> <span class="elsevierStyleSectionTitle">The aim of this study</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">was to carry out a comprehensive over-view of the existing evidence about the role of adipose tissue in the prostate carcinogenesis&#46; Recent evidence suggests that androgens&#44; leptin&#44; IL-6&#44; VEGF&#44; insulin and IGF-1 may play a role in PC progression&#44; while adiponectin and IGFBP-3 may act as &#8220;anti- prostatic cancer&#8221; adipokines&#46; The potential mechanisms by which obesity may initiate&#44; promote or facilitate the progression of CaP are low levels of testosterone and high levels of estrogen&#44; coexisting metabolic syndrome&#44; increased secretion of leptin&#44; VEGF&#44; IL-6 and TNF-&#945;and decreased adiponectin&#44; and excessive intake of saturated fat&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Obesity may promote the progression of established PC rather than being a risk factor for the development of this tumour&#46; However&#44; additional studies are needed to clarify the relationship between adipokines and PC before developing new preventive or treatment strategies for this tumor&#46;</p>"
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ISSN: 02104806
Idioma original: Español
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