Association between diabetes and cancer. Current mechanistic insights into the association and future challenges

© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature..

Compelling pieces of epidemiological, clinical, and experimental research have demonstrated that Diabetes mellitus (DM) is a major risk factor associated with increased cancer incidence and mortality in many human neoplasms. In the pathophysiology context of DM, many of the main classical actors are relevant elements that can fuel the different steps of the carcinogenesis process. Hyperglycemia, hyperinsulinemia, metabolic inflammation, and dyslipidemia are among the classic contributors to this association. Furthermore, new emerging actors have received particular attention in the last few years, and compelling data support that the microbiome, the epigenetic changes, the reticulum endoplasmic stress, and the increased glycolytic influx also play important roles in promoting the development of many cancer types. The arsenal of glucose-lowering therapeutic agents used for treating diabetes is wide and diverse, and a growing body of data raised during the last two decades has tried to clarify the contribution of therapeutic agents to this association. However, this research area remains controversial, because some anti-diabetic drugs are now considered as either promotors or protecting elements. In the present review, we intend to highlight the compelling epidemiological shreds of evidence that support this association, as well as the mechanistic contributions of many of these potential pathological mechanisms, some controversial points as well as future challenges.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:478

Enthalten in:

Molecular and cellular biochemistry - 478(2023), 8 vom: 24. Aug., Seite 1743-1758

Sprache:

Englisch

Beteiligte Personen:

Rojas, Armando [VerfasserIn]
Schneider, Ivan [VerfasserIn]
Lindner, Cristian [VerfasserIn]
Gonzalez, Ileana [VerfasserIn]
Morales, Miguel A [VerfasserIn]

Links:

Volltext

Themen:

Cancer
Chronic inflammation
Diabetes mellitus
Hyperglycemia
Hyperinsulinemia
Journal Article
Obesity
Review

Anmerkungen:

Date Completed 16.06.2023

Date Revised 16.06.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s11010-022-04630-x

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM350768935