Diabetes and Colorectal Cancer Risk: A New Look at Molecular Mechanisms and Potential Role of Novel Antidiabetic Agents

Epidemiological data have demonstrated a significant association between the presence of type 2 diabetes mellitus (T2DM) and the development of colorectal cancer (CRC). Chronic hyperglycemia, insulin resistance, oxidative stress, and inflammation, the processes inherent to T2DM, also play active rol...

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Autores principales: Jelena Vekic, Aleksandra Zeljkovic, Aleksandra Stefanovic, Rosaria Vincenza Giglio, Marcello Ciaccio, Manfredi Rizzo
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/d789fe012af54893836fdd938c2a60f2
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spelling oai:doaj.org-article:d789fe012af54893836fdd938c2a60f22021-11-25T17:56:26ZDiabetes and Colorectal Cancer Risk: A New Look at Molecular Mechanisms and Potential Role of Novel Antidiabetic Agents10.3390/ijms2222124091422-00671661-6596https://doaj.org/article/d789fe012af54893836fdd938c2a60f22021-11-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/22/12409https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067Epidemiological data have demonstrated a significant association between the presence of type 2 diabetes mellitus (T2DM) and the development of colorectal cancer (CRC). Chronic hyperglycemia, insulin resistance, oxidative stress, and inflammation, the processes inherent to T2DM, also play active roles in the onset and progression of CRC. Recently, small dense low-density lipoprotein (LDL) particles, a typical characteristic of diabetic dyslipidemia, emerged as another possible underlying link between T2DM and CRC. Growing evidence suggests that antidiabetic medications may have beneficial effects in CRC prevention. According to findings from a limited number of preclinical and clinical studies, glucagon-like peptide-1 receptor agonists (GLP-1RAs) could be a promising strategy in reducing the incidence of CRC in patients with diabetes. However, available findings are inconclusive, and further studies are required. In this review, novel evidence on molecular mechanisms linking T2DM with CRC development, progression, and survival will be discussed. In addition, the potential role of GLP-1RAs therapies in CRC prevention will also be evaluated.Jelena VekicAleksandra ZeljkovicAleksandra StefanovicRosaria Vincenza GiglioMarcello CiaccioManfredi RizzoMDPI AGarticleinsulin resistancehyperglycemiaoxidative stressinflammationsmall dense LDLglucagon-like peptide-1 receptor agonistsBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 12409, p 12409 (2021)
institution DOAJ
collection DOAJ
language EN
topic insulin resistance
hyperglycemia
oxidative stress
inflammation
small dense LDL
glucagon-like peptide-1 receptor agonists
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle insulin resistance
hyperglycemia
oxidative stress
inflammation
small dense LDL
glucagon-like peptide-1 receptor agonists
Biology (General)
QH301-705.5
Chemistry
QD1-999
Jelena Vekic
Aleksandra Zeljkovic
Aleksandra Stefanovic
Rosaria Vincenza Giglio
Marcello Ciaccio
Manfredi Rizzo
Diabetes and Colorectal Cancer Risk: A New Look at Molecular Mechanisms and Potential Role of Novel Antidiabetic Agents
description Epidemiological data have demonstrated a significant association between the presence of type 2 diabetes mellitus (T2DM) and the development of colorectal cancer (CRC). Chronic hyperglycemia, insulin resistance, oxidative stress, and inflammation, the processes inherent to T2DM, also play active roles in the onset and progression of CRC. Recently, small dense low-density lipoprotein (LDL) particles, a typical characteristic of diabetic dyslipidemia, emerged as another possible underlying link between T2DM and CRC. Growing evidence suggests that antidiabetic medications may have beneficial effects in CRC prevention. According to findings from a limited number of preclinical and clinical studies, glucagon-like peptide-1 receptor agonists (GLP-1RAs) could be a promising strategy in reducing the incidence of CRC in patients with diabetes. However, available findings are inconclusive, and further studies are required. In this review, novel evidence on molecular mechanisms linking T2DM with CRC development, progression, and survival will be discussed. In addition, the potential role of GLP-1RAs therapies in CRC prevention will also be evaluated.
format article
author Jelena Vekic
Aleksandra Zeljkovic
Aleksandra Stefanovic
Rosaria Vincenza Giglio
Marcello Ciaccio
Manfredi Rizzo
author_facet Jelena Vekic
Aleksandra Zeljkovic
Aleksandra Stefanovic
Rosaria Vincenza Giglio
Marcello Ciaccio
Manfredi Rizzo
author_sort Jelena Vekic
title Diabetes and Colorectal Cancer Risk: A New Look at Molecular Mechanisms and Potential Role of Novel Antidiabetic Agents
title_short Diabetes and Colorectal Cancer Risk: A New Look at Molecular Mechanisms and Potential Role of Novel Antidiabetic Agents
title_full Diabetes and Colorectal Cancer Risk: A New Look at Molecular Mechanisms and Potential Role of Novel Antidiabetic Agents
title_fullStr Diabetes and Colorectal Cancer Risk: A New Look at Molecular Mechanisms and Potential Role of Novel Antidiabetic Agents
title_full_unstemmed Diabetes and Colorectal Cancer Risk: A New Look at Molecular Mechanisms and Potential Role of Novel Antidiabetic Agents
title_sort diabetes and colorectal cancer risk: a new look at molecular mechanisms and potential role of novel antidiabetic agents
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/d789fe012af54893836fdd938c2a60f2
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