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模拟禁食饮食在肿瘤治疗中的作用:机制、挑战与临床前景

The Role of Fasting-Mimicking Diet in Cancer Therapy: Mechanisms, Challenges, and Clinical Prospects

  • 摘要: 模拟禁食饮食(fasting-mimicking diet, FMD)作为一种新兴的周期性低热量膳食干预策略,通过重塑机体代谢与免疫微环境,在肿瘤治疗领域引起了广泛关注。研究表明,FMD不仅能够延长健康个体的寿命,降低癌症及其他疾病的发病率,还能增强对正常细胞的保护作用,同时提高肿瘤细胞对多种治疗手段的敏感性。FMD通过降低血糖、胰岛素及胰岛素样生长因子-1水平,激活正常细胞的保护性通路,同时诱导肿瘤细胞的差异应激敏化,从而增强癌细胞对肿瘤治疗的敏感性,为个体化治疗提供新靶点。本文系统综述了FMD的基本概念、作用机制及其在肿瘤治疗中的潜在应用,重点探讨了FMD与化疗、免疫治疗等传统疗法的协同效应。此外,本文还分析了FMD在临床转化中的挑战,并展望了其未来的应用前景。

     

    Abstract: The fasting-mimicking diet (FMD), an emerging cyclic low-calorie dietary intervention strategy, has garnered significant attention in the field of tumor therapy with its ability to remodelthe body's metabolic and immune microenvironment. Studies have shown that FMD not only extends the lifespan and reduces the incidence of cancer and other diseases in healthy individuals, but also enhances the protective effects on normal cells. Furthermore, FMD increases the sensitivity of tumor cells to multiple therapeutic treatments. FMD activates the protective pathways of normal cells by lowering the levels of blood glucose, insulin, and insulin-like growth factor-1, while it induces differential stress sensitization of tumor cells, thereby enhancing the sensitivity of cancer cells to tumor therapy and providing new targets for individualized therapy. Herein, we provide a brief overview of the fundamental concept of FMD, the underlying mechanisms, and its potential application in cancer treatment, highlighting the synergistic effects of FMD applied in combination with conventional cancer therapies, such as chemotherapy and immunotherapy. Moreover, the challenges encountered in translating FMD into clinical practice are discussed, along with the promising future applications of this dietary regimen.

     

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