PRIMENA NESTEROIDNIH ANTIINFLAMATORNIH LEKOVA U HEMOPREVENCIJI KARCINOMA KOLONA

  • Aleksandra R Milić Sandoz Pharmaceuticals Beograd
  • Ivana Damnjanović Medicinski fakultet, Univerzitet Niš
Ključne reči: nonsteroidal antiinflammatory drugs||, ||nesteroidni antiinflamatorni lekovi, chemoprevention||, ||hemoprevencija, colorectal cancer||, ||kolorektalni karcinom,

Sažetak


Kolorektalni karcinom je po učestalosti na trećem mestu među malignim tumorima osoba oba pola u visoko razvijenim zemljama.  To je predominantno bolest starijih ljudi, i javlja se uglavnom posle 60. godine života. Iako je etiologija karcinoma kolona nepoznata, pretpostavlja se da nastaje kao posledica kompleksne i nedovoljno razjašnjene interakcije genetskih faktora i činilaca spoljašnje sredine.

Osnovni element u etiologiji kolorektalnog karcinoma je proces genetskih promena u epitelnim ćelijama mukoze kolona. Smatra se da specifični epidemiološki faktori kao što su stres, hipoksija, redukovan unos glukoze i drugih nutricijenata, familijarna predispozicija za mutagene efekte, meso u ishrani, žučne kiseline, smanjen unos minerala i vitamina kao i promena pH fecesa dovode do započinjanja procesa kancerogeneze u mukozi debelog creva .

Hemoprevencija karcinoma se definiše kao upotreba hemijskog agensa  sa ciljem da blokira, spreči ili odloži razvoj ili napredak karcinoma. Smatra se da je hemoprevencija jedna od glavnih komponenti kontrole karcinoma, a mnogobrojna  istraživanja ukazuju na potencijalnu ulogu nesteroidnih antiinflamatornih lekova u hemoprevenciji karcinoma kolona.

 

Biografija autora

Aleksandra R Milić, Sandoz Pharmaceuticals Beograd
doktor medicine, specijalizant kliničke farmakologije

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Objavljeno
2013/02/20
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