بررسی اثر و مکانیسم عمل IGF-1 و IGFBP-3 در بروز سرطان پستان انسان: مرور سیستماتیک

نوع مقاله : مقاله مروری

نویسندگان

1 دانشجوی کارشناسی ارشد، گروه بیوشیمی بالینی، دانشکده‌ی داروسازی و علوم دارویی و کمیته‌ی تحقیقات دانشجویی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 دانشجوی دکتری، گروه بیوشیمی بالینی، دانشکده‌ی داروسازی و علوم دارویی و کمیته‌ی تحقیقات دانشجویی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 استادیار، گروه بیوشیمی بالینی، دانشکده‌ی داروسازی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: سرطان پستان شایع‌ترین بدخیمی در زنان ایرانی است. مطالعات نشان داده‌اند که که سطح بالای IGF-1 (Insulin like growth factor-1) و غلظت پایین IGFBP-3 (Insulin like growth factor binding protein 3) در خون و یا نسبت بالای IGF-1 به IGFBP-3 می‌تواند به عنوان یک عامل پیش‌آگهی از سرطان پستان به کار رود.روش‌ها: با بررسی کلیه‌ی اطلاعات موجود در  Ncbi-Pubmedبین سال‌های 1987 تا 2013 ارتباط بین IGF و سرطان پستان تحت بررسی مروری قرار گرفت.یافته‌ها: از مجموع 1188 مقاله که کلیدواژه‌های مورد جستجوی ما را در بر داشت و به بررسی IGF-1 در سرطان پستان پرداخته بودند، 46 مقاله ارتباط آن را با سرطان پستان به طور مستقیم و در عنوان مقاله نشان داده بودند، 92 مقاله ارتباط IGF-1 و IGFBP-3 را با سرطان پستان بررسی کرده بودند که 9 مورد آن‌ها مقالات مروری بود. از این میان، 30 مقاله به عنوان مرجع اصلی انتخاب و بررسی شدند.نتیجه‌گیری: مطالعات نشان دادند که بیان ژن IGF-1 در افراد مبتلا به سرطان پستان در مقایسه با افراد سالم افزایش می‌یابد. IGF-1 دارای اثرات میتوژنیکی و آنتی‌آپوپتوتیکی باست و بدین ترتیب سبب افزایش خطر بروز سرطان پستان می‌شود. عمل رشد، تکثیر و تومورزایی IGF-1 به واسطه‌ی گیرنده‌ی IGF-1R صورت می‌گیرد و IGFBP-3 عمل IGF-1 را با جلوگیری از اتصال آن به گیرنده‌ی سطحی IGF-1 مهار می‌کند و از این طریق با عمل میتوژنی IGF-1 مقابله می‌نماید. همچنین IGFBP-3 در یک مکانیسم مستقل از IGF، با اتصال به پروتئین‌های خاص غشا، موجب آپوپتوز می‌شود و در نتیجه رشد سلولی را مهار می‌کند.

کلیدواژه‌ها


عنوان مقاله [English]

The Effect and Mechanism of Action of Insulin-Like Growth Factor-1 and Insulin-Like Growth Factor Binding Protein-3 in Human Breast Cancer; A Systematic Review

نویسندگان [English]

  • Emad Khodadadi 1
  • Negar Ataei 2
  • Mohammad-Reza Mofid 3
1 MSC Student, Department of Medical Biochemistry, School of Pharmacy and Pharmaceutical Sciences AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
2 PhD Student, Department of Medical Biochemistry, School of Pharmacy and Pharmaceutical Sciences AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
3 Assistant Professor, Department of Medical Biochemistry, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Breast cancer is the most common malignancy in women. Many factors such as estrogens, nutrition, etc. play role in the incidence of this cancer. Insulin-like growth factor-1 (IGF-1) and insulin-like growth factor binding protein-3 (IGFBP-3) are the factors recently considered as  components of insulin-like growth factor (IGF) system.Methods: Studies in this field from 1987 to 2012 by using the databases of NCBI (http://www.ncbi.nlm.nih.gov/) were analyzed and reviewedFindings: 1181 article had examined the effect of IGF-1 in breast cancer. 46 showed a direct association with breast cancer. 92 articles were studied relation of IGF-1 and IGFBP-3 with breast cancer, 9 of them were review articles. Of these, 30 articles were selected as the main references.Conclusion: Studies have shown that IGF-1 gene expression increases in breast cancer. IGF-1 effects in growth, proliferation and tumor genesis is mediated by IGF-1R. IGFBP3 inhibit IGF-1 effects by preventing its binding to a surface receptor (IGF-1R) and interferes with IGF-1 mitoses action. Also, in a mechanism independent on IGF, IGFBP-3 binds to specific membrane proteins and induces apoptosis and inhibits cell growth.

کلیدواژه‌ها [English]

  • Breast Cancer
  • IGFBP3
  • IGF-1
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