The relationship between pancreatic cancer and type 2 diabetes: cause and consequence

Yan Li1,2,*, Xiaohui Bian2,*, Shuyi Wei2, Meizhi He2, Yuelian Yang1 1Department of Gerontology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, People’s Republic of China; 2The Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, Peop...

Full description

Bibliographic Details
Main Authors: Li Y, Bian X, Wei S, He M, Yang Y
Format: Article
Language:English
Published: Dove Medical Press 2019-09-01
Series:Cancer Management and Research
Subjects:
Online Access:https://www.dovepress.com/the-relationship-between-pancreatic-cancer-and-type-2-diabetes-cause-a-peer-reviewed-article-CMAR
_version_ 1818147390020911104
author Li Y
Bian X
Wei S
He M
Yang Y
author_facet Li Y
Bian X
Wei S
He M
Yang Y
author_sort Li Y
collection DOAJ
description Yan Li1,2,*, Xiaohui Bian2,*, Shuyi Wei2, Meizhi He2, Yuelian Yang1 1Department of Gerontology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, People’s Republic of China; 2The Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yuelian YangDepartment of Gerontology, Zhujiang Hospital, Southern Medical University, No. 253, Industrial Avenue, Haizhu District, Guangzhou, Guangdong 510280, People’s Republic of ChinaTel +86 1 366 057 4670Email 61850306@qq.comAbstract: Pancreatic cancer (PC) is a devastating and lethal malignant disease and it is well known that there is a complex bidirectional relationship between PC and type 2 diabetes mellitus (T2DM). In order to more deeply summarize the relationship between them, this article summarizes the epidemiological data on the relationship between PC and T2DM in the past 5 years, and further explains the mechanism of interaction between them. Meanwhile, it also summed up the effects of drug therapy for T2DM on PC and the impact of T2DM on surgical resection of PC. Epidemiological studies clearly indicate that the risk of PC is increased in patients with T2DM. But increasing epidemiological data points out that PC also acts as a cause of T2DM and new-onset T2DM is sign and consequence of PC. Insulin resistance, hyperinsulinemia, hyperglycemia, and chronic inflammation are the mechanisms of T2DM-Associated PC. Metformin decreases the risk of PC, while insulin therapy increases the risk of PC. Besides, studies have shown that T2DM decreases the survival in patients with PC resection.Keywords: pancreatic cancer, type 2 diabetes, bidirectional relationship
first_indexed 2024-12-11T12:34:29Z
format Article
id doaj.art-121045e68cc743ac8a58e0869c534f59
institution Directory Open Access Journal
issn 1179-1322
language English
last_indexed 2024-12-11T12:34:29Z
publishDate 2019-09-01
publisher Dove Medical Press
record_format Article
series Cancer Management and Research
spelling doaj.art-121045e68cc743ac8a58e0869c534f592022-12-22T01:07:09ZengDove Medical PressCancer Management and Research1179-13222019-09-01Volume 118257826848463The relationship between pancreatic cancer and type 2 diabetes: cause and consequenceLi YBian XWei SHe MYang YYan Li1,2,*, Xiaohui Bian2,*, Shuyi Wei2, Meizhi He2, Yuelian Yang1 1Department of Gerontology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, People’s Republic of China; 2The Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yuelian YangDepartment of Gerontology, Zhujiang Hospital, Southern Medical University, No. 253, Industrial Avenue, Haizhu District, Guangzhou, Guangdong 510280, People’s Republic of ChinaTel +86 1 366 057 4670Email 61850306@qq.comAbstract: Pancreatic cancer (PC) is a devastating and lethal malignant disease and it is well known that there is a complex bidirectional relationship between PC and type 2 diabetes mellitus (T2DM). In order to more deeply summarize the relationship between them, this article summarizes the epidemiological data on the relationship between PC and T2DM in the past 5 years, and further explains the mechanism of interaction between them. Meanwhile, it also summed up the effects of drug therapy for T2DM on PC and the impact of T2DM on surgical resection of PC. Epidemiological studies clearly indicate that the risk of PC is increased in patients with T2DM. But increasing epidemiological data points out that PC also acts as a cause of T2DM and new-onset T2DM is sign and consequence of PC. Insulin resistance, hyperinsulinemia, hyperglycemia, and chronic inflammation are the mechanisms of T2DM-Associated PC. Metformin decreases the risk of PC, while insulin therapy increases the risk of PC. Besides, studies have shown that T2DM decreases the survival in patients with PC resection.Keywords: pancreatic cancer, type 2 diabetes, bidirectional relationshiphttps://www.dovepress.com/the-relationship-between-pancreatic-cancer-and-type-2-diabetes-cause-a-peer-reviewed-article-CMARpancreatic cancertype 2 diabetesbidirectional relationship
spellingShingle Li Y
Bian X
Wei S
He M
Yang Y
The relationship between pancreatic cancer and type 2 diabetes: cause and consequence
Cancer Management and Research
pancreatic cancer
type 2 diabetes
bidirectional relationship
title The relationship between pancreatic cancer and type 2 diabetes: cause and consequence
title_full The relationship between pancreatic cancer and type 2 diabetes: cause and consequence
title_fullStr The relationship between pancreatic cancer and type 2 diabetes: cause and consequence
title_full_unstemmed The relationship between pancreatic cancer and type 2 diabetes: cause and consequence
title_short The relationship between pancreatic cancer and type 2 diabetes: cause and consequence
title_sort relationship between pancreatic cancer and type 2 diabetes cause and consequence
topic pancreatic cancer
type 2 diabetes
bidirectional relationship
url https://www.dovepress.com/the-relationship-between-pancreatic-cancer-and-type-2-diabetes-cause-a-peer-reviewed-article-CMAR
work_keys_str_mv AT liy therelationshipbetweenpancreaticcancerandtype2diabetescauseandconsequence
AT bianx therelationshipbetweenpancreaticcancerandtype2diabetescauseandconsequence
AT weis therelationshipbetweenpancreaticcancerandtype2diabetescauseandconsequence
AT hem therelationshipbetweenpancreaticcancerandtype2diabetescauseandconsequence
AT yangy therelationshipbetweenpancreaticcancerandtype2diabetescauseandconsequence
AT liy relationshipbetweenpancreaticcancerandtype2diabetescauseandconsequence
AT bianx relationshipbetweenpancreaticcancerandtype2diabetescauseandconsequence
AT weis relationshipbetweenpancreaticcancerandtype2diabetescauseandconsequence
AT hem relationshipbetweenpancreaticcancerandtype2diabetescauseandconsequence
AT yangy relationshipbetweenpancreaticcancerandtype2diabetescauseandconsequence