New insights into the prognosis of intraocular malignancy: Interventions for association mechanisms between cancer and diabetes

The intraocular malignancies, which mostly originate from the retina and uvea, exhibit a high incidence of blindness and even death. Uveal melanoma (UM) and retinoblastoma (RB) are the most common intraocular malignancies in adults and children, respectively. The high risks of distant metastases lea...

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Main Authors: Lingwen Gu, Guofeng Ma, Cui Li, Jing Lin, Guiqiu Zhao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.958170/full
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author Lingwen Gu
Guofeng Ma
Cui Li
Jing Lin
Guiqiu Zhao
author_facet Lingwen Gu
Guofeng Ma
Cui Li
Jing Lin
Guiqiu Zhao
author_sort Lingwen Gu
collection DOAJ
description The intraocular malignancies, which mostly originate from the retina and uvea, exhibit a high incidence of blindness and even death. Uveal melanoma (UM) and retinoblastoma (RB) are the most common intraocular malignancies in adults and children, respectively. The high risks of distant metastases lead to an extremely poor prognosis. Nowadays, various epidemiological studies have demonstrated that diabetes is associated with the high incidence and mortality of cancers, such as liver cancer, pancreatic cancer, and bladder cancer. However, the mechanisms and interventions associated with diabetes and intraocular malignancies have not been reviewed. In this review, we have summarized the associated mechanisms between diabetes and intraocular malignancy. Diabetes mellitus is a chronic metabolic disease characterized by prolonged periods of hyperglycemia. Recent studies have reported that the abnormal glucose metabolism, insulin resistance, and the activation of the IGF/insulin-like growth factor-1 receptor (IGF-1R) signaling axis in diabetes contribute to the genesis, growth, proliferation, and metastases of intraocular malignancy. In addition, diabetic patients are more prone to suffer severe complications and poor prognosis after radiotherapy for intraocular malignancy. Based on the common pathogenesis shared by diabetes and intraocular malignancy, they may be related to interventions and treatments. Therefore, interventions targeting the abnormal glucose metabolism, insulin resistance, and IGF-1/IGF-1R signaling axis show therapeutic potentials to treat intraocular malignancy.
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spelling doaj.art-4e2537e4280f4dd093c6e203fd7e80042022-12-22T04:01:33ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-08-011210.3389/fonc.2022.958170958170New insights into the prognosis of intraocular malignancy: Interventions for association mechanisms between cancer and diabetesLingwen Gu0Guofeng Ma1Cui Li2Jing Lin3Guiqiu Zhao4Department of Ophthalmology, The Affiliated Hospital of Qingdao University, Qingdao, ChinaDepartment of Urology, The Affiliated Hospital of Qingdao University, Qingdao, ChinaDepartment of Ophthalmology, The Affiliated Hospital of Qingdao University, Qingdao, ChinaDepartment of Ophthalmology, The Affiliated Hospital of Qingdao University, Qingdao, ChinaDepartment of Ophthalmology, The Affiliated Hospital of Qingdao University, Qingdao, ChinaThe intraocular malignancies, which mostly originate from the retina and uvea, exhibit a high incidence of blindness and even death. Uveal melanoma (UM) and retinoblastoma (RB) are the most common intraocular malignancies in adults and children, respectively. The high risks of distant metastases lead to an extremely poor prognosis. Nowadays, various epidemiological studies have demonstrated that diabetes is associated with the high incidence and mortality of cancers, such as liver cancer, pancreatic cancer, and bladder cancer. However, the mechanisms and interventions associated with diabetes and intraocular malignancies have not been reviewed. In this review, we have summarized the associated mechanisms between diabetes and intraocular malignancy. Diabetes mellitus is a chronic metabolic disease characterized by prolonged periods of hyperglycemia. Recent studies have reported that the abnormal glucose metabolism, insulin resistance, and the activation of the IGF/insulin-like growth factor-1 receptor (IGF-1R) signaling axis in diabetes contribute to the genesis, growth, proliferation, and metastases of intraocular malignancy. In addition, diabetic patients are more prone to suffer severe complications and poor prognosis after radiotherapy for intraocular malignancy. Based on the common pathogenesis shared by diabetes and intraocular malignancy, they may be related to interventions and treatments. Therefore, interventions targeting the abnormal glucose metabolism, insulin resistance, and IGF-1/IGF-1R signaling axis show therapeutic potentials to treat intraocular malignancy.https://www.frontiersin.org/articles/10.3389/fonc.2022.958170/fullintraocular malignancyuveal melanomaretinoblastomaWarburg effectinsulin resistanceinsulin-like growth factor-1 receptor
spellingShingle Lingwen Gu
Guofeng Ma
Cui Li
Jing Lin
Guiqiu Zhao
New insights into the prognosis of intraocular malignancy: Interventions for association mechanisms between cancer and diabetes
Frontiers in Oncology
intraocular malignancy
uveal melanoma
retinoblastoma
Warburg effect
insulin resistance
insulin-like growth factor-1 receptor
title New insights into the prognosis of intraocular malignancy: Interventions for association mechanisms between cancer and diabetes
title_full New insights into the prognosis of intraocular malignancy: Interventions for association mechanisms between cancer and diabetes
title_fullStr New insights into the prognosis of intraocular malignancy: Interventions for association mechanisms between cancer and diabetes
title_full_unstemmed New insights into the prognosis of intraocular malignancy: Interventions for association mechanisms between cancer and diabetes
title_short New insights into the prognosis of intraocular malignancy: Interventions for association mechanisms between cancer and diabetes
title_sort new insights into the prognosis of intraocular malignancy interventions for association mechanisms between cancer and diabetes
topic intraocular malignancy
uveal melanoma
retinoblastoma
Warburg effect
insulin resistance
insulin-like growth factor-1 receptor
url https://www.frontiersin.org/articles/10.3389/fonc.2022.958170/full
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