Holladay S D, Smialowicz R J
Department of Biomedical Sciences and Pathobiology, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Polytechnic Institute and State University, Blacksburg, Virginia, USA.
Environ Health Perspect. 2000 Jun;108 Suppl 3(Suppl 3):463-73. doi: 10.1289/ehp.00108s3463.
Fetal and early postnatal life represent critical periods in vertebrate immune system development. Disruption of such development by perinatal immunotoxic chemical exposure has been widely described in experimental animal models. The resultant inhibited postnatal immune responses in such animals are often more dramatic and persistent than those after exposure during adult life. Further, recent reports suggest that prenatal exposure to immunotoxicants may exacerbate postnatal aberrant immune responses (e.g., hypersensitivity disorders and autoimmune disease) in genetically predisposed rodents. Limited information is available regarding the possibility of inhibited postnatal immune capacity in humans as a result of developmental immunotoxicant exposure. The multifactorial nature of hypersensitivity and autoimmune responses will further complicate the elucidation of possible relationships between chemical exposure during ontogeny of the human immune system and immune-mediated disease later in life. Taken together, however, the available animal data suggest the potential for altered postnatal immune function in humans exposed to immunotoxicants (e.g., environmental chemicals and therapeutic agents) during fetal and/or early postnatal life.
胎儿期及出生后早期是脊椎动物免疫系统发育的关键时期。围产期免疫毒性化学物质暴露对这种发育的干扰在实验动物模型中已有广泛描述。此类动物出生后免疫反应受到抑制,往往比成年期暴露后更为显著且持久。此外,最近的报告表明,产前接触免疫毒物可能会加剧具有遗传易感性的啮齿动物出生后的异常免疫反应(如过敏症和自身免疫性疾病)。关于发育性免疫毒物暴露导致人类出生后免疫能力受抑制的可能性,目前可用信息有限。过敏和自身免疫反应的多因素性质将进一步使阐明人类免疫系统发育过程中化学物质暴露与后期生活中免疫介导疾病之间可能存在的关系变得复杂。然而,综合来看,现有的动物数据表明,在胎儿期和/或出生后早期接触免疫毒物(如环境化学物质和治疗药物)的人类,其出生后免疫功能有可能发生改变。