Masuda Y, Haraguchi K, Kuroki H, Ryan J J
Daiichi College of Pharmaceutical Sciences, 22-1, Tamagawa-cho, Minami-ku, Fukuoka 815-8511.
Fukuoka Igaku Zasshi. 2001 May;92(5):149-57.
Two mass-food poisonings called Yusho and Yucheng occurred in Western Japan and Taiwan in 1968 and 1979, respectively. Blood samples from 5 Yusho patients and 3 Yucheng patients were collected several times from 1982 to 1998 and from 1980 to 1995, respectively, and analyzed for PCB and PCDF congeners. Fat base concentrations of 2,3,4,7,8-penta-CDF in the Yusho patients, which were responsible for about 70% of the dioxin toxicity, are estimated to be decreased from 60 ppb in 1969 to 0.8 ppb in 1997 with the median half-life of 2.9 years in the first 15 years after the onset and 7.7 years in the next stage of 15 years. Fat base concentrations of total PCBs in the blood of Yusho patients are estimated to be decreased from 75 ppm just after the onset to 2.3 ppm after passage of 30 years. Typical Yusho symptoms of acneiform eruption, dermal pigmentation and increased eye discharge were very gradually recovered with lapse of ten years. However, enzyme and/or hormone mediated sign of high serum triglyceride, high serum thyroxin, immunoglobulin disorder and others are persistently maintained for 30 years.
1968年和1979年,日本西部和台湾分别发生了两起大规模食物中毒事件,即油症和米糠油事件。分别于1982年至1998年以及1980年至1995年多次采集了5名油症患者和3名米糠油事件患者的血样,分析其中多氯联苯和多氯二苯并呋喃同系物的含量。对油症患者中约占二噁英毒性70%的2,3,4,7,8-五氯二苯并呋喃脂肪基浓度进行估算,结果显示从1969年的60 ppb降至1997年的0.8 ppb,发病后头15年的中位半衰期为2.9年,后15年为7.7年。油症患者血液中多氯联苯总量的脂肪基浓度估算值从发病后即刻的75 ppm降至30年后的2.3 ppm。典型的油症症状,如痤疮样皮疹、皮肤色素沉着和眼分泌物增多,在十年间逐渐得到缓解。然而,由酶和/或激素介导的高血清甘油三酯、高血清甲状腺素、免疫球蛋白紊乱等症状持续了30年。