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内分泌干扰化学物质:对人类男性生殖健康的影响

Endocrine disrupting chemicals: effects on human male reproductive health.

作者信息

Murray T J, Lea R G, Abramovich D R, Haites N E, Fowler P A

机构信息

Nutrition and Development, Obstetrics and Gynaecology, The Rowett Research Institute, Greenburn Road, Bucksburn, Aberdeen, AB21 9SB, UK.

出版信息

Early Pregnancy (Cherry Hill). 2001 Apr;5(2):80-112.

Abstract

There is now considerable evidence that male reproductive function is declining in human and wildlife populations. This is coincident with the increasing use and prevalence of man-made chemicals in the environment over the last fifty years. Certain chemicals have subsequently been shown to disturb the developing fetal endocrine system of laboratory animals in utero. In these experiments, treatment caused similar male reproductive problems in offspring as those already observed in wildlife and human populations. In addition, both the human DES data and rodent studies have shown that there are specific windows of gestation when the developing fetal gonad is highly sensitive to small endocrine changes. Animal in vivo and human in vitro studies have identified EDC sensitive genes. Consequently, hypotheses are being generated concerning mechanism of action e.g. disturbed testicular apoptosis and altered hepatic biotransformation of steroids. While animal studies provide us with valuable insights into the range of effects that can be attributed to in utero EDC exposure, varying maternal doses employed by different research groups make relation of the results to human observations difficult. The EDC concentration representative of fetal exposure levels is uncertain. Confounding factors include: (a) the vast number of chemicals termed EDCs, (b) the ability of chemicals to bioaccumulate in body lipid, (c) the metabolism of body lipid during pregnancy releasing the mothers lifetime EDC legacy into circulation and (d) the poorly understood kinetics of EDC transfer across the placenta. Thus, the level of fetal exposure can only be crudely estimated at present. This highlights the need for large animal models of EDC in utero exposure where the partitioning of EDCs between the mother and fetus and transfer across the placenta can be studied in detail. Despite considerable effort the mechanisms by which these endocrine disrupting chemicals exert their effects are still largely unknown. Further studies of the mechanism of action, and consequences, of EDCs in fetal development must be done in order to elucidate how EDCs exert their effects. This can only be achieved using a combined approach whereby animal models are used in combination with in vitro human studies. In conclusion however, there are now sufficient animal model data to prove that EDCs can adversely affect reproductive development and function in the male. Our further understanding of the mechanisms involved may allow intervention strategies whereby we can at least prevent a further decline in male as well as female reproductive health.

摘要

现在有大量证据表明,人类和野生动物种群中的雄性生殖功能正在下降。这与过去五十年来环境中人造化学物质使用的增加及其普遍存在相吻合。某些化学物质随后被证明会干扰实验动物子宫内发育中的胎儿内分泌系统。在这些实验中,处理导致后代出现与野生动物和人类种群中已经观察到的类似的雄性生殖问题。此外,人类己烯雌酚数据和啮齿动物研究均表明,在胎儿发育的特定妊娠期内,发育中的胎儿性腺对微小的内分泌变化高度敏感。动物体内研究和人类体外研究已经确定了对内分泌干扰物敏感的基因。因此,关于作用机制的假设正在形成,例如睾丸细胞凋亡受干扰以及类固醇的肝脏生物转化改变。虽然动物研究为我们提供了宝贵的见解,让我们了解子宫内接触内分泌干扰物可能产生的一系列影响,但不同研究小组采用的母体剂量各不相同,这使得将结果与人类观察结果联系起来变得困难。代表胎儿接触水平的内分泌干扰物浓度尚不确定。混杂因素包括:(a)被称为内分泌干扰物的大量化学物质,(b)化学物质在体内脂质中生物累积的能力,(c)怀孕期间体内脂质的代谢将母亲一生接触的内分泌干扰物释放到循环中,以及(d)内分泌干扰物跨胎盘转移的动力学知之甚少。因此,目前只能粗略估计胎儿接触水平。这凸显了对子宫内接触内分泌干扰物的大型动物模型的需求,通过该模型可以详细研究内分泌干扰物在母体和胎儿之间的分配以及跨胎盘转移情况。尽管付出了巨大努力,但这些内分泌干扰化学物质发挥作用的机制在很大程度上仍然未知。必须进一步研究内分泌干扰物在胎儿发育中的作用机制及其后果,以便阐明它们是如何发挥作用的。这只能通过一种联合方法来实现,即结合使用动物模型和人类体外研究。然而,总而言之,现在有足够的动物模型数据证明内分泌干扰物会对雄性生殖发育和功能产生不利影响。我们对所涉及机制的进一步了解可能会带来干预策略,从而至少可以防止男性以及女性生殖健康状况的进一步下降。

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