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芳香族和脂肪族烃类溶剂性轴突病

Aromatic as well as aliphatic hydrocarbon solvent axonopathy.

作者信息

Spencer Peter S, Kim Min Sun, Sabri Mohammad I

机构信息

Center for Research on Occupational and Environmental Toxicology, Oregon Health & Science University, 3181 S. W. Sam Jackson Park Road, Portland, Oregon 97201, USA.

出版信息

Int J Hyg Environ Health. 2002 Mar;205(1-2):131-6. doi: 10.1078/1438-4639-00138.

Abstract

Superfund sites that contain mixtures of aromatic and aliphatic solvents represent an undefined health hazard. After prolonged exposure to relatively high levels of certain aliphatic solvents (e.g. n-hexane, 2-hexanone), humans and animals develop a dose-dependent neurodegeneration that occurs clinically as a symmetrical peripheral neuropathy. This is triggered by the action of 2,5-hexanedione (1,2-diacetylethane), a 1,4-diketone (gamma-diketone) metabolite that targets proteins required for the maintenance of neuronal (and testicular Sertoli cell) integrity. Certain aromatic solvents (1,2-diethylbenzene, 1,2,4-triethylbenzene) cause electrophysiological changes consistent with sensorimotor neuropathy in rodents, but the underlying mechanisms and pathogenesis are unclear. Our recent studies show that the o-diacetyl derivative and likely metabolite of 1,2-diethylbenzene, 1,2-diacetylbenzene, behaves as a neurotoxic (aromatic) gamma-diketone of high neurotoxic potency. Rats treated with 1,2-diacetylbenzene develop limb weakness associated with proximal, neurofilament-filled giant axonal swellings comparable to those seen in animals treated with the potent 3,4-dimethyl derivative of 2,5-hexanedione. The blue chromogen induced by treatment with 1,2-diacetylbenzene is under study as a possible urinary biomarker of exposure to aromatic solvents (e.g. 1,2-diethylbenzene, tetralin) with neurotoxic potential. Development and validation of sensitive new biomarkers, especially for non-cancer endpoints, will aid in assessing the health risk associated with exposure to hazardous substances at Superfund sites.

摘要

含有芳香族和脂肪族溶剂混合物的超级基金场地存在不明的健康危害。长时间接触相对高浓度的某些脂肪族溶剂(如正己烷、2-己酮)后,人和动物会出现剂量依赖性神经退行性变,临床上表现为对称性周围神经病变。这是由2,5-己二酮(1,2-二乙酰乙烷)的作用引发的,2,5-己二酮是一种1,4-二酮(γ-二酮)代谢产物,它靶向维持神经元(和睾丸支持细胞)完整性所需的蛋白质。某些芳香族溶剂(1,2-二乙苯、1,2,4-三乙苯)会导致啮齿动物出现与感觉运动神经病变一致的电生理变化,但其潜在机制和发病机制尚不清楚。我们最近的研究表明,1,2-二乙苯的邻二乙酰衍生物及可能的代谢产物1,2-二乙酰苯,表现为一种具有高神经毒性效力的神经毒性(芳香族)γ-二酮。用1,2-二乙酰苯处理的大鼠会出现肢体无力,伴有近端、充满神经丝的巨大轴突肿胀,这与用2,5-己二酮的强效3,4-二甲基衍生物处理的动物所见相似。正在研究用1,2-二乙酰苯处理诱导产生的蓝色色原,作为接触具有神经毒性潜力的芳香族溶剂(如1,2-二乙苯、四氢化萘)的可能尿液生物标志物。开发和验证敏感的新生物标志物,尤其是用于非癌症终点的生物标志物,将有助于评估与超级基金场地有害物质接触相关的健康风险。

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