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日本人通过一年摄入FBRA对油症的致病性多氯二苯并呋喃/二噁英同系物进行主动清除。

Active elimination of causative PCDFs/DDs congeners of Yusho by one year intake of FBRA in Japanese people.

作者信息

Nagayama Junya, Takasuga Takumi, Tsuji Hiroshi, Umehara Motomi, Sada Takehiko, Iwasaki Teruaki

机构信息

Laboratory of Environmental Molecular Epidemiology, School of Health Sciences, Faculty of Medicine, Kyushu University, Fukuoka 812-8582.

出版信息

Fukuoka Igaku Zasshi. 2003 May;94(5):118-25.

Abstract

Thirty-five years have been passing since the outbreak of Kanemi rice oil poisoning, namely, Yusho in the western Japan. However, even now the patients with Yusho have been still suffering from several objective and subjective symptoms. In order to improve or, if possible, to cure the such symptoms, the most important therapeutic treatment is considered to actively excrete the most toxic causative PCDFs/DDs congeners, that is, 2,3,4,7,8-pentachlorodibenzofuran (PenCDF) and 1,2,3,6,7,8-hexachlorodibenzo-p-dioxin (HxCDD) from the bodies of the patients and to reduce their body burdens. In rats, dietary fiber and chlorophyll have been shown to promote the fecal excretion of dioxins and to reduce their levels in rat liver. In this study, we examined whether such kinds of effect were also observed by FBRA, which was the health food and relatively rich with dietary fiber and chlorophyll in nine married Japanese couples. As a result, concentrations of PenCDF and HxCDD on the lipid weight basis in the blood of the FBRA-intake group in which they took 7.0 to 10.5 g of FBRA after each meal and three times a day for one year were more lowered than those in the blood of the non-intake group; Blood levels of PenCDF and HxCDD in the FBRA-intake group were decreased by 30.5 and 33.9%, respectively, and those decreases were 22.0 and 24.5% in the non-intake group. Their total body burdens just before and one year after the study were calculated on the assumptions that the body fat was also contaminated with these congeners at their blood levels on the lipid weight basis and the content of body fat was 20% of the body weight. Then, we computed the average amounts in excretion of PenCDF and HxCDD from the body in both the FBRA-intake and non-intake groups. Consequently, the amounts of excretion of PenCDF and HxCDD in the FBRA-intake group were 2.1 and 1.9 times, respectively, greater than those in the non-intake group. Therefore, FBRA seemed to promote the fecal excretion of PenCDF and HxCDD, the main causative PCDFs/DDs congeners of Yusho, from the human body. We also expect FBRA to reduce their body burdens of patients with Yusho and to improve some objective and subjective symptoms of Yusho patients.

摘要

自日本西部发生米糠油中毒事件(即“油症”)以来,已经过去了35年。然而,即便到现在,“油症”患者仍遭受着多种客观和主观症状的折磨。为了改善甚至治愈这些症状,最重要的治疗方法被认为是积极促使患者体内毒性最强的致病多氯二苯并呋喃/二噁英同系物,即2,3,4,7,8 - 五氯二苯并呋喃(五氯二苯并呋喃)和1,2,3,6,7,8 - 六氯二苯并 - 对 - 二噁英(六氯二苯并二噁英)排出体外,并减轻他们的身体负荷。在大鼠实验中,膳食纤维和叶绿素已被证明可促进二噁英的粪便排泄并降低其在大鼠肝脏中的含量。在本研究中,我们对九对已婚日本夫妇进行了调查,检测富含膳食纤维和叶绿素的健康食品FBRA是否也有类似效果。结果显示,FBRA摄入组的受试者每餐摄入7.0至10.5克FBRA,每日三次,持续一年,该组受试者血液中以脂质重量计的五氯二苯并呋喃和六氯二苯并二噁英浓度比未摄入组更低;FBRA摄入组血液中五氯二苯并呋喃和六氯二苯并二噁英的水平分别下降了30.5%和33.9%,而未摄入组的下降幅度分别为22.0%和24.5%。根据假设人体脂肪也以血液中脂质重量计的这些同系物水平受到污染且体脂含量为体重的20%,计算了研究开始前和一年后的全身负荷。然后,我们计算了FBRA摄入组和未摄入组中五氯二苯并呋喃和六氯二苯并二噁英从体内排出的平均量。结果,FBRA摄入组中五氯二苯并呋喃和六氯二苯并二噁英的排出量分别比未摄入组高出2.1倍和1.9倍。因此,FBRA似乎能促进人体排出“油症”主要致病多氯二苯并呋喃/二噁英同系物五氯二苯并呋喃和六氯二苯并二噁英。我们还期望FBRA能减轻“油症”患者的身体负荷,并改善“油症”患者的一些客观和主观症状。

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