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自闭症儿童首次理发时头发中的汞含量降低。

Reduced levels of mercury in first baby haircuts of autistic children.

作者信息

Holmes Amy S, Blaxill Mark F, Haley Boyd E

机构信息

SafeMinds, Cambridge, Massachusetts, USA.

出版信息

Int J Toxicol. 2003 Jul-Aug;22(4):277-85. doi: 10.1080/10915810305120.

Abstract

Reported rates of autism have increased sharply in the United States and the United Kingdom. One possible factor underlying these increases is increased exposure to mercury through thimerosal-containing vaccines, but vaccine exposures need to be evaluated in the context of cumulative exposures during gestation and early infancy. Differential rates of postnatal mercury elimination may explain why similar gestational and infant exposures produce variable neurological effects. First baby haircut samples were obtained from 94 children diagnosed with autism using Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM IV) criteria and 45 age- and gender-matched controls. Information on diet, dental amalgam fillings, vaccine history, Rho D immunoglobulin administration, and autism symptom severity was collected through a maternal survey questionnaire and clinical observation. Hair mercury levels in the autistic group were 0.47 ppm versus 3.63 ppm in controls, a significant difference. The mothers in the autistic group had significantly higher levels of mercury exposure through Rho D immunoglobulin injections and amalgam fillings than control mothers. Within the autistic group, hair mercury levels varied significantly across mildly, moderately, and severely autistic children, with mean group levels of 0.79, 0.46, and 0.21 ppm, respectively. Hair mercury levels among controls were significantly correlated with the number of the mothers' amalgam fillings and their fish consumption as well as exposure to mercury through childhood vaccines, correlations that were absent in the autistic group. Hair excretion patterns among autistic infants were significantly reduced relative to control. These data cast doubt on the efficacy of traditional hair analysis as a measure of total mercury exposure in a subset of the population. In light of the biological plausibility of mercury's role in neurodevelopmental disorders, the present study provides further insight into one possible mechanism by which early mercury exposures could increase the risk of autism.

摘要

在美国和英国,自闭症的报告发病率急剧上升。这些增长背后的一个可能因素是通过含硫柳汞的疫苗增加了汞暴露,但疫苗暴露需要在孕期和婴儿早期的累积暴露背景下进行评估。产后汞排出率的差异可能解释了为什么相似的孕期和婴儿期暴露会产生不同的神经学影响。采集了94名根据《精神疾病诊断与统计手册》第四版(DSM-IV)标准被诊断为自闭症的儿童以及45名年龄和性别匹配的对照组儿童的首次理发样本。通过母亲调查问卷和临床观察收集了饮食、牙科汞合金填充物、疫苗接种史、Rho D免疫球蛋白注射情况以及自闭症症状严重程度等信息。自闭症组的头发汞含量为0.47 ppm,而对照组为3.63 ppm,差异显著。自闭症组的母亲通过Rho D免疫球蛋白注射和汞合金填充物接触汞的水平显著高于对照组母亲。在自闭症组内,轻度、中度和重度自闭症儿童的头发汞含量差异显著,平均组水平分别为0.79、0.46和0.21 ppm。对照组的头发汞含量与母亲的汞合金填充物数量、鱼类消费量以及通过儿童疫苗接触汞的情况显著相关,而自闭症组不存在这些相关性。自闭症婴儿的头发排泄模式相对于对照组显著降低。这些数据对传统头发分析作为该人群子集总汞暴露量测量方法的有效性提出了质疑。鉴于汞在神经发育障碍中作用的生物学合理性,本研究进一步深入探讨了早期汞暴露可能增加自闭症风险的一种可能机制。

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