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发育神经毒性指南及其对有机磷农药的影响:来自学术视角的个人观点

Guidelines for developmental neurotoxicity and their impact on organophosphate pesticides: a personal view from an academic perspective.

作者信息

Slotkin Theodore A

机构信息

Department of Pharmacology and Cancer Biology, Duke University Medical Center, Durham, NC 27710, USA.

出版信息

Neurotoxicology. 2004 Jun;25(4):631-40. doi: 10.1016/S0161-813X(03)00050-0.

Abstract

The appropriate regulation of drugs, chemicals and environmental contaminants requires the establishment of clear and accepted guidelines for developmental neurotoxicity. Ideally, these guidelines should encompass the ability to assess widely disparate classes of compounds through routine tests, with high throughput and low cost. Increasingly, however, the progress in primary research from academic laboratories deviates from this goal, focusing instead on categorizing novel effects of toxicants, development of new testing paradigms, and extension of techniques into molecular biology. The differing objectives of academic science as opposed to those of regulatory agencies or industry, are driven in part, by the priorities of the agencies that fund primary research. Recent work on organophosphate pesticides (OPs) such as chlorpyrifos (CPF) illustrate this dichotomy. Originally, OPs were thought to affect brain development through their ability to elicit cholinesterase inhibition and consequent cholinergic hyperstimulation. This common mechanism allowed for parallels to be drawn between standard measures of systemic toxicity, gross morphological examinations, and exposure testing utilizing an easily-assessed surrogate endpoint, plasma cholinesterase activity. In the past decade, however, it has become increasingly evident that CPF, and probably other OPs, have direct effects on cellular processes that are unique to brain development, and that these effects are mechanistically unrelated to inhibition of cholinesterase. The identification and pursuit of these mechanisms and their consequences for brain development represent new and exciting scientific findings, while at the same obscuring the ability to sustain a uniform approach to neurotoxicity guidelines or biomarkers of exposure. In the future, a new set of test paradigms, relying on primary work in cell culture, invertebrates, or non-mammalian models, followed by more targeted examinations of specific processes in mammalian models, may unite cutting-edge academic research with the need for establishing flexible guidelines for developmental neurotoxicity.

摘要

对药物、化学品和环境污染物进行适当监管,需要制定明确且被认可的发育神经毒性指南。理想情况下,这些指南应具备通过常规测试评估各类差异极大的化合物的能力,且通量高、成本低。然而,学术实验室的基础研究进展越来越偏离这一目标,转而专注于对毒物新效应进行分类、开发新的测试范式以及将技术扩展到分子生物学领域。学术科学与监管机构或行业的目标不同,部分原因是资助基础研究的机构的优先事项所致。近期关于有机磷酸酯农药(OPs)如毒死蜱(CPF)的研究就说明了这种二分法。最初,人们认为有机磷酸酯农药通过抑制胆碱酯酶并随之引发胆碱能过度刺激来影响大脑发育。这种共同机制使得在全身毒性的标准测量、大体形态学检查以及利用易于评估的替代终点(血浆胆碱酯酶活性)进行暴露测试之间能够进行类比。然而,在过去十年中,越来越明显的是,毒死蜱以及可能其他有机磷酸酯农药对大脑发育特有的细胞过程具有直接影响,而且这些影响在机制上与胆碱酯酶抑制无关。对这些机制及其对大脑发育的影响的识别和研究代表了新的、令人兴奋的科学发现,但同时也模糊了维持统一的神经毒性指南或暴露生物标志物方法的能力。未来,一套新的测试范式,依赖于细胞培养、无脊椎动物或非哺乳动物模型的基础研究,随后在哺乳动物模型中对特定过程进行更有针对性的检查,可能会将前沿的学术研究与建立灵活的发育神经毒性指南的需求结合起来。

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