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从塞舌尔儿童发育研究9年随访中获得的甲基汞基准浓度。

Benchmark concentrations for methyl mercury obtained from the 9-year follow-up of the Seychelles Child Development Study.

作者信息

van Wijngaarden Edwin, Beck Christopher, Shamlaye Conrad F, Cernichiari Elsa, Davidson Philip W, Myers Gary J, Clarkson Thomas W

机构信息

Department of Community and Preventive Medicine, 601 Elmwood Avenue, Box 644, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA.

出版信息

Neurotoxicology. 2006 Sep;27(5):702-9. doi: 10.1016/j.neuro.2006.05.016. Epub 2006 Jun 2.

Abstract

Methyl mercury (MeHg) is highly toxic to the developing nervous system. Human exposure is mainly from fish consumption since small amounts are present in all fish. Findings of developmental neurotoxicity following high-level prenatal exposure to MeHg raised the question of whether children whose mothers consumed fish contaminated with background levels during pregnancy are at an increased risk of impaired neurological function. Benchmark doses determined from studies in New Zealand, and the Faroese and Seychelles Islands indicate that a level of 4-25 parts per million (ppm) measured in maternal hair may carry a risk to the infant. However, there are numerous sources of uncertainty that could affect the derivation of benchmark doses, and it is crucial to continue to investigate the most appropriate derivation of safe consumption levels. Earlier, we published the findings from benchmark analyses applied to the data collected on the Seychelles main cohort at the 66-month follow-up period. Here, we expand on the main cohort analyses by determining the benchmark doses (BMD) of MeHg level in maternal hair based on 643 Seychellois children for whom 26 different neurobehavioral endpoints were measured at 9 years of age. Dose-response models applied to these continuous endpoints incorporated a variety of covariates and included the k-power model, the Weibull model, and the logistic model. The average 95% lower confidence limit of the BMD (BMDL) across all 26 endpoints varied from 20.1 ppm (range=17.2-22.5) for the logistic model to 20.4 ppm (range=17.9-23.0) for the k-power model. These estimates are somewhat lower than those obtained after 66 months of follow-up. The Seychelles Child Development Study continues to provide a firm scientific basis for the derivation of safe levels of MeHg consumption.

摘要

甲基汞(MeHg)对发育中的神经系统具有高度毒性。人类接触主要源于食用鱼类,因为所有鱼类中都含有少量甲基汞。孕期高水平接触甲基汞后出现发育神经毒性的研究结果,引发了一个问题:母亲在孕期食用受背景水平污染鱼类的儿童,其神经功能受损风险是否会增加。来自新西兰、法罗群岛和塞舌尔群岛研究确定的基准剂量表明,母亲头发中测量到的4至25百万分之一(ppm)的水平可能会对婴儿构成风险。然而,有许多不确定因素可能会影响基准剂量的推导,继续研究安全消费水平的最合适推导方法至关重要。此前,我们发表了在66个月随访期对塞舌尔主要队列收集的数据进行基准分析的结果。在此,我们通过确定643名塞舌尔儿童母亲头发中甲基汞水平的基准剂量(BMD)来扩展主要队列分析,这些儿童在9岁时测量了26个不同的神经行为终点。应用于这些连续终点的剂量反应模型纳入了各种协变量,包括k幂模型、威布尔模型和逻辑模型。所有26个终点的BMD的平均95%下限置信区间(BMDL),逻辑模型为20.1 ppm(范围=17.2 - 22.5),k幂模型为20.4 ppm(范围=17.9 - 23.0)。这些估计值略低于66个月随访后获得的估计值。塞舌尔儿童发育研究继续为推导甲基汞安全消费水平提供坚实的科学依据。

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