West J R, Goodlett C R
Department of Anatomy, College of Medicine, University of Iowa, Iowa City 52242.
Ann Med. 1990;22(5):319-25. doi: 10.3109/07853899009147914.
There is convincing evidence that alcohol is teratogenic both in humans and animals and that its most devastating effects are on the developing brain. However, much information is still needed to determine the circumstances that increase the risk and severity of fetal alcohol-induced brain damage and to identify the mechanisms underlying such damage. Animal research has been used to address these issues because, for the most part, they are unapproachable experimentally in humans. In the past, the rather restricted focus of research into the teratology of alcohol has led to several theoretical biases. Recent findings conflict with these biases. Alcohol-induced damage to the developing brain encompasses a longer developmental time-frame, affects more cell populations, occurs at lower levels of exposure, produces greater numbers of permanent effects, and is modulated by more factors than was initially suggested by earlier teratological studies.
有令人信服的证据表明,酒精在人类和动物中均具有致畸性,且其最具破坏性的影响是对发育中的大脑。然而,仍需要大量信息来确定增加胎儿酒精性脑损伤风险和严重程度的情况,并识别这种损伤背后的机制。动物研究已被用于解决这些问题,因为在很大程度上,这些问题在人类中无法通过实验来解决。过去,对酒精致畸学的研究重点较为有限,导致了一些理论偏差。最近的研究结果与这些偏差相冲突。酒精对发育中大脑的损伤涵盖更长的发育时间框架,影响更多的细胞群体,在较低暴露水平下发生,产生更多的永久性影响,并且比早期致畸学研究所最初表明的受到更多因素的调节。