Lin Chien-Yu, Lin Lian-Yu, Chen Yu-Chuan, Wen Li-Li, Chien Kuo-Liong, Sung Fung-Chang, Chen Pau-Chung, Su Ta-Chen
Department of Internal Medicine, En Chu Kong Hospital, New Taipei City 237, Taiwan; School of Medicine, Fu Jen Catholic University, New Taipei City 242, Taiwan.
Department of Internal Medicine and Cardiovascular Center, National Taiwan University Hospital, Taipei 100, Taiwan.
Environ Res. 2015 Jan;136:246-52. doi: 10.1016/j.envres.2014.08.043. Epub 2014 Nov 20.
Acrylamide is present in mainstream cigarette smoke and in some foods prepared at high temperatures. Animal studies have shown that acrylamide exposure alters thyroid function; however, it is not known if this also occurs in humans. The study examined the association between the urinary levels of the acrylamide metabolite and serum thyroid measures in adolescents and young adults. We recruited 793 subjects (mean age, 21.3 years; range, 12-30 years) from a population-based sample of Taiwanese adolescents and young adults to determine if the urinary levels of the acrylamide metabolite N-acetyl-S-(propionamide)-cysteine (AAMA) and the 6 serum thyroid measures are associated. The mean (SD) AAMA were 76.54 (76.42) µg/L. Linear regression analyzes showed a 1-unit increase in natural log AAMA was significantly associated with a decrease in serum free thyroxine (T4) (ng/dL) (β=-0.041, SE=0.013, p=0.001) after controlling for covariates. Subpopulation analyzes showed AAMA and free T4 were significantly associated with females, age 20-30 years, non-current smokers, and non-alcohol consumers. In conclusion, higher urinary AAMA concentrations were associated with decreased levels of free T4 in this cohort. Further studies are warranted to determine if there is a causal relationship between acrylamide exposure and thyroid function.
丙烯酰胺存在于主流香烟烟雾以及一些高温烹制的食物中。动物研究表明,接触丙烯酰胺会改变甲状腺功能;然而,尚不清楚这在人类中是否也会发生。该研究调查了青少年和青年人群中丙烯酰胺代谢物的尿液水平与血清甲状腺指标之间的关联。我们从台湾青少年和青年人群样本中招募了793名受试者(平均年龄21.3岁;范围12 - 30岁),以确定丙烯酰胺代谢物N - 乙酰 - S -(丙酰胺)- 半胱氨酸(AAMA)的尿液水平与6项血清甲状腺指标是否相关。AAMA的平均(标准差)水平为76.54(76.42)μg/L。线性回归分析显示,在控制协变量后,自然对数AAMA每增加1个单位与血清游离甲状腺素(T4)(ng/dL)的降低显著相关(β = -0.041,标准误 = 0.013,p = 0.001)。亚组分析显示,AAMA与游离T4在女性、20 - 30岁、非当前吸烟者和非饮酒者中显著相关。总之,在该队列中,较高的尿液AAMA浓度与游离T4水平降低相关。有必要进一步研究以确定丙烯酰胺暴露与甲状腺功能之间是否存在因果关系。