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韩国新生儿脐带血血清和血斑中几种持久性有机污染物与甲状腺激素水平的关联

Association between Several Persistent Organic Pollutants and Thyroid Hormone Levels in Cord Blood Serum and Bloodspot of the Newborn Infants of Korea.

作者信息

Kim Sunmi, Park Jeongim, Kim Hai-Joong, Lee Jeong Jae, Choi Gyuyeon, Choi Sooran, Kim Sungjoo, Kim Su Young, Moon Hyo-Bang, Kim Sungkyoon, Choi Kyungho

机构信息

School of Public Health, Seoul National University, Seoul, Republic of Korea.

College of Natural Sciences, Soonchunhyang University, Asan, Chungcheong, Republic of Korea.

出版信息

PLoS One. 2015 May 12;10(5):e0125213. doi: 10.1371/journal.pone.0125213. eCollection 2015.

Abstract

Current knowledge on adverse endocrine disruption effects of persistent organic pollutants (POPs) among newborn infants is limited and often controversial. To investigate the associations between prenatal exposure to major POPs and thyroid hormone levels among newborn infants, both cord serum or maternal serum concentrations of polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers (PBDEs), and organochlorine pesticides (OCPs) were compared with five thyroid hormones in cord serum of newborn infants as well as TSH in bloodspot collected at 2 day after birth (n=104). Since cord serum thyroid hormones could be affected by those of mothers, thyroid hormone concentrations of the matching mothers at delivery were adjusted. In cord serum, BDE-47, -99, and Σchlordane (CHD) showed significant positive associations with cord or bloodspot TSH. At the same time, p,p'-dichlorodiphenyldichloroethylene (p,p'-DDE) and hexachlorbenzene (HCB) showed negative associations with total T3 and total T4 in cord serum, respectively. Maternal exposure to β-hexachlorhexane (β-HCH), ΣCHD, ΣDDT, or p,p'-DDE were also associated with neonatal thyroid hormones. Although the sample size is small and the thyroid hormone levels of the subjects were within the reference range, our observation supports thyroid disrupting potential of several POPs among newborn infants, at the levels occurring in the general population. Considering the importance of thyroid hormones during gestation and early life stages, health implication of thyroid hormone effects by low level POPs exposure deserves further follow up investigations.

摘要

目前关于持久性有机污染物(POPs)对新生儿内分泌干扰不良影响的知识有限,且常常存在争议。为了研究新生儿产前暴露于主要POPs与甲状腺激素水平之间的关联,将新生儿脐带血血清或母体血清中多氯联苯(PCBs)、多溴二苯醚(PBDEs)和有机氯农药(OCPs)的浓度与新生儿脐带血血清中的五种甲状腺激素以及出生后2天采集的足跟血中的促甲状腺激素(TSH)进行了比较(n = 104)。由于脐带血血清甲状腺激素可能会受到母亲甲状腺激素的影响,因此对分娩时匹配母亲的甲状腺激素浓度进行了调整。在脐带血血清中,BDE - 47、- 99和总氯丹(CHD)与脐带血或足跟血TSH呈显著正相关。同时,p,p'-二氯二苯二氯乙烯(p,p'-DDE)和六氯苯(HCB)分别与脐带血血清中的总T3和总T4呈负相关。母亲暴露于β-六氯环己烷(β-HCH)、总CHD、总滴滴涕(DDT)或p,p'-DDE也与新生儿甲状腺激素有关。尽管样本量较小且受试者的甲状腺激素水平在参考范围内,但我们的观察结果支持了在一般人群中所出现的水平下,几种POPs对新生儿具有甲状腺干扰潜力。考虑到甲状腺激素在妊娠和生命早期阶段的重要性,低水平POPs暴露对甲状腺激素影响的健康意义值得进一步的随访研究。

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