EDC-2:美国内分泌学会关于内分泌干扰化学物质的第二篇科学声明

EDC-2: The Endocrine Society's Second Scientific Statement on Endocrine-Disrupting Chemicals.

作者信息

Gore A C, Chappell V A, Fenton S E, Flaws J A, Nadal A, Prins G S, Toppari J, Zoeller R T

机构信息

Pharmacology and Toxicology (A.C.G.), College of Pharmacy, The University of Texas at Austin, Austin, Texas 78734; Division of the National Toxicology Program (V.A.C., S.E.F.), National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, North Carolina 27709; Department of Comparative Biosciences (J.A.F.), University of Illinois at Urbana-Champaign, Urbana, Illinois 61802; Institute of Bioengineering and CIBERDEM (A.N.), Miguel Hernandez University of Elche, 03202 Elche, Alicante, Spain; Departments of Urology, Pathology, and Physiology & Biophysics (G.S.P.), College of Medicine, University of Illinois at Chicago, Chicago, Illinois 60612; Departments of Physiology and Pediatrics (J.T.), University of Turku and Turku University Hospital, 20520 Turku, Finland; and Biology Department (R.T.Z.), University of Massachusetts at Amherst, Amherst, Massachusetts 01003.

出版信息

Endocr Rev. 2015 Dec;36(6):E1-E150. doi: 10.1210/er.2015-1010. Epub 2015 Nov 6.

Abstract

The Endocrine Society's first Scientific Statement in 2009 provided a wake-up call to the scientific community about how environmental endocrine-disrupting chemicals (EDCs) affect health and disease. Five years later, a substantially larger body of literature has solidified our understanding of plausible mechanisms underlying EDC actions and how exposures in animals and humans-especially during development-may lay the foundations for disease later in life. At this point in history, we have much stronger knowledge about how EDCs alter gene-environment interactions via physiological, cellular, molecular, and epigenetic changes, thereby producing effects in exposed individuals as well as their descendants. Causal links between exposure and manifestation of disease are substantiated by experimental animal models and are consistent with correlative epidemiological data in humans. There are several caveats because differences in how experimental animal work is conducted can lead to difficulties in drawing broad conclusions, and we must continue to be cautious about inferring causality in humans. In this second Scientific Statement, we reviewed the literature on a subset of topics for which the translational evidence is strongest: 1) obesity and diabetes; 2) female reproduction; 3) male reproduction; 4) hormone-sensitive cancers in females; 5) prostate; 6) thyroid; and 7) neurodevelopment and neuroendocrine systems. Our inclusion criteria for studies were those conducted predominantly in the past 5 years deemed to be of high quality based on appropriate negative and positive control groups or populations, adequate sample size and experimental design, and mammalian animal studies with exposure levels in a range that was relevant to humans. We also focused on studies using the developmental origins of health and disease model. No report was excluded based on a positive or negative effect of the EDC exposure. The bulk of the results across the board strengthen the evidence for endocrine health-related actions of EDCs. Based on this much more complete understanding of the endocrine principles by which EDCs act, including nonmonotonic dose-responses, low-dose effects, and developmental vulnerability, these findings can be much better translated to human health. Armed with this information, researchers, physicians, and other healthcare providers can guide regulators and policymakers as they make responsible decisions.

摘要

2009年,美国内分泌学会发表了首份科学声明,就环境内分泌干扰物(EDC)如何影响健康与疾病向科学界敲响了警钟。五年后,数量大幅增加的大量文献巩固了我们对EDC作用潜在合理机制的理解,以及动物和人类接触EDC(尤其是在发育期间)如何可能为日后的疾病奠定基础。在历史的这个节点,我们对EDC如何通过生理、细胞、分子和表观遗传变化改变基因-环境相互作用,从而在接触者及其后代中产生影响,有了更深入的了解。暴露与疾病表现之间的因果联系在实验动物模型中得到了证实,并且与人类的相关流行病学数据一致。不过仍有一些需要注意的地方,因为实验动物研究方式的差异可能导致难以得出广泛的结论,而且我们在推断人类的因果关系时必须继续保持谨慎。在这份第二份科学声明中,我们回顾了关于一系列主题的文献,这些主题的转化证据最为有力:1)肥胖与糖尿病;2)女性生殖;3)男性生殖;4)女性激素敏感性癌症;5)前列腺;6)甲状腺;以及7)神经发育和神经内分泌系统。我们纳入研究的标准是那些主要在过去5年进行的研究,基于适当的阴性和阳性对照组或人群、足够的样本量和实验设计,以及哺乳动物动物研究且暴露水平与人类相关的范围,这些研究被认为是高质量的。我们还重点关注了使用健康与疾病的发育起源模型的研究。没有因为EDC暴露的正面或负面影响而排除任何报告。总体而言,大部分结果都加强了EDC对内分泌健康相关作用的证据。基于对EDC作用的内分泌原理(包括非单调剂量反应、低剂量效应和发育易损性)的更全面理解,这些发现可以更好地转化为对人类健康的认识。有了这些信息,研究人员、医生和其他医疗保健提供者可以在监管机构和政策制定者做出负责任的决策时提供指导。

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