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与工作及肌萎缩侧索硬化相关的风险因素:职业医学视角

Risk agents related to work and amyotrophic lateral sclerosis: An occupational medicine focus.

作者信息

Garzillo Elpidio Maria, Miraglia Nadia, Pedata Paola, Feola Daniela, Lamberti Monica

机构信息

Second University of Naples, Naples, Italy (Department of Experimental Medicine, Section of Hygiene, Occupational Medicine and Forensic Medicine, Occupational Medicine Area).

出版信息

Int J Occup Med Environ Health. 2016;29(3):355-67. doi: 10.13075/ijomeh.1896.00368.

Abstract

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease characterized by progressive muscular paralysis reflecting degeneration of motor neurons. In recent years, in addition to several studies about genetic mechanisms leading to motor neurons damage, various epigenetic theories have been developed, involving the study of the patients' work and lifestyle. The work aims at focusing the role of occupational exposure related to ALS by literature data analysis. Articles, selected on the basis of keywords, year of publication and topics, are related to occupational exposure, suggesting an impact on ALS onset. The literature review shows that there are still a lot of biases in the studies design, which actually do not allow to draw unequivocal conclusions.

摘要

肌萎缩侧索硬化症(ALS)是一种神经退行性疾病,其特征是进行性肌肉麻痹,反映了运动神经元的退化。近年来,除了几项关于导致运动神经元损伤的遗传机制的研究外,还发展了各种表观遗传学理论,涉及对患者工作和生活方式的研究。这项工作旨在通过文献数据分析来关注与ALS相关的职业暴露的作用。根据关键词、出版年份和主题选择的文章与职业暴露有关,表明其对ALS发病有影响。文献综述表明,研究设计中仍存在许多偏差,实际上无法得出明确的结论。

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