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[激素系统危机:内分泌干扰物对健康的影响]

[The crisis of the hormonal system: the health-effects of endocrine disruptors].

作者信息

Csaba György

机构信息

Genetikai, Sejt- és Immunbiológiai Intézet, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Pf. 370, 1445.

出版信息

Orv Hetil. 2017 Sep;158(37):1443-1451. doi: 10.1556/650.2017.30855.

Abstract

The endocrine disruptors are natural or arteficial molecules wich are present in the animal (human) environment and entering into the organism. They are bound by hormone receptors, simulating or inhibiting the normal hormonal message. This way they are able to stimulate or hinder the function of the given cell, as well as the synthesis and transport of hormones or receptors. They can cause faulty hormonal imprinting in critical periods of development with lifelong consequences, as alteration of hormone-influenced cell functions, inclination to or manifestation of diseases, so they have medical importance. The number of endocrine disruptors as well as their amount are large and continously growing. Numerous, in adult age manifested disease (e.g. malignant tumors) can be deduced to perinatal harms. Their long-lasting effect can cause the alteration of basal human developmental characteristics (e.g. start of menarche). Vitamins A and D are hormones (exohormones) and could be endocrine disruptors. Perinatal imprinting caused by endocrine disruptors is transmitted to the progenies epigenetically, which also can influence the drug-sensitivity of offspring' receptors. If the epigenetic change is continuously transmitted to the progeny generations, this could have human-evolutionary importance. Orv Hetil. 2017; 158(37): 1443-1451.

摘要

内分泌干扰物是存在于动物(人类)环境中并进入机体的天然或人工合成分子。它们与激素受体结合,模拟或抑制正常的激素信号。通过这种方式,它们能够刺激或阻碍特定细胞的功能,以及激素或受体的合成与运输。它们可在发育的关键时期导致错误的激素印记,产生终身影响,如改变受激素影响的细胞功能、引发疾病倾向或导致疾病显现,因此具有医学重要性。内分泌干扰物的种类和数量众多且持续增加。许多在成年期表现出的疾病(如恶性肿瘤)可归因于围产期受到的损害。它们的长期影响可导致人类基本发育特征的改变(如月经初潮开始时间)。维生素A和D是激素(外激素),可能是内分泌干扰物。内分泌干扰物引起的围产期印记会通过表观遗传传递给后代,这也可能影响后代受体对药物的敏感性。如果这种表观遗传变化持续传递给后代,可能具有人类进化方面的重要意义。《匈牙利医学周报》。2017年;158(37): 1443 - 1451。

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