聚碳酸酯单体双酚A在胰岛素抵抗中的作用。
The role of polycarbonate monomer bisphenol-A in insulin resistance.
作者信息
Pjanic Milos
机构信息
Department of Medicine, Division of Cardiovascular Medicine, Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, United States of America.
出版信息
PeerJ. 2017 Sep 13;5:e3809. doi: 10.7717/peerj.3809. eCollection 2017.
Bisphenol A (BPA) is a synthetic unit of polycarbonate polymers and epoxy resins, the types of plastics that could be found in essentially every human population and incorporated into almost every aspect of the modern human society. BPA polymers appear in a wide range of products, from liquid storages (plastic bottles, can and glass linings, water pipes and tanks) and food storages (plastics wraps and containers), to medical and dental devices. BPA polymers could be hydrolyzed spontaneously or in a photo- or temperature-catalyzed process, providing widespread environmental distribution and chronic exposure to the BPA monomer in contemporary human populations. Bisphenol A is also a xenoestrogen, an endocrine-disrupting chemical (EDC) that interferes with the endocrine system mimicking the effects of an estrogen and could potentially keep our endocrine system in a constant perturbation that parallels endocrine disruption arising during pregnancy, such as insulin resistance (IR). Gestational insulin resistance represents a natural biological phenomenon of higher insulin resistance in peripheral tissues of the pregnant females, when nutrients are increasingly being directed to the embryo instead of being stored in peripheral tissues. Gestational diabetes mellitus may appear in healthy non-diabetic females, due to gestational insulin resistance that leads to increased blood sugar levels and hyperinsulinemia (increased insulin production from the pancreatic beta cells). The hypothesis states that unnoticed and constant exposure to this environmental chemical might potentially lead to the formation of chronic low-level endocrine disruptive state that resembles gestational insulin resistance, which might contribute to the development of diabetes. The increasing body of evidence supports the major premises of this hypothesis, as exemplified by the numerous publications examining the association of BPA and insulin resistance, both epidemiological and mechanistic. However, to what extent BPA might contribute to the development of diabetes in the modern societies still remains unknown. In this review, I discuss the chemical properties of BPA and the sources of BPA contamination found in the environment and in human tissues. I provide an overview of mechanisms for the proposed role of bisphenol A in insulin resistance and diabetes, as well as other related diseases, such as cardiovascular diseases. I describe the transmission of BPA effects to the offspring and postulate that gender related differences might originate from differences in liver enzyme levels, such as UDP-glucuronosyltransferase, which is involved in BPA processing and its elimination from the organism. I discuss the molecular mechanisms of BPA action through nuclear and membrane-bound ER receptors, non-monotonic dose response, epigenetic modifications of the DNA and propose that chronic exposure to weak binders, such as BPA, may mimic the effects of strong binders, such as estrogens.
双酚A(BPA)是聚碳酸酯聚合物和环氧树脂的合成单元,这两种塑料几乎存在于每个人群中,并融入了现代人类社会的几乎方方面面。双酚A聚合物出现在各种各样的产品中,从液体储存容器(塑料瓶、罐头和玻璃衬里、水管和水箱)和食品储存容器(塑料包装和容器),到医疗和牙科设备。双酚A聚合物可以自发水解,也可以在光催化或温度催化过程中水解,从而在环境中广泛分布,并使当代人群长期接触双酚A单体。双酚A也是一种外源性雌激素,一种干扰内分泌的化学物质(EDC),它干扰内分泌系统,模拟雌激素的作用,并可能使我们的内分泌系统持续受到干扰,这与怀孕期间出现的内分泌紊乱类似,比如胰岛素抵抗(IR)。妊娠期胰岛素抵抗是指怀孕女性外周组织中胰岛素抵抗增强的一种自然生物学现象,此时营养物质越来越多地被导向胚胎,而不是储存在外周组织中。健康的非糖尿病女性可能会出现妊娠期糖尿病,这是由于妊娠期胰岛素抵抗导致血糖水平升高和高胰岛素血症(胰腺β细胞胰岛素分泌增加)。该假说认为,未被注意到的持续接触这种环境化学物质可能会导致形成类似于妊娠期胰岛素抵抗的慢性低水平内分泌干扰状态,这可能会促使糖尿病的发展。越来越多的证据支持了这一假说的主要前提,众多关于双酚A与胰岛素抵抗关联的流行病学和机制研究的出版物就是例证。然而,在现代社会中双酚A在多大程度上会促使糖尿病的发展仍然未知。在这篇综述中,我讨论了双酚A的化学性质以及在环境和人体组织中发现的双酚A污染来源。我概述了双酚A在胰岛素抵抗和糖尿病以及其他相关疾病(如心血管疾病)中所起作用的机制。我描述了双酚A效应向后代的传递,并推测性别相关差异可能源于肝脏酶水平的差异,比如参与双酚A代谢及其从体内清除的尿苷二磷酸葡萄糖醛酸基转移酶。我讨论了双酚A通过核内和膜结合雌激素受体起作用的分子机制、非单调剂量反应、DNA的表观遗传修饰,并提出长期接触像双酚A这样的弱结合剂可能会模拟像雌激素这样的强结合剂的作用。
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