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金属神经毒素:当前人类神经流行病中的重要角色?

The Metal Neurotoxins: An Important Role in Current Human Neural Epidemics?

机构信息

Materials Research Laboratory, University of California Santa Barbara, Santa Barbara, CA 93106-5121, USA.

出版信息

Int J Environ Res Public Health. 2017 Dec 5;14(12):1511. doi: 10.3390/ijerph14121511.

Abstract

Many published studies have illustrated that several of the present day neurological epidemics (autism, attention deficit disorder, Alzheimer's) cannot be correlated to any single neurotoxicant. However, the present scientific examination of the numerous global blood monitoring databases for adults that include the concentrations of the neurotoxic elements, aluminum (Al), arsenic (As), lead (Pb), manganese (Mn), mercury (Hg), and selenium (Se) clearly indicate that, when considered in combination, for some, the human body may become easily over-burdened. This can be explained by changes in modern lifestyles. Similar data, solely for pregnant women, have been examined confirming this. All these elements are seen to be present in the human body and at not insignificant magnitudes. Currently suggested minimum risk levels (MRL) for humans are discussed and listed together with averages of the reported distributions, together with their spread and maximum values. One observation is that many distributions for pregnant women are not too dissimilar from those of general populations. Women obviously have their individual baseline of neurotoxin values before pregnancy and any efforts to modify this to any significant degree is not yet clearly apparent. For any element, distribution shapes are reasonably similar showing broad distributions with extended tails with numerous outlier values. There are a certain fraction of people that lie well above the MRL values and may be at risk, especially if genetically susceptible. Additionally, synergistic effects between neurotoxins and with other trace metals are now also being reported. It appears prudent for women of child-bearing age to establish their baseline values well before pregnancy. Those at risk then can be better identified. Adequate instrumental testing now is commercially available for this. In addition, directives are necessary for vaccination programs to use only non-neurotoxic adjuvants, especially for young children and all women of child-bearing ages. Additionally, clearer directives concerning fish consumption must now be reappraised.

摘要

许多已发表的研究表明,目前的一些神经流行病(自闭症、注意力缺陷障碍、阿尔茨海默病)不能与任何单一的神经毒素相关联。然而,目前对包括神经毒性元素铝(Al)、砷(As)、铅(Pb)、锰(Mn)、汞(Hg)和硒(Se)浓度在内的全球成人血液监测数据库的大量科学研究清楚地表明,当这些元素结合起来考虑时,某些元素可能会使人体负担过重。这可以用现代生活方式的变化来解释。对孕妇的类似数据进行了检查,也证实了这一点。所有这些元素都存在于人体内,而且数量不小。目前讨论并列出了人类的建议最低风险水平(MRL),并列出了报告的分布平均值及其分布范围和最大值。一个观察结果是,许多孕妇的分布与一般人群的分布没有太大区别。显然,女性在怀孕前就有自己的神经毒素基础值,而且目前还不清楚是否有任何努力可以将其显著降低。对于任何元素,分布形状都相当相似,显示出广泛的分布,尾部延伸,有许多异常值。有一定比例的人远远高于 MRL 值,可能存在风险,尤其是在遗传易感的情况下。此外,现在也有报道称神经毒素与其他痕量金属之间存在协同效应。对于育龄妇女来说,在怀孕前建立自己的基础值是明智的。然后可以更好地识别出有风险的人。现在,商业上已经有足够的仪器测试来进行这项检测。此外,疫苗接种计划有必要使用非神经毒性佐剂,特别是对幼儿和所有育龄妇女。此外,现在必须重新评估有关鱼类消费的更明确的指令。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4164/5750929/fc39a56a9d75/ijerph-14-01511-g001.jpg

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