Howard Sarah G
Diabetes and Environment Program, Commonweal, Bolinas, CA, United States.
Front Endocrinol (Lausanne). 2018 Sep 3;9:513. doi: 10.3389/fendo.2018.00513. eCollection 2018.
Exposure to endocrine disrupting chemicals (EDCs) may have implications for the development of type 1 diabetes mellitus (T1DM), especially if exposure occurs during development. Exposure to EDCs during fetal or early life can disrupt the development of both the immune system and the pancreatic beta cells, potentially increasing susceptibility to T1DM later in life. Developmental exposure to some EDCs can cause immune system dysfunction, increasing the risk of autoimmunity. In addition, developmental exposure to some EDCs can affect beta cell development and function, influencing insulin secretion. These changes may increase stress on the beta cells, and identify them as a target to the immune system. Developmental exposure to EDCs that disrupt metabolism by increasing insulin resistance or obesity may also stress the beta cells. Exposure to these EDCs during development may play a role in the pathogenesis of T1DM, and requires further research.
接触内分泌干扰化学物质(EDCs)可能对1型糖尿病(T1DM)的发展产生影响,尤其是在发育过程中接触时。在胎儿期或生命早期接触EDCs会扰乱免疫系统和胰腺β细胞的发育,可能会增加日后患T1DM的易感性。发育过程中接触某些EDCs会导致免疫系统功能障碍,增加自身免疫的风险。此外,发育过程中接触某些EDCs会影响β细胞的发育和功能,影响胰岛素分泌。这些变化可能会增加β细胞的压力,并将它们识别为免疫系统的目标。发育过程中接触通过增加胰岛素抵抗或肥胖来扰乱新陈代谢的EDCs也可能给β细胞带来压力。在发育过程中接触这些EDCs可能在T1DM的发病机制中起作用,这需要进一步研究。