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同期分析妊娠中期早期母胎两室的双酚 A 各馏分。

Simultaneous analysis of bisphenol A fractions in maternal and fetal compartments in early second trimester of pregnancy.

机构信息

Department of Reproduction and Gynaecological Endocrinology, Medical University of Bialystok, Marii Sklodowskiej-Curie 24a, 15-276 Bialystok, Poland.

Department of Pharmaceutical Analysis, Medical University of Bialystok, Mickiewicza 2D, 15-522 Bialystok, Poland.

出版信息

J Perinat Med. 2019 Sep 25;47(7):765-770. doi: 10.1515/jpm-2019-0040.

Abstract

Background Bisphenol A (BPA) is an estrogenic, endocrine-disrupting compound widely used in the industry. It is also a ubiquitous environmental pollutant. Its presence was confirmed in human fetuses, which results from maternal exposure during pregnancy. The mechanisms behind maternal-fetal transfer, and relationships between pregnant women and fetal exposures remain unclear. The aim of this study was to assess the impact of maternal exposure to BPA on the exposure of the fetus. Methods Maternal plasma and amniotic fluid samples were collected from 52 pregnant women undergoing amniocentesis for prenatal diagnosis of chromosomal abnormalities. BPA was measured by gas chromatography-mass spectrometry (GC-MS). The permeability factor - a ratio of fetal-to-maternal BPA concentration - was used as a measure delineating the transplacental transfer of BPA. Results The median concentration of maternal plasma BPA was 8 times higher than the total BPA concentration in the amniotic fluid (8.69 ng/mL, range: 4.3 ng/mL-55.3 ng/mL vs. median 1.03 ng/mL, range: 0.3 ng/mL-10.1 ng/mL). There was no direct relationship between the levels of BPA in maternal plasma and amniotic fluid levels. The permeability factor, in turn, negatively correlated with fetal development (birth weight) (R = -0.54, P < 0.001). Conclusion Our results suggest that the risk of fetal BPA exposure depends on placental BPA permeability rather than the levels of maternal BPA plasma concentration and support general recommendations to become aware and avoid BPA-containing products.

摘要

背景 双酚 A(BPA)是一种具有雌激素活性、内分泌干扰的化合物,广泛应用于工业领域。它也是一种普遍存在的环境污染物。人体胎儿中存在 BPA,这是由于孕妇在怀孕期间暴露于 BPA 所致。母婴间 BPA 转移的机制以及孕妇与胎儿暴露之间的关系尚不清楚。本研究旨在评估母体暴露于 BPA 对胎儿暴露的影响。

方法 从 52 名接受羊膜穿刺术进行产前诊断染色体异常的孕妇中采集母体血浆和羊水样本。采用气相色谱-质谱法(GC-MS)测定 BPA。渗透率因子 - 胎儿与母体 BPA 浓度之比 - 用于衡量 BPA 的胎盘转移。

结果 母体血浆 BPA 的中位数浓度是羊水中总 BPA 浓度的 8 倍(8.69ng/mL,范围:4.3ng/mL-55.3ng/mL 与中位数 1.03ng/mL,范围:0.3ng/mL-10.1ng/mL)。母体血浆和羊水 BPA 水平之间没有直接关系。渗透率因子与胎儿发育(出生体重)呈负相关(R=-0.54,P<0.001)。

结论 我们的研究结果表明,胎儿 BPA 暴露的风险取决于胎盘 BPA 的通透性,而不是母体 BPA 血浆浓度水平,并支持普遍的建议,即提高对 BPA 及其制品的认识并加以避免。

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