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有机磷农药与2型糖尿病的系统评价

A Systematic Review on Organophosphate Pesticide and Type II Diabetes Mellitus.

作者信息

Lakshmi Jothi, Mukhopadhyay Krishnendu, Ramaswamy Padmavathi, Mahadevan Shriraam

机构信息

Department of Environmental Health Engineering, Sri Ramachandra Medical College and Research Institute, Chennai, India.

Department of Physiology, Sri Ramachandra Medical College and Research Institute, Chennai, India.

出版信息

Curr Diabetes Rev. 2020;16(6):586-597. doi: 10.2174/1573399815666190712192844.

Abstract

Organophosphate (OP) pesticides are extremely poisonous and they affect the glucose breakdown in numerous and mechanism. There are higher evidence of stimulating diabetes mellitus through OP pesticides especially the type II diabetes. The upsurge in the level of glucose (hyperglycemia), and insulin resistance along with their related outcomes are discussed in this review. The data related to investigational and clinical techniques endorse a connection amid such molecular mechanism and compounds of OPs. Numerous studies conducted till March 2018 have reported OP' exposures and diabetes-related outcomes. The acute and chronic exposure in case of these insecticides and diabetesrelated outcomes are defined in this study. Initially, it was declared that OPs prompt to hyperglycemia. Then, a high association of glucose in blood beside insulin was found out. The affirmation from some clinical as well as investigational studies supported a connection amid exposure to OP and diabetes, yet in maximum number of instances, non-specific diabetes occurs.

摘要

有机磷酸酯(OP)农药剧毒,会通过多种机制影响葡萄糖分解。有更多证据表明,OP农药会引发糖尿病,尤其是II型糖尿病。本文综述了血糖水平升高(高血糖症)、胰岛素抵抗及其相关后果。与研究和临床技术相关的数据证实了这种分子机制与OP化合物之间的联系。截至2018年3月进行的多项研究报告了OP暴露与糖尿病相关后果。本研究定义了这些杀虫剂的急性和慢性暴露情况以及与糖尿病相关的后果。最初,有人宣称OP会导致高血糖症。随后,发现血液中葡萄糖与胰岛素高度相关。一些临床和研究性研究的证实支持了OP暴露与糖尿病之间的联系,但在大多数情况下,会出现非特异性糖尿病。

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