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三氯乙烯,一种普遍存在于环境中的污染物,与帕金森病的风险相关。

Trichloroethylene, a ubiquitous environmental contaminant in the risk for Parkinson's disease.

机构信息

Pittsburgh Institute for Neurodegenerative Diseases, University of Pittsburgh, 3501 Fifth Avenue, BST-7045, Pittsburgh, 15260, Pennsylvania, USA.

出版信息

Environ Sci Process Impacts. 2020 Mar 1;22(3):543-554. doi: 10.1039/c9em00578a. Epub 2020 Jan 30.

Abstract

Organic solvents are common chemicals used in industry throughout the world, however, there is evidence for adverse health effects from exposure to these compounds. Trichloroethylene (TCE) is a halogenated solvent that has been used as a degreasing agent since the early 20 century. Due to its widespread use, TCE remains one of the most significant environmental contaminants in the US, and extensive research suggests TCE is a causative factor in a number of diseases, including cancer, fetal cardiac development, and neurotoxicity. TCE has also been implicated as a possible risk factor in the development of the most common neurodegenerative movement disorder, Parkinson's disease (PD). However, there is variable concordance across multiple occupational epidemiological studies assessing TCE (or solvent) exposure and risk for PD. In addition, there remains a degree of uncertainty about how TCE elicits toxicity to the dopaminergic system. To this end, we review the specific neurotoxic mechanisms of TCE in the context of selective vulnerability of dopaminergic neurons. In addition, we consider the complexity of combined risk factors that ultimately contribute to neurodegeneration and discuss the limitations of single-factor exposure assessments.

摘要

有机溶剂是全球工业中常用的化学品,但有证据表明接触这些化合物会对健康造成不良影响。三氯乙烯 (TCE) 是一种卤代溶剂,自 20 世纪初以来一直被用作脱脂剂。由于其广泛使用,TCE 仍然是美国最重要的环境污染物之一,大量研究表明 TCE 是许多疾病的致病因素,包括癌症、胎儿心脏发育和神经毒性。TCE 也被认为是最常见的神经退行性运动障碍帕金森病 (PD) 发展的一个可能的危险因素。然而,在评估 TCE(或溶剂)暴露和 PD 风险的多项职业流行病学研究中,一致性存在差异。此外,TCE 如何引起多巴胺能系统毒性仍存在一定程度的不确定性。为此,我们回顾了 TCE 的特定神经毒性机制,以及多巴胺能神经元的选择性易感性。此外,我们还考虑了最终导致神经退行性变的复杂复合危险因素,并讨论了单一因素暴露评估的局限性。

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