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环境内分泌干扰化学物质暴露:在非传染性疾病中的作用。

Environmental Endocrine-Disrupting Chemical Exposure: Role in Non-Communicable Diseases.

机构信息

National Institute for Research in Environmental Health, Indian Council of Medical Research, Bhopal, India.

Department of Stem Cell Research Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.

出版信息

Front Public Health. 2020 Sep 24;8:553850. doi: 10.3389/fpubh.2020.553850. eCollection 2020.

Abstract

The exponential growth of pollutant discharges into the environment due to increasing industrial and agricultural activities is a rising threat for human health and a biggest concern for environmental health globally. Several synthetic chemicals, categorized as potential environmental endocrine-disrupting chemicals (EDCs), are evident to affect the health of not only livestock and wildlife but also humankind. In recent years, human exposure to environmental EDCs has received increased awareness due to their association with altered human health as documented by several epidemiological and experimental studies. EDCs are associated with deleterious effects on male and female reproductive health; causes diabetes, obesity, metabolic disorders, thyroid homeostasis and increase the risk of hormone-sensitive cancers. Sewage effluents are a major source of several EDCs, which eventually reach large water bodies and potentially contaminate the drinking water supply. Similarly, water storage material such as different types of plastics also leaches out EDCs in drinking Water. Domestic wastewater containing pharmaceutical ingredients, metals, pesticides and personal care product additives also influences endocrine activity. These EDCs act various receptors through a variety of known and unknown mechanisms including epigenetic modification. They differ from classic toxins in several ways such as low-dose effect, non-monotonic dose and trans-generational effects. This review aims to highlight the hidden burden of EDCs on human health and discusses the non-classical toxic properties of EDCs in an attempt to understand the magnitude of the exposome on human health. Present data on the environmental EDCs advocate that there may be associations between human exposure to EDCs and several undesirable health outcomes that warrants further human bio-monitoring of EDCs.

摘要

由于工业和农业活动的增加,污染物排放到环境中的指数级增长对人类健康构成了威胁,也是当前全球环境健康领域最令人担忧的问题之一。一些被归类为潜在环境内分泌干扰化学物质(EDCs)的合成化学物质,显然不仅会影响牲畜和野生动物的健康,也会影响人类的健康。近年来,由于一些流行病学和实验研究表明人类暴露于环境 EDCs 会改变人类健康,因此人们对人类接触环境 EDCs 的问题有了更多的认识。EDCs 与男性和女性生殖健康的有害影响有关;导致糖尿病、肥胖症、代谢紊乱、甲状腺稳态,并增加激素敏感型癌症的风险。污水是多种 EDCs 的主要来源,最终会进入大型水体,并可能污染饮用水供应。同样,储水材料(如不同类型的塑料)也会在饮用水中渗出 EDCs。含有药物成分、金属、农药和个人护理产品添加剂的生活污水也会影响内分泌活动。这些 EDCs 通过多种已知和未知的机制(包括表观遗传修饰)作用于各种受体。它们与经典毒素在几个方面存在差异,如低剂量效应、非单调剂量和跨代效应。本文旨在强调 EDCs 对人类健康的潜在负担,并讨论 EDCs 的非经典毒性特性,以试图了解人类暴露组对人类健康的影响程度。目前关于环境 EDCs 的数据表明,人类接触 EDCs 与一些不良健康结果之间可能存在关联,这需要进一步对 EDCs 进行人类生物监测。

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