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必需微量元素作为铅毒性的对策。

Essential Trace Metals as Countermeasure for Lead Toxicity.

机构信息

West Bengal Medical Services Corporation Ltd., GN 29, Sector V, Salt Lake City, Kolkata 700091, West Bengal, India.

出版信息

J Environ Pathol Toxicol Oncol. 2022;41(2):61-67. doi: 10.1615/JEnvironPatholToxicolOncol.2022040132.

Abstract

Lead (Pb) is the most common toxic heavy metal that is physiologically non-essential and imposes health complications in animals and humans. Chelation therapy is considered as the definite therapy for acute lead toxicity; clinical uses of chelating agents are not recommended in long-term lead toxicity and in children. Research reveals that essential trace metals can counteract empirical Pb toxicity. This article collates the prototypical evidence of the preventive action of essential trace metals towards Pb toxicity in animals. Zinc, selenium, and their combinations are effective here. The key mechanisms of homeostasis of essential metals and cytoprotection are: modulation of signal transduction pathways of apoptosis, inflammation and immune functions (for selenium), attenuation of oxidative stress by augmenting non-enzymatic and enzymatic antioxidative systems and interference in lead accumulation in the body. By means of these mechanisms, these essential trace metals may counteract long-term lead toxicity for susceptible subjects. These mineral nutritional supplementation can easily be employed with no or less adverse effects compared to the typical chelation treatment.

摘要

铅(Pb)是最常见的有毒重金属,在生理上非必需,并会对动物和人类造成健康并发症。螯合疗法被认为是急性铅毒性的明确治疗方法;不建议在长期铅毒性和儿童中使用螯合剂。研究表明,必需微量元素可以对抗经验性 Pb 毒性。本文整理了必需微量元素对动物铅毒性的预防作用的典型证据。锌、硒及其组合在这里是有效的。必需金属和细胞保护的内稳定的关键机制是:调节细胞凋亡、炎症和免疫功能的信号转导途径(对于硒),通过增强非酶和酶抗氧化系统来减轻氧化应激,以及干扰体内铅的积累。通过这些机制,这些必需微量元素可能对抗易感人群的长期铅毒性。与典型的螯合治疗相比,这些矿物质营养补充剂的使用几乎没有或没有不良反应。

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