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氟中毒对大脑的影响。

Effects of chronic fluorosis on the brain.

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai, Shandong Province 264000, China; Shandong Provincial Clinical Research Center for Otorhinolaryngologic Diseases, Yantai, Shandong Province 264000, China; Shandong Provincial Innovation and Practice Base for Postdoctors, Yantai Yuhuangding Hospital, Yantai 264000, China; Department of Neurology, Yantai Yuhuangding Hospital, Qingdao University, Yantai, Shandong Province 264000, China.

Zhenjiang Mental Health Center, The Fifth People's Hospital of Zhenjiang City, Zhenjiang, Jiangsu Province 212000, China.

出版信息

Ecotoxicol Environ Saf. 2022 Oct 1;244:114021. doi: 10.1016/j.ecoenv.2022.114021. Epub 2022 Aug 29.

Abstract

This article reviews the effects of chronic fluorosis on the brain and possible mechanisms. We used PubMed, Medline and Cochraine databases to collect data on fluorosis, brain injury, and pathogenesis. A large number of in vivo and in vitro studies and epidemiological investigations have found that chronic fluorosis can cause brain damage, resulting in abnormal brain structure and brain function.Chronic fluorosis not only causes a decline in concentration, learning, and memory, but also has mental symptoms such as anxiety, tension, and depression. Several possible mechanisms that have been proposed: the oxidative stress and inflammation theory, neural cell apoptosis theory, neurotransmitter imbalance theory, as well as the doctrine of the interaction of fluorine with other elements. However, the specific mechanism of chronic fluorosis on brain damage is still unclear. Thus, a better understanding of the mechanisms via which chronic fluorosis causes brain damage is of great significance to protect the physical and mental health of people in developing countries, especially those living in the endemic areas of fluorosis. In brief, further investigation concerning the influence of fluoride on the brain should be conducted as the neural damage induced by it may bring about a huge problem in public health, especially considering growing environmental pollution.

摘要

这篇文章综述了慢性氟中毒对大脑的影响及其可能的机制。我们使用 PubMed、Medline 和 Cochraine 数据库收集了氟中毒、脑损伤和发病机制的数据。大量的体内和体外研究以及流行病学调查发现,慢性氟中毒可导致脑损伤,导致脑结构和脑功能异常。慢性氟中毒不仅导致注意力、学习和记忆下降,还会出现焦虑、紧张和抑郁等精神症状。提出了几种可能的机制:氧化应激和炎症理论、神经细胞凋亡理论、神经递质失衡理论,以及氟与其他元素相互作用的学说。然而,慢性氟中毒对脑损伤的确切机制尚不清楚。因此,更好地了解慢性氟中毒导致脑损伤的机制对于保护发展中国家,特别是氟中毒流行地区人们的身心健康具有重要意义。总之,应进一步研究氟化物对大脑的影响,因为其引起的神经损伤可能会给公共卫生带来巨大问题,尤其是考虑到日益严重的环境污染。

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