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职业性和环境性汞暴露与人类生殖健康——综述

Occupational and environmental mercury exposure and human reproductive health - a review.

作者信息

Kumar Sunil, Sharma Anupama, Sedha Sapna

机构信息

National Institute of Occupational Health, Gujarat, India.

Department of Biotechnology, Dr. Hari Singh Gour University, Madhya Pradesh, India.

出版信息

J Turk Ger Gynecol Assoc. 2022 Sep 5;23(3):199-210. doi: 10.4274/jtgga.galenos.2022.2022-2-6.

Abstract

Mercury is a toxic heavy metal. Humans are exposed to mercury through several sources including environmental, occupational, contaminated food and water and from mercury-containing dental amalgam. Mercury exposure is known to harm the nervous system profoundly, and have a negative impact on digestive and immune systems, and other organs. To review and discuss the effect of mercury exposure through environmental or occupational routes on human reproduction, pregnancy, and its outcome. Published information about the potential toxic effects of mercury on human reproduction were collected and summarized. Literature was identified by systematic search using relevant keywords. Literature review revealed a number of negative impacts of mercury on human reproduction. These included effects on semen quality, including reduced sperm count, motility, and changes in morphology that may reduce fertility potential. There may also be an effect in changing reproductive hormone levels. Mercury exposure might also affect pregnancy but the data concerning mercury effects on female reproduction are limited except for some data about mercury exposure and poor pregnancy outcomes. Available data indicate that mercury exposure may have a toxicity effect on reproductive potential, especially in males. Prenatal mercury exposure may affect pregnancy or its outcome and this appears to be dependent upon dose, duration, and timing of exposure. Nutritional status of exposed individual might also influence the impact of mercury.

摘要

汞是一种有毒重金属。人类通过多种途径接触汞,包括环境、职业、受污染的食物和水以及含汞的牙科汞合金。已知汞暴露会严重损害神经系统,并对消化系统、免疫系统及其他器官产生负面影响。旨在综述和讨论通过环境或职业途径接触汞对人类生殖、妊娠及其结局的影响。收集并总结了已发表的有关汞对人类生殖潜在毒性作用的信息。通过使用相关关键词进行系统检索来确定文献。文献综述揭示了汞对人类生殖的一些负面影响。这些影响包括对精液质量的影响,如精子数量减少、活力降低以及形态变化,这些可能会降低生育潜力。汞暴露还可能对生殖激素水平产生影响。汞暴露也可能影响妊娠,但除了一些关于汞暴露与不良妊娠结局的资料外,有关汞对女性生殖影响的数据有限。现有数据表明,汞暴露可能对生殖潜力产生毒性作用,尤其是对男性。产前汞暴露可能影响妊娠或其结局,这似乎取决于暴露的剂量、持续时间和时间点。暴露个体的营养状况也可能影响汞的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7113/9450922/0f0046a0b31f/JTGGA-23-199-g1.jpg

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