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重新评估现有的基于健康的铜指导值以及来自所有来源的暴露评估。

Re-evaluation of the existing health-based guidance values for copper and exposure assessment from all sources.

作者信息

More Simon John, Bampidis Vasileios, Benford Diane, Bragard Claude, Halldorsson Thorhallur Ingi, Hernández-Jerez Antonio F, Bennekou Susanne Hougaard, Koutsoumanis Kostas, Lambré Claude, Machera Kyriaki, Mullins Ewen, Nielsen Søren Saxmose, Schlatter Josef R, Schrenk Dieter, Turck Dominique, Younes Maged, Boon Polly, Ferns Gordon Aa, Lindtner Oliver, Smolders Erik, Wilks Martin, Bastaki Maria, de Sesmaisons-Lecarré Agnès, Ferreira Lucien, Greco Luna, Kass George E N, Riolo Francesca, Leblanc Jean-Charles

出版信息

EFSA J. 2023 Jan 17;21(1):e07728. doi: 10.2903/j.efsa.2023.7728. eCollection 2023 Jan.

Abstract

Copper is an essential micronutrient and also a regulated product used in organic and in conventional farming pest management. Both deficiency and excessive exposure to copper can have adverse health effects. In this Scientific Opinion, the EFSA 2021 harmonised approach for establishing health-based guidance values (HBGVs) for substances that are regulated products and also nutrients was used to resolve the divergent existing HBGVs for copper. The tightly regulated homeostasis prevents toxicity manifestation in the short term, but the development of chronic copper toxicity is dependent on copper homeostasis and its tissue retention. Evidence from Wilson disease suggests that hepatic retention is indicative of potential future and possibly sudden onset of copper toxicity under conditions of continuous intake. Hence, emphasis was placed on copper retention as an early marker of potential adverse effects. The relationships between (a) chronic copper exposure and its retention in the body, particularly the liver, and (b) hepatic copper concentrations and evidence of toxicity were examined. The Scientific Committee (SC) concludes that no retention of copper is expected to occur with intake of 5 mg/day and established an Acceptable Daily Intake (ADI) of 0.07 mg/kg bw. A refined dietary exposure assessment was performed, assessing contribution from dietary and non-dietary sources. Background copper levels are a significant source of copper. The contribution of copper from its use as plant protection product (PPP), food and feed additives or fertilisers is negligible. The use of copper in fertilisers or PPPs contributes to copper accumulation in soil. Infant formula and follow-on formula are important contributors to dietary exposure of copper in infants and toddlers. Contribution from non-oral sources is negligible. Dietary exposure to total copper does not exceed the HBGV in adolescents, adults, elderly and the very elderly. Neither hepatic copper retention nor adverse effects are expected to occur from the estimated copper exposure in children due to higher nutrient requirements related to growth.

摘要

铜是一种必需的微量营养素,也是有机农业和传统农业害虫管理中使用的受管制产品。铜缺乏和过量接触都会对健康产生不利影响。在本科学意见中,欧洲食品安全局(EFSA)2021年用于为既是受管制产品又是营养素的物质建立基于健康的指导值(HBGVs)的统一方法,被用于解决现有的关于铜的不同HBGVs问题。严格调控的体内平衡可防止短期内出现毒性表现,但慢性铜中毒的发展取决于铜的体内平衡及其在组织中的潴留。来自威尔逊病的证据表明,肝脏潴留表明在持续摄入的情况下,未来可能会突然发生铜中毒。因此,重点关注铜潴留作为潜在不良反应的早期指标。研究了(a)慢性铜暴露及其在体内,特别是肝脏中的潴留之间的关系,以及(b)肝脏铜浓度与毒性证据之间的关系。科学委员会(SC)得出结论,摄入5毫克/天的铜时预计不会出现铜潴留,并确定了每日可接受摄入量(ADI)为0.07毫克/千克体重。进行了精细的膳食暴露评估,评估了膳食和非膳食来源的贡献。背景铜水平是铜的重要来源。铜作为植物保护产品(PPP)、食品和饲料添加剂或肥料的使用所产生的贡献可忽略不计。铜在肥料或PPP中的使用会导致土壤中铜的积累。婴儿配方奶粉和后续配方奶粉是婴幼儿膳食铜暴露的重要来源。非口服来源的贡献可忽略不计。青少年、成年人、老年人和高龄老年人的膳食总铜暴露量不超过HBGV。由于生长相关的营养需求较高,预计儿童估计的铜暴露量不会导致肝脏铜潴留或产生不良反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0745/9843535/eacb1fce4f79/EFS2-21-e07728-g003.jpg

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