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妊娠晚期镉吸收增加及对镉敏感性增强:孕妇镉结合蛋白(金属硫蛋白)显著降低与妊娠高血压之间是否存在关联?

Increased absorption of and sensitivity to cadmium during late pregnancy: is there a relationship between markedly decreased maternal cadmium binding protein (metallothionein) and pregnancy-induced hypertension?

作者信息

Chisolm J C, Handorf C R

机构信息

Dept. of Obstetrics, Methodist Hospital, Memphis, Tennessee 38104.

出版信息

Med Hypotheses. 1987 Dec;24(4):347-51. doi: 10.1016/0306-9877(87)90212-x.

DOI:10.1016/0306-9877(87)90212-x
PMID:3696031
Abstract

Laboratory animals have a unique sensitivity to cadmium toxicity in late pregnancy. This acute toxicity is not seen in non-pregnant, early pregnant, or lactating animals. Furthermore, during late pregnancy, laboratory animals absorb and retain substantially more cadmium from their diets than they do in the non-pregnant state. Both of these observations parallel the fact that a fivefold late gestational drop of maternal metallothionein (a metal-binding protein believed to detoxify cadmium) has been demonstrated in pregnant animals. Additional factors such as nutritional status and age affect cadmium absorption. As we have discussed previously, cadmium toxicity and toxemia of pregnancy have many common features including hypertension, proteinuria, edema, vasospasm and endovasculitis. Because of the above, we propose that cadmium plays a role in the etiology of toxemia.

摘要

实验动物在妊娠晚期对镉毒性具有独特的敏感性。这种急性毒性在未怀孕、怀孕早期或哺乳期的动物中未见。此外,在妊娠晚期,实验动物从饮食中吸收和保留的镉比处于非妊娠状态时要多得多。这两个观察结果都与以下事实相符:已证实在怀孕动物中,母体金属硫蛋白(一种被认为可使镉解毒的金属结合蛋白)在妊娠晚期下降了五倍。营养状况和年龄等其他因素会影响镉的吸收。正如我们之前所讨论的,镉毒性和妊娠毒血症有许多共同特征,包括高血压、蛋白尿、水肿、血管痉挛和血管内炎症。基于上述原因,我们认为镉在妊娠毒血症的病因中起作用。

相似文献

1
Increased absorption of and sensitivity to cadmium during late pregnancy: is there a relationship between markedly decreased maternal cadmium binding protein (metallothionein) and pregnancy-induced hypertension?妊娠晚期镉吸收增加及对镉敏感性增强:孕妇镉结合蛋白(金属硫蛋白)显著降低与妊娠高血压之间是否存在关联?
Med Hypotheses. 1987 Dec;24(4):347-51. doi: 10.1016/0306-9877(87)90212-x.
2
Further observations on the etiology of pre-eclampsia: mobilization of toxic cadmium-metallothionein into the serum during pregnancy.子痫前期病因的进一步观察:孕期有毒镉金属硫蛋白向血清中的动员。
Med Hypotheses. 1996 Aug;47(2):123-8. doi: 10.1016/s0306-9877(96)90451-x.
3
Zinc, cadmium, metallothionein, and progesterone: do they participate in the etiology of pregnancy induced hypertension?锌、镉、金属硫蛋白和孕酮:它们是否参与妊娠高血压的病因学?
Med Hypotheses. 1985 Jul;17(3):231-42. doi: 10.1016/0306-9877(85)90128-8.
4
Depression of metallothionein in fetal rat liver following maternal cadmium exposure.母体镉暴露后胎鼠肝脏中金属硫蛋白的含量降低。
Toxicology. 1980;18(2):103-10. doi: 10.1016/0300-483x(80)90073-6.
5
Role of metallothionein in human placenta and rats exposed to cadmium.金属硫蛋白在接触镉的人胎盘及大鼠中的作用。
IARC Sci Publ. 1992(118):239-47.
6
Cadmium interaction with essential metals (Zn, Cu, Fe), metabolism metallothionein, and ceruloplasmin in pregnant rats and fetuses.镉与怀孕大鼠及胎儿体内必需金属(锌、铜、铁)、金属硫蛋白代谢以及铜蓝蛋白的相互作用。
Ecotoxicol Environ Saf. 1996 Dec;35(3):277-81. doi: 10.1006/eesa.1996.0111.
7
Metallothionein in the extracellular fluids as an index of cadmium toxicity.细胞外液中的金属硫蛋白作为镉毒性的指标。
Environ Health Perspect. 1979 Feb;28:267-71. doi: 10.1289/ehp.7928267.
8
Cadmium-induced immune abnormality is a key pathogenic event in human and rat models of preeclampsia.镉诱导的免疫异常是子痫前期人类和大鼠模型中的一个关键致病事件。
Environ Pollut. 2016 Nov;218:770-782. doi: 10.1016/j.envpol.2016.07.073. Epub 2016 Aug 7.
9
Pregnancy-induced mobilization of copper and zinc bound to renal metallothionein in cadmium-loaded rats.镉负荷大鼠孕期诱导的与肾金属硫蛋白结合的铜和锌的动员
Toxicology. 1990 Mar 16;60(3):199-210. doi: 10.1016/0300-483x(90)90143-5.
10
Metallothionein-I- and -II-deficient mice display increased susceptibility to cadmium-induced fetal growth restriction.金属硫蛋白-I 和 -II 缺乏小鼠对镉诱导的胎儿生长受限的易感性增加。
Am J Physiol Endocrinol Metab. 2013 Sep 15;305(6):E727-35. doi: 10.1152/ajpendo.00157.2013. Epub 2013 Jul 23.

引用本文的文献

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Associations of Maternal Urinary Cadmium with Trimester-Specific Blood Pressure in Pregnancy: Role of Dietary Intake of Micronutrients.孕妇尿镉与孕期特定孕周血压的关联:微量营养素膳食摄入的作用
Biol Trace Elem Res. 2016 Nov;174(1):71-81. doi: 10.1007/s12011-016-0705-4. Epub 2016 Apr 29.
2
The role of the placenta in fetal exposure to heavy metals.胎盘在胎儿接触重金属方面的作用。
Wien Med Wochenschr. 2012 May;162(9-10):201-6. doi: 10.1007/s10354-012-0074-3.