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各种内分泌干扰物对生殖系统的影响。

The influence of various endocrine disruptors on the reproductive system.

机构信息

Department of Pharmacology, Poznan University of Medical Sciences, Poznan, Poland.

Chair and Department of Endocrinology, Metabolism, and Internal Medicine, Poznan University of Medical Sciences, Poznan, Poland, Poland.

出版信息

Endokrynol Pol. 2023;74(3):221-233. doi: 10.5603/EP.a2023.0034.

Abstract

Various stimulants (VS) are chemicals that disrupt the endocrine system - endocrine homeostasis of the reproductive system - which also known as endocrine-disrupting chemicals (EDCs). These substances are found in the human body, in both the blood and urine, amniotic fluid, or, among others, the adipose tissue. This article presents the current state of knowledge of the effect of EDCs and additional factors such as smoking, alcohol consumption, and cannabis on the gonads. The article is an overview of the impact of EDCs and their mechanism of action, with particular emphasis on gonads, based on databases such as PubMed, EMBASE and Google Scholar, and Web of Science available until May 2022. The impact of human exposure to bisphenol A (BPA) is not fully understood, but it has been shown that phthalates show a negative correlation in anti-androgenic activity in the case of men and women for the anti-Müllerian hormone (AMH). Smoking cigarettes and passive exposure to tobacco have a huge impact on the effects of endocrine disorders in both women and men, especially during the reproductive time. Also, the use of large amounts of cannabinoids during the reproductive years can lead to similar disorders. It has been documented that excessive alcohol consumption leads to disturbed function of the hypothalamus-pituitary-gonadal axis (HPG). Excess caffeine consumption may adversely affect male reproductive function, although this is not fully proven. Therefore, the following publication presents various stimulants (BPA, phthalates, nicotine, alcohol, cannabis) that disrupt the function of the endocrine system and, in particular, affect the function of the gonads.

摘要

各种刺激物(VS)是破坏内分泌系统-生殖系统内分泌平衡的化学物质,也称为内分泌干扰化学物质(EDCs)。这些物质存在于人体中,无论是血液、尿液、羊水,还是脂肪组织中。本文介绍了 EDCs 以及其他因素(如吸烟、饮酒和大麻)对性腺的影响的最新知识。本文是对 EDCs 及其作用机制的概述,特别强调了性腺,基于 PubMed、EMBASE 和 Google Scholar 等数据库,以及截至 2022 年 5 月的 Web of Science,重点介绍了 EDCs 的影响及其作用机制。人类接触双酚 A(BPA)的影响尚未完全了解,但已表明邻苯二甲酸酯在男性和女性的抗雄激素活性方面表现出负相关,对 AMH(抗苗勒管激素)也是如此。吸烟和被动接触烟草对女性和男性的内分泌失调影响巨大,尤其是在生殖期。此外,在生殖期大量使用大麻素也会导致类似的紊乱。有记录表明,过量饮酒会导致下丘脑-垂体-性腺轴(HPG)功能紊乱。过量摄入咖啡因可能会对男性生殖功能产生不利影响,尽管这尚未得到充分证实。因此,以下出版物介绍了各种刺激物(BPA、邻苯二甲酸酯、尼古丁、酒精、大麻),它们会破坏内分泌系统的功能,特别是影响性腺的功能。

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