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环境毒素对心血管疾病的影响。

The Impact of Environmental Toxins on Cardiovascular Diseases.

作者信息

Shrivastav Abhishek, Singh Pratichi

机构信息

Department of Microbiology, All India Institute of Medical Sciences (AIIMS), New Delhi, Delhi, India.

School of Biological and Life Sciences, Galgotias University, Greater Noida, Uttar Pradesh, India; Department of Zoology, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

出版信息

Curr Probl Cardiol. 2024 Jan;49(1 Pt C):102120. doi: 10.1016/j.cpcardiol.2023.102120. Epub 2023 Oct 5.

Abstract

Environmental toxins pose significant risks to human health and are considered major contributors to chronic diseases, particularly cardiovascular diseases (CVDs). Numerous studies have highlighted the detrimental impact of environmental toxicity on cardiovascular health. The primary sources of environmental toxins include pollutants containing particulate matter and organic substances, such as sulfate, nitrates, ammonium, elemental carbon, crystal elements, arsenic (As), mercury (Hg), cadmium (Cd), and Bisphenol A (BPA). Epidemiological research has closely monitored the link between environmental toxins and CVDs. Notably, aerosols and particulate matter, including PM10 and PM2.5, prevalent in ambient air pollution, have been implicated in various CVDs like ischemic heart disease, myocardial infarction, and dysrhythmia. Additionally, heavy metals such as lead and pesticides from environmental toxins are known to contribute to CVDs, even at low levels of exposure over extended periods. Mercury exposure, even at low concentrations, can adversely affect multiple organs, including the heart, kidneys, nervous system, and immune system. With Pb2+ ions exhibiting Ca2+-like properties, lead disrupts various pathways and can lead to cardiac and vascular lesions and functional impairments when blood lead concentrations exceed 100 µg% in adults and 60 µg% in children. Furthermore, cadmium exposure is higher in smokers, primarily due to tobacco use, and is associated with peripheral artery disease. Arsenic toxicity is well-documented, particularly its cardiotoxic effects, which can result in fatal and irreversible myocardial damage. Bisphenol A (BPA) has also been found in urine samples, underscoring its presence as an environmental toxin impacting human health.

摘要

环境毒素对人类健康构成重大风险,被认为是慢性疾病尤其是心血管疾病(CVD)的主要促成因素。众多研究强调了环境毒性对心血管健康的有害影响。环境毒素的主要来源包括含有颗粒物和有机物质的污染物,如硫酸盐、硝酸盐、铵、元素碳、晶体元素、砷(As)、汞(Hg)、镉(Cd)和双酚A(BPA)。流行病学研究密切监测了环境毒素与心血管疾病之间的联系。值得注意的是,在环境空气污染中普遍存在的气溶胶和颗粒物,包括PM10和PM2.5,与各种心血管疾病有关,如缺血性心脏病、心肌梗死和心律失常。此外,已知环境毒素中的重金属如铅和农药即使在长期低水平暴露的情况下也会导致心血管疾病。即使是低浓度的汞暴露也会对包括心脏、肾脏、神经系统和免疫系统在内的多个器官产生不利影响。由于Pb2 +离子具有类似Ca2 +的特性,当成年人血铅浓度超过100μg%且儿童超过60μg%时,铅会破坏各种途径并导致心脏和血管病变以及功能障碍。此外,吸烟者的镉暴露量较高,主要是由于吸烟,且与外周动脉疾病有关。砷的毒性有充分记录,特别是其心脏毒性作用,可导致致命且不可逆转的心肌损伤。尿液样本中也发现了双酚A(BPA),这突出了其作为影响人类健康的环境毒素的存在。

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