Xiao Tuo, Chen Yuhao, Xu Yue, Song Yanqi, Ren Xuejing, Wang Wenjuan, Zhuang Kaiting, Chen Xiangmei, Cai Guangyan
Department of Nephrology, First Medical Center of Chinese PLA General Hospital, Nephrology Institute of the Chinese People's Liberation Army, State Key Laboratory of Kidney Diseases, National Clinical Research Center for Kidney Diseases, Beijing Key Laboratory of Kidney Disease Research, Beijing, China.
Henan Key Laboratory of Kidney Disease and Immunology, Henan Provincial Clinical Research Center for Kidney Disease, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Environ Sci Pollut Res Int. 2023 Oct 19. doi: 10.1007/s11356-023-30463-2.
Glyphosate (GLY) exposure, both exogenous and endogenous, is a global concern. Multiple studies of model systems in vitro and in vivo have demonstrated the potential toxic effects of GLY exposure on human organs, particularly the liver and renal system. However, there is currently limited epidemiological evidence establishing a link between GLY exposure and hepatorenal function in the general population. In this study, a multivariable linear regression model and forest plots were employed to evaluate the connection between urinary GLY and biomarkers of hepatorenal function in 2241 participants from the National Health and Nutrition Examination Survey 2013-2016. Additionally, subgroup analyses were conducted based on age, gender, race, BMI, and chronic kidney disease (CKD). Alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), AST/ALT and fibrosis 4 score (FIB-4) all increased with elevated urinary GLY concentrations after adjusting for potential confounders, while albumin (ALB) exhibited the opposite trend, particularly among younger, female, non-Hispanic white, overweight, and CKD participants. Furthermore, individuals in the third tertile had a greater risk of liver dysfunction than those in the first tertile after categorizing urinary GLY concentrations. However, our study showed no proof that GLY exposure affects the ratio of urine albumin to creatinine (ACR) or serum creatinine levels. Overall, these results imply that GLY exposure may have adverse effects on human liver function.
草甘膦(GLY)的外源性和内源性暴露都是全球关注的问题。多项体外和体内模型系统研究表明,GLY暴露对人体器官,尤其是肝脏和肾脏系统具有潜在毒性作用。然而,目前在普通人群中,确立GLY暴露与肝肾功能之间联系的流行病学证据有限。在本研究中,采用多变量线性回归模型和森林图来评估2013 - 2016年美国国家健康与营养检查调查中2241名参与者的尿GLY与肝肾功能生物标志物之间的关联。此外,还根据年龄、性别、种族、体重指数(BMI)和慢性肾脏病(CKD)进行了亚组分析。在调整潜在混杂因素后,碱性磷酸酶(ALP)、丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、AST/ALT和纤维化4评分(FIB - 4)均随尿GLY浓度升高而增加,而白蛋白(ALB)则呈现相反趋势,在年轻、女性、非西班牙裔白人、超重和CKD参与者中尤为明显。此外,将尿GLY浓度分类后,处于第三分位的个体比处于第一分位的个体发生肝功能障碍的风险更高。然而,我们的研究没有证据表明GLY暴露会影响尿白蛋白与肌酐比值(ACR)或血清肌酐水平。总体而言,这些结果表明GLY暴露可能对人体肝功能产生不利影响。