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人类内分泌干扰化学物质暴露与致癌健康后果的相关性:广泛分析。

Carcinogenic health outcomes associated with endocrine disrupting chemicals exposure in humans: A wide-scope analysis.

机构信息

Department of Urology, Institute of Urology and National Clinical Research Center for Geriatrics, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China.

Institute of Oncology Research (IOR), Oncology Institute of Southern Switzerland (IOSI), CH6500 Bellinzona, Switzerland; Università della Svizzera Italiana, CH6900 Lugano, Switzerland.

出版信息

J Hazard Mater. 2024 Sep 5;476:135067. doi: 10.1016/j.jhazmat.2024.135067. Epub 2024 Jul 1.

Abstract

Endocrine-disrupting chemicals (EDCs) are persistent and pervasive compounds that pose serious risks. Numerous studies have explored the effects of EDCs on human health, among which tumors have been the primary focus. However, because of study design flaws, lack of effective exposure levels of EDCs, and inconsistent population data and findings, it is challenging to draw clear conclusions on the effect of these compounds on tumor-related outcomes. Our study is the first to systematically integrate observational studies and randomized controlled trials from over 20 years and summarize over 300 subgroup associations. We found that most EDCs promote tumor development, and that exposure to residential environmental pollutants may be a major source of pesticide exposure. Furthermore, we found that phytoestrogens exhibit antitumor effects. The findings of this study can aid in the development of global EDCs regulatory health policies and alleviate the severe risks associated with EDCs exposure.

摘要

内分泌干扰化学物质(EDCs)是持久性和普遍存在的化合物,它们构成了严重的风险。许多研究都探讨了 EDCs 对人类健康的影响,其中肿瘤是主要关注点。然而,由于研究设计缺陷、缺乏有效的 EDCs 暴露水平以及不一致的人群数据和发现,很难就这些化合物对肿瘤相关结果的影响得出明确的结论。我们的研究是第一个系统性地整合了 20 多年来的观察性研究和随机对照试验,并总结了 300 多个亚组关联的研究。我们发现,大多数 EDCs 促进肿瘤的发展,而居住环境污染物的暴露可能是农药暴露的主要来源。此外,我们发现植物雌激素具有抗肿瘤作用。这项研究的结果可以帮助制定全球 EDCs 监管健康政策,并减轻与 EDCs 暴露相关的严重风险。

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