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2,3,7,8-四氯二苯并对二恶英(二恶英)对人类是致癌物吗?

Is 2,3,7,8-TCDD (dioxin) a carcinogen for humans?

作者信息

Ayres S M, Webb K B, Evans R G, Mikes J

出版信息

Environ Health Perspect. 1985 Oct;62:329-35. doi: 10.1289/ehp.8562329.

Abstract

2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) has suddenly become the focal point of controversy over the relationship of chemical waste to human health. Specific concern exists regarding its potential association with human malignancy. Subcellular, cellular, and whole-animal experiments suggest that TCDD exerts much of its activity by inducing enzymes that protect the intact organism from the assault of environmental contamination. TCDD is a potent inducer of aryl hydrocarbon hydroxylase, although wide variations between species do exist. Conventional tests for mutagenicity have produced conflicting results. Animal experiments have shown the development of tumors following chronic low level ingestion of TCDD. The human evidence regarding the potential carcinogenicity of TCDD comes from occupational, military and environmental exposures. Several studies have come out of Sweden suggesting an association between sarcoma and exposure to herbicides. Although there is little solid evidence that 2,3,7,8-TCDD produces substantial chronic disability or premature death in man, a significant body of experimental evidence for its carcinogenicity makes it likely that a small number of human malignancies may be due to its action. Since 2,3,7,8-TCDD is an unwanted contaminant it could be eliminated with little measurable consequence.

摘要

2,3,7,8-四氯二苯并对二恶英(TCDD)突然成为有关化学废物与人类健康关系的争议焦点。人们特别关注它与人类恶性肿瘤的潜在关联。亚细胞、细胞和全动物实验表明,TCDD的许多活性是通过诱导保护完整生物体免受环境污染侵害的酶来发挥的。TCDD是芳烃羟化酶的强效诱导剂,尽管不同物种之间存在很大差异。传统的致突变性测试结果相互矛盾。动物实验表明,长期低剂量摄入TCDD后会出现肿瘤。关于TCDD潜在致癌性的人类证据来自职业、军事和环境暴露。瑞典的几项研究表明肉瘤与接触除草剂之间存在关联。虽然几乎没有确凿证据表明2,3,7,8-TCDD会导致人类出现严重的慢性残疾或过早死亡,但大量关于其致癌性的实验证据表明,可能有少数人类恶性肿瘤是由其作用引起的。由于2,3,7,8-TCDD是一种有害污染物,可以将其消除,且几乎不会产生可测量的后果。

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Acute human exposure to TCDD in Seveso, Italy.意大利塞韦索的人类急性二噁英暴露事件。
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