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将富含 EDC 的食物摄入和现代生活方式习惯与子痫前期联系起来:通过生化改变识别早期诊断生物标志物的非动物方法。

Linking EDC-laden food consumption and modern lifestyle habits with preeclampsia: A non-animal approach to identifying early diagnostic biomarkers through biochemical alterations.

机构信息

Endocrine Disruption and Reproductive Toxicology Laboratory (EDART Lab), Department of Biotechnology, School of Bioengineering, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India.

Environmental Science and Technology Laboratory, Centre for Research in Environment, Sustainable Advocacy and Climate Change (REACH), SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India.

出版信息

Food Chem Toxicol. 2024 Dec;194:115073. doi: 10.1016/j.fct.2024.115073. Epub 2024 Oct 25.

DOI:10.1016/j.fct.2024.115073
PMID:39461500
Abstract

Preeclampsia (PE), a pregnancy complication characterized by new-onset hypertension with or without proteinuria and/or end-organ damage, and it may be influenced by exposure to endocrine-disrupting chemicals present in processed foods and modern lifestyles. This study explores the potential link using a non-animal approach to identify early diagnostic biomarkers for preeclampsia. Seventy pregnant women aged 21-41 years participated, and completed questionnaires assessing socio-demographic factors, Suboptimal Health Status Questionnaire scores for fatigue, digestive, cardiovascular, immune, and mental health issues, and exposure to endocrine-disrupting chemicals from processed food consumption and daily product use. Peripheral blood samples were analyzed for hormone profiles, complete blood count, and liver function tests (LFT). Statistical analysis revealed that mothers above 27 years old, with a Body Mass Index exceeding 32.59 Kg/m, and a Mean Arterial Pressure of 108.5 mmHg exhibited a potential obesogenic effect on preeclampsia development. Socio-demographic factors like, lower economic class, housewife status, primiparous pregnancy, non-graduate education, and rural residence were significantly associated with results. Analysis of biochemical parameters revealed that serum creatinine, blood urea, total protein, platelet count, blood urea nitrogen, bilirubin profile, LFT profile, and thyroid profile showed potential detrimental effects on kidney, liver, muscle, and thyroid function in preeclampsia patients. Notably, PC, serum urea, bilirubin, total protein, serum glutamic-oxaloacetic transaminase (SGOT), alkaline phosphatase (ALP), and thyroid stimulating hormone (TSH) levels were significantly associated with preeclampsia in individuals reporting higher exposure to endocrine disrupting chemicals (EDCs). Minor biochemical alterations were also observed with dairy product consumption. SHS-25 analysis indicated a significant increase in fatigue, and digestive, cardiovascular, immune, and mental health-related issues in patients. Probably, biochemical alterations due to EDC exposure from processed foods and modern lifestyle habits contribute to organ dysfunction in preeclampsia. Identifying these potential biomarkers may pave the way for the development of non-invasive, early diagnostic tools for improved preeclampsia management. This research emphasizes the importance of non-animal testing methods for assessing EDC-related health risks in pregnancy and contributes to the advancement of early PE diagnosis strategies.

摘要

子痫前期(PE)是一种妊娠并发症,其特征为新发生的高血压伴有或不伴有蛋白尿和/或终末器官损伤,并且可能受到加工食品和现代生活方式中存在的内分泌干扰化学物质的影响。本研究采用非动物方法探讨了潜在的联系,以确定子痫前期的早期诊断生物标志物。70 名年龄在 21-41 岁的孕妇参与了这项研究,完成了社会人口因素问卷、疲劳、消化、心血管、免疫和心理健康问题的 Suboptimal Health Status Questionnaire 评分,以及加工食品消费和日常产品使用中内分泌干扰化学物质暴露的问卷。采集外周血样进行激素谱、全血细胞计数和肝功能检查(LFT)分析。统计分析显示,年龄大于 27 岁、体重指数(BMI)超过 32.59 Kg/m2 、平均动脉压(MAP)为 108.5 mmHg 的母亲有发生子痫前期的潜在肥胖效应。社会人口因素如较低的经济阶层、家庭主妇身份、初产妇、非研究生教育和农村居住与结果显著相关。生化参数分析显示,血清肌酐、血尿素、总蛋白、血小板计数、血尿素氮、胆红素谱、LFT 谱和甲状腺谱显示对肾脏、肝脏、肌肉和甲状腺功能有潜在的不良影响子痫前期患者。值得注意的是,PC、血清尿素、胆红素、总蛋白、血清谷氨酸草酰乙酸转氨酶(SGOT)、碱性磷酸酶(ALP)和促甲状腺激素(TSH)水平在报告较高内分泌干扰化学物质(EDC)暴露的个体中与子痫前期显著相关。乳制品消费也观察到轻微的生化变化。SHS-25 分析表明,患者的疲劳感以及消化、心血管、免疫和心理健康相关问题显著增加。可能是加工食品和现代生活方式中内分泌干扰化学物质的暴露导致生化改变,导致子痫前期器官功能障碍。鉴定这些潜在的生物标志物可能为开发非侵入性、早期诊断工具以改善子痫前期管理铺平道路。本研究强调了非动物测试方法在评估妊娠期间与内分泌干扰相关的健康风险方面的重要性,并为早期 PE 诊断策略的发展做出了贡献。

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