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汞暴露与健康影响:我们究竟了解多少?

Mercury Exposure and Health Effects: What Do We Really Know?

作者信息

Charkiewicz Angelika Edyta, Omeljaniuk Wioleta Justyna, Garley Marzena, Nikliński Jacek

机构信息

Department of Clinical Molecular Biology, Medical University of Bialystok, 15-269 Bialystok, Poland.

Department of Analysis and Bioanalysis of Medicines, Medical University of Bialystok, 15-222 Bialystok, Poland.

出版信息

Int J Mol Sci. 2025 Mar 5;26(5):2326. doi: 10.3390/ijms26052326.

Abstract

Mercury is widely used in medicine, agriculture, and industry. Meanwhile, according to the World Health Organization, it has been ranked as one of the ten most hazardous substances in the world, with the Agency for Toxic Substances and Disease Registry ranking it third. It has no known positive functionality in the human body, and even at low concentrations, it can have harmful long-term health effects, seriously affecting the healthcare system as well as posing a serious public health threat. This review focuses on the health effects of mercury and its major sources in the environment. We highlight its major toxic role in almost every possible aspect. Mercury and its forms, even in the smallest doses, cause numerous disorders to the body, including to the nervous system, the respiratory system, and the cardiovascular system. It can cause disorders such as various cancers; endothelial dysfunction; gastric and vascular disorders; liver, kidney, and brain damage; hormonal imbalances, miscarriages, and reproductive disorders; skin lesions; vision damage; and even death. The fact of such widespread use as well as its toxicity to the human body prompts further and in-depth research in populations of both low and moderate exposure. The constant controlling and monitoring of mercury use is a serious public health problem, requiring urgent attention and attentiveness from the governments of all countries and, in the long run, a rapid and concerted response. Thus, it is important to analyze in depth the impact of this highly toxic metal on the human body and to prepare the most precisely targeted public health interventions among all decision- and policy-makers.

摘要

汞广泛应用于医学、农业和工业。与此同时,根据世界卫生组织的排名,它已位列世界十大有害物质之一,美国有毒物质与疾病登记署将其列为第三。汞在人体中并无已知的积极功能,即便在低浓度情况下,它也会对健康产生长期有害影响,严重影响医疗体系,并对公众健康构成严重威胁。本综述聚焦于汞对健康的影响及其在环境中的主要来源。我们着重强调其在几乎所有可能方面的主要毒性作用。汞及其各种形态,即便剂量极小,也会对身体造成诸多紊乱,包括对神经系统、呼吸系统和心血管系统的影响。它可引发多种疾病,如各类癌症、内皮功能障碍、胃部和血管紊乱、肝、肾及脑损伤、激素失衡、流产和生殖紊乱、皮肤损伤、视力损害,甚至死亡。汞如此广泛的使用及其对人体的毒性这一事实,促使对低暴露和中等暴露人群展开进一步深入研究。持续控制和监测汞的使用是一个严重的公共卫生问题,需要世界各国政府予以紧急关注和重视,从长远来看,还需要迅速且协调一致的应对措施。因此,深入分析这种剧毒金属对人体的影响,并在所有决策者和政策制定者中制定最具针对性的公共卫生干预措施非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e436/11899758/8ad526ac41c9/ijms-26-02326-g001.jpg

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