Konar Hiralal
Ramakrishna Sarada Mission Matri Bhavan, 7A, Sree Mohan Lane, Kolkata, West Bengal 700026 India.
J Obstet Gynaecol India. 2025 Apr;75(2):101-105. doi: 10.1007/s13224-025-02128-2. Epub 2025 May 3.
Currently, there is a growing concern for human health with the rise of environmental pollution. Water contamination and health problems had been understood. Sanitation-related health issues have been overcome in the greater part of the world. Progressive industrialization has caused a number of new pollutants in water and in the atmosphere. It is a growing concern for the human health, especially upon the reproductive health. Current researchers provide a strong association between the rising concentrations of ambient pollutants and the adverse health impact. Furthermore, the pollutants have the adverse effects upon reproductive health as well. Major concern is for the health of a pregnant woman and her baby. Maternal-fetal inflammatory response due to the pollutants affects the pregnancy outcome adversely. Preterm labor, fetal growth restriction, intrauterine fetal death, and stillbirths have been observed. Varieties of pathological processes including inflammation, endocrine dysfunction, epigenetic changes, oxidative and nitrosative stress, and placental dysfunction have been explained as the biological plausibility. Prospective studies (systematic review and meta-analysis) have established that exposure to particulate matters (PM) and the nanoparticles (NP) leads to excessive oxidative changes to cause DNA mutations, lipid peroxidation and protein oxidation. Progressive industrialization and emergence of heavy metals, micro- (MP) and nanoparticles (NP) in the atmosphere and in water are the cause for concern. However, most of the information is based on studies from industrialized countries. India needs its own country-based study to have the exact idea and to develop the mechanistic pathways for the control.
当前,随着环境污染的加剧,人们对人类健康的关注日益增加。水污染与健康问题已为人所知。与卫生相关的健康问题在世界大部分地区已得到解决。渐进的工业化在水和大气中造成了一些新的污染物。这日益引起人们对人类健康的关注,尤其是对生殖健康的关注。当前的研究表明环境污染物浓度上升与不良健康影响之间存在紧密联系。此外,这些污染物对生殖健康也有不利影响。主要关注点在于孕妇及其胎儿的健康。污染物引发的母胎炎症反应会对妊娠结局产生不利影响。已观察到早产、胎儿生长受限、宫内胎儿死亡和死产等情况。包括炎症、内分泌功能障碍、表观遗传变化、氧化和亚硝化应激以及胎盘功能障碍在内的各种病理过程已被解释为其生物学合理性。前瞻性研究(系统评价和荟萃分析)已证实,接触颗粒物(PM)和纳米颗粒(NP)会导致过度的氧化变化,从而引起DNA突变、脂质过氧化和蛋白质氧化。大气和水中重金属、微塑料(MP)和纳米颗粒(NP)的渐进工业化和出现令人担忧。然而,大多数信息基于工业化国家的研究。印度需要开展基于本国的研究,以获得确切认识并开发控制的作用机制途径。