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环境与膳食中的雌激素与人类健康:存在问题吗?

Environmental and dietary estrogens and human health: is there a problem?

作者信息

Safe S H

机构信息

Veterinary Physiology and Pharmacology, Texas A&M University, College Station 77843-4466, USA.

出版信息

Environ Health Perspect. 1995 Apr;103(4):346-51. doi: 10.1289/ehp.95103346.

Abstract

It has been hypothesized that organochlorine pesticides and other environmental and dietary estrogens may be associated with the increased incidence of breast cancer in women and decreased sperm concentrations and reproductive problems in men. However, elevation of organochlorine compounds such as dichlorodipehenyldichloroethylene (DDE) and polychlorinated biphenyls (PCBs) in breast cancer patients is not consistently observed. Reanalysis of the data showing that male sperm counts decreased by over 40% during 1940 to 1990 indicated that inadequate statistical methods were used and that the data did not support a significant decline in sperm count. Humans are exposed to both natural and industrial chemicals which exhibit estrogenic and antiestrogenic activities. For example, bioflavonoids, which are widely distributed in foods, and several industrial compounds, including organochlorine pesticides and various phenolic chemicals, exhibit estrogenic activity. Humans are also exposed to chemicals which inhibit estrogen-induced responses such as the aryl hydrocarbon receptor (AhR) agonist 2,3,7,8-tetrachlorodibenzo-p-dioxin and related chlorinated aromatics, polynuclear aromatic hydrocarbon combustion products, and indole-3-carbinol, which is found in cruciferous vegetables. Many of the weak estrogenic compounds, including bioflavonoids, are also antiestrogenic at some concentrations. A mass balance of dietary levels of industrial and natural estrogens, coupled with their estimated estrogenic potencies, indicates that the dietary contribution of estrogenic industrial compounds is 0.0000025% of the daily intake of estrogenic flavonoids in the diet.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

有假设认为,有机氯农药以及其他环境和膳食中的雌激素可能与女性乳腺癌发病率上升以及男性精子浓度降低和生殖问题有关。然而,乳腺癌患者中诸如二氯二苯二氯乙烯(DDE)和多氯联苯(PCBs)等有机氯化合物水平升高的情况并非始终能观察到。对显示1940年至1990年间男性精子数量减少超过40%的数据进行重新分析表明,所使用的统计方法不充分,且数据并不支持精子数量显著下降这一结论。人类接触具有雌激素和抗雌激素活性的天然和工业化学品。例如,广泛存在于食物中的生物类黄酮以及包括有机氯农药和各种酚类化学品在内的几种工业化合物都具有雌激素活性。人类还接触抑制雌激素诱导反应的化学品,如芳烃受体(AhR)激动剂2,3,7,8 - 四氯二苯并 - p - 二恶英及相关的氯代芳烃、多环芳烃燃烧产物,以及十字花科蔬菜中含有的吲哚 - 3 - 甲醇。许多弱雌激素化合物,包括生物类黄酮,在某些浓度下也具有抗雌激素作用。工业和天然雌激素膳食水平的质量平衡,再加上它们估计的雌激素效力,表明雌激素性工业化合物的膳食贡献仅占膳食中雌激素性黄酮类每日摄入量的0.0000025%。(摘要截选至250字)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b20/1519094/6a1590f5f805/envhper00353-0038-a.jpg

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