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[长期接触二硫化碳对女性儿茶酚胺和5-羟色胺代谢的影响]

[The influence of chronic exposure to carbon disulfide on metabolism of catecholamines and serotonin in women].

作者信息

Kuligowski D

机构信息

Oddziału Polozniczo-Ginekologicznego Szpitala Rejonowego w Policach.

出版信息

Ann Acad Med Stetin. 1996;42:139-56.

PMID:9199118
Abstract

Due to more frequent occurrence of the idiopathic arterial hypertension of borderline type (18.97% of screened women), with values varying from 18.7/12.0 to 21.3/12.7 kPa (140/90-160/95 mm Hg), in women chronically exposed to carbon disulfide as compared to the control group (8.5% women), we decided to investigate the activity of sympathetic-adrenal nad serotoninergic systems that play an important role in the haemostasis of cardiovascular system. The aim of the presented study is to evaluate the linear correlation between: 1) serum dopamine-beta hydroxylase activity and the dopamine concentration in plasma as well as 24-hours adrenaline and noradrenaline excretion in the urine; and 2) between catechol-0-methyltransferase and monoaminoxidase activity and the 24-hours excretion of catecholamine in the urine; next the serum and platelet concentration of serotonin and the arterial blood pressure in women chronically exposed to carbon disulfide. The investigations were performed on 140 women, aged 22 to 55, who were divided into two groups: group-I the control group, covered 50 women employed in the Industrial Clothing Factory "Dana" in Szczecin. Group II-the study group, consisted of women employed in the Synthetic Fibres Factory "Wiskord" in Szczecin-Zydowce, in the carbon disulfide (CS2) atmosphere in concentration from 9.36 to 23.4 mg/m3. The microclimate conditions of the production halls in both groups were similar (Tab. 1). It has been observed that in women chronically exposed to CS2 plasma dopamine concentration (p < 0.001) and DBH serum activity (p < 0.001) are significantly lower as compared to the control group parameters (Tab. 2). Also dopamine concentration and DBH activity are lower in all subgroups of women exposed to CS2 (Tab. 3). In women working in the CS2 atmosphere, 24-hours excretion of adrenaline is significantly lower (p < 0.001) as compared to the control group. Parameters for 24-hours noradrenaline and VMA excretion in the urine do not show any statistical significance (Tab. 4). Plasma (p < 0.001) and platelet (p < 0.001) concentration of serotonin is significantly higher in women exposed to CS2. However, 24-hours 5-HIAA excretion in the urine in women of group II is higher than in group I, but does not give evidence of any statistical significance (Tab. 6). Both serum (p < 0.001) and platelet (p < 0.001) MAO activity is significantly lower in women chronically exposed to CS2. Also COMT erythrocyte activity is significantly lower (p < 0.001) in the studied group women (Tab. 8). The women working in the CS2 evaporation display significantly higher serum concentration of total (p < 0.001), bound (p < 0.001) and free (p < 0.001) tryptophane (Tab. 9). In women exposed to CS2, serum concentration of zinc (p < 0.001) and copper ions (p < 0.001) is significantly lower (Tab. 10). In comparison to the control group parameters, the women exposed to CS2 claim values of systolic and diastolic arterial blood pressure being insignificantly higher. However, in women working in CS2 atmosphere the coefficients of linear correlation between plasma (r = 0.59; p < 0.001) and platelet (r = 0.73; p < 0.001) serotonin concentration and the systolic arterial blood pressure, as well as plasma (r = 0.065; p < 0.001) and platelet (r = 0.72; p < 0.001) serotonin concentration and the diastolic arterial blood pressure are significantly higher (Tab. 11). Significantly positive linear correlation between serotonin concentration and arterial blood pressure in women chronically exposed to CS2 may suggest the important role of this amine in the pathogenesis of arterial hypertension.

摘要

与对照组(8.5%的女性)相比,长期接触二硫化碳的女性中,临界型特发性动脉高血压的发生率更高(筛查女性中的18.97%),血压值在18.7/12.0至21.3/12.7千帕(140/90 - 160/95毫米汞柱)之间变化。我们决定研究交感 - 肾上腺和血清素能系统的活性,这些系统在心血管系统的止血过程中起着重要作用。本研究的目的是评估以下两者之间的线性相关性:1)血清多巴胺 - β羟化酶活性与血浆中多巴胺浓度以及尿中24小时肾上腺素和去甲肾上腺素排泄量;2)儿茶酚 - O - 甲基转移酶和单胺氧化酶活性与尿中儿茶酚胺24小时排泄量;接下来是长期接触二硫化碳的女性中血清和血小板中血清素浓度与动脉血压。研究对象为140名年龄在22至55岁之间的女性,她们被分为两组:第一组为对照组,包括50名在什切青的“达纳”工业服装厂工作的女性。第二组为研究组,由在什切青 - 齐多夫采的“维斯科德”合成纤维厂工作的女性组成,她们处于浓度为9.36至23.4毫克/立方米的二硫化碳(CS2)环境中。两组生产车间的微气候条件相似(表1)。据观察,与对照组参数相比,长期接触CS2的女性血浆多巴胺浓度(p < 0.001)和DBH血清活性(p < 0.001)显著降低(表2)。在接触CS2的所有女性亚组中,多巴胺浓度和DBH活性也较低(表3)。在CS2环境中工作的女性,与对照组相比,24小时肾上腺素排泄量显著降低(p < 0.001)。尿中24小时去甲肾上腺素和VMA排泄参数未显示任何统计学意义(表4)。接触CS2的女性血浆(p < 0.001)和血小板(p < 0.001)中血清素浓度显著更高。然而,第二组女性尿中24小时5 - HIAA排泄量高于第一组,但未显示出任何统计学意义(表6)。长期接触CS2的女性血清(p < 0.001)和血小板(p < 0.001)MAO活性均显著降低。研究组女性的红细胞COMT活性也显著降低(p < 0.001)(表8)。在CS2蒸发环境中工作的女性血清中总色氨酸(p < 0.001)、结合色氨酸(p < 0.001)和游离色氨酸(p < 0.001)浓度显著更高(表9)。接触CS2的女性血清中锌离子(p < 0.001)和铜离子(p < 0.001)浓度显著更低(表10)。与对照组参数相比,接触CS2的女性收缩压和舒张压的值略高。然而,在CS2环境中工作的女性中,血浆(r = 0.59;p < 0.001)和血小板(r = 0.73;p < 0.001)血清素浓度与收缩压之间以及血浆(r = 0.065;p < 0.001)和血小板(r = 0.72;p < 0.001)血清素浓度与舒张压之间的线性相关系数显著更高(表11)。长期接触CS2的女性中血清素浓度与动脉血压之间显著的正线性相关可能表明该胺在动脉高血压发病机制中起重要作用。

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