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Carcinogenic Mechanisms of Hexavalent Chromium: From DNA Breaks to Chromosome Instability and Neoplastic Transformation. 六价铬的致癌机制:从 DNA 断裂到染色体不稳定性和肿瘤转化。
IF 7.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-01 Epub Date: 2024-10-28 DOI: 10.1007/s40572-024-00460-9
Idoia Meaza, Aggie R Williams, Sandra S Wise, Haiyan Lu, John W Pierce

Purpose of review: Hexavalent chromium [Cr(VI)] is a well-established human carcinogen, yet the mechanisms by which it leads to carcinogenic outcomes is still unclear. As a driving factor in its carcinogenic mechanism, Cr(VI) causes DNA double strand breaks and break-repair deficiency, leading to the development of chromosome instability. Therefore, the aim of this review is to discuss studies assessing Cr(VI)-induced DNA double strand breaks, chromosome damage and instability, and neoplastic transformation including cell culture, experimental animal, human pathology and epidemiology studies.

Recent findings: Recent findings confirm Cr(VI) induces DNA double strand breaks, chromosome instability and neoplastic transformation in exposed cells, animals and humans, emphasizing these outcomes as key steps in the mechanism of Cr(VI) carcinogenesis. Moreover, recent findings suggest chromosome instability is a key phenotype in Cr(VI)-neoplastically transformed clones and is an inheritable and persistent phenotype in exposed cells, once more suggesting chromosome instability as central in the carcinogenic mechanism. Although limited, some studies have demonstrated DNA damage and epigenetic modulation are also key outcomes in biopsies from chromate workers that developed lung cancer. Additionally, we also summarized new studies showing Cr(VI) causes genotoxic and clastogenic effects in cells from wildlife, such as sea turtles, whales, and alligators. Overall, across the literature, it is clear that Cr(VI) causes neoplastic transformation and lung cancer. Many studies measured Cr(VI)-induced increases in DNA double strand breaks, the most lethal type of breaks clearly showing that Cr(VI) is genotoxic. Unrepaired or inaccurately repaired breaks lead to the development of chromosome instability, which is a common phenotype in Cr(VI) exposed cells, animals, and humans. Indeed, many studies show Cr(VI) induces both structural and numerical chromosome instability. Overall, the large body of literature strongly supports the conclusion that Cr(VI) causes DNA double strand breaks, inhibits DNA repair and chromosome instability, which are key to the development of Cr(VI)-induced cell transformation.

审查目的:六价铬[Cr(VI)]是一种公认的人类致癌物质,但其致癌机制仍不清楚。六价铬致癌机制中的一个驱动因素是导致 DNA 双股断裂和断裂修复缺陷,从而导致染色体不稳定。因此,本综述旨在讨论评估六价铬诱导的 DNA 双股断裂、染色体损伤和不稳定性以及肿瘤转化的研究,包括细胞培养、实验动物、人类病理学和流行病学研究:最近的研究结果证实,六价铬会在暴露的细胞、动物和人体中诱导 DNA 双股断裂、染色体不稳定和肿瘤转化,并强调这些结果是六价铬致癌机制的关键步骤。此外,最近的研究结果表明,染色体不稳定性是六(Cr)新生物转化克隆的一个关键表型,也是暴露细胞中可遗传和持续存在的表型,这再次表明染色体不稳定性是致癌机制的核心。一些研究表明,DNA 损伤和表观遗传调控也是铬酸盐工人肺癌活组织检查的主要结果,尽管这些研究还很有限。此外,我们还总结了一些新的研究,这些研究表明六价铬会对海龟、鲸鱼和鳄鱼等野生动物的细胞产生遗传毒性和致畸作用。总之,从所有文献来看,六价铬显然会导致肿瘤转化和肺癌。许多研究测量了六(Cr)诱导的 DNA 双股断裂的增加,这种断裂是最致命的断裂类型,清楚地表明六(Cr)具有基因毒性。未修复或修复不准确的断裂会导致染色体不稳定,这是暴露于六价铬的细胞、动物和人类的常见表型。事实上,许多研究表明,六价铬会诱发染色体结构和数量上的不稳定性。总之,大量文献有力地支持了以下结论:六价铬会导致 DNA 双股断裂、抑制 DNA 修复和染色体不稳定,而这正是六价铬诱导细胞转化的关键所在。
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引用次数: 0
A Review of Urban Planning Approaches to Reduce Air Pollution Exposures. 减少空气污染暴露的城市规划方法回顾。
IF 7.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-01 Epub Date: 2024-08-28 DOI: 10.1007/s40572-024-00459-2
Dung-Ying Lin, S Travis Waller, Ming-Yeng Lin

Purpose of review: With only 12% of the human population living in cities meeting the air quality standards set by the WHO guidelines, there is a critical need for coordinated strategies to meet the requirements of a healthy society. One pivotal mechanism for addressing societal expectations on air pollution and human health is to employ strategic modeling within the urban planning process. This review synthesizes research to inform coordinated strategies for a healthy society. Through strategic modeling in urban planning, we seek to uncover integrated solutions that mitigate air pollution, enhance public health, and create sustainable urban environments.

Recent findings: Successful urban planning can help reduce air pollution by optimizing city design with regard to transportation systems. As one specific example, ventilation corridors i.e. aim to introduce natural wind into urban areas to improve thermal comfort and air quality, and they can be effective if well-designed and managed. However, physical barriers such as sound walls and vegetation must be carefully selected following design criteria with significant trade-offs that must be modeled quantitatively. These tradeoffs often involve balancing effectiveness, cost, aesthetics, and environmental impact. For instance, sound walls are highly effective at reducing noise, provide immediate impact, and are long-lasting. However, they are expensive to construct, visually unappealing, and may block views and sunlight. To address the costly issue of sound walls, a potential solution is implementing vegetation with a high leaf area index or leaf area density. This alternative is also an effective method for air pollution reduction with varying land-use potential. Ultimately, emission regulations are a key aspect of all such considerations. Given the broad range of developments, concerns, and considerations spanning city management, ventilation corridors, physical barriers, and transportation planning, this review aims to summarize the effect of a range of urban planning methods on air pollution considerations.

审查目的:由于仅有 12% 的城市人口符合世界卫生组织准则规定的空气质量标准,因此亟需制定协调一致的战略,以满足健康社会的要求。解决社会对空气污染和人类健康期望的一个关键机制是在城市规划过程中采用战略建模。本综述综合了相关研究,为健康社会的协调战略提供信息。通过城市规划中的战略建模,我们试图找到缓解空气污染、提高公众健康水平和创造可持续城市环境的综合解决方案:成功的城市规划可以通过优化城市交通系统设计来减少空气污染。一个具体的例子是,通风走廊旨在将自然风引入城市地区,以改善热舒适度和空气质量。然而,声墙和植被等物理屏障必须按照设计标准精心挑选,其中存在重大权衡,必须进行量化建模。这些权衡通常涉及平衡效果、成本、美观和环境影响。例如,隔音墙在降低噪音方面非常有效,能产生立竿见影的效果,而且经久耐用。然而,声墙的建造成本高昂,视觉效果不佳,还可能阻挡视线和阳光。为了解决隔音墙成本高昂的问题,一个潜在的解决方案是种植叶面积指数或叶面积密度高的植被。在不同的土地利用潜力下,这种替代方法也是减少空气污染的有效方法。归根结底,排放法规是所有此类考虑的一个关键方面。鉴于在城市管理、通风走廊、物理屏障和交通规划方面存在广泛的发展、关注和考虑因素,本综述旨在总结一系列城市规划方法对空气污染考虑因素的影响。
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引用次数: 0
Using Geovisualizations to Educate the Public About Environmental Health Hazards: What Works and Why. 利用地理可视化教育公众了解环境健康危害:什么有效,为什么有效?
IF 7.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-01 Epub Date: 2024-09-25 DOI: 10.1007/s40572-024-00461-8
Catherine E Slavik, Carolyn Fish, Ellen Peters

Purpose of review: Informing the public about environmental risks to health is crucial for raising awareness around hazards, and promoting actions that minimize exposures. Geographic visualizations-geovisualizations-have become an increasingly common way to disseminate web-based information about environmental hazards, displaying spatial variations in exposures and health outcomes using a map. Unfortunately, ineffective geovisualizations can result in inaccurate inferences about a hazard, leading to misguided actions or policies. In this narrative review, we discuss key considerations for the use of geovisualizations to promote environmental health literacy.

Recent findings: Many conventional geovisualizations used for hazard education and risk communication fail to consider how people process visual information. Design choices that prompt viewers to think and feel, leveraging processes such as individual attention, memory, and emotion, could promote improved comprehension and decision making around environmental health risks using geovisualizations. Based on the studies reviewed, we recommend six strategies for designing effective, evidence-based geovisualizations, synthesizing evidence from the cognitive sciences, cartography, and environmental health. These strategies include: Displaying only key data, tailoring and testing geovisualizations with the desired audience, using salient cues, leveraging emotion, aiding pattern recognition, and limiting visual distractions. Geovisualizations offer a promising avenue for advancing public awareness and fostering proactive measures in addressing complex environmental health challenges. This review highlights how incorporating evidence-based design principles into geovisualizations could promote environmental health literacy. More experimental research evaluating geovisualizations, using interdisciplinary approaches, is needed.

审查目的:让公众了解环境对健康的危害,对于提高人们对危害的认识和促进尽量减少暴露的行动至关重要。地理可视化(geovisualizations)已成为一种日益普遍的方式,用于传播基于网络的环境危害信息,利用地图显示暴露和健康结果的空间变化。不幸的是,无效的地理可视化可能导致对危害的不准确推断,从而导致错误的行动或政策。在这篇叙述性综述中,我们讨论了使用地理可视化促进环境健康知识普及的主要注意事项:许多用于危害教育和风险交流的传统地理可视化没有考虑到人们是如何处理视觉信息的。利用个人的注意力、记忆力和情感等过程来促使观众思考和感受的设计选择,可以利用地理可视化促进人们对环境健康风险的理解和决策制定。根据所回顾的研究,我们综合认知科学、制图学和环境健康方面的证据,提出了设计有效、基于证据的地理可视化的六项策略。这些策略包括只显示关键数据、为所需受众量身定制并测试地理可视化、使用突出线索、利用情感、帮助模式识别以及限制视觉干扰。地理可视化为提高公众意识、促进采取积极措施应对复杂的环境健康挑战提供了一条大有可为的途径。本综述强调了将循证设计原则纳入地理可视化如何促进环境健康知识的普及。需要利用跨学科方法开展更多评估地理可视化的实验研究。
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引用次数: 0
Toxic Metals and Metalloids in Food: Current Status, Health Risks, and Mitigation Strategies. 食品中的有毒金属和类金属:现状、健康风险和缓解策略》。
IF 7.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-01 Epub Date: 2024-10-01 DOI: 10.1007/s40572-024-00462-7
Di Zhao, Peng Wang, Fang-Jie Zhao

Purpose of review: Exposure to toxic metals/metalloids, such as arsenic (As), cadmium (Cd), and lead (Pb), through food consumption is a global public health concern. This review examines the contamination status of these metals/metalloids in food, assesses dietary intake across different populations, and proposes strategies to reduce metal/metalloid exposures throughout the food chain.

Recent findings: For the general population, dietary intake of metals/metalloids is generally lower than health-based guidance values. However, for vulnerable populations, such as infants, children, and pregnant women, their dietary intake levels are close to or even higher than the guidance values. Among different food categories, seafood shows higher total As, but largely present as organic species. Rice accumulates higher As concentration than other cereals, with inorganic As (iAs) and dimethylarsinic acid (DMA) being the main As species. Methylated thioarsenate species, such as dimethylmonothioarsenate, have also been detected in rice. The distribution of iAs and DMA in rice shows geographical variation. Additionally, seafood and cocoa products generally contain more Cd than other food, but seafood consumption does not significantly increase in adverse health effects due to its high zinc and iron content. Compared to As and Cd, Pb concentrations in food are generally lower. To minimize the health risks of metal/metalloid exposure, several strategies are proposed. Food contamination with toxic metals/metalloids poses significant concerns for human health, particularly for vulnerable populations. This review provides scientific evidence and suggestions for policy makers to reduce human exposure of metals/metalloids via dietary intake.

审查目的:通过食物摄入有毒金属/类金属,如砷(As)、镉(Cd)和铅(Pb),是一个全球性的公共健康问题。本综述研究了食物中这些金属/类金属的污染状况,评估了不同人群的膳食摄入量,并提出了减少整个食物链中金属/类金属暴露的策略:最新研究结果:对于普通人群来说,金属/类金属的膳食摄入量通常低于基于健康的指导值。然而,对于弱势群体,如婴儿、儿童和孕妇,他们的膳食摄入量接近甚至高于指导值。在各类食物中,海产品的砷总量较高,但主要以有机物的形式存在。与其他谷物相比,大米积累的砷浓度较高,主要砷种类为无机砷(iAs)和二甲基砷酸(DMA)。水稻中还检测到甲基化的硫代砷酸盐种类,如二甲基单硫代砷酸盐。iAs 和 DMA 在大米中的分布存在地域差异。此外,海产品和可可制品的镉含量通常高于其他食物,但由于海产品的锌和铁含量较高,因此食用海产品不会明显增加对健康的不良影响。与砷和镉相比,食品中的铅含量一般较低。为尽量减少摄入金属/类金属对健康的危害,提出了几种策略。有毒金属/类金属的食品污染对人类健康,尤其是弱势群体的健康,构成了严重的威胁。本综述为决策者提供了科学证据和建议,以减少人类通过膳食摄入金属/类金属的风险。
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引用次数: 0
Mechanisms of Metal-Induced Hepatic Inflammation. 金属诱发肝脏炎症的机制
IF 7.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-01 Epub Date: 2024-11-05 DOI: 10.1007/s40572-024-00463-6
Nivetha K Subramaniam, Koren K Mann

Purpose of review: Worldwide, there is an increasing prevalence of hepatic diseases. The most common diseases include alcoholic-associated liver disease (ALD), metabolic dysfunction-associated fatty liver disease/ metabolic dysfunction-associated steatohepatitis (MAFLD/MASH) and viral hepatitis. While there are many important mediators of these diseases, there is increasing recognition of the importance of the inflammatory immune response in hepatic disease pathogenesis.

Recent findings: Hepatic inflammation triggers the onset and progression of liver diseases. Chronic and sustained inflammation can lead to fibrosis, then cirrhosis and eventually end-stage cancer, hepatocellular carcinoma. Importantly, growing evidence suggest that metal exposure plays a role in hepatic disease pathogenesis. While in recent years, studies have linked metal exposure and hepatic steatosis, studies emphasizing metal-induced hepatic inflammation are limited. Hepatic inflammation is an important hallmark of fatty liver disease. This review aims to summarize the mechanisms of arsenic (As), cadmium (Cd) and chromium (Cr)-induced hepatic inflammation as they contribute to hepatic toxicity and to identify data gaps for future investigation.

回顾的目的:在世界范围内,肝脏疾病的发病率越来越高。最常见的疾病包括酒精相关性肝病(ALD)、代谢功能障碍相关性脂肪肝/代谢功能障碍相关性脂肪性肝炎(MAFLD/MASH)和病毒性肝炎。虽然这些疾病有许多重要的介质,但人们越来越认识到炎症性免疫反应在肝病发病机制中的重要性:肝脏炎症引发肝病的发生和发展。慢性和持续的炎症可导致肝纤维化、肝硬化,并最终导致终末期癌症--肝细胞癌。重要的是,越来越多的证据表明,金属暴露在肝病发病机制中扮演着重要角色。近年来,已有研究将金属暴露与肝脏脂肪变性联系起来,但强调金属诱发肝脏炎症的研究却很有限。肝脏炎症是脂肪肝的一个重要标志。本综述旨在总结砷(As)、镉(Cd)和铬(Cr)诱导肝脏炎症的机制,因为它们会导致肝脏毒性,并找出未来研究的数据缺口。
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引用次数: 0
Portable x-ray fluorescence for bone lead measurement: Current approaches and future directions. 用于骨铅测量的便携式 X 射线荧光技术:当前方法和未来方向。
IF 7.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-01 Epub Date: 2024-05-22 DOI: 10.1007/s40572-024-00450-x
Aaron J Specht, Christian Hoover, Thomas Grier

Purpose of review: Legacy lead exposures persist as a widespread problem. Blood lead is traditionally used for lead exposure surveillance; however, bone lead proves to be a cheaper, more accessible, and more revealing tool for surveillance that can be measured using portable x-ray fluorescence techniques. We outline how this approach excels for bone lead measurements.

Recent findings: Portable XRF offers quick, non-invasive in vivo quantification of bone lead. Compared to traditional KXRF systems, pXRF is limited to cortical bone but allows for quicker and similar results. Current methodologies of lead exposure need re-evaluation as lead-related disease burden and trends are dependent on both cumulative and acute impacts. We examined the evolution of XRF techniques for measuring bone lead, comparing current methods with previous ones. We assessed their accuracy, identified limitations, and discussed potential advances in future techniques. Legacy lead exposures call for a revitalization of lead surveillance methods, and pXRF measurement of bone lead offers such a solution.

审查目的:遗留的铅暴露一直是一个普遍存在的问题。传统上,血铅被用于监测铅暴露;但事实证明,骨铅是一种更便宜、更易获得、更能揭示问题的监测工具,可使用便携式 X 射线荧光技术进行测量。我们概述了这种方法在骨铅测量中的优势:便携式 X 射线荧光技术可对骨铅进行快速、无创的体内量化。与传统的 KXRF 系统相比,pXRF 只适用于皮质骨,但却能更快地得出相似的结果。目前的铅暴露方法需要重新评估,因为与铅相关的疾病负担和趋势取决于累积影响和急性影响。我们研究了用于测量骨铅的 XRF 技术的演变,并将目前的方法与以前的方法进行了比较。我们评估了这些方法的准确性,确定了其局限性,并讨论了未来技术的潜在进步。历史遗留的铅暴露要求重振铅监测方法,而骨铅的 pXRF 测量则提供了这样一种解决方案。
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引用次数: 0
Exposure to Endocrine Disruptors in Early life and Neuroimaging Findings in Childhood and Adolescence: a Scoping Review. 早期暴露于内分泌干扰物与儿童和青少年时期的神经影像学发现:范围界定综述。
IF 7.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-01 Epub Date: 2024-07-30 DOI: 10.1007/s40572-024-00457-4
Kim N Cajachagua-Torres, Hugo G Quezada-Pinedo, Tong Wu, Leonardo Trasande, Akhgar Ghassabian

PURPOSE OF REVIEW: Evidence suggests neurotoxicity of endocrine disrupting chemicals (EDCs) during sensitive periods of development. We present an overview of pediatric population neuroimaging studies that examined brain influences of EDC exposure during prenatal period and childhood. RECENT FINDINGS: We found 46 studies that used magnetic resonance imaging (MRI) to examine brain influences of EDCs. These studies showed associations of prenatal exposure to phthalates, organophosphate pesticides (OPs), polyaromatic hydrocarbons and persistent organic pollutants with global and regional brain structural alterations. Few studies suggested alteration in functional MRI associated with prenatal OP exposure. However, studies on other groups of EDCs, such as bisphenols, and those that examined childhood exposure were less conclusive. These findings underscore the potential profound and lasting effects of prenatal EDC exposure on brain development, emphasizing the need for better regulation and strategies to reduce exposure and mitigate impacts. More studies are needed to examine the influence of postnatal exposure to EDC on brain imaging.

综述目的:有证据表明,内分泌干扰化学物(EDCs)会在发育的敏感时期造成神经毒性。我们概述了儿科人群的神经影像学研究,这些研究考察了产前和儿童期接触 EDC 对大脑的影响。最新发现:我们发现有 46 项研究使用磁共振成像 (MRI) 来检测 EDC 对大脑的影响。这些研究表明,产前接触邻苯二甲酸盐、有机磷农药(OPs)、多芳烃和持久性有机污染物与整体和区域性大脑结构改变有关。很少有研究表明功能性核磁共振成像的改变与产前暴露于 OP 有关。然而,对双酚等其他 EDCs 类别的研究以及对儿童期暴露的研究则不太确定。这些研究结果强调了产前 EDC 暴露对大脑发育可能产生的深远而持久的影响,强调需要更好的监管和策略来减少暴露和减轻影响。还需要进行更多的研究来探讨产后接触 EDC 对大脑成像的影响。
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引用次数: 0
Environmental and Human Health Problems Associated with Hospital Wastewater Management in Zimbabwe. 津巴布韦与医院废水管理相关的环境和人类健康问题。
IF 7.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-01 Epub Date: 2024-06-07 DOI: 10.1007/s40572-024-00452-9
Steven Jerie, Timothy Vurayayi Mutekwa, Olivia C Mudyazhezha, Tapiwa Shabani, Takunda Shabani

Purpose of the review: Wastewater is a term used to describe water that has undergone degradation in quality owing to anthropogenic activities or natural processes. Wastewater encompasses liquid waste originating from academic institutions, households, agricultural sector, industries, mines and hospitals. Hospital wastewater contains potentially hazardous substances including residues of pharmaceuticals, radioisotopes, detergents and pathogens, with detrimental impacts to the environment and human health. Nevertheless, studies related to hospital waste management are limited in Africa, particularly in Southern Africa. This research offers an overview of aspects surrounding hospital wastewater in Southern Africa, focusing on Zimbabwe. Already published and grey literature was reviewed to compile the paper.

Recent findings: Number of patients, nature of medical services offered and hospital size influences generation of hospital wastewater. Partially and non-treated hospital wastewater is managed together with municipal wastewater. Management of hospital wastewater is impeded by shortage of resources, lack of co-ordination among responsible authorities and ineffective legal framework enforcement, among other challenges. Inappropriate hospital wastewater management results in environmental contamination, causing human ailments. Attainment of sustainable hospital wastewater management requires clearly defined and enforced legislation, collaboration of accountable stakeholders, sufficient resources and enhanced awareness of involved stakeholders. Application of technologies that uphold recycling and reuse of wastewater is essential to reach Sustainable Development Goals, Zimbabwe Vision 2030 and National Development Strategy 1 targets, particularly those dealing with environmental protection while upholding human health.

审查的目的:废水是指由于人类活动或自然过程而导致水质下降的水。废水包括来自学术机构、家庭、农业部门、工业、矿山和医院的液体废物。医院废水中含有潜在的有害物质,包括药物残留、放射性同位素、清洁剂和病原体,对环境和人类健康造成不利影响。然而,在非洲,尤其是南部非洲,有关医院废物管理的研究十分有限。本研究以津巴布韦为重点,概述了南部非洲医院废水的方方面面。在撰写本文时,我们查阅了已出版的文献和灰色文献:病人数量、医疗服务性质和医院规模影响着医院废水的产生。部分和未经处理的医院废水与城市废水一起管理。资源短缺、负责部门之间缺乏协调、法律框架执行不力等挑战阻碍了医院废水的管理。医院废水管理不当会造成环境污染,引发人类疾病。要实现可持续的医院废水管理,就必须有明确界定和执行的法律、负责任的利益相关方的合作、充足的资源以及相关利益方意识的提高。要实现可持续发展目标、《津巴布韦 2030 年愿景》和《国家发展战略 1》的各项目标,特别是那些在保护环境的同时维护人类健康的目标,就必须应用支持废水回收和再利用的技术。
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引用次数: 0
Metabolic Perturbations Associated with both PFAS Exposure and Perinatal/Antenatal Depression in Pregnant Individuals: A Meet-in-the-Middle Scoping Review. 与全氟辛烷磺酸暴露和孕妇围产期/产后抑郁相关的代谢紊乱:中间相遇范围审查》。
IF 7.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-01 Epub Date: 2024-06-19 DOI: 10.1007/s40572-024-00451-w
Himal Suthar, Roselyn B Tanghal, Lida Chatzi, Jesse A Goodrich, Rachel Morello-Frosch, Max Aung

Purpose of review: Depression during the perinatal or antenatal period affects at least 1 in 10 women worldwide, with long term health implications for the mother and child. Concurrently, there is increasing evidence associating maternal exposure to per- and poly-fluoroalkyl substances (PFAS) to adverse pregnancy outcomes. We reviewed the body of evidence examining both the associations between PFAS exposure and perturbations in the maternal metabolome, and the associations between the maternal metabolome and perinatal/antenatal depression. Through this, we sought to explore existing evidence of the perinatal metabolome as a potential mediation pathway linking PFAS exposure and perinatal/antenatal depression.

Recent findings: There are few studies examining the metabolomics of PFAS exposure-specifically in pregnant women-and the metabolomics of perinatal/antenatal depression, let alone studies examining both simultaneously. Of the studies reviewed (N = 11), the majority were cross sectional, based outside of the US, and conducted on largely homogenous populations. Our review identified 23 metabolic pathways in the perinatal metabolome common to both PFAS exposure and perinatal/antenatal depression. Future studies may consider findings from our review to conduct literature-derived hypothesis testing focusing on fatty acid metabolism, alanine metabolism, glutamate metabolism, and tyrosine metabolism when exploring the biochemical mechanisms conferring the risk of perinatal/antenatal depression due to PFAS exposure. We recommend that researchers also utilize heterogenous populations, longitudinal study designs, and mediation approaches to elucidate key pathways linking PFAS exposures to perinatal/antenatal depression.

审查目的:全球每 10 名妇女中至少有 1 人在围产期或产前出现抑郁,对母婴健康造成长期影响。与此同时,越来越多的证据表明,孕产妇接触全氟和多氟烷基物质(PFAS)与不良妊娠结局有关。我们回顾了研究全氟辛烷磺酸暴露与孕产妇代谢组紊乱之间关系以及孕产妇代谢组与围产期/产前抑郁之间关系的大量证据。通过这些研究,我们试图探索围产期代谢组作为连接全氟辛烷磺酸暴露与围产期/围产期抑郁症的潜在中介途径的现有证据:很少有研究既研究了孕妇接触 PFAS 的代谢组学,也研究了围产期/围产期抑郁症的代谢组学,更不用说同时研究这两者的研究了。在已审查的研究(N = 11)中,大部分是横断面研究,研究地点不在美国,研究对象基本相同。我们的综述在围产期代谢组中发现了 23 条与全氟辛烷磺酸暴露和围产期/产前抑郁共同相关的代谢途径。未来的研究在探索因暴露于 PFAS 而导致围产期/产前抑郁风险的生化机制时,可考虑我们的综述结果,以脂肪酸代谢、丙氨酸代谢、谷氨酸代谢和酪氨酸代谢为重点进行文献衍生假设检验。我们建议研究人员还利用异质人群、纵向研究设计和中介方法来阐明将 PFAS 暴露与围产期/产前抑郁症联系起来的关键途径。
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引用次数: 0
Tear Fluid as a Matrix for Biomonitoring Environmental and Chemical Exposures. 将泪液作为生物监测环境和化学品暴露的基质。
IF 7.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-01 Epub Date: 2024-07-05 DOI: 10.1007/s40572-024-00454-7
Parshawn Amini, Joseph O Okeme

Purpose: Exposures to hazardous chemicals have been linked to many detrimental health effects and it is therefore critical to have effective biomonitoring methods to better evaluate key environmental exposures that increase the risk of chronic disease and death. Traditional biomonitoring utilizing blood and urine is limited due to the specialized skills and invasiveness of collecting these fluid samples. This systematic review focuses on tear fluid, which is largely under-researched, as a promising complementary matrix to the traditional fluids used for biomonitoring. The objective is to evaluate the practicability of using human tear fluid for biomonitoring environmental exposures, highlighting potential pitfalls and opportunities.

Recent finding: Tear fluid biomonitoring represents a promising method for assessing exposures because it can be collected with minimal invasiveness and tears contain exposure markers from both the external and internal environments. Tear fluid uniquely interfaces with the external environment at the air-tear interface, providing a surface for airborne chemicals to diffuse into the ocular environment and interact with biomolecules. Tear fluid also contains molecules from the internal environment that have travelled from the blood to tears by crossing the blood-tear barrier. This review demonstrates that tear fluid can be used to identify hazardous chemicals from the external environment and differentiate exposure groups.

目的:接触有害化学物质与许多有害健康的影响有关,因此必须采用有效的生物监测方法,以更好地评估增加慢性疾病和死亡风险的主要环境暴露。由于收集血液和尿液样本的专业技能和侵入性,传统的生物监测方法受到了限制。本系统综述重点关注泪液,因为泪液在很大程度上还没有得到充分研究,是生物监测传统液体的一种很有前景的补充基质。目的是评估使用人体泪液对环境暴露进行生物监测的实用性,突出潜在的隐患和机遇:最近的发现:泪液生物监测是一种很有前景的评估暴露的方法,因为它可以以最小的侵入性进行收集,而且泪液中含有来自外部和内部环境的暴露标记物。泪液在空气-泪液界面与外部环境形成独特的界面,为空气中的化学物质扩散到眼部环境并与生物分子相互作用提供了表面。泪液中还含有从血液通过血泪屏障进入泪液的内环境分子。本综述表明,泪液可用于识别外部环境中的有害化学物质并区分接触群体。
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Current Environmental Health Reports
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