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Application of toxicokinetic–toxicodynamic models in the aquatic ecological risk assessment of metals: A review 在金属的水生生态风险评估中应用毒代动力学-毒效动力学模型:综述
IF 4.2 3区 环境科学与生态学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-07-18 DOI: 10.1016/j.etap.2024.104511
Yongfei Gao

The issue of toxic metal pollution is a considerable environmental concern owing to its complex nature, spatial and temporal variability, and susceptibility to environmental factors. Current water quality criteria and ecological risk assessments of metals are based on single-metal toxicity data from short-term, simplified indoor exposure conditions, ignoring the complexity of actual environmental conditions. This results in increased uncertainty in predicting toxic metal toxicity and risk assessment. Using appropriate bioavailability and effect modeling of metals is critical for establishing environmental quality standards and performing risk assessments for metals. Traditional dose-effect models are based on a static statistical relationship and fall short of revealing the bioavailability and effect processes of metals and do not effectively assess ecological impacts under complex exposure conditions. This paper summarizes the toxicokinetic–toxicodynamic (TK–TD) model, which is gaining interest in environmental and ecotoxicological research. The key concepts, and theories of its construction theories, are discussed and the application of the TK–TD model in toxicity prediction and risk assessment of different metals in the aquatic environment, and trends in the development of the TK–TD model are highlighted. The findings of our review prove that the TK–TD model can effectively predict toxic metal toxicity in real time and under complex exposure conditions in the future.

有毒金属污染问题是一个相当令人担忧的环境问题,因为它具有复杂性、时空可变性和易受环境因素影响等特点。目前的水质标准和金属生态风险评估都是基于短期、简化的室内暴露条件下的单一金属毒性数据,忽略了实际环境条件的复杂性。这导致有毒金属毒性预测和风险评估的不确定性增加。使用适当的金属生物利用率和效应模型对于制定环境质量标准和进行金属风险评估至关重要。传统的剂量效应模型以静态统计关系为基础,无法揭示金属的生物利用率和效应过程,也无法有效评估复杂暴露条件下的生态影响。本文概述了毒性动力学-毒性动力学(TK-TD)模型,该模型在环境和生态毒理学研究中越来越受到关注。本文讨论了 TK-TD 模型的关键概念及其构建理论,重点介绍了 TK-TD 模型在水生环境中不同金属的毒性预测和风险评估中的应用,以及 TK-TD 模型的发展趋势。我们的综述结果证明,TK-TD 模型在未来可以实时有效地预测复杂暴露条件下有毒金属的毒性。
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引用次数: 0
Exposure to the herbicide tebuthiuron affects behavior, enzymatic activity, morphology and physiology of the midgut of the stingless bee Partamona helleri 暴露于除草剂特丁噻隆会影响无刺蜂 Partamona helleri 中肠的行为、酶活性、形态和生理。
IF 4.2 3区 环境科学与生态学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-07-18 DOI: 10.1016/j.etap.2024.104516
Cliver Fernandes Farder-Gomes , Franciane Rosa Miranda , Rodrigo Cupertino Bernardes , Daniel Silva Sena Bastos , Davy Soares Gomes , Fernanda Pereira da Silva , Pollyana Leão Gonçalves , Stella Arndt , André da Silva Xavier , Hugo Bolsoni Zago , José Eduardo Serrão , Gustavo Ferreira Martins , Leandro Licursi de Oliveira , Kenner Morais Fernandes

Partamona helleri is an important pollinator in the Neotropics. However, this bee faces an increased risk of pesticide exposure, potentially affecting both individual bees and entire colonies. Thus, this study aimed to evaluate the effects of the herbicide tebuthiuron on behavior, antioxidant activity, midgut morphology, and signaling pathways related to cell death, cell proliferation and differentiation in P. helleri workers. tebuthiuron significantly reduced locomotor activity and induced morphological changes in the midgut. The activity of the detoxification enzymes superoxide dismutase and glutathione S-transferase increased after exposure, indicating a detoxification mechanism. Furthermore, the herbicide led to alterations in the number of positive cells for signaling-pathway proteins in the midgut of bees, suggesting induction of apoptotic cell death and disruption of midgut epithelial regeneration. Therefore, tebuthiuron may negatively impact the behavior, antioxidant activity, morphology, and physiology of P. helleri workers, potentially posing a threat to the survival of this non-target organism.

Partamona helleri 是新热带地区重要的授粉者。然而,这种蜜蜂暴露于杀虫剂的风险增加,可能影响蜜蜂个体和整个蜂群。因此,本研究旨在评估除草剂特丁噻草隆对P. helleri工蜂的行为、抗氧化活性、中肠形态以及与细胞死亡、细胞增殖和分化相关的信号通路的影响。接触后,解毒酶超氧化物歧化酶和谷胱甘肽 S 转移酶的活性增加,表明存在解毒机制。此外,除草剂还导致蜜蜂中肠信号通路蛋白阳性细胞数量发生变化,这表明除草剂诱导了细胞凋亡,破坏了中肠上皮的再生。因此,特丁噻草隆可能会对P. helleri工蜂的行为、抗氧化活性、形态和生理产生负面影响,从而对这种非目标生物的生存构成潜在威胁。
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引用次数: 0
Large-scale study of blood markers in equine atypical myopathy reveals subclinical poisoning and advances in diagnostic and prognostic criteria 对马非典型肌病血液标记物的大规模研究揭示了亚临床中毒以及诊断和预后标准的进展。
IF 4.2 3区 环境科学与生态学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-07-18 DOI: 10.1016/j.etap.2024.104515
Benoît Renaud , Caroline-J. Kruse , Anne-Christine François , Carla Cesarini , Gunther van Loon , Katrien Palmers , François Boemer , Géraldine Luis , Pascal Gustin , Dominique-Marie Votion

Equine atypical myopathy (AM) is a severe rhabdomyolysis syndrome primarily caused by hypoglycin A (HGA) and methylenecyclopropylglycine protoxins. This study aimed to refine diagnostic and prognostic criteria for AM while exploring apparently healthy cograzers. Blood samples from 263 horses, including AM cases (n= 95), cograzers (n= 73), colic horses (n= 19), and controls (n= 76), were analyzed for HGA, its toxic metabolite, and acylcarnitines profile. Diseased horses exhibited alterations in acylcarnitines that strongly distinguished them from controls and colic horses. Regression analyses identified distinct acylcarnitines profiles among groups, with cograzers showing intermediate alterations. Age and gelding status emerged as protective factors against AM. Furthermore, serum acylcarnitines profiling was valuable in predicting AM survival, with isovaleryl-/2-methylbutyrylcarnitine (i.e., C5 acylcarnitine) showing promise as both a diagnostic and prognostic marker. Subclinical alterations in cograzers underscore a novel aspect: the presence of subclinical cases of AM.

马非典型肌病(AM)是一种严重的横纹肌溶解综合征,主要由低甘氨酸 A(HGA)和亚甲基环丙基甘氨酸原毒素引起。本研究旨在完善 AM 的诊断和预后标准,同时探索表面上健康的马匹。研究人员对 263 匹马的血液样本进行了 HGA、其毒性代谢物和酰基肉碱谱分析,其中包括 AM 病例(95 匹)、cograzers(73 匹)、肠绞痛马(19 匹)和对照组(76 匹)。患病马的酰基肉碱发生了变化,与对照组和肠绞痛马有明显区别。回归分析确定了各组之间不同的酰基肉碱谱,其中阉马的变化介于两者之间。年龄和阉割状态是防止急性髓系白血病的保护因素。此外,血清酰基肉碱谱分析对预测急性髓系白血病的存活率很有价值,其中异戊酰-/2-甲基丁酰肉碱(即 C5酰基肉碱)有望成为诊断和预后标志物。cograzers的亚临床改变强调了一个新的方面:AM亚临床病例的存在。
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引用次数: 0
Species-specific differences in DNA damage sensitivity at early developmental stage: A comparative study of sterlet (Acipenser ruthenus) and common carp (Cyprinus carpio) 早期发育阶段 DNA 损伤敏感性的物种特异性差异:鲤鱼和鲫鱼的比较研究。
IF 4.2 3区 环境科学与生态学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-07-15 DOI: 10.1016/j.etap.2024.104501
Abhipsha Dey , Rigolin Nayak , Martin Prchal , Alvaro Gonzalez-Cid , Martin Pšenička , Radek Šindelka , Martin Flajšhans , Ievgeniia Gazo

DNA damage in embryos shapes the development of an organism. Understanding life stage-specific differences between fish species is essential for ecological risk assessment measures. We explored DNA damage sensitivity in two nonmodel fish species, sterlet (Acipenser ruthenus) and common carp (Cyprinus carpio). Embryos of these species were exposed to a model genotoxicant, camptothecin (CPT), during cleavage (2-cell) stage and gastrulation. Results revealed a species-specific DNA damage sensitivity only at cleavage stage. 3 nM CPT caused lethality in sterlet embryos while carp embryos hatched normally. Multiple nuclear abnormalities were observed in sterlet embryos by early gastrula stage. However, carp embryos exhibited nuclear abnormalities and DNA fragmentation at neurula stage only when exposed to 7 nM CPT. Moreover, increased expression of tp53 in carp embryos at gastrula stage suggests activation of apoptosis mechanism. These findings suggest that carp embryos activate DNA damage response more efficiently than sterlet embryos at same developmental stage.

胚胎中的 DNA 损伤会影响生物体的发育。了解鱼类物种不同生命阶段的差异对于生态风险评估措施至关重要。我们对两种非模型鱼类--乌塘鳢和鲤鱼--的DNA损伤敏感性进行了研究。这些鱼类的胚胎在卵裂(2 细胞)期和胚胎发育期暴露于模式基因毒性物质喜树碱(CPT)。结果表明,只有在卵裂阶段才会出现物种特异性的DNA损伤敏感性。3nM CPT 会导致赤子鱼胚胎死亡,而鲤鱼胚胎则能正常孵化。在胃早期阶段,可观察到立体小鱼胚胎出现多种核异常。然而,只有在暴露于 7nM CPT 时,鲤鱼胚胎才会在神经期出现核异常和 DNA 断裂。此外,鲤鱼胚胎中 tp53 的表达量在胃肠期有所增加,这表明鲤鱼胚胎启动了细胞凋亡机制。这些研究结果表明,在相同的发育阶段,鲤鱼胚胎激活 DNA 损伤反应的效率要高于甲鱼胚胎。
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引用次数: 0
Environmental implications of dental restorative materials on the zebrafish Danio rerio: Are dental chair drainage systems an emerging environmental threat? 牙科修复材料对斑马鱼的环境影响:牙椅排水系统是一种新出现的环境威胁吗?
IF 4.2 3区 环境科学与生态学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-07-15 DOI: 10.1016/j.etap.2024.104499
Matea Majstorović , Sanja Babić Brčić , Olga Malev , Matej Par , Igor Živković , Marijan Marciuš , Zrinka Tarle , Rozelindra Čož-Rakovac , Danijela Marović

This study aimed to evaluate the environmental impact of dental materials: commercial composite Tetric EvoCeram®, glass ionomer Equia Forte® HT Fil, laboratory-prepared composite, alkasite Cention® Forte, amalgam Amalcap® Plus, and samples from dental chair drainage systems (DCDS). Methacrylate monomers were detected in the eluates of experimental and commercials composites, and alkasite. In DCDS samples solely mercury was found at concentrations of 0.08–1.86 μg/L. The experimental composite (48 h incubation) exhibited the highest toxicity on zebrafish Danio rerio (LC50=0.70 g/L), followed by amalgam (LC50=8.27 g/L) < Tetric EvoCeram® (LC50=10.94 g/L) < Equia Forte® HT Fil (LC50=24.84 g/L) < Cention® Forte (LC50=32.22 g/L). Exposure of zebrafish to DCDS samples resulted in decreased larval body length and increased occurrences of edema and blood accumulation. The results obtained highlight the need for additional monitoring and further research on the release of unreacted monomers and mercury from dental materials and their environmental impact.

本研究旨在评估牙科材料对环境的影响:商用复合材料 Tetric EvoCeram®、玻璃离聚体 Equia Forte® HT Fil、实验室制备的复合材料、烷基石 Cention® Forte、汞合金 Amalcap® Plus 以及牙科治疗椅排水系统 (DCDS) 的样本。在实验用复合材料、商用复合材料和烷基石的洗脱液中都检测到了甲基丙烯酸酯单体。在 DCDS 样品中,只发现了浓度为 0.08-1.86μg/L 的汞。实验性复合材料(48 小时培养)对斑马鱼 Danio rerio 的毒性最高(LC50=0.70g/L),其次是汞合金(LC50=8.27g/L)< Tetric EvoCeram®(LC50=10.94g/L)< Equia Forte® HT Fil(LC50=24.84g/L)< Cention® Forte(LC50=32.22g/L)。斑马鱼接触 DCDS 样品后,幼虫体长缩短,水肿和积血现象增加。所得结果突出表明,有必要对牙科材料中未反应单体和汞的释放及其对环境的影响进行额外监测和进一步研究。
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引用次数: 0
Priority list of pharmaceutical active compounds in aquatic environments of Mexico considering their occurrence, environmental and human health risks 墨西哥水生环境中的药物活性化合物优先清单,考虑其出现、环境和人类健康风险。
IF 4.2 3区 环境科学与生态学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-07-14 DOI: 10.1016/j.etap.2024.104502
Rafael Hernández-Tenorio , Minerva Villanueva-Rodríguez , Jorge Luis Guzmán-Mar , Laura Hinojosa-Reyes , Aracely Hernández-Ramírez , Héctor H. Vigil-Castillo

Pharmaceutical active compounds (PhACs) are detected pollutants in aquatic environments worldwide at concentrations ranging from ng L−1 to µg L−1. Currently, PhAC monitoring is poorly realized in Mexico. This study proposes a priority list of PhACs in Mexican aquatic environments, considering their occurrence and environmental and human health risks. Ecological risks were assessed as Risk Quotients (RQ) values using the PhAC concentrations detected in surface water, obtaining high risks (RQ > 1) against aquatic organisms, especially of naproxen, ibuprofen, diclofenac, acetaminophen, 17β-estradiol, carbamazepine, ketoprofen, caffeine. In contrast, potential human health risks (RQH) were assessed on the Mexican population using the concentrations quantified in groundwater, demonstrating potential risks (RQH > 0.2) on the population, particularly of DCF and CBZ. Thus, a priority list of PhACs can be used as a reference for environmental monitoring in Mexican water supplies as well as PhACs monitoring in countries of the Caribbean region and Central America.

药物活性化合物 (PhACs) 是全球水生环境中检测到的污染物,浓度从纳克/升到微克/升不等。目前,墨西哥对 PhACs 的监测还很薄弱。在这项研究中,考虑到 PhACs 在墨西哥水生环境中的出现、环境和人类健康风险,提出了一份 PhACs 重点清单。根据在地表水中检测到的 PhACs 浓度,以风险商数(RQ)值对环境风险进行了评估,结果表明对水生生物的风险较高(RQ > 1),尤其是萘普生、布洛芬、双氯芬酸、对乙酰氨基酚、17β-雌二醇、卡马西平、酮洛芬、咖啡因,而根据在地下水中量化的浓度,对墨西哥人口的潜在人类健康风险(RQH)进行了评估,结果表明对人口的潜在风险(RQH > 0.2),尤其是 DCF 和 CBZ。因此,优先考虑的 PhACs 清单可作为墨西哥供水环境监测以及加勒比地区和中美洲国家 PhACs 监测的参考。
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引用次数: 0
Sodium valproate effects on the morphological and neurobehavioral phenotype of zebrafish 丙戊酸钠对斑马鱼形态和神经行为表型的影响
IF 4.2 3区 环境科学与生态学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-07-06 DOI: 10.1016/j.etap.2024.104500

The anticonvulsant sodium valproate (SV) is frequently administered as a medicament but bears several negative effects in case of exposure during development. We analyzed extensively these early development effects of using the zebrafish model. Zebrafish embryos were exposed as eggs to two sublethal concentrations of SV, 10 and 25 mg/L. A general embryo toxicity analysis revealed extended anomalies in the cardiovascular system, and in the craniofacial and the spinal skeleton, as well as high mortality, in the embryos exposed to SV. The teratogenic potential of SV was confirmed in hacthed larvae by morphometric and cartilage profile analysis. Last, neurobehavioral impairments due to SV were highlighted in subjects’ activity, anxiety, response to stimulations, habituation learning, and daily synchronization of locomotor activity, overall mirroring typical phenotypes associated with autistic spectrum disorders. In conclusion, our results confirmed the presence of extended and multifaced impacts of exposure to SV during development.

抗惊厥药丙戊酸钠(SV)是一种常用药物,但在发育过程中接触会产生一些负面影响。我们利用斑马鱼模型广泛分析了这些早期发育影响。斑马鱼胚胎作为卵暴露于两种亚致死浓度的 SV(10 毫克/升和 25 毫克/升)。对胚胎毒性的总体分析表明,暴露于 SV 的胚胎在心血管系统、颅面部和脊柱骨骼方面出现了广泛的异常,死亡率也很高。通过形态计量学和软骨剖面分析,证实了 SV 在蜕皮幼虫中的致畸潜力。最后,在受试者的活动、焦虑、对刺激的反应、习惯性学习和日常运动活动的同步性等方面,SV 导致的神经行为障碍都很突出,总体上反映了与自闭症谱系障碍相关的典型表型。总之,我们的研究结果证实,在发育过程中接触 SV 会产生广泛和多方面的影响。
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引用次数: 0
Hepatic transcriptomic assessment of Sprague Dawley rats in response to dietary perfluorobutane sulfonate (PFBS) ingestion 斯普拉格道利大鼠肝脏转录组评估对摄入全氟丁烷磺酸盐 (PFBS) 的反应
IF 4.2 3区 环境科学与生态学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-07-05 DOI: 10.1016/j.etap.2024.104497
Isaac Appiah , M. Akpan Ayangaifiok , M. Austin Seymour , P. Corbett Megan , E. Gato Worlanyo

Perfluorobutane sulfonate is a short-chain PFAS that is a less toxic replacement for the rather more toxic long-chain perfluorooctane sulfonate. PFBS is widespread in the environment and has raised environmental and health concerns. The study goal was to investigate whether dietary ingestion of PFBS would induce hepatic damage. Sprague-Dawley rats were assigned to three PFBS treatment groups for 11 weeks followed by clinical markers analyses in the serum and liver. There was a significant increase in liver and body weights of PFBS rats. Total antioxidant capacity was significantly reduced in the PFBS-treated group. ALT levels increased based on concentration ingested. Close to 1000 gene transcripts were differentially expressed. Further, transmembrane transport and oxidation-reduction processes were the most up-regulated biological processes. Inflammatory genes were up-regulated in the exposed group and those associated with oxidative damage were down-regulated. In conclusion, PFBS ingestion produced mild effects in the liver of Sprague Dawley rats.

全氟丁烷磺酸是一种短链全氟辛烷磺酸,是毒性较低的长链全氟辛烷磺酸的替代品。全氟丁烷磺酸在环境中广泛存在,引起了人们对环境和健康的关注。这项研究的目的是调查从膳食中摄入全氟辛烷磺酸是否会诱发肝损伤。研究人员将 Sprague-Dawley 大鼠分为三个 PFBS 处理组,每组 11 周,然后对血清和肝脏中的临床指标进行分析。PFBS大鼠的肝脏和体重明显增加。PFBS 处理组的总抗氧化能力明显降低。ALT水平随摄入浓度的增加而升高。近 1000 个基因转录本出现差异表达。此外,跨膜运输和氧化还原过程是上调最多的生物过程。暴露组的炎症基因上调,而与氧化损伤相关的基因下调。总之,摄入全氟辛烷磺酸会对 Sprague Dawley 大鼠的肝脏产生轻微影响。
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引用次数: 0
Enviromental endocrine disruptor risks in the central nervous system: Neurotoxic effects of PFOS and glyphosate 环境内分泌干扰素在中枢神经系统中的风险:全氟辛烷磺酸和草甘膦的神经毒性效应。
IF 4.2 3区 环境科学与生态学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-07-02 DOI: 10.1016/j.etap.2024.104496
Gianluca Antonio Franco , Francesco Molinari , Ylenia Marino , Nicla Tranchida , Francesca Inferrera , Roberta Fusco , Rosanna Di Paola , Rosalia Crupi , Salvatore Cuzzocrea , Enrico Gugliandolo , Domenico Britti

Endocrine disruptors (EDs) pose significant risks to human and environmental health, with potential implications for neurotoxicity. This study investigates the synergistic neurotoxic effects of perfluorooctane sulfonate (PFOS) and glyphosate (GLY), two ubiquitous EDs, using SHSY5Y neuronal and C6 astrocytic cell lines. While individual exposures to PFOS and glyphosate at non-toxic concentrations did not induce significant changes, their combination resulted in a marked increase in oxidative stress and neuroinflammatory responses. Specifically, the co-exposure led to elevated levels of interleukin-6, tumor necrosis factor alpha, and interferon gamma, along with reduced interleukin-10 expression, indicative of heightened neuroinflammatory processes. These findings underscore the importance of considering the synergistic interactions of EDs in assessing neurotoxic risks and highlight the urgent need for further research to mitigate the adverse effects of these compounds on neurological health.

内分泌干扰物(EDs)对人类和环境健康构成重大风险,并对神经毒性产生潜在影响。本研究利用 SHSY5Y 神经元细胞系和 C6 星形胶质细胞系研究了全氟辛烷磺酸(PFOS)和草甘膦(GLY)这两种无处不在的 EDs 的协同神经毒性效应。虽然单独暴露于无毒浓度的全氟辛烷磺酸和草甘膦不会引起显著变化,但两者的结合会导致氧化应激和神经炎症反应明显增加。具体来说,同时暴露会导致白细胞介素-6、肿瘤坏死因子α和γ干扰素水平升高,同时白细胞介素-10的表达减少,这表明神经炎症过程加剧。这些发现强调了在评估神经毒性风险时考虑 EDs 协同作用的重要性,并突出表明迫切需要开展进一步研究,以减轻这些化合物对神经系统健康的不利影响。
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引用次数: 0
The role of tissue persistent organic pollutants and genetic polymorphisms in patients with benign and malignant kidney tumors 组织持久性有机污染物和基因多态性在良性和恶性肾脏肿瘤患者中的作用。
IF 4.2 3区 环境科学与生态学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-06-29 DOI: 10.1016/j.etap.2024.104495

This study aimed to explore whether there is an association between environmental exposure to POPs and kidney tumor induction, and whether blood POP concentrations reflect kidney tissue concentrations. POP derivatives were determined in blood, tumor tissue, tumor surrounding tissue, and perirenal fat tissue samples taken from patients who underwent surgery for renal tumors. A voluntary control group was recruited for blood and urine samples as well. Urinary excretions of o,o′-dityrosine, chlorotyrosine, nitrotyrosine, and 8-OHdG were measured in the same patients. The possible role of genetic polymorphisms in CYP1A1, GST isozymes P, M, and T, and hOGG1 genes on the predisposition to renal cancer was investigated. Some POPs have been found to be associated with kidney cancer, as evidenced by their significantly high ORs. 8-OHdG levels were significantly higher compared to the control group. The GSTT1 null polymorphism can be a risk factor for malignant but not for benign kidney tumors.

本研究旨在探讨环境中的持久性有机污染物暴露与肾脏肿瘤诱发之间是否存在关联,以及血液中的持久性有机污染物浓度是否反映了肾脏组织的浓度。研究人员对接受肾肿瘤手术的患者的血液、肿瘤组织、肿瘤周围组织和肾周脂肪组织样本中的持久性有机污染物衍生物进行了测定。此外,还招募了自愿对照组,采集血液和尿液样本。对同一患者尿液中排出的 o,o'-二酪氨酸、氯酪氨酸、硝基酪氨酸和 8-OHdG 进行了测定。研究还调查了 CYP1A1、GST 同工酶 P、M 和 T 以及 hOGG1 基因的遗传多态性对肾癌易感性的可能影响。研究发现,一些持久性有机污染物与肾癌有关,其显著较高的ORs即为证明。与对照组相比,8-OHdG 水平明显较高。GSTT1 空多态性可能是恶性肾肿瘤的风险因素,但不是良性肾肿瘤的风险因素。
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引用次数: 0
期刊
Environmental toxicology and pharmacology
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