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The exposome and the future of epidemiology: a vision and prospect. 暴露与流行病学的未来:远景与展望。
Q3 Medicine Pub Date : 2017-05-03 eCollection Date: 2017-01-01 DOI: 10.5620/eht.e2017009
Kyoung-Nam Kim, Yun-Chul Hong

It is widely accepted that a relatively small proportion of chronic disease can be explained by genetic factors alone. Although information about environmental exposure is important to comprehensively evaluate chronic diseases, this information is not sufficiently or accurately assessed by comparison with genomic factors. To emphasize the importance of more complete evaluation of environmental exposure, the concept of the exposome, which indicates the entirety of environmental exposure from conception onwards, was introduced in 2005. Since the 2010s several epidemiological studies, such as the Human Early-Life Exposome project, have applied the exposome concept. The exposome consists of three overlapping domains: the general external, the specific external, and the internal environments. General external factors include the broader socioeconomic environment, and specific external factors include lifestyles, occupations, and pollutant exposures. Internal factors include biological effects and responses. Because the exposome covers exposures from conception to death, the birth cohort is an important part of the exposome study. Although there is not yet an established consensus in selecting what, when, and where to measure concerning the exposome, the use of omics analyses, especially analysis of the metabolome, should be considered in order to implement the exposome concept in the birth cohort. The exposome needs to be measured repeatedly in certain important phases of life, such as during pregnancy and infancy. To perform exposome-informed epidemiological studies, untargeted data-driven approaches in conjunction with dimension reduction techniques need to be developed and refined. The exposome concept has the potential to make a breakthrough in overcoming some of the limitations of conventional epidemiology. Concerted national and international efforts are required for future exposome studies.

人们普遍认为,只有一小部分慢性病可以单独用遗传因素来解释。虽然关于环境暴露的信息对于全面评估慢性疾病很重要,但与基因组因素相比,这些信息没有得到充分或准确的评估。为了强调对环境暴露进行更全面评估的重要性,2005年引入了暴露量的概念,它表示从概念开始的整个环境暴露。自2010年代以来,一些流行病学研究,如人类早期生活暴露项目,已经应用了暴露概念。暴露环境由三个重叠的域组成:一般外部环境、特定外部环境和内部环境。一般的外部因素包括更广泛的社会经济环境,具体的外部因素包括生活方式、职业和污染物暴露。内部因素包括生物效应和反应。由于暴露体涵盖了从受孕到死亡的暴露,因此出生队列是暴露体研究的重要组成部分。虽然在选择暴露体的内容、时间和地点方面尚未达成共识,但应该考虑使用组学分析,特别是代谢组学分析,以便在出生队列中实施暴露体概念。暴露量需要在生命的某些重要阶段反复测量,例如在怀孕和婴儿期。为了开展了解接触者的流行病学研究,需要开发和改进非针对性数据驱动的方法,并结合降维技术。暴露概念有可能在克服传统流行病学的一些局限性方面取得突破。今后的接触性研究需要国家和国际协调一致的努力。
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引用次数: 22
Thank you for our reviewers of 2016 Environmental Health and Toxicology 感谢我们2016年《环境健康与毒理学》的审稿人
Q3 Medicine Pub Date : 2017-04-25 DOI: 10.5620/eht.2017008
M. Ha
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引用次数: 0
Accelerated ecotoxicity of photoreactive nanoparticles on Moina macrocopa. 光反应纳米颗粒对大月牙蛾的加速生态毒性研究。
Q3 Medicine Pub Date : 2017-03-22 eCollection Date: 2017-01-01 DOI: 10.5620/eht.e2017007
Sun-Hwa Nam, Yu-Jin Shin, Youn-Joo An

Zinc oxide nanoparticles (ZnO NPs) and titanium dioxide nanoparticles (TiO2 NPs) are well known as photoreactive nanoparticles (NPs). Various phototoxicities of ZnO NPs and TiO2 NPs were reported on several organisms. It was still necessary to evaluate the toxicity of photoreactive ZnO NPs and TiO2 NPs due to species-specific effects under various irradiation conditions. We compared the acute toxicity of Moina macrocopa under visible, ultraviolet (UV) A, and B irradiations, according to the Organization for Economic Cooperation and Development guidelines for the testing of chemicals (Test No. 202). The sensitivity of ZnO NPs for M. macrocopa was UVB>UVA>visible light irradiation. There were no significant lethal and immobile effects of TiO2 NPs on juveniles under all irradiations and in the tested concentrations of TiO2 NPs. Photoreactive NPs have a potential and accelerated toxicity on organisms in the ambient environments.

氧化锌纳米粒子(ZnO NPs)和二氧化钛纳米粒子(TiO2 NPs)是众所周知的光反应性纳米粒子(NPs)。报道了ZnO NPs和TiO2 NPs对几种生物的不同光毒性。在不同的辐照条件下,光反应性ZnO NPs和TiO2 NPs的毒性由于存在物种特异性效应,仍有必要进行评估。根据经济合作与发展组织化学品测试指南(测试号202),我们比较了大红豆在可见光、紫外线(UV) A和B照射下的急性毒性。氧化锌NPs对巨藻的敏感性为UVB>UVA>可见光。在不同浓度的TiO2 NPs下,TiO2 NPs对幼鱼均无明显的致死性和不动性影响。光反应性NPs对环境中的生物具有潜在的和加速的毒性。
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引用次数: 5
Study of the removal difference in indoor particulate matter and volatile organic compounds through the application of plants. 应用植物对室内颗粒物和挥发性有机物去除差异的研究。
Q3 Medicine Pub Date : 2017-02-22 eCollection Date: 2017-01-01 DOI: 10.5620/eht.e2017006
Seung-Han Hong, Jiyeon Hong, Jihyeon Yu, Youngwook Lim

This study was conducted to evaluate the ability of plants to purify indoor air by observing the effective reduction rate among pollutant types of particulate matter (PM) and volatile organic compounds (VOCs). PM and four types of VOCs were measured in a new building that is less than three years old and under three different conditions: before applying the plant, after applying the plant, and a room without a plant. The removal rate of each pollutant type due to the plant was also compared and analyzed. In the case of indoor PM, the removal effect was negligible because of outdoor influence. However, 9% of benzene, 75% of ethylbenzene, 72% of xylene, 75% of styrene, 50% of formaldehyde, 36% of acetaldehyde, 35% of acrolein with acetone, and 85% of toluene were reduced. The purification of indoor air by natural ventilation is meaningless because the ambient PM concentration has recently been high. However, contamination by gaseous materials such as VOCs can effectively be removed through the application of plants.

本研究通过观察植物对颗粒物(PM)和挥发性有机物(VOCs)污染物类型的有效降低率,评价植物净化室内空气的能力。PM和四种挥发性有机化合物是在一栋建成不到三年的新建筑中,在三种不同的条件下测量的:安装植物前,安装植物后,和没有植物的房间。并对该装置对各类污染物的去除率进行了比较分析。对于室内PM,由于室外的影响,去除效果可以忽略不计。然而,9%的苯、75%的乙苯、72%的二甲苯、75%的苯乙烯、50%的甲醛、36%的乙醛、35%的丙烯醛和85%的甲苯被丙酮还原。由于近来环境颗粒物浓度偏高,自然通风净化室内空气已无意义。然而,通过植物的应用可以有效地去除挥发性有机化合物等气态物质的污染。
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引用次数: 8
Are children with asthma in South Korea also associated with vitamin D deficiency? 韩国哮喘儿童是否也与维生素D缺乏有关?
Q3 Medicine Pub Date : 2017-02-14 eCollection Date: 2017-01-01 DOI: 10.5620/eht.e2017005
Yu-Ri Kim, Sung Chul Seo, Young Yoo, Ji Tae Choung

Recently, epidemiologic studies have shown that the lack of serum vitamin D levels may be associated with high asthma prevalence, but its effect is still controversial, depending on season, area, and food consumption. We aimed to examine the association of serum vitamin D levels with the prevalence of pediatric asthma in Korea. A total of 80 children (50 asthmatic children and 30 healthy controls) aged 6-14 years were participated in this study. Serum vitamin D levels were measured and compared between the two groups. Moreover, the relationship of serum vitamin D levels with results of pulmonary function test and environmental factors (lifestyle habits and residential factors) collected by a questionnaire survey were examined in asthmatic patients. Serum vitamin D levels in asthmatic children (16.63±4.20 ng/mL) were significantly lower than that in healthy controls (24.24±6.76 ng/mL) (p<0.05). Also, we found that the prevalence of asthma increase to 0.79-fold (odds ratio, 0.79; 95% confidence interval, 0.71 to 0.88; p<0.001) as serum vitamin D level is 1 ng/mL decreases. The increased time spent in outdoor could affect the increases of serum vitamin D levels significantly. However, no associations of serum vitamin D with pulmonary function and residential environmental factors (i.e., housing type, living floor, and indoor activity time) were observed. Our findings suggest that serum vitamin D levels were also associated with pediatric asthma in Korea. Moreover, management of serum vitamin D level in asthmatic children would be a promising approach for preventing exaggeration of their severity.

最近,流行病学研究表明,血清维生素D水平的缺乏可能与高哮喘患病率有关,但其影响仍有争议,取决于季节,地区和食物消费。我们的目的是研究血清维生素D水平与韩国儿童哮喘患病率的关系。共80名6-14岁的儿童(50名哮喘儿童和30名健康对照)参与了本研究。测量并比较两组患者的血清维生素D水平。研究哮喘患者血清维生素D水平与肺功能检查结果及环境因素(生活习惯、居住因素)的关系。哮喘患儿血清维生素D水平(16.63±4.20 ng/mL)明显低于健康对照组(24.24±6.76 ng/mL)
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引用次数: 12
Estrogenic activity of zinc pyrithione: an in vivo and in vitro study 吡硫酮锌的体内体外雌激素活性研究
Q3 Medicine Pub Date : 2017-02-09 DOI: 10.5620/eht.e2017004
Kyung Sik Yoon, N. Youn, H. Gu, S. Kwack
Zinc pyrithione (ZP) is commonly used to prevent dandruff and seborrheic dermatitis. Many consumers are exposed daily to high doses of ZP, causing serious concerns about its toxicity. The reproductive and developmental toxicities were previously reported in pregnant rats. However, the estrogenic activity of ZP at varying degrees of exposure has been rarely studied. Thus, we performed an uterotrophic assay, E-screen assay, and gene expression profiling to assess the estrogenic activity of ZP. For the uterotrophic assay, ZP (2, 10, or 50 mg/kg/d) was subcutaneously administered to ovariectomized rats every day for three days. Uteri were extracted 24 hours after the last dose. Then, wet and blotted uterine weights were measured. For the E-screen essay, MCF-7 cells (a breast cancer cell line) were exposed to 10-9 to 10-6 M of ZP, and cell proliferation was then measured. For the gene expression analysis, changes of gene expression levels in uterine samples taken for the uterotrophic assay were analyzed. In the uterotrophic assay, the concentration of ZP had no significant effect on uterine weight. In the E-screen assay, ZP at any concentration showed no significant increase in MCF-7 cell proliferation, compared to the control group. However, 10-6 M of ZP significantly reduced cell viability. The changes in gene expression slightly differed between the ZP and control groups. The in vivo and in vitro assays, together with gene expression analysis, demonstrated that ZP showed no significant estrogenic activity.
吡硫锌(ZP)通常用于预防头皮屑和脂溢性皮炎。许多消费者每天都接触到高剂量的ZP,这引起了人们对其毒性的严重担忧。在怀孕大鼠中曾报道过该物质的生殖和发育毒性。然而,ZP在不同暴露程度下的雌激素活性研究很少。因此,我们进行了子宫营养试验、E-screen试验和基因表达谱来评估ZP的雌激素活性。对于子宫营养试验,ZP(2、10或50 mg/kg/d)每天皮下给予去卵巢大鼠,持续3天。末次给药后24小时取出子宫。然后分别测定湿宫和浸渍宫的重量。在E-screen论文中,MCF-7细胞(一种乳腺癌细胞系)暴露于10-9至10-6 M的ZP中,然后测量细胞增殖。为了进行基因表达分析,我们分析了子宫营养试验中子宫样本中基因表达水平的变化。在子宫营养试验中,ZP浓度对子宫重量无显著影响。在E-screen实验中,与对照组相比,任何浓度的ZP都没有明显增加MCF-7细胞的增殖。10-6 M ZP显著降低细胞活力。基因表达的变化在ZP和对照组之间略有不同。体内、体外实验及基因表达分析表明,ZP无明显的雌激素活性。
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引用次数: 9
A follow-up study of the association between mobile phone use and symptoms of ill health 一项关于手机使用与不健康症状之间关系的后续研究
Q3 Medicine Pub Date : 2016-12-29 DOI: 10.5620/eht.e2017001
Y. Cho, H. Lim, Hoon-Ho Jang, Kyung-hee Kim, J. Choi, C. Shin, S. K. Lee, Jong Hwa Kwon, Nam Kim
The duration and frequency of mobile phone calls, and their relationship with various health effects, have been investigated in our previous cross-sectional study. This 2-year period follow-up study aimed to assess the changes in these variables of same subjects. The study population comprised 532 non-patient adult subjects sampled from the Korean Genome Epidemiology Study. The subjects underwent a medical examination at a hospital in 2012/2013 and revisited the same hospital in 2014/2015 to have the same examination for the characteristics of mobile phone use performed. In addition, to evaluate the effects on health, the Headache Impact Test-6 (HIT-6), Psychosocial Well-being Index-Short Form, Beck Depression Inventory, Korean-Instrumental Activities of Daily Living, Perceived Stress Scale, Pittsburgh Sleep Quality Index, and 12-item Short Form Health Survey were analyzed. For all these tests, the higher the score, the greater the effect on health. Variances between scores in all the indices in the baseline and follow-up surveys were calculated, and correlations of each index were analyzed. The average duration per call and HIT-6 score of the subjects decreased significantly compared with those recorded two years ago. The results showed a slight but significant correlation between call duration changes and HIT-6 score changes for female subjects, but not for males. HIT-6 scores in the follow-up survey significantly decreased compared to those in the baseline survey, but long-time call users (subjects whose call duration was ≥5 minutes in both the baseline and follow-up surveys) had no statistically significant reduction in HIT-6 scores. This study suggests that increased call duration is a greater risk factor for increases in headache than any other type of adverse health effect, and that this effect can be chronic.
在我们之前的横断面研究中,已经调查了手机通话的持续时间和频率,以及它们与各种健康影响的关系。这项为期2年的随访研究旨在评估同一受试者这些变量的变化。研究人群包括532名来自韩国基因组流行病学研究的非患者成人受试者。受试者于2012/2013年在一家医院接受了体检,并于2014/2015年再次访问该医院,对手机使用特征进行了相同的检查。此外,为了评估对健康的影响,我们分析了头痛影响测试6 (HIT-6)、心理社会健康指数短表、贝克抑郁量表、韩国日常生活工具活动、感知压力量表、匹兹堡睡眠质量指数和12项健康短表调查。在所有这些测试中,分数越高,对健康的影响越大。计算基线调查与随访调查中各指标得分的方差,并分析各指标的相关性。与两年前相比,受试者的平均通话时长和HIT-6得分显著下降。结果显示,女性受试者通话时长变化与HIT-6得分变化之间存在轻微但显著的相关性,而男性受试者则没有。与基线调查相比,随访调查中HIT-6得分显著降低,但长时间通话用户(基线调查和随访调查通话时长均≥5分钟)的HIT-6得分无统计学意义降低。这项研究表明,与其他任何类型的不良健康影响相比,通话时间的增加是头痛增加的更大风险因素,而且这种影响可能是慢性的。
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引用次数: 13
Chemical colitis caused by hydrogen peroxide enema in a child: case report and literature review 儿童过氧化氢灌肠致化学性结肠炎1例报告并文献复习
Q3 Medicine Pub Date : 2016-12-29 DOI: 10.5620/eht.e2017002
Joon-Sang Lee, Jung Kyung Yoo
A 2-year-old girl, previously healthy, was brought to the emergency department because of significant cramping abdominal pain with recurrent hematochezia after an accidental hydrogen peroxide enema (35%, 5 mL) by her caregiver. She was hospitalized to the pediatric department and treated with nothing per mouth, intravenous fluid and parenteral antibiotic therapy. Laboratory, radiologic and endoscopic evaluation was performed during the admission period. She was discharged in a fully recovered state on the tenth hospital day, and this is the first case report of acute chemical colitis by accidental hydrogen peroxide enema in children.
1例2岁女童,既往健康,因护理人员意外给予过氧化氢(35%,5ml)灌肠后出现明显绞痛腹痛并复发性便血,被送往急诊科。她被送到儿科住院治疗,并接受了口服治疗,静脉输液和肠外抗生素治疗。入院期间进行实验室、放射学和内镜评估。患者于住院第10天完全康复出院,这是第一例因意外双氧水灌肠导致儿童急性化学性结肠炎的病例报告。
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引用次数: 5
Combined approaches using adverse outcome pathways and big data to find potential diseases associated with humidifier disinfectant 利用不良后果途径和大数据寻找与加湿器消毒剂相关的潜在疾病的综合方法
Q3 Medicine Pub Date : 2016-12-23 DOI: 10.5620/eht.e2017003
J. Leem, K. Chung
According to previous survey, about two million of people were expected to suffer from toxic effects due to humidifier disinfectant (HD), regardless of healing or not. Extremely small group are recognized as HDs’ victims. Up to now, previous research tried to focus on interstitial fibrosis on terminal bronchiole because it is specific finding, compared with other diseases. To figure out overall effects from HDs, we recommend adverse outcome pathways (AOPs) as new approach. Reactive oxygen species (ROS) generation, decreased T-cell and pro-inflammatory cytokine release from macrophage could be key events between the exposure to HDs and diseases. ROS generation, decreased cell and pro-inflammatory cytokine release from macrophage could be cause of interstitial fibrosis, pneumonia and many other diseases such as asthma, allergic rhinitis, allergic dermatitis, fetal death, premature baby, autoimmune disease, hepatic toxicity, renal toxicity, cancer, and so on. We predict potential disease candidate by AOPs. We can validate the real risk of the adverse outcome by epidemiologic and toxicologic study using big data such as National Health Insurance data and AOPs knowledge base. Application of these kinds of new methods can find the potential disease list from the exposure to HD.
根据此前的调查结果,预计将有200万人因加湿器消毒液(HD)而中毒,无论是否痊愈。极少数人被认为是hd的受害者。由于终末细支气管间质纤维化与其他疾病相比具有特异性,因此目前的研究主要集中在终末细支气管间质纤维化上。为了了解hd的总体影响,我们推荐不良结局通路(adverse outcome pathways, AOPs)作为一种新方法。活性氧(ROS)的产生、t细胞的减少和巨噬细胞释放促炎细胞因子可能是暴露于hd与疾病之间的关键事件。巨噬细胞产生ROS,细胞和促炎细胞因子释放减少,可引起间质纤维化、肺炎以及哮喘、变应性鼻炎、变应性皮炎、死胎、早产、自身免疫性疾病、肝毒性、肾毒性、癌症等多种疾病。我们通过AOPs预测潜在的候选疾病。我们可以利用国民健康保险数据和AOPs知识库等大数据,通过流行病学和毒理学研究来验证不良后果的真实风险。这些新方法的应用,可以发现暴露于HD的潜在疾病清单。
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引用次数: 5
Act on the Registration and Evaluation of Chemicals (K-REACH) and replacement, reduction or refinement best practices 化学品注册和评估法案(K-REACH)和替代、减少或改进最佳实践
Q3 Medicine Pub Date : 2016-12-19 DOI: 10.5620/eht.e2016026
Soojin Ha, T. Seidle, Kyung-Min Lim
Objectives Korea’s Act on the Registration and Evaluation of Chemicals (K-REACH) was enacted for the protection of human health and the environment in 2015. Considering that about 2000 new substances are introduced annually across the globe, the extent of animal testing requirement could be overwhelming unless regulators and companies work proactively to institute and enforce global best practices to replace, reduce or refine animal use. In this review, the way to reduce the animal use for K-REACH is discussed. Methods Background of the enforcement of the K-REACH and its details was reviewed along with the papers and regulatory documents regarding the limitation of animal experiments and its alternatives in order to discuss the regulatory adoption of alternative tests. Results Depending on the tonnage of the chemical used, the data required ranges from acute and other short-term studies for a single exposure route to testing via multiple exposure routes and costly, longer-term studies such as a full two-generation reproducibility toxicity. The European Registration, Evaluation, Authorization and Restriction of Chemicals regulation provides for mandatory sharing of vertebrate test data to avoid unnecessary duplication of animal use and test costs, and obligation to revise data requirements and test guidelines “as soon as possible” after relevant, validated replacement, reduction or refinement (3R) methods become available. Furthermore, the Organization for Economic Cooperation and Development actively accepts alternative animal tests and 3R to chemical toxicity tests. Conclusions Alternative tests which are more ethical and efficient than animal experiments should be widely used to assess the toxicity of chemicals for K-REACH registration. The relevant regulatory agencies will have to make efforts to actively adopt and uptake new alternative tests and 3R to K-REACH.
为了保护人类健康和环境,韩国于2015年颁布了《化学品注册和评价法》(K-REACH)。考虑到全球每年约有2000种新物质被引入,除非监管机构和公司积极主动地制定和执行全球最佳实践,以取代、减少或改进动物使用,否则动物试验要求的范围可能是压倒性的。本文就如何减少K-REACH的动物使用进行了探讨。方法回顾了K-REACH法规实施的背景和详细内容,以及动物实验及其替代品的局限性的相关论文和监管文件,讨论了替代试验的监管采用。根据所使用化学品的吨位,所需的数据范围从单一暴露途径的急性和其他短期研究,到通过多种暴露途径进行的测试,以及昂贵的长期研究,如完整的两代可再生毒性。欧洲化学品注册、评估、授权和限制条例规定强制性共享脊椎动物测试数据,以避免不必要的动物使用重复和测试成本,以及在相关的、经过验证的替代、减少或改进(3R)方法可用后,有义务“尽快”修改数据要求和测试指南。此外,经济合作与发展组织积极接受替代动物试验和3R化学毒性试验。结论应广泛采用比动物实验更符合伦理道德和效率更高的替代试验来评估K-REACH注册化学品的毒性。相关监管机构必须做出努力,积极采用和采用新的替代测试和K-REACH的3R。
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引用次数: 24
期刊
Environmental Health and Toxicology
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