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Individualized support for breastfeeding in a case of elevated blood lead levels: A case report 在血铅含量升高的情况下为母乳喂养提供个性化支持:病例报告
Q1 Environmental Science Pub Date : 2024-10-09 DOI: 10.1016/j.toxrep.2024.101761
Ashley Wallace Wu, Joann Mercedes, Morri Markowitz

Introduction

Lead is a known toxicant that affects all tissues in the body, most notably the brains of developing children. However, there are limited data on the dynamics of lead transfer via breastmilk and its short-term and long-term consequences. Much of the available data come from areas of the world where numerous sources of lead complicate our understanding of the effects of lead exposure via breast milk.

Case Presentation

We present trends in blood lead levels in a breastfeeding dyad, where the only source of lead exposure identified was prior to pregnancy, without other known ongoing lead exposures for the lactating parent or infant.

Discussion and Conclusions

In this case, all lead exposure in the infant was presumed to come from in utero transmission and breastfeeding; and infant blood lead levels varied significantly with initiation and interruption of breastfeeding. This case is discussed in the context of current models for predicting transfer of lead in breastmilk and highlights pathophysiologic considerations for understanding lead transfer in the breastfeeding dyad.
导言:铅是一种已知的有毒物质,会影响人体的所有组织,尤其是发育中儿童的大脑。然而,有关铅通过母乳转移的动态变化及其短期和长期后果的数据十分有限。病例介绍我们介绍了一个母乳喂养夫妇血铅水平的变化趋势,该夫妇唯一的铅暴露来源是怀孕前,哺乳父母或婴儿没有其他已知的持续铅暴露。本病例结合目前预测母乳中铅转移的模型进行了讨论,并强调了了解母乳喂养双亲中铅转移的病理生理学考虑因素。
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引用次数: 0
Evaluating quackery formulations: LC-MS/MS based method for detecting glucocorticoid content 评估庸医配方:基于 LC-MS/MS 的糖皮质激素含量检测方法
Q1 Environmental Science Pub Date : 2024-10-09 DOI: 10.1016/j.toxrep.2024.101763
Hafiza Monaza Batool , Muhammad Irfan Jalees , Madeeha Batool
Glucocorticoids are widely used as highly effective drugs for treating inflammatory diseases. In this study, a method was developed and validated using liquid chromatography-tandem mass spectrometry (LC-MS/MS) to simultaneously determine four glucocorticoids, including betamethasone, dexamethasone, hydrocortisone, and prednisolone in unauthorized or unregulated medicinal powders often associated with quackery formulations. Commercially available standards were used for method development and glucocorticoid detection. Glucocorticoids were extracted from the samples with methanol, which were then chromatographically separated using two mobile phases (0.1 % formic acid in water and 0.1 % formic acid in acetonitrile) in an isocratic flow on an Agilent Poroshel 120 C18 column (2.1 mm x 75 mm x 2.7 m). The validated analytical measuring range (AMR) of betamethasone and dexamethasone was 7.8–500 ng/mL, whereas, for hydrocortisone and prednisolone, AMR was 7.8–1000 ng/mL. The method showed an excellent coefficient of determination (r2) >0.990 for betamethasone, hydrocortisone, and prednisolone, while for dexamethasone 0.986. Accuracy and precision (intra/inter days) of these glucocorticoids showed a bias of 6–15 % (<20 %) and a coefficient of variation (CV) of <15 %. For each dilution factor, the integrity of samples was maintained after dilution. The developed method is sensitive and valuable for detecting, quantifying, and confirming the selected glucocorticoids in various quackery formulation powders commonly used in Pakistani setups.
糖皮质激素作为治疗炎症性疾病的高效药物被广泛应用。本研究采用液相色谱-串联质谱法(LC-MS/MS)开发并验证了一种方法,可同时测定与庸医制剂相关的未经授权或不受监管的药粉中的四种糖皮质激素,包括倍他米松、地塞米松、氢化可的松和泼尼松龙。方法开发和糖皮质激素检测采用市售标准品。用甲醇从样品中提取糖皮质激素,然后在 Agilent Poroshel 120 C18 色谱柱(2.1 毫米 x 75 毫米 x 2.7 米)上以等度流动的方式用两种流动相(0.1% 甲酸水溶液和 0.1%甲酸乙腈水溶液)进行色谱分离。倍他米松和地塞米松的有效分析测量范围为 7.8-500 纳克/毫升,氢化可的松和泼尼松龙的有效分析测量范围为 7.8-1000 纳克/毫升。倍他米松、氢化可的松和泼尼松龙的测定系数(r2)为 0.990,而地塞米松的测定系数(r2)为 0.986。这些糖皮质激素的准确度和精密度(日内/日间)显示偏差为 6-15%(<20%),变异系数(CV)为<15%。对于每种稀释因子,稀释后样品的完整性均得以保持。所开发的方法灵敏度高,可用于检测、定量和确认巴基斯坦常用的各种庸医配方粉中所选的糖皮质激素。
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引用次数: 0
Chemical analysis of Alliin-Rich Allium sativum (Garlic) extract and its safety evaluation in Drosophila melanogaster 富含 Alliin 的大蒜提取物的化学分析及其在黑腹果蝇中的安全性评估
Q1 Environmental Science Pub Date : 2024-10-09 DOI: 10.1016/j.toxrep.2024.101760
Zeniat Emike Oyaluna , Amos Olalekan Abolaji , Olusola Bodede , John Oludele Olanlokun , Gerhard Prinsloo , Paul Steenkamp , Chinedum Peace Babalola
Garlic (Allium sativum) has been traditionally valued for its medicinal properties attributed to the presence of organosulfur compounds. Despite its benefits, concerns about herbal extract toxicity have arisen, necessitating safety assessment. This study was designed to evaluate the chemical analysis and safety profile of Alliin-Rich Garlic Extract (ARGE) using Drosophila melanogaster as a model organism. The ARGE was extracted from garlic cloves (Allium sativum Linn: UIH-23262) using a microwave-assisted method and characterized using UPLC-ESI-MS, 1H NMR, HPLC and IR. Its safety evaluation was determined using D. melanogaster (Harwich strain), and various assays were conducted on 1–3-day-old flies. Toxicological markers and oxidative stress were assessed to understand the impact of ARGE on the flies. Chemical profiling of ARGE using UPLC-ESI-MS, confirmed the presence of alliin (S-ally-L-cysteine-S-oxide), L-arginine, γ-glutamylmethionine, S-(2-carboxypropyl) glutathione, N-γ-glutamyl-S-(1-propenyl) cysteine, N-γ-glutamyl-S-(2-propenyl) cysteine, N-γ-glutamylphenylalanine, S-(allylthio) cysteine, γ-glutamyl-S-allylthiocysteine and eruboside B. HPLC confirmed an alliin content of 0.073 mg/g. Toxicological assessment in D. melanogaster revealed that ARGE enhanced antioxidant defenses by increasing total thiol levels and GST activity, while reducing acetylcholinesterase activity. No significant alteration was observed in catalase activity and cellular metabolic rate. Histological examination revealed no alterations in the histoarchitecture of the brain, fat body or gut of D. melanogaster. The study demonstrated the safety of ARGE in D. melanogaster, supporting its potential as a safe herbal remedy.
大蒜(Allium sativum)因含有有机硫化合物而具有传统的药用价值。尽管大蒜具有诸多益处,但人们对草药提取物的毒性也产生了担忧,因此有必要对其进行安全性评估。本研究旨在以黑腹果蝇为模型生物,评估富含蒜氨酸的大蒜提取物(ARGE)的化学分析和安全性。采用微波辅助方法从蒜瓣(Allium sativum Linn:UIH-23262)中提取了富蒜氨酸大蒜提取物,并使用 UPLC-ESI-MS、1H NMR、HPLC 和 IR 对其进行了表征。利用黑腹蝇蛹(哈里奇品系)对其安全性进行了评估,并在 1-3 天大的苍蝇身上进行了各种试验。评估了毒理学标志物和氧化应激,以了解 ARGE 对苍蝇的影响。利用 UPLC-ESI-MS 对 ARGE 进行了化学分析,证实其中含有 ALLIIN(S-烯丙基-L-半胱氨酸-S-氧化物)、L-精氨酸、γ-谷氨酰蛋氨酸、S-(2-羧丙基)谷胱甘肽、N-γ-谷氨酰-S-(1-丙烯基)半胱氨酸、N-γ-谷氨酰-S-(2-丙烯基)半胱氨酸、N-γ-谷氨酰苯丙氨酸、S-(烯丙基硫代)半胱氨酸、γ-谷氨酰-S-烯丙基硫代半胱氨酸和芥子甙 B。高效液相色谱法证实,烯丙基苷含量为 0.073 毫克/克。对黑腹蝇蛆的毒理学评估表明,ARGE 通过提高总硫醇水平和 GST 活性来增强抗氧化防御能力,同时降低乙酰胆碱酯酶活性。在过氧化氢酶活性和细胞代谢率方面没有观察到明显变化。组织学检查显示,黑腹蝇的大脑、脂肪体或肠道的组织结构没有发生变化。这项研究证明了 ARGE 对黑腹蝇蛆的安全性,支持其作为一种安全草药的潜力。
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引用次数: 0
Ameliorating effect of S-Allyl cysteine (Black Garlic) on 6-OHDA mediated neurotoxicity in SH-SY5Y cell line S-烯丙基半胱氨酸(黑蒜)对 6-OHDA 介导的 SH-SY5Y 细胞系神经毒性的改善作用
Q1 Environmental Science Pub Date : 2024-10-09 DOI: 10.1016/j.toxrep.2024.101762
Yesim Yeni , Betul Cicek , Serkan Yildirim , İsmail Bolat , Ahmet Hacimuftuoglu
Therapeutic approaches based on isolated compounds derived from natural products are more common in preventing diseases involving inflammation and oxidative stress at present. S-allyl cysteine (SAC) is a promising garlic-derived organosulfur compound with many positive effects in cell models and living systems. SAC has biological activity in various fields, enclosing healing in learning and memory disorders, neurotrophic effects, and antioxidant activity. In this study, we purposed to identify the neuroprotective activity of SAC toward 6-OHDA-induced cell demise in the SH-SY5Ycell line. For this purpose, 6-OHDA-induced cytotoxicity, and biochemical, and gene expression changes were evaluated in SH-SY5Y cells. SH-SY5Y cells grown in cell culture were treated with SAC 24 h before and after 6-OHDA application. Then, cell viability, antioxidant parameters, and gene expressions were measured. Finally, immunofluorescence staining analysis was performed. Our results showed that SAC increased cell viability by 144 % at 80 µg/mL with pre-incubation (2 h). It was observed that antioxidant levels were significantly increased and oxidative stress marker levels were decreased in cells exposed to 6-OHDA after pre-treatment with SAC (p<0.05). SAC supplementation also suppressed the increase in pro-inflammation levels (TNF-α/IL1/IL8) caused by 6-OHDA (p < 0.05). While 8-OHdG and Nop10 expressions were observed at a mild level in SAC pretreatment depending on the dose, 8-OHdG, and Nop10 expressions were observed at a moderate level in SAC treatment after 6-OHDA application (p<0.05). Our findings demonstrate the positive effect of pretreatment with SAC on SH-SY5Y cells injured by 6-OHDA, suggesting that SAC may be beneficial for neuroprotection in regulating oxidative stress and neuronal survival in an in vitro model of Parkinson's disease.
目前,基于从天然产品中提取的分离化合物的治疗方法在预防涉及炎症和氧化应激的疾病方面较为常见。S-烯丙基半胱氨酸(SAC)是一种很有前景的大蒜衍生有机硫化合物,在细胞模型和生命系统中具有许多积极作用。SAC 在多个领域具有生物活性,包括治疗学习和记忆障碍、神经营养作用和抗氧化活性。在本研究中,我们旨在确定 SAC 对 6-OHDA 诱导的 SH-SY5Y 细胞系细胞死亡的神经保护活性。为此,我们评估了 6-OHDA 诱导的 SH-SY5Y 细胞的细胞毒性、生化和基因表达变化。细胞培养的 SH-SY5Y 细胞在施用 6-OHDA 之前和之后 24 小时接受 SAC 处理。然后测量细胞活力、抗氧化参数和基因表达。最后,进行免疫荧光染色分析。结果表明,在预孵育(2 小时)的情况下,80 µg/mL 的 SAC 可使细胞存活率提高 144%。据观察,经 SAC 预处理后,暴露于 6-OHDA 的细胞的抗氧化剂水平明显提高,氧化应激标记物水平下降(p<0.05)。补充 SAC 还能抑制 6-OHDA 引起的促炎水平(TNF-α/IL1/IL8)的升高(p <0.05)。根据剂量的不同,8-OHdG 和 Nop10 的表达在 SAC 预处理中处于轻度水平,而在应用 6-OHDA 后,8-OHdG 和 Nop10 的表达在 SAC 处理中处于中度水平(p<0.05)。我们的研究结果表明,SAC预处理对受6-OHDA损伤的SH-SY5Y细胞有积极作用,这表明在帕金森病的体外模型中,SAC在调节氧化应激和神经元存活方面可能有益于神经保护。
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引用次数: 0
Cardiovascular effects and clinical outcomes in acute opioid toxicity: A case-control study from Port Said and Damietta Governorates Egypt 急性阿片类药物中毒对心血管的影响和临床结果:埃及塞得港和达米埃塔省的病例对照研究
Q1 Environmental Science Pub Date : 2024-10-03 DOI: 10.1016/j.toxrep.2024.101756
Heba Youssef Sayed, Rawan M. Ghaly, Amany A. Mostafa, Mohamed S. Hemeda
Substance abuse, particularly opioid intoxication, presents a significant public health challenge, leading to severe cardiovascular complications. This case-control study assessed the cardiac profile and clinical outcomes of 51 patients with confirmed acute opioid toxicity, compared to 51 control participants, in general hospitals across Port Said and Damietta governorates, Egypt. The study revealed that opioid-intoxicated patients exhibited significant cardiovascular abnormalities, including hypotension (39.2 %) and electrocardiogram (ECG) changes (72.5 %), with sinus bradycardia (51 %) being the most common. Additionally, echocardiographic abnormalities were found in 40 % of cases, with abnormal regional wall motion and valvular defects observed in several patients. Elevated levels of cardiac enzymes, such as Troponin-I and CK-MB, were significantly correlated with increased ICU stay length and higher mortality rates. The most common morbidities included coma (64.7 %) and shock (39.2 %). The study underscores the critical need for early cardiac assessment in opioid-intoxicated patients to predict clinical outcomes and guide therapeutic interventions.
药物滥用,尤其是阿片类药物中毒是一项重大的公共卫生挑战,可导致严重的心血管并发症。这项病例对照研究评估了埃及塞得港和达米埃塔省综合医院 51 名确诊急性阿片类药物中毒患者与 51 名对照组患者的心脏概况和临床结果。研究显示,阿片类药物中毒患者表现出明显的心血管异常,包括低血压(39.2%)和心电图变化(72.5%),其中以窦性心动过缓(51%)最为常见。此外,40%的病例出现超声心动图异常,其中几名患者出现区域室壁运动异常和瓣膜缺损。心肌酶(如肌钙蛋白-I和肌酸激酶-MB)水平升高与重症监护室住院时间延长和死亡率升高密切相关。最常见的病症包括昏迷(64.7%)和休克(39.2%)。这项研究强调了对阿片类药物中毒患者进行早期心脏评估以预测临床结果和指导治疗干预的迫切需要。
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引用次数: 0
Heterocyclic phytometabolites formononetin and arbutin prevent in vitro oxidative and alkylation-induced mutagenicity 杂环植物代谢物福莫西汀和熊果苷可防止体外氧化和烷基化诱导的致突变性
Q1 Environmental Science Pub Date : 2024-10-02 DOI: 10.1016/j.toxrep.2024.101753
Lizandra Vitoria de Souza Santos , Barbara Verena Dias Galvão , Lays Souza , Andreia da Silva Fernandes , Carlos Fernando Araujo-Lima , Israel Felzenszwalb
Phenolic phytometabolites are promising bioactive compounds for management of genomic instability related diseases. Formononetin (FMN) and arbutin (ARB) are found in several plant sources. Our goal was to investigate the safety and efficacy of FMN and ARB using in vitro both standardized and alternative toxicogenetic methods. FMN and ARB were evaluated through the OECD’S guidelines No. 471 (Bacterial Reverse Mutation Test –Salmonella/microsome) and No. 487 (In vitro Mammalian Micronucleus Test – CBMN assay), accordingly to the mentioned recommendations. Also, antimutagenicity of FMN and ARB was assessed in S. Typhimurium strains TA98, TA100 and TA1535, following pre-, co- and post- treatment protocols. Liver human lineages HepG2 and F C3H were assayed for cytotoxicity after exposure to FMN and ARB (24, 48 and 72 h) using in vitro WST-1 test. ARB showed no mutagenicity in the Salmonella/microsome test under both metabolic conditions (in presence or absence of 4 % S9 mix), but FMN was cytotoxic to the TA97 and TA100 strains after metabolic activation. Under this same condition, FMN induced an increase in the mutagenic index of strain TA1535 at two of the highest tested concentrations. Even so, ARB and FMN exhibited protection against the induced alkylation of DNA in multiple action modes. In the antimutagenicity assay, FMN reached the maximum of 80 % of oxidative-provoked mutagenicity reduction in TA98 strain in co-treatment with known mutagen, besides 69 % of reduction in TA100 in the same exposure condition. ARB showed up to reduce induced mutagenicity in strains TA100 and TA1535, reaching percentages from 55 % to 100 % of antimutagenicity in all of the tested exposure models against alkylating agent. In the CBMN assay, no increase in micronuclei formation was observed. The results suggest that FMN and ARB prevent DNA from mutation using multi-targeted antimutagenic roles. Finally, our data suggests that FMN and ARB are not genotoxic and presented encouraging antimutagenicity action in vitro, being promising compounds for use in genomic instability-related diseases therapeutics.
酚类植物代谢物是一种很有前景的生物活性化合物,可用于治疗与基因组不稳定有关的疾病。福莫西汀(FMN)和熊果苷(ARB)存在于多种植物中。我们的目标是采用体外标准化和替代毒性遗传学方法研究 FMN 和 ARB 的安全性和有效性。根据上述建议,我们通过经合组织准则第 471 号(细菌逆转突变试验--沙门氏菌/微粒体)和第 487 号(体外哺乳动物微核试验--CBMN 试验)对 FMN 和 ARB 进行了评估。此外,还按照处理前、处理中和处理后方案,评估了 FMN 和 ARB 在鼠伤寒杆菌菌株 TA98、TA100 和 TA1535 中的抗突变性。采用体外 WST-1 试验,对人类肝系 HepG2 和 F C3H 暴露于 FMN 和 ARB(24、48 和 72 小时)后的细胞毒性进行了检测。在两种代谢条件下(有或没有 4 % S9 混合液),ARB 在沙门氏菌/微粒体试验中均未显示出诱变性,但 FMN 在代谢活化后对 TA97 和 TA100 菌株具有细胞毒性。在相同条件下,在两个最高测试浓度下,FMN 会导致 TA1535 菌株的诱变指数增加。尽管如此,ARB 和 FMN 在多种作用模式下对 DNA 的烷基化诱导都有保护作用。在抗突变性试验中,FMN 在与已知诱变剂共同处理 TA98 菌株时,氧化诱发的突变性降低率最高可达 80%,而在同样的暴露条件下,对 TA100 菌株的降低率为 69%。ARB 可降低 TA100 和 TA1535 菌株的诱导突变性,在所有针对烷化剂的试验暴露模型中,抗突变性的百分比从 55% 到 100%不等。在 CBMN 试验中,没有观察到微核形成的增加。这些结果表明,FMN 和 ARB 可通过多靶点抗突变作用防止 DNA 发生突变。最后,我们的数据表明,FMN 和 ARB 不具有基因毒性,而且在体外具有令人鼓舞的抗突变作用,是有望用于基因组不稳定相关疾病治疗的化合物。
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引用次数: 0
Fluorescent nanoplastics increase the toxic effects of Graphene oxide nanoparticles in freshwater algae Scenedesmus obliquus 荧光纳米塑料增加了氧化石墨烯纳米颗粒对淡水藻类 "钝鳞藻 "的毒性作用
Q1 Environmental Science Pub Date : 2024-10-02 DOI: 10.1016/j.toxrep.2024.101759
Soupam Das, Sampriti Giri, Janmey Shah, Amitava Mukherjee
The increased usage of Graphene oxide (GO) in various industrial applications led to their entry into freshwater systems. Other secondary contaminants like nanoplastics (NPs) often co-exist with GO in the environment. This study examines the possible role of fluorescent nanoplastics (FNPs) in modifying the toxic effects of GO on freshwater algae Scenedesmus obliquus. Selected concentrations of GO (0.1, 1, and 10 mg L−1) were combined with a fixed concentration of FNPs (1 mg L−1) to perform combinational toxicity tests on algae. FNPs significantly enhanced the toxic effects of GO in the mixtures in comparison with the pristine GO. In addition to the cytotoxic effects, oxidative stress parameters like total ROS generation and malondialdehyde (MDA) production also increased in the case of the combined pollutants. The antioxidant enzymatic activities like catalase (CAT) and superoxide dismutase (SOD) in the cells were also assessed. Algal exposure to the pristine pollutants and their mixture led to a notable decrease in photosynthetic activities in the cells, with the mixed pollutants aggravating the loss of activity. The interactive toxic effects of the contaminants when present in mixtures were evaluated using Abbotts' Independent action modelling. Furthermore, optical microscopic images revealed the morphological changes in the algal cells after exposure to the contaminants both in the pristine and combined forms.
随着氧化石墨烯(GO)在各种工业应用中使用量的增加,它们也进入了淡水系统。其他二次污染物,如纳米塑料(NPs),通常与 GO 同时存在于环境中。本研究探讨了荧光纳米塑料(FNPs)在改变 GO 对淡水藻类 Scenedesmus obliquus 的毒性作用方面可能发挥的作用。将选定浓度的 GO(0.1、1 和 10 mg L-1)与固定浓度的 FNPs(1 mg L-1)结合起来,对藻类进行组合毒性试验。与原始 GO 相比,FNPs 明显增强了混合物中 GO 的毒性作用。除了细胞毒性效应外,氧化应激参数,如 ROS 生成总量和丙二醛(MDA)生成量也在混合污染物中有所增加。此外,还对细胞中的过氧化氢酶(CAT)和超氧化物歧化酶(SOD)等抗氧化酶活性进行了评估。藻类暴露于原始污染物及其混合物后,细胞中的光合作用活性明显下降,而混合污染物则加剧了光合作用活性的下降。利用阿博茨独立作用模型对混合物中污染物的交互毒性效应进行了评估。此外,光学显微镜图像显示了藻类细胞在接触原生和混合污染物后的形态变化。
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引用次数: 0
Interaction of cannabis cultural use and health: A case of acute myocardial infarction following consumption of cannabis beverage (Bhang) 大麻文化使用与健康的相互作用:饮用大麻饮料(Bhang)后发生急性心肌梗死的病例
Q1 Environmental Science Pub Date : 2024-10-01 DOI: 10.1016/j.toxrep.2024.101755
Barun Kumar , Omna Chawla , Abhimanyu Nigam , Pankaj Kumar Singh , Anupam Singh
Cannabis is a psychoactive substance consumed worldwide in the form of smoking, vapors, food additives, or beverages. Delta 9 tetrahydrocannabinol (THC) is a primary component responsible for short and long-term effects on various cognitive and motor functions in a dose-dependent manner. The legal status of cannabis has shifted significantly in recent decades. Some regions maintain strict penalties, but others have legalized them for medicinal use. In India, the use of cannabis in any form is illegal; however, the use of bhang, a cannabis beverage made from leaves, is acceptable due to cultural reasons and thus permitted in some places. We report the case of a 28-year-old male who developed massive anterior wall myocardial infarction after consuming bhang during the Holi festival. He presented with sudden retrosternal chest pain, which was initially ignored till it intensified enough, prompting him to seek emergency medical help approximately 24 hours after symptom onset. Cannabis intoxication impaired attention and information processing, leading to delayed presentation. The patient was managed successfully by timely cardiac intervention. The evolving landscape of cannabis regulations necessitates heightened awareness among health authorities about potential cardiovascular risks associated with its consumption, particularly in forms like Bhang, where concentrations are unregulated and variable.
大麻是一种精神活性物质,全世界都以吸食、蒸气、食品添加剂或饮料的形式消费大麻。δ9四氢大麻酚(THC)是一种主要成分,能以剂量依赖的方式对各种认知和运动功能产生短期和长期影响。近几十年来,大麻的法律地位发生了重大变化。一些地区保持严格的惩罚措施,但另一些地区则将大麻合法化用于医疗用途。在印度,使用任何形式的大麻都是非法的;然而,由于文化原因,使用大麻叶制成的大麻饮料(bhang)是可以接受的,因此在一些地方是允许的。我们报告了一例 28 岁男性患者的病例,他在 Holi 节期间饮用大麻饮料后发生了大面积前壁心肌梗死。他突然出现胸骨后胸痛,起初被忽视,直到疼痛加剧,促使他在症状出现约 24 小时后寻求紧急医疗救助。大麻中毒损害了患者的注意力和信息处理能力,导致患者延迟发病。通过及时的心脏介入治疗,患者得到了成功的控制。随着大麻法规的不断发展,卫生部门有必要提高对消费大麻可能带来的心血管风险的认识,特别是像 Bhang 这样的大麻,其浓度不受管制且变化不定。
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引用次数: 0
Long-term exposure of human U87 glioblastoma cells to polyethylene microplastics: Investigating the potential cancer progression 人类 U87 胶母细胞瘤细胞长期暴露于聚乙烯微塑料:研究潜在的癌症进展
Q1 Environmental Science Pub Date : 2024-10-01 DOI: 10.1016/j.toxrep.2024.101757
Parisasadat Rafazi , Zeinab Bagheri , Hamed Haghi-Aminjan , Mahban Rahimifard , Akram Ahvaraki
Precancerous cells are present in all human bodies. Various environmental triggers can promote the development of cancer. Microplastics, an emerging concern, may potentially act as one such trigger, contributing to cancer initiation or progression. Studies have confirmed the presence of microplastics within the human body. This raises concerns about their potential toxicity and health risks. In the present study, we aimed to investigate the impact of polyethylene microplastics (PE-MPs) within the size range of 37–75 microns on glioblastoma cancer cells. Initially, we assessed the short-term effects of six different concentrations of PE-MPs (20 mg/mL, 10 mg/mL, 5 mg/mL, 2.5 mg/mL, 1.25 mg/mL, and 0.62 mg/mL) on the U87 glioblastoma cell line. The results demonstrated that PE-MPs exposure led to an increase in cell proliferation compared to the untreated control group. Based on these findings, we decided to further explore the long-term effects of PE-MPs on U87 cancer cells. To evaluate the long-term effects, U87 glioblastoma cells were continuously exposed to 0.005 g of PE-MPs over an extended period of 26 days. Chronic exposure to PE-MPs significantly increased the proliferative and migratory capacities of U87 cells compared to the unexposed control group. Furthermore, continuous PE-MPs exposure altered the behavior and morphological characteristics of U87 cells. These cells exhibited a propensity to aggregate and form colonies within the culture flask. The formation of spheroid structures was also observed in the PE-MPs-exposed cell population. The results of this research indicate that polyethylene microplastics can promote the progression of glioblastoma cancer.
人体内都存在癌前病变细胞。各种环境诱因会促进癌症的发展。微塑料作为一种新出现的问题,有可能成为这样一种诱因,导致癌症的发生或发展。研究证实,人体内存在微塑料。这引起了人们对其潜在毒性和健康风险的担忧。在本研究中,我们旨在调查尺寸在 37-75 微米范围内的聚乙烯微塑料(PE-MPs)对胶质母细胞瘤癌细胞的影响。首先,我们评估了六种不同浓度的 PE-MPs(20 毫克/毫升、10 毫克/毫升、5 毫克/毫升、2.5 毫克/毫升、1.25 毫克/毫升和 0.62 毫克/毫升)对 U87 胶质母细胞瘤细胞系的短期影响。结果表明,与未经处理的对照组相比,暴露于 PE-MPs 会导致细胞增殖增加。基于这些发现,我们决定进一步探讨 PE-MPs 对 U87 癌细胞的长期影响。为了评估长期效应,我们将 U87 胶质母细胞瘤细胞持续暴露于 0.005 克 PE-MPs 26 天。与未暴露的对照组相比,长期暴露于 PE-MPs 会显著提高 U87 细胞的增殖和迁移能力。此外,持续接触 PE-MPs 改变了 U87 细胞的行为和形态特征。这些细胞表现出在培养瓶内聚集和形成菌落的倾向。在暴露于 PE-MPs 的细胞群中还观察到球状结构的形成。研究结果表明,聚乙烯微塑料可促进胶质母细胞瘤癌症的发展。
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引用次数: 0
Deadly shades of green: A cautionary tale of an organic biopesticide poisoning 致命的绿色阴影有机生物农药中毒的警示故事
Q1 Environmental Science Pub Date : 2024-09-30 DOI: 10.1016/j.toxrep.2024.101750
Anas Mohammed Muthanikkatt , Mohammed Najeebuddin , Saravanan Muthu , Arun A. Mohanan , Vishwanath Balassoundaram , S Surendar

Introduction

Methemoglobinemia is a potentially life-threatening condition characterized by the reduced oxygen-carrying capacity of hemoglobin. With the increasing popularity of natural and herbal biopesticides, there is a growing risk of exposure to substances that can induce this dyshemoglobinemia. This case report highlights the importance of recognizing and promptly treating methemoglobinemia in the context of biopesticide exposure, a concern relevant to various healthcare professionals.

Case description

A 70-year-old male presented to the emergency department (ED) in an unresponsive state following suspected ingestion of an unknown quantity of an organic biopesticide labeled "Bull Fight". Initial management included fluid resuscitation, endotracheal intubation and mechanical ventilation. The patient developed significant hypoxia and hypotension. Abnormal blood color and a saturation gap raised suspicion of methemoglobinemia, which was confirmed by co-oximetry (68.7 % MetHb). Treatment with methylene blue was initiated, leading to initial improvement. However, the patient experienced rebound methemoglobinemia, requiring additional doses of methylene blue. Despite treatment, the patient ultimately succumbed to pneumonia.

Discussion

This case underscores the potential dangers of organic biopesticides and the importance of considering methemoglobinemia in patients with unexplained cyanosis, saturation gap, and abnormal blood color. The increasing use of natural and herbal products in agriculture may expose individuals to undisclosed ingredients capable of inducing methemoglobinemia. Healthcare professionals across various specialities, including emergency medicine, critical care, toxicology, and primary care, must remain vigilant and maintain a high index of suspicion for this condition, especially in cases of biopesticide exposure.

Conclusion

Awareness of methemoglobinemia and its association with biopesticide exposure is crucial for all healthcare providers who may encounter such cases. Prompt recognition and treatment can be lifesaving. As natural biopesticide use increases, clinicians should be prepared to diagnose and manage methemoglobinemia effectively. Careful monitoring is crucial to detect and prevent rebound methemoglobinemia. Ongoing education and preparedness are essential to address risks associated with emerging agricultural practices and products.
导言 血红蛋白血症是一种可能危及生命的疾病,其特点是血红蛋白的携氧能力降低。随着天然和草本生物杀虫剂的日益普及,接触可诱发这种高铁血红蛋白血症的物质的风险越来越大。本病例报告强调了在接触生物杀虫剂的情况下识别和及时治疗高铁血红蛋白血症的重要性,这也是各种医疗保健专业人员所关心的问题。病例描述:一名 70 岁的男性疑似摄入了不明数量的有机生物杀虫剂 "斗牛",随后在反应迟钝的状态下被送往急诊科(ED)。初步处理包括液体复苏、气管插管和机械通气。患者出现严重缺氧和低血压。异常的血色和饱和度差距引起了对高铁血红蛋白血症的怀疑。患者开始接受亚甲蓝治疗,病情初步好转。然而,患者出现了高铁血红蛋白症反弹,需要追加亚甲蓝剂量。本病例强调了有机生物杀虫剂的潜在危险,以及对不明原因紫绀、饱和度差距和血色异常的患者考虑高铁血红蛋白血症的重要性。在农业中越来越多地使用天然和草药产品,这可能会使个人接触到可诱发高铁血红蛋白血症的未公开成分。包括急诊医学、重症监护、毒理学和初级保健在内的各专科医护人员必须保持警惕,并对这种病症保持高度怀疑,尤其是在生物农药接触病例中。及时识别和治疗可以挽救生命。随着天然生物杀虫剂使用量的增加,临床医生应做好准备,有效诊断和处理高铁血红蛋白症。仔细监测对检测和预防高铁血红蛋白症的反弹至关重要。持续的教育和准备工作对于应对与新兴农业实践和产品相关的风险至关重要。
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引用次数: 0
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Toxicology Reports
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