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Association of urinary heavy metals with osteoporosis in US adults using interpretable machine learning. 使用可解释机器学习的美国成年人尿重金属与骨质疏松症的关系。
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2026-02-04 DOI: 10.1016/j.toxlet.2026.111853
Weihuan Huang, Dongpei Liu, Gang Liu, Guihua Chen

Background: Exposure to heavy metals in the environment has always been the focus of public concern. More and more evidence suggests that heavy metal exposure may lead to bone degeneration and an increased risk of pathological fractures. In this study, we analyzed the data of NHANES (National Health and Nutrition Survey) and applied nine machine learning models to check the relationship between heavy metal exposure and osteoporosis.

Methods: The data originates from NHANES conducted during the periods of 2003-2004,2005-2006,2007-2008,2009-2010,2013-2014 and 2017-2018 and is utilized for the development of machine learning models. The Spearman Correlation analysis was employed to identify the relationships among all independent variables, while the Boruta algorithm was utilized for feature selection. The chosen data was equilibrated with SMOTE and partitioned into training and testing sets in a 7:3 ratio. Support Vector Machine, Gradient Boosting Machine, Neural Network, Random Forest, XGBoost, K-Nearest Neighbors, AdaBoost, LightGBM, and CatBoost were employed to construct machine learning models. The optimum model was chosen for further research based on area under the curve (AUC), accuracy, sensitivity, specificity, precision, and F1 score. The Shapley additive explanation (SHAP) method was employed to elucidate the contribution of variables to the machine learning model.

Results: The XGBoost model among nine machine learning models demonstrated the best and most balanced performance in evaluating the correlation between heavy metal exposure and osteoporosis (AUC value of 0.834), significantly outperforming the other eight models. It achieved an accuracy of 0.822, sensitivity of 0.709, specificity of 0.830. Age was identified as the primary influencing factor in this machine learning model (mean |SHAP| = 0.30). Based on SHAP feature importance, the metals were ranked (descending) as Tl, Pb, Cd, Ba, Mo, Sb, Cs, Co and Tu, with Tl showing the strongest contribution to osteoporosis prediction.SHAP dependency plots and waterfall plots further illustrate the decision-making mechanism of the model.

Conclusions: In this study, the XGBoost model showed better performance than the other eight models. Among the nine types of urine metals, thallium (Tl) is the most important variable in the prediction of osteoporosis in machine learning models. Among all independent variables, age and gender are considered the most important components of the model. Subsequent research should develop more sophisticated algorithms to authenticate these findings and adjust relevant parameters to improve the model's precision.

背景:环境中重金属的暴露一直是公众关注的焦点。越来越多的证据表明,重金属暴露可能导致骨质退化和病理性骨折的风险增加。在本研究中,我们分析了NHANES (National Health and Nutrition Survey)的数据,并应用9个机器学习模型来检验重金属暴露与骨质疏松症之间的关系。方法:数据来源于2003-2004年、2005-2006年、2007-2008年、2009-2010年、2013-2014年和2017-2018年期间的NHANES,用于开发机器学习模型。采用Spearman相关分析识别各自变量之间的关系,采用Boruta算法进行特征选择。选择的数据与SMOTE平衡,并以7:3的比例划分为训练集和测试集。采用支持向量机、梯度增强机、神经网络、随机森林、XGBoost、k近邻、AdaBoost、LightGBM和CatBoost构建机器学习模型。根据曲线下面积(area under curve, AUC)、准确度、灵敏度、特异度、精密度、F1评分等指标选择最佳模型进行进一步研究。采用Shapley加性解释(SHAP)方法来阐明变量对机器学习模型的贡献。结果:在9个机器学习模型中,XGBoost模型在评估重金属暴露与骨质疏松症之间的相关性方面表现出最好和最平衡的性能(AUC值为0.834),显著优于其他8个模型。准确度为0.822,灵敏度为0.709,特异性为0.830。在该机器学习模型中,年龄被确定为主要影响因素(平均|SHAP| = 0.30)。根据SHAP特征的重要性,这些金属依次为Tl、Pb、Cd、Ba、Mo、Sb、Cs、Co和Tu,其中Tl对骨质疏松症的预测贡献最大。SHAP依赖图和瀑布图进一步说明了模型的决策机制。结论:在本研究中,XGBoost模型的性能优于其他8个模型。在9种尿金属中,铊(Tl)是机器学习模型中预测骨质疏松症最重要的变量。在所有自变量中,年龄和性别被认为是模型中最重要的组成部分。后续研究应开发更复杂的算法来验证这些发现,并调整相关参数以提高模型的精度。
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引用次数: 0
Flocoumafen exposure induces skeletal developmental toxicity and neurotoxicity in zebrafish (Danio rerio). 斑马鱼暴露于絮凝剂可诱导骨骼发育毒性和神经毒性。
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2026-02-03 DOI: 10.1016/j.toxlet.2026.111852
Tianyi Chen, Fengjun Fan, An Cheng, Yumei Xia, Haoze Chen, Jiakai Fang, Yangyu Chen, Tianjia Li, Anli Wang, Binjie Wang, Weixuan Yao, Yuanzhao Wu

Flocoumafen (FCF), a second-generation anticoagulant rodenticide (SGAR), has limited toxicological data regarding its effects on aquatic organisms. In this study, we exposed zebrafish embryos to FCF solutions at concentrations of 0.2, 0.4, and 0.8mg/L until 120hours post-fertilization (hpf). The results revealed a decrease in survival rates. Notably, FCF exposure significantly reduced the frequency of spontaneous tail coils at 24 hpf, while shortened body length and induced spinal curvature at 120 hpf. Furthermore, zebrafish larvae exhibited craniofacial abnormalities and incomplete bone mineralization at 120 hpf following FCF exposure. In Tg(HuC:EGFP) transgenic strains, neuronal loss was observed. Additionally, FCF-exposed zebrafish larvae showed a marked reduction in locomotor ability, activity levels, and turning capacity. The qPCR and enzyme activity assays revealed significant changes in gene expression associated with the Notch signaling pathway, accompanied by increased levels of reactive oxygen species (ROS), superoxide dismutase (SOD), catalase (CAT), malondialdehyde (MDA). Astaxanthin (ASTA) partially alleviated the toxicities induced by FCF. These findings suggest that FCF may induce skeletal and neurological toxicities by affecting oxidative stress, disrupting the normal expression of skeletal and nervous system-related genes in the Notch signaling pathway, and ultimately leading to behavioral abnormalities. Our findings may provide new insights into a comprehensive evaluation of FCF toxicology in aquatic organisms, and may assist the government in formulating and implementing regulatory policies regarding the application of FCF.

絮凝剂(FCF)是第二代抗凝血灭鼠剂(SGAR),关于其对水生生物影响的毒理学数据有限。在这项研究中,我们将斑马鱼胚胎暴露在浓度为0.2、0.4和0.8mg/L的FCF溶液中,直到受精后120小时(hpf)。结果显示存活率下降。值得注意的是,FCF暴露在24 hpf时显著降低了自发尾线圈的频率,而在120 hpf时缩短了体长并诱导了脊柱弯曲。此外,暴露于FCF后,斑马鱼幼虫在120 hpf时表现出颅面异常和骨矿化不完全。在Tg(HuC:EGFP)转基因菌株中,观察到神经元丢失。此外,暴露于氟化氟的斑马鱼幼虫的运动能力、活动水平和转弯能力显著降低。qPCR和酶活性分析显示,与Notch信号通路相关的基因表达发生显著变化,同时活性氧(ROS)、超氧化物歧化酶(SOD)、过氧化氢酶(CAT)、丙二醛(MDA)水平升高。虾青素(Astaxanthin, ASTA)可部分减轻FCF所致的毒性。这些发现表明,FCF可能通过影响氧化应激,破坏Notch信号通路中骨骼和神经系统相关基因的正常表达,最终导致行为异常,从而诱导骨骼和神经系统毒性。本研究结果可为水生生物FCF毒理学的综合评价提供新的思路,并可为政府制定和实施FCF应用的监管政策提供参考。
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引用次数: 0
Triclosan's interference with endocrine signalling: A mechanistic investigation. 三氯生干扰内分泌信号:一项机制研究。
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2026-02-02 DOI: 10.1016/j.toxlet.2026.111851
Deepa Sharma, Tarang Kumar Shah, Reshma Sinha

The triclosan (TCS) has been widely used as an antimicrobial and antibacterial agent in personal care products, medical, acrylic, veterinary, and household items. Owing to its capacity to interfere with hormone-regulated pathways, it has been evidenced as a potential endocrine-disrupting chemical. This review summarizes the existing data on the mechanistic basis of TCS-induced endocrine disruption, emphasizing its impacts on steroidogenesis, receptor-based signalling, thyroid hormone regulation, crosstalk with metabolic hormones, and transformation product hazards. Consolidating molecular and cellular studies, this review highlights TCS-altered major endocrine functions and identifies areas of concern requiring further investigation for risk assessment and regulatory decisions.

三氯生(TCS)作为抗菌剂和抗菌剂广泛应用于个人护理产品、医疗、丙烯酸、兽医和家庭用品中。由于其干扰激素调节途径的能力,它已被证明是一种潜在的内分泌干扰化学物质。本文综述了tcs诱导内分泌干扰的机制,重点介绍了tcs在甾体生成、受体信号传导、甲状腺激素调节、与代谢激素的串扰以及转化产物危害方面的影响。结合分子和细胞研究,本综述强调了tcs改变的主要内分泌功能,并确定了需要进一步调查的领域,以进行风险评估和监管决策。
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引用次数: 0
Heavy metal exposure and cancer risk: Findings from a Mendelian randomization study. 重金属暴露与癌症风险:孟德尔随机研究的结果。
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2026-02-02 DOI: 10.1016/j.toxlet.2026.111848
Shuang Qin, Longhui Xie, Jianwei Lan, Yang Yang, Wuliang Diao, Yinkuan Ning

Background: Epidemiological evidence has established associations between heavy metal exposure and increased risks of various cancers. However, causality remains difficult to establish in conventional observational studies due to residual confounding and reverse causation. Mendelian randomization (MR) could overcome these limitations by using genetic variants as instrumental variables to strengthen causal inference. This study employs a two-sample MR approach to investigate the potential causal effects of serum heavy metal concentrations on multiple cancer types.

Methods: Genetic instruments for heavy metal exposure were obtained from genome-wide association study (GWAS) data. The primary causal estimates were derived using the inverse variance weighted (IVW) method, with robustness assessed and pleiotropy addressed through supplementary analyses, including weighted median, MR-Egger regression, and MR-PRESSO. All analyses accounted for multiple testing via Bonferroni correction.

Results: Mendelian randomization analysis revealed that genetically predicted serum nickel conferred an elevated risk of cervical cancer (OR = 1.473, 95 % CI: 1.102-1.969, P = 0.009), while serum manganese exhibited a protective effect against acute lymphoblastic leukemia (OR = 0.399, 95 % CI:0.173-0.922, P = 0.032). Additionally, serum lead was associated with an increased risk of biliary tract cancer (OR = 1.315, 95 % CI: 1.04-1.661, P = 0.022), and serum copper was causally linked to higher overall cancer incidence (OR = 1.052, 95 % CI: 1.004-1.102, P = 0.032).

Conclusion: This study provides solid evidence for causal effects of heavy metal exposure on cancer development. The findings compel further investigation into the biological mechanisms involved and highlight the urgency of developing targeted public health interventions to mitigate these risks.

背景:流行病学证据已证实重金属暴露与各种癌症风险增加之间存在关联。然而,由于残留的混杂和反向因果关系,在传统的观察性研究中,因果关系仍然难以建立。孟德尔随机化(MR)可以通过使用遗传变异作为工具变量来加强因果推理来克服这些局限性。本研究采用双样本MR方法研究血清重金属浓度对多种癌症类型的潜在因果影响。方法:从全基因组关联研究(GWAS)数据中获得重金属暴露的遗传工具。主要的因果估计是通过方差加权(IVW)方法得出的,通过加权中位数、MR-Egger回归和MR-PRESSO等补充分析来评估稳健性和多效性。所有分析均通过Bonferroni校正进行多次检验。结果:孟德尔随机化分析显示,基因预测的血清镍可增加宫颈癌的风险(OR=1.473, 95% CI: 1.102-1.969, P=0.009),而血清锰对急性淋巴细胞白血病具有保护作用(OR=0.399, 95% CI:0.173-0.922, P=0.032)。此外,血清铅与胆道癌风险增加相关(OR=1.315, 95% CI: 1.04-1.661, P=0.022),血清铜与较高的总体癌症发病率有因果关系(OR=1.052, 95% CI: 1.004-1.102, P=0.032)。结论:本研究为重金属暴露与癌症发生的因果关系提供了有力证据。这些发现迫使人们对所涉及的生物学机制进行进一步调查,并强调了制定有针对性的公共卫生干预措施以减轻这些风险的紧迫性。
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引用次数: 0
Corrigendum to “Mechanisms, pathological features, and intervention strategies for nitrogen mustard-induced skin toxicity” [Toxicol. Lett. 416 (2026) 111815] “氮芥诱导皮肤毒性的机制、病理特征和干预策略”的勘误表[毒物杂志]。Lett. 416(2026) 111815]。
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2026-02-01 DOI: 10.1016/j.toxlet.2026.111831
Bing Zhu , Guanchao Mao , Qinghe Meng , Ang Li , Chaoying Jin , Yuchong Wang , Xinwei Wang , Wenjun Xue , Fangzhen Hou , Junjie Yang , Qingqiang Xu , Chunyu Xue , Minliang Wu
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引用次数: 0
Bisphenol S and F Disrupt Cerebellar Functions and Neuronal Health: The Role of Estrogen Receptor and BMP2 Signaling. 双酚S和F破坏小脑功能和神经元健康:雌激素受体和BMP2信号的作用。
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2026-01-30 DOI: 10.1016/j.toxlet.2026.111850
Uttara Das, Neetu Shukla, Deeksha Ojha, Garima Sagar, Somendu Kumar Roy, Sanghamitra Bandyopadhyay

Bisphenol S (BPS) and bisphenol F (BPF) have gained attention as endocrine disruptors that affect brain functions, with their specific impact on the cerebellum being less thoroughly explored. Estrogen receptors (ERs) are crucial in maintaining neuronal health in the cerebellum, which participates in motor coordination. Additionally, bone morphogenetic proteins (BMPs) participate in various neuronal processes and are influenced by ER signaling. This study investigated how environmentally relevant doses of BPS and BPF (0.4 to 40 μg/kg) affect cerebellar functions in adult female rats, with a particular emphasis on ER and BMP signaling. Our assessments of motor coordination, conducted using rota-rod and grip strength tests, indicated that exposure to BPS/BPF significantly compromised balance and muscle strength. Investigation of cerebellar tissue revealed decreased levels of estrogen receptors ERα and ERβ, along with reduced BMP2 at both mRNA and protein levels. BMP2 signaling was also diminished, marked by lower BMPR2 and downstream components like p-Smad. Notably, ER agonists PPT and DPN restored BMP2 levels, while BMP2 administration enhanced ERα and ERβ levels, highlighting a reciprocal relationship between these signaling pathways. Moreover, treatments with PPT, DPN, and BMP2 led to improvements in neuronal survival, NeuN levels, and overall motor coordination performance. In conclusion, BPS and BPF disrupt cerebellar functions and neuronal health by interfering with the interplay between ER and BMP2 signaling, suggesting that targeting these pathways may help mitigate the adverse effects of these chemicals.

双酚S (BPS)和双酚F (BPF)作为影响大脑功能的内分泌干扰物而受到关注,但对其对小脑的具体影响的研究较少。雌激素受体(er)在维持小脑神经元健康中起着至关重要的作用,小脑参与运动协调。此外,骨形态发生蛋白(BMPs)参与各种神经元过程并受内质网信号的影响。本研究研究了环境相关剂量的BPS和BPF (0.4 ~ 40 μg/kg)对成年雌性大鼠小脑功能的影响,特别强调了ER和BMP信号的影响。我们使用旋转杆和握力测试对运动协调进行了评估,结果表明,接触BPS/BPF显著损害了平衡和肌肉力量。小脑组织研究显示雌激素受体ERα和ERβ水平降低,BMP2 mRNA和蛋白水平均降低。BMP2信号也减少,表现为BMPR2和下游成分如p-Smad的降低。值得注意的是,内质网激动剂PPT和DPN恢复了BMP2水平,而BMP2增加了ERα和ERβ水平,突出了这些信号通路之间的相互关系。此外,使用PPT、DPN和BMP2治疗可改善神经元存活、NeuN水平和整体运动协调表现。总之,BPS和BPF通过干扰内质网和BMP2信号传导之间的相互作用来破坏小脑功能和神经元健康,这表明靶向这些途径可能有助于减轻这些化学物质的不良影响。
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引用次数: 0
Maternal dibutyl benzene-1,2-dicarboxylate exposure accelerates bone marrow mesenchymal stem cells senescence to induce skeletal retardation in male offspring mice 母体二丁基苯-1,2-二羧酸盐暴露加速骨髓间充质干细胞衰老,诱导雄性后代小鼠骨骼发育迟缓
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2026-01-29 DOI: 10.1016/j.toxlet.2026.111843
Yao Zhang , Kehan Wang , Jingzhu Lu , Ruicheng Wang , Chun Pan , Tan Ma , Fuyuan Ma
Dibutyl benzene-1,2-dicarboxylate (DBP), a ubiquitous plasticizer, readily crosses the placenta, posing a risk to male offspring development. Previous studies have found that maternal DBP exposure leads to multiple organ development disorders in male offspring, but the effect on skeletal development in male offspring mice is unclear. In this study, pregnant mice were orally administered corn oil from day 12 of pregnancy or given different doses of DBP by gavage. Our results showed that prenatal DBP exposure induced dose-dependent deterioration in the male offspring's femoral bone microarchitecture, as revealed by micro-CT. In vitro, we found that the primary metabolite MBP disrupted the osteogenic-adipogenic balance in bone marrow mesenchymal stem cells (BMSCs) by suppressing osteogenic differentiation while promoting adipogenic differentiation. Mechanistically, MBP treatment induced a premature senescent phenotype in BMSCs, as evidenced by heightened senescence-associated β-galactosidase (SA-β-Gal) activity, upregulation of senescence markers (γH2AX, p16, p21), and increased secretion of senescence-associated inflammatory factors. Critically, treatment with rapamycin prevented MBP-induced senescence and restored the osteogenic-adipogenic balance in BMSCs. This study identifies BMSCs senescence as a pivotal mechanism underlying DBP-induced skeletal retardation, providing novel insights into the environmental bone toxicity of phthalate exposure.
二丁基苯-1,2-二羧酸酯(DBP)是一种普遍存在的增塑剂,很容易穿过胎盘,对雄性后代的发育构成风险。先前的研究发现母体DBP暴露会导致雄性后代多器官发育障碍,但对雄性后代小鼠骨骼发育的影响尚不清楚。在本研究中,怀孕小鼠从怀孕第12天开始口服玉米油或灌胃不同剂量的DBP。我们的研究结果显示,通过微型ct显示,产前DBP暴露导致雄性后代股骨微结构的剂量依赖性恶化。在体外,我们发现初级代谢物MBP通过抑制成骨分化而促进成脂分化来破坏骨髓间充质干细胞(BMSCs)的成骨-脂肪平衡。从机制上讲,MBP治疗诱导骨髓间充质干细胞过早衰老表型,衰老相关β-半乳糖苷酶(SA-β-Gal)活性升高,衰老标志物(γH2AX, p16, p21)上调,衰老相关炎症因子分泌增加。关键的是,雷帕霉素治疗可以防止mbp诱导的衰老,并恢复骨髓间充质干细胞中成骨-脂肪生成的平衡。本研究确定骨髓间质干细胞衰老是dbp诱导的骨骼发育迟缓的关键机制,为邻苯二甲酸盐暴露的环境骨毒性提供了新的见解。
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引用次数: 0
Association between perfluoroalkyl and polyfluoroalkyl substances exposure and reproductive longevity for female in the United States: A population-based study 全氟烷基和多氟烷基物质暴露与美国女性生殖寿命之间的关系:一项基于人群的研究
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2026-01-29 DOI: 10.1016/j.toxlet.2026.111849
Anhui Ning , Feng Shao , Qingzheng Yang , Yiqian Ren , Shenxuan Zhou , Jinfeng Lin , Minjie Chu , Yan Zhang
Wide exposure to perfluoroalkyl and polyfluoroalkyl substances (PFAS) poses a great risk to human reproductive health. Reproductive longevity is a major factor influencing the female reproductive cycle and affects women's healthy ageing. However, few studies have comprehensively evaluated the correlation between serum PFAS concentrations and female reproductive age, including menarche, reproductive longevity, and menopause. The purpose of this research is to investigate the correlation between serum PFAS levels and female reproductive age using linear regression models based on the National Health and Nutrition Examination Survey (NHANES) database. A total of 4743 participants were included in this analysis, and the results showed that age at menopause was inversely associated with perfluorooctanoic acid (PFOA) (β = −0.77, 95 % CI = −1.36, −0.18, P = 0.01), perfluorohexane sulfonic acid (PFHxS) (β = −1.07, 95 % CI = −1.53, −0.60, P < 0.001) and perfluorooctane sulfonic acid (PFOS) (β = −0.84, 95 % CI = −1.30, −0.38, P < 0.001). Moreover, the results showed that PFOS (β = −0.89, 95 % CI = −1.36, −0.42, P < 0.001), PFHxS (β = −1.08, 95 % CI = −1.55, −0.60, P < 0.001), and PFOA (β = −0.68, 95 % CI = −1.28, −0.08, P = 0.03) exposure were inversely related to reproductive longevity in women, exhibiting a strong dose-response trend. Evidence from the study indicates that exposure to PFAS may raise the risk of shortened reproductive longevity in women.
广泛接触全氟烷基和多氟烷基物质(PFAS)对人类生殖健康构成巨大风险。生殖寿命是影响女性生殖周期和妇女健康老龄化的主要因素。然而,很少有研究全面评估血清PFAS浓度与女性生育年龄(包括月经初潮、生殖寿命和更年期)的相关性。本研究基于美国国家健康与营养调查(NHANES)数据库,采用线性回归模型探讨血清PFAS水平与女性生育年龄的相关性。共有4743名参与者被包含在这一分析,结果表明,绝经的年龄呈负相关并酸(PFOA)(β=−0.77,95 % CI =−1.36−0.18,P = 0.01),perfluorohexane磺酸(PFHxS)(β=−1.07,95 % CI =−1.53−0.60,P & lt; 0.001)和perfluorooctane磺酸(卵圆孔未闭)(β=−0.84,95 % CI =−1.30−0.38,P & lt; 0.001)。此外,结果表明,卵圆孔未闭(β=−0.89,95 % CI =−1.36−0.42,P & lt; 0.001),PFHxS(β=−1.08,95 % CI =−1.55−0.60,P & lt; 0.001),和全氟辛酸及其盐类(PFOA)(β=−0.68,95 % CI =−1.28−0.08,P = 0.03)接触是女性生殖寿命成反比,表现出强烈的剂量反应的趋势。研究证据表明,接触PFAS可能会增加女性生殖寿命缩短的风险。
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引用次数: 0
Mechanisms and management of crizotinib-induced toxicity in non-small cell lung cancer 非小细胞肺癌克唑替尼诱导毒性的机制和管理
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2026-01-29 DOI: 10.1016/j.toxlet.2026.111846
Xiaoxiao Liu , Xinyu Tao , Mengting Cheng , Hao Yan , Zhifei Xu , Bo Yang , Qiaojun He , Peihua Luo , Fangjie Yan , Jiangxia Du
Crizotinib, a first-in-class ALK/ROS1/MET inhibitor, has been shown to significantly improve outcomes in advanced non-small cell lung cancer (NSCLC); however, its clinical utility remains limited by multisystem toxicities. This review synthesizes evidence regarding crizotinib-induced adverse effects—such as hepatotoxicity, cardiotoxicity, and interstitial lung disease—along with associated clinical management strategies. Through a systematic examination of the molecular mechanisms and multifactorial determinants of toxicity, this work aims to enhance understanding of the limitations associated with crizotinib’s clinical applicability. Although most toxicities are manageable through dose adjustments, prophylactic monitoring, and adjunct therapies, unresolved mechanistic questions and rare, severe adverse events underscore the need for further research. By integrating molecular insights with practical approaches, this review underscores the essential balance between therapeutic efficacy and toxicity risks, thereby informing personalized treatment decisions and facilitating the development of safer targeted therapies. The synthesis of current knowledge is intended to optimize the clinical application of crizotinib and to foster innovative strategies for toxicity management within the evolving paradigms of NSCLC treatment.
克唑替尼(Crizotinib)是一种ALK/ROS1/MET抑制剂,已被证明可显著改善晚期非小细胞肺癌(NSCLC)的预后;然而,其临床应用仍然受到多系统毒性的限制。本综述综合了有关克唑替尼引起的不良反应的证据,如肝毒性、心脏毒性和间质性肺疾病,以及相关的临床管理策略。通过对分子机制和毒性的多因素决定因素的系统检查,这项工作旨在加强对与克唑替尼临床适用性相关的局限性的理解。虽然大多数毒性可以通过剂量调整、预防性监测和辅助治疗来控制,但尚未解决的机制问题和罕见的严重不良事件强调了进一步研究的必要性。通过将分子的见解与实际方法相结合,本综述强调了治疗效果和毒性风险之间的基本平衡,从而为个性化治疗决策提供信息,并促进更安全的靶向治疗的发展。当前知识的综合旨在优化克里唑替尼的临床应用,并在不断发展的非小细胞肺癌治疗范式中促进毒性管理的创新策略。
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引用次数: 0
Enantioselective CYP inhibition by diclofop, the active metabolite of diclofop-methyl: Mechanism and relevance for human exposure. 双氯草甲酯的活性代谢物双氯草甲酯对CYP的对映选择性抑制:机制及其与人体暴露的相关性。
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2026-01-28 DOI: 10.1016/j.toxlet.2026.111844
Maike Felipe Santos Barbetta, Giovanni Stoppa Baviera, Leandro Oka-Duarte, Icaro Salgado Perovani, Anderson Rodrigo Moraes de Oliveira

Diclofop (DF) is the main chiral metabolite of diclofop-methyl (DFM), a widely used herbicide for grass weed control. While DFM toxicity is documented, little is known about DF, despite its persistence. This study evaluated the enantioselective inhibition by racemic DF and its enantiomers over the major cytochrome P450 (CYP) isoforms present in human liver microsomes. The inhibition screening showed that (+)-DF preferentially inhibited CYP1A2, CYP2C9, CYP2E1, and CYP3A4/5, whereas (-)-DF was more active against CYP2C19 and CYP3A4/5. IC50 and kinetic studies confirmed moderate inhibition without time-dependent effect. DF competitively inhibited CYP2C9 with a Ki value of 2.13 µmol L-1. Finally, R1 factor estimations indicated that in vivo inhibition is unlikely even at exposure levels up to 100-fold above the acceptable daily intake. These results highlight the enantioselective inhibitory potential of a pesticide metabolite and its relevance for pesticide-drug interactions and human toxicity.

双氯草畏(DF)是一种广泛应用于杂草防治的除草剂-甲基双氯草畏(DFM)的主要手性代谢物。虽然DFM的毒性有文献记载,但人们对DF知之甚少,尽管它具有持久性。本研究评估了外消旋DF及其对映体对人肝微粒体中主要细胞色素P450 (CYP)亚型的对映选择性抑制作用。抑制筛选结果显示,(+)- df对CYP1A2、CYP2C9、CYP2E1和CYP3A4/5的抑制作用较强,而(-)- df对CYP2C19和CYP3A4/5的抑制作用较强。IC50和动力学研究证实中度抑制,无时间依赖效应。DF竞争性抑制CYP2C9, Ki值为2.2µmol L-1。最后,R1因子估计表明,即使暴露水平高达每日可接受摄入量的100倍,体内抑制也不太可能。这些结果强调了农药代谢物的对映选择性抑制潜力及其与农药-药物相互作用和人体毒性的相关性。
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Toxicology letters
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