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Association between volatile organic compound exposure and elevated total immunoglobulin E: Risk factor screening in mixed exposure scenarios and potential biological mechanisms 挥发性有机化合物暴露与总免疫球蛋白E升高之间的关系:混合暴露情景中的危险因素筛选和潜在的生物学机制。
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 Epub Date: 2025-09-29 DOI: 10.1016/j.toxlet.2025.111730
Xianhao Wang , Xinyue Wang , Ruxu Yan , Tianqi Ma , Xiangyun Wang , Fengxue Shi , Zhongxu Zhao , Lingyue Kong , Jingen Zhou , Dong Li , Yangyang Yuan
Environmental pollutants are increasingly recognized as important modulators of immune function, yet the influence of volatile organic compound (VOC) exposure on immunoglobulin E (IgE) levels remains poorly characterized. Using data from the National Health and Nutrition Examination Survey (NHANES) 2005–2006, we systematically evaluated the association between VOC metabolites and total IgE levels through five statistical approaches combined with machine learning algorithms. Mediation analyses were conducted to examine the role of inflammatory markers in these associations. Finally, functional enrichment analyses were employed to identify potential pathways and key molecular targets. Our analyses consistently demonstrated significant positive associations between VOC exposure and elevated total IgE levels. 2-aminothiazoline-4-carboxylic acid (ATCA), N-Acetyl-S-(2-cyanoethyl)-L-cysteine (CYMA), and N-Acetyl-S- (3-hydroxypropyl)-L-cysteine (HPMA) emerged as robust risk factors. Mediation analysis revealed that eosinophil (EOS) counts accounted for 15.89–29.03 % of the observed associations between VOC metabolites and total IgE levels. TNF and IL-17 signaling pathways were significantly enriched. Integrated analyses confirmed VOC exposure as a significant environmental risk factor for elevated total IgE levels, primarily driven by ATCA, CYMA, and HPMA, with inflammatory responses as a plausible mechanism.
环境污染物被越来越多地认为是免疫功能的重要调节剂,但挥发性有机化合物(VOC)暴露对免疫球蛋白E (IgE)水平的影响尚不清楚。利用2005-2006年国家健康与营养检查调查(NHANES)的数据,我们通过五种统计方法结合机器学习算法,系统地评估了VOC代谢物与总IgE水平之间的关系。进行中介分析以检查炎症标志物在这些关联中的作用。最后,利用功能富集分析来确定潜在的途径和关键的分子靶点。我们的分析一致表明,VOC暴露与总IgE水平升高之间存在显著的正相关。2-氨基噻唑-4-羧酸(ATCA)、n -乙酰基- s -(2-氰乙基)- l-半胱氨酸(CYMA)和n -乙酰基- s -(3-羟丙基)- l-半胱氨酸(HPMA)被认为是强有力的危险因素。调解分析显示,在观察到的VOC代谢物与总IgE水平之间的相关性中,嗜酸性粒细胞(EOS)计数占15.89% ~ 29.03%。TNF、IL-17信号通路显著富集(Padjust < 0.05)。综合分析证实,VOC暴露是总IgE水平升高的重要环境风险因素,主要由ATCA、CYMA和HPMA驱动,炎症反应是一种可能的机制。
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引用次数: 0
Differentiating the in vitro toxicity of solid-surface composite dust: A comparison of material components and abrasive particles 区分固体表面复合粉尘的体外毒性:材料成分和磨料颗粒的比较。
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 Epub Date: 2025-10-13 DOI: 10.1016/j.toxlet.2025.111743
W. Kyle Mandler , Walter McKinney , Chaolong Qi , Alycia Knepp , Eun Gyung Lee , Seungkoo Kang , Sarah Keeley , Yong Qian

Background

Workers fabricating solid-surface composite (SSC) materials like Corian® are exposed to airborne particulate matter (PM) containing aluminum trihydrate (ATH) and potentially abrasive particles from sanding tools, leading to concerns about respiratory health effects like pulmonary fibrosis. However, the relative toxicological contributions of the SSC material versus the sandpaper abrasives remain unclear.

Objective

This study aimed to compare the in vitro cellular responses induced by respirable dust generated from sanding SSC with different commercial sandpapers (aluminum oxide [Al2O3], ceramic, silicon carbide [SiC]) to the responses elicited by ATH and corresponding abrasive analogue particles.

Methods

Respirable dust (PM with an aerodynamic diameter less than 5 µm) was generated from sanding Corian® using the three sandpaper types via a fluidized bed generator coupled with a cyclone separator. Human monocytic THP-1 cells, differentiated into macrophage-like cells, were exposed for 48 h to suspensions of these SSC dusts, ATH, or Al2O3, ceramic, and SiC abrasive analogue particles (10 µg/well). Cytotoxicity (LDH release), apoptosis (Caspase 3/7 activity), necrosis (propidium iodide uptake), cell cycle distribution, and nuclear morphology (including mono-, bi-, multi-, and micronucleation) and the Nuclear Division Index were assessed.

Results

Exposure to SSC dusts generated with any sandpaper type, as well as ATH, resulted in significant increases in apoptosis compared to controls. However, these exposures did not cause significant LDH release or alterations in cell cycle progression or mitotic indices. Conversely, the Al2O3, ceramic, and SiC abrasive analogue particles induced significant disruptions in cell cycle (S phase population reduction) and mitosis (increased multinucleation, micronucleation, and NDI), alongside apoptosis (Al2O3, SiC) or necrosis (ceramic, SiC), but also caused minimal LDH release.

Conclusion

Under these in vitro conditions, the apoptotic response to respirable SSC sanding dust appears primarily driven by components inherent to the SSC material itself, consistent with the effects of ATH. This response profile was distinct from the cell cycle arrest and mitotic disruption prominently caused by the abrasive analogue particles. These findings suggest the intrinsic properties of SSC material components are key drivers of initial macrophage responses in vitro, differing significantly from the effects of the abrasive materials alone.
背景:制造固体表面复合材料(SSC)的工人暴露在空气中含有三水合铝(ATH)的颗粒物(PM)和潜在的磨砂工具的研磨颗粒中,导致对肺纤维化等呼吸系统健康影响的担忧。然而,SSC材料与砂纸磨料的相对毒理学贡献仍不清楚。目的:本研究旨在比较不同商用砂纸(氧化铝[Al2O3],陶瓷,碳化硅[SiC])研磨SSC产生的呼吸性粉尘与ATH及其相应的磨料模拟颗粒引起的体外细胞反应。方法:采用三种类型的砂纸,通过与旋风分离器耦合的流化床发生器对Corian®进行研磨,产生可呼吸性粉尘(空气动力学直径小于5µm的PM)。将分化为巨噬细胞样细胞的人单核THP-1细胞暴露于这些SSC粉尘、ATH或Al2O3、陶瓷和SiC磨料类似颗粒(10µg/孔)的悬液中48小时。评估细胞毒性(LDH释放)、凋亡(Caspase 3/7活性)、坏死(碘化丙啶摄取)、细胞周期分布、核形态(包括单核、双核、多核和微核)和核分裂指数。结果:与对照组相比,暴露于任何砂纸类型产生的SSC粉尘以及ATH导致细胞凋亡显著增加。然而,这些暴露并没有引起显著的LDH释放或细胞周期进程或有丝分裂指数的改变。相反,Al2O3、陶瓷和SiC磨粒类似物引起细胞周期(S期种群减少)和有丝分裂(多核、微核和NDI增加)的显著破坏,以及细胞凋亡(Al2O3、SiC)或坏死(陶瓷、SiC),但也引起最小的LDH释放。结论:在这些体外条件下,对可吸入性SSC砂尘的凋亡反应似乎主要是由SSC材料本身固有的成分驱动的,这与ATH的作用一致。这种反应与磨蚀性类似物颗粒引起的细胞周期阻滞和有丝分裂明显不同。这些发现表明,SSC材料成分的内在特性是体外初始巨噬细胞反应的关键驱动因素,与磨料材料单独的影响有很大不同。
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引用次数: 0
Distinct responses of the constitutive androstane receptor NR1I3 to indole-containing metabolites of bacterial origin 组成型雄甾受体NR1I3对细菌来源的含吲哚代谢物的不同反应。
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 Epub Date: 2025-09-12 DOI: 10.1016/j.toxlet.2025.111724
Ryuya Narita , Misaki Kaito , Takashi Kondo , Keiko Abe , Akihito Yasuoka
The constitutive androstane receptor (CAR, NR1I3) has been recognised as a nuclear receptor for various xenobiotics, such as barbiturates and dietary polyphenols. In this study, the CAR responded to internal metabolites produced by intestinal bacteria from the dietary amino acid tryptophan. We screened 15 indole-containing compounds in HepG2 cells using a luciferase reporter assay and found that three of them, tryptamine, indole-3-pyruvic acid, and indole-3-ethanol, significantly increased transcriptional activity of both mouse and human CAR. The estimated EC50 values of these compounds at the micromolar concentration order, which were close to those found in the host sera and tissues. Importantly, 3-methyl indole (skatole) inhibited mouse CAR activity to a lesser extent than androstanol, an inverse agonist of mouse CAR. Considering this, we investigated the transactivation mechanisms of these compounds in terms of their nuclear translocation. Indole-3-pyruvic acid and diindolylmethane slightly but not significantly increased the nuclear translocation of mouse CAR, whereas skatole significantly increased nuclear translocation. This is in contrast to the observation that androstanol does not induce nuclear translocation. Tryptamine is produced by Ruminococcus gnavus and skatole by Lactobacillus spp. Our findings suggest that the CAR can be positively or negatively regulated by indole-containing metabolites, depending on the composition of the gut microbiota.
组成型雄甾烷受体(CAR, NR1I3)已被认为是各种外源性药物的核受体,如巴比妥酸盐和膳食多酚。在这项研究中,CAR对肠道细菌从膳食氨基酸色氨酸中产生的内部代谢物产生反应。我们使用荧光素酶报告试验筛选了HepG2细胞中15种含吲哚的化合物,发现其中三种,色胺、吲哚-3-丙酮酸和吲哚-3-乙醇,显著提高了小鼠和人CAR的转录活性。这些化合物的EC50值在微摩尔浓度量级,与宿主血清和组织中的EC50值接近。重要的是,3-甲基吲哚(skatole)对小鼠CAR活性的抑制程度低于雄甾醇(一种小鼠CAR的逆激动剂)。考虑到这一点,我们从核易位的角度研究了这些化合物的转激活机制。吲哚-3-丙酮酸和二吲哚基甲烷轻微但不显著地增加了小鼠CAR的核易位,而粪臭素显著增加了小鼠CAR的核易位。这与雄甾醇不诱导核易位的观察结果相反。我们的研究结果表明,根据肠道微生物群的组成,含有吲哚的代谢物可以正向或负向调节CAR。
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引用次数: 0
Human serum albumin-adduct biomarkers to prove human poisoning with methanethiol 人血清白蛋白加合物生物标记物证明人甲硫醇中毒。
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 Epub Date: 2025-10-07 DOI: 10.1016/j.toxlet.2025.111741
Chenglong Zhang , Ruiqin Yang , Shuai Liu , Peng Li , Fei Guo
Exposure to methanethiol (MT) presents a significant challenge in public healthcare and could be a concern in the context of terrorist attacks. Therefore, reliable verification procedures for MT intoxication are essential for forensic, toxicological, and clinical purposes. We developed and validated a bioanalytical method for the simultaneous detection and identification of biomarkers indicative of MT exposure. Neat human serum albumin (HSA) and human plasma were incubated with MT to form adducts, which served as references. Subsequently, HSA and human plasma were subjected to proteolysis using two proteases, resulting in the formation of disulfide adducts detected as adducts of the single amino acid cysteine (MT-Cys), the dipeptide cysteine-proline (MT-Cys34Pro), and the tripeptides aspartic acid-isoleucine-cysteine (AspIleCys514-MT) and cysteine-proline-phenylalanine (MT-Cys34ProPhe). The adducts were analyzed using a sensitive ultra-performance liquid chromatography-quadrupole exactive orbitrap-high resolution mass spectrometry (UPLC-Q Exactive Orbitrap-HRMS) method operating in full scan mass spectrometry (Full MS) and parallel reaction monitoring (PRM) mode. Time- and concentration-dependent adduct formation during exposure was investigated. The limits of detection (LODs) for the adducts ranged from 20 ng/mL to 2 μg/mL, corresponding to the MT concentrations in plasma. Adducts at Cys34 exhibited the lowest LOD (20 ng/mL MT in plasma), the fastest adduct formation (20 min), and superior stability in plasma at 37 °C. The applicability of the method was demonstrated by the successful detection of adducts in sample from MT-poisoned patient, establishing the method as a reliable bioanalytical procedure for forensic and toxicological analysis.
接触甲硫醇(MT)对公共卫生保健构成重大挑战,并可能成为恐怖袭击背景下的一个问题。因此,MT中毒的可靠验证程序对于法医,毒理学和临床目的至关重要。我们开发并验证了一种生物分析方法,用于同时检测和鉴定指示MT暴露的生物标志物。将纯净的人血清白蛋白(HSA)和人血浆与MT孵育形成加合物,作为参考。随后,HSA和人血浆用两种蛋白酶进行蛋白水解,形成二硫加合物,检测为单氨基酸半胱氨酸(MT-Cys)、二肽半胱氨酸-脯氨酸(MT-Cys34Pro)、三肽天冬氨酸-异亮氨酸-半胱氨酸(AspIleCys514-MT)和半胱氨酸-脯氨酸-苯丙氨酸(mt - cys34prohe)的加合物。在全扫描质谱(full MS)和平行反应监测(PRM)模式下,采用超高效液相色谱-四极萃取轨道阱-高分辨率质谱(UPLC-Q萃取轨道阱- hrms)方法对加合物进行分析。研究了暴露过程中加合物形成的时间和浓度依赖性。加合物的检出限(lod)范围为20ng/mL ~ 2μg/mL,与血浆中MT浓度一致。Cys34的加合物具有最低的LOD(血浆中20ng/mL MT),最快的加合物形成(20min),并且在37°C时具有优异的血浆稳定性。通过成功检测mt中毒患者样品中的加合物,证明了该方法的适用性,使该方法成为法医和毒理学分析的可靠生物分析方法。
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引用次数: 0
A core physiologically based toxicokinetic (PBTK) model for exposure assessment of multiple environmental phenols 多种环境酚暴露评估的核心生理毒性动力学(PBTK)模型。
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 Epub Date: 2025-09-08 DOI: 10.1016/j.toxlet.2025.111722
Jeong Weon Choi , Seungho Lee , Jangwoo Lee , Mi-Yeon Shin , Sungkyoon Kim
Environmental phenols are widely used in consumer products and are of increasing concern due to their potential endocrine-disrupting effects. Physiologically based toxicokinetic (PBTK) models offer a powerful tool for estimating human exposure by translating biomonitoring data into external intake values. However, conventional PBTK models are typically chemical-specific and resource-intensive. In this study, we developed a core human PBTK model capable of describing the absorption, distribution, metabolism, and excretion (ADME) of four groups of environmental phenols—parabens (MeP, EtP, PrP), bisphenols (BPA, BPS), triclosan (TCS), and benzophenone-3 (BP-3)—based on shared toxicokinetic characteristics.
The model was calibrated and validated using human volunteer data and applied to urinary biomonitoring data from 3787 Korean adults in the Korean National Environmental Health Survey (KoNEHS 2015–2017). Estimated daily intakes (EDIs) for MeP, EtP, PrP, and BPA were estimated via reverse dosimetry and compared with values derived from the conventional fractional urinary excretion (Fue) method. Median EDIs derived from the PBTK model were 3.7, 4.8, 0.4, and 0.02 μg/kg-bw/day for MeP, EtP, PrP, and BPA, respectively, and showed good agreement with Fue based estimates.
The core model successfully captured blood and urinary concentration profiles across multiple phenols, demonstrating its potential as a practical and scalable framework for exposure assessment. Furthermore, the model was used in a reverse dosimetry framework to estimate human exposure levels from urinary biomonitoring data. This approach can be particularly valuable when chemical-specific models are unavailable, offering an efficient alternative for interpreting biomonitoring data in environmental health risk assessment.
环境酚被广泛应用于消费品中,由于其潜在的内分泌干扰作用而日益受到关注。基于生理学的毒物动力学(PBTK)模型通过将生物监测数据转化为外部摄入量值,为估计人体暴露提供了强有力的工具。然而,传统的PBTK模型通常是特定化学品和资源密集型的。在这项研究中,我们建立了一个核心的人类PBTK模型,能够描述四组环境酚类物质-对羟基苯甲酸酯(MeP, EtP, PrP),双酚类(BPA, BPS),三氯生(TCS)和二苯甲酮-3 (BP-3)的吸收,分布,代谢和排泄(ADME)基于共同的毒性动力学特征。该模型使用人类志愿者数据进行了校准和验证,并应用于韩国国家环境健康调查(KoNEHS 2015-2017)中3787名韩国成年人的尿液生物监测数据。通过反向剂量法估计MeP、EtP、PrP和BPA的估计日摄入量(EDIs),并与传统的分数尿排泄(Fue)法得出的值进行比较。PBTK模型得出的MeP、EtP、PrP和BPA的平均EDIs分别为3.7、4.8、0.4和0.02μg/kg-bw/day,与基于Fue的估计结果吻合良好。该核心模型成功捕获了多种酚的血液和尿液浓度谱,证明了其作为一种实用且可扩展的暴露评估框架的潜力。此外,该模型被用于反向剂量学框架,以根据尿液生物监测数据估计人体暴露水平。在没有特定化学品模型的情况下,这种方法尤其有价值,为解释环境健康风险评估中的生物监测数据提供了一种有效的替代方法。
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引用次数: 0
Constitutive androstane receptor activation modulates YAP expression and activity through ubiquitination and sumoylation 组成型雄甾受体激活通过泛素化和聚合化调节YAP的表达和活性。
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 Epub Date: 2025-09-18 DOI: 10.1016/j.toxlet.2025.111728
Fengting Liang , Shuaishuai Zhang , Wenhong Zhou , Guofang Bi , Xiao Yang , Peng Wang , Shicheng Fan , Shuang Hu , Chenghua Wu , Xiaowen Jiang , Dan Li , Hui Ouyang , Jian-Hong Fang , Huichang Bi
Constitutive Androstane Receptor (CAR) is a member of the nuclear receptor superfamily that significantly contributes to the metabolism of endogenous and exogenous substances and the homeostatic regulation of the body. Yes-associated protein (YAP) is a core component of the Hippo signaling pathway. We have previously demonstrated that CAR activation interacts with YAP and induces the nuclear translocation of YAP, although the specific binding site and regulatory mechanism remain unclear. In this study, we identified the ligand-binding domain (LBD) of CAR as essential for its interaction with YAP, while the WW domain (Tryptophan- Tryptophan domain) of YAP was found to be crucial for CAR binding. We further explored the impact of CAR activation on YAP post-translational modifications. CAR agonism inhibited YAP ubiquitination but promoted its SUMO1 modification, and had no effect on acetylation, glycosylation, and methylation. Notably, CAR activation enhanced the K63-linked ubiquitination of YAP, facilitating its nuclear translocation, and this effect was dependent on the E3 ligase TRAF6. Furthermore, PIAS4 was identified as a key SUMO E3 ligase, promoting YAP SUMO1 modification upon CAR activation. These findings provide new insights into how CAR regulates YAP activity through post-translational modifications, contributing to the understanding of CAR's role in liver regeneration.
组成型雄甾烷受体(Constitutive Androstane Receptor, CAR)是核受体超家族的一员,对内源性和外源性物质的代谢和机体的稳态调节有重要作用。yes相关蛋白(YAP)是Hippo信号通路的核心组成部分。我们之前已经证明,CAR激活与YAP相互作用并诱导YAP的核易位,尽管具体的结合位点和调控机制尚不清楚。在这项研究中,我们发现CAR的配体结合域(LBD)是其与YAP相互作用的关键,而YAP的WW结构域(色氨酸-色氨酸结构域)是CAR结合的关键。我们进一步探讨了CAR激活对YAP翻译后修饰的影响。CAR激动作用抑制YAP泛素化,但促进其SUMO1修饰,对乙酰化、糖基化和甲基化无影响。值得注意的是,CAR激活增强了YAP的k63连锁泛素化,促进了其核易位,这种作用依赖于E3连接酶TRAF6。此外,PIAS4被鉴定为SUMO E3的关键连接酶,在CAR激活时促进YAP SUMO1修饰。这些发现为CAR如何通过翻译后修饰调节YAP活性提供了新的见解,有助于理解CAR在肝脏再生中的作用。
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引用次数: 0
Embryo-fetal developmental toxicity and toxicokinetics studies of YWS20045 orally administered to pregnant rats 妊娠大鼠口服YWS20045的胚胎-胎儿发育毒性及毒性动力学研究。
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 Epub Date: 2025-10-17 DOI: 10.1016/j.toxlet.2025.111749
Haonan Li , Peng Yue , Qing Shao , Hongqun Qiao
This study aimed to explore the embryo-fetal developmental toxicity and concurrent toxicokinetic characteristics of YWS20045 in rats. Pregnant rats were divided into a solvent control group, three YWS20045 dose groups (4, 16 and 32 mg/kg), and a positive control group (3.5 mg/kg cyclophosphamide). Oral administration was conducted from gestation day (GD) 6–17. Results showed that all dose groups exhibited loose stools, with the high dose group experiencing significant maternal toxicity, including perianal soiling, reduced food intake, weight loss, increased dead fetuses on GD20 and mortality. YWS20045 crossed the placental barrier and accumulated in fetuses at all doses. Doses of 4 mg/kg and above significantly increased fetal rib deformities, affecting fetal growth and development. Toxicokinetic analysis revealed non-proportional increases in Cmax and AUC(0-t) of YWS20045 and its metabolite with dose. The drug was primarily distributed in the liver and lungs, with maternal metabolite mainly in the lungs. Therefore, the relatively safe oral dose of YWS20045 for maternal rats in the embryonic-fetal developmental toxicity study was determined to be 16 mg/kg or lower, whereas doses of 4 mg/kg and above were found to adversely affect fetal growth and development. These findings provide a critical basis for evaluating the reproductive safety of YWS20045 in clinical use.
本研究旨在探讨YWS20045对大鼠的胚胎-胎儿发育毒性及同期毒性动力学特征。将妊娠大鼠分为溶剂对照组、YWS20045剂量组(4、16、32mg/kg)和阳性对照组(3.5mg/kg环磷酰胺)。从妊娠第6 ~ 17天口服给药。结果显示,所有剂量组均出现稀便,高剂量组出现明显的母体毒性,包括肛周污染、食物摄入量减少、体重减轻、死胎GD20和死亡率增加。YWS20045在所有剂量下都能穿过胎盘屏障并在胎儿体内积累。4mg/kg及以上剂量显著增加胎儿肋骨畸形,影响胎儿生长发育。毒动学分析显示,YWS20045及其代谢物的Cmax和AUC(0-t)随剂量呈非比例增加。药物主要分布于肝脏和肺部,母体代谢物主要分布于肺部。因此,在胚胎-胎儿发育毒性研究中,母鼠口服YWS20045的相对安全剂量被确定为16mg/kg或更低,而4mg/kg及以上的剂量被发现对胎儿生长发育有不利影响。这些发现为临床应用评价YWS20045的生殖安全性提供了重要依据。
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引用次数: 0
Is lychee-associated encephalopathy in children a straightforward case of toxicity or a complex metabolic and environmental cascade? 儿童荔枝相关脑病是直接的毒性病例还是复杂的代谢和环境级联?
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 Epub Date: 2025-10-09 DOI: 10.1016/j.toxlet.2025.111742
Richa Soni , Santasabuj Das , Gopal Shankar Sahni , Dweipayan Goswami , Deepak Verma , Bikash Das , Palak Parmar
Every year, annual outbreaks of AES occur in lychee-growing regions: previously healthy children suddenly succumb to Acute Encephalitis Syndrome (AES). Initial suspicions pointed towards the seemingly innocent lychee fruit and its inherent toxins, Hypoglycin A and MCPG. However, the toxin-alone hypothesis is challenged by the fact that lychees are safely consumed globally. This discrepancy suggests that the development of severe illness is not caused by the toxins alone but requires specific host vulnerabilities, such as malnutrition, and co-factors like the consumption of unripe fruit on an empty stomach. This has prompted the consideration of alternative hypotheses. These include the role of pesticide contamination in orchards, potential bat-borne viral infections, and environmental stressors that may shift with seasons and geography. The striking differences in illness patterns observed in Bihar (India), Bangladesh, and Vietnam further complicate the picture. Moreover, documented reports of children falling ill with AES without any reported lychee consumption cast doubt on a singular explanation. This review delves into the heart of this enduring medical enigma, critically dissecting the compelling arguments and critical caveats surrounding each potential cause. This review critically evaluates the evidence for the multifaceted theories behind lychee-associated AES and challenges established assumptions. The analysis indicates a multifactorial etiology is responsible for this recurring childhood tragedy.
每年,荔枝种植区都会爆发急性脑炎综合征:以前健康的儿童突然死于急性脑炎综合征(AES)。最初的怀疑指向了看似无害的荔枝果实及其固有的毒素,低甘氨酸A和MCPG。然而,荔枝在全球范围内都是安全食用的,这一事实挑战了单独毒素的假设。这种差异表明,严重疾病的发展不仅仅是由毒素引起的,而是需要特定的宿主脆弱性,例如营养不良,以及空腹食用未成熟水果等辅助因素。这促使人们考虑其他假设。其中包括农药污染在果园中的作用,潜在的蝙蝠传播的病毒感染,以及可能随季节和地理变化的环境压力因素。在比哈尔邦(印度)、孟加拉国和越南观察到的疾病模式的显著差异使情况进一步复杂化。此外,记录在案的儿童因AES患病而没有任何食用荔枝的报告,使人们对单一的解释产生了怀疑。这篇综述深入研究了这个持久的医学谜团的核心,批判性地剖析了围绕每个潜在原因的令人信服的论点和关键警告。本综述批判性地评估了与荔枝相关的AES背后的多方面理论的证据,并挑战了既定的假设。分析表明,多因素病因是造成这种反复出现的儿童悲剧的原因。
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引用次数: 0
Bisphenol A exposure associates with colorectal cancer metastasis and immunosuppression: A five-year cohort study 双酚A暴露与结直肠癌转移和免疫抑制相关:一项为期五年的队列研究。
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 Epub Date: 2025-09-29 DOI: 10.1016/j.toxlet.2025.111732
Xiaoming Shen, Chuanqing Bao

Background

Bisphenol A (BPA) is a widespread endocrine-disrupting chemical found in consumer products. While BPA exposure has been associated with various health risks, its specific impact on colorectal cancer (CRC) progression and underlying mechanisms remain poorly understood.

Methods

In this five-year retrospective cohort study, we analyzed 63 CRC patients selected from an initial cohort of 574. Urinary BPA was quantified using HPLC-MS/MS, and patients were stratified into normal (n = 15), low (n = 30), and high (n = 18) BPA exposure groups. Flow cytometry and immunohistochemistry profiled immune cell populations in blood and tumor tissues. Multivariate regression analyses identified relationships between BPA exposure, metabolic parameters, and clinical outcomes.

Results

BPA levels showed significant inverse correlations with HDL/LDL ratio (p = 0.010) and positive correlations with BMI (p = 0.028). Patients with high BPA exposure demonstrated significantly higher rates of metastasis (61.1 % vs. 10 % in low exposure and 0 % in normal exposure groups, p < 0.001) and shorter overall survival (median 20 months vs. 51 months in low exposure group, p = 0.034). Flow cytometric analysis revealed dose-dependent reductions in circulating CD8 + T cells, CD4 + T cells, and NK cells with increasing BPA exposure. Immunohistochemical analysis showed pronounced decreases in tumor-infiltrating CD8 + T lymphocytes correlating with BPA exposure levels (p = 0.0027). High BPA exposure was also significantly associated with increased post-surgical infection rates (OR=1.9, 95 % CI: 1.1–3.1).

Conclusion

These preliminary findings suggest BPA exposure represents a potential risk factor for CRC progression, likely mediated through metabolic alterations and immunosuppression within the tumor microenvironment. Environmental exposures may significantly influence cancer outcomes through immune-metabolic pathways, though further validation in larger cohorts is warranted.
背景:双酚A (BPA)是一种广泛存在于消费品中的内分泌干扰化学物质。虽然BPA暴露与各种健康风险有关,但其对结直肠癌(CRC)进展的具体影响及其潜在机制仍知之甚少。方法:在这项为期五年的回顾性队列研究中,我们分析了从574名初始队列中选择的63名结直肠癌患者。采用高效液相色谱-质谱联用(HPLC-MS/MS)对尿液BPA进行定量分析,并将患者分为正常(n=15)、低(n=30)和高(n=18) BPA暴露组。流式细胞术和免疫组织化学分析了血液和肿瘤组织中的免疫细胞群。多变量回归分析确定了BPA暴露、代谢参数和临床结果之间的关系。结果:BPA水平与HDL/LDL比值呈显著负相关(p=0.010),与BMI呈显著正相关(p=0.028)。高BPA暴露组患者的转移率明显更高(61.1%,低BPA暴露组为10%,正常BPA暴露组为0%)。结论:这些初步发现表明BPA暴露是CRC进展的潜在危险因素,可能通过肿瘤微环境中的代谢改变和免疫抑制介导。环境暴露可能通过免疫代谢途径显著影响癌症结局,但需要在更大的队列中进一步验证。
{"title":"Bisphenol A exposure associates with colorectal cancer metastasis and immunosuppression: A five-year cohort study","authors":"Xiaoming Shen,&nbsp;Chuanqing Bao","doi":"10.1016/j.toxlet.2025.111732","DOIUrl":"10.1016/j.toxlet.2025.111732","url":null,"abstract":"<div><h3>Background</h3><div>Bisphenol A (BPA) is a widespread endocrine-disrupting chemical found in consumer products. While BPA exposure has been associated with various health risks, its specific impact on colorectal cancer (CRC) progression and underlying mechanisms remain poorly understood.</div></div><div><h3>Methods</h3><div>In this five-year retrospective cohort study, we analyzed 63 CRC patients selected from an initial cohort of 574. Urinary BPA was quantified using HPLC-MS/MS, and patients were stratified into normal (n = 15), low (n = 30), and high (n = 18) BPA exposure groups. Flow cytometry and immunohistochemistry profiled immune cell populations in blood and tumor tissues. Multivariate regression analyses identified relationships between BPA exposure, metabolic parameters, and clinical outcomes.</div></div><div><h3>Results</h3><div>BPA levels showed significant inverse correlations with HDL/LDL ratio (p = 0.010) and positive correlations with BMI (p = 0.028). Patients with high BPA exposure demonstrated significantly higher rates of metastasis (61.1 % vs. 10 % in low exposure and 0 % in normal exposure groups, p &lt; 0.001) and shorter overall survival (median 20 months vs. 51 months in low exposure group, p = 0.034). Flow cytometric analysis revealed dose-dependent reductions in circulating CD8 + T cells, CD4 + T cells, and NK cells with increasing BPA exposure. Immunohistochemical analysis showed pronounced decreases in tumor-infiltrating CD8 + T lymphocytes correlating with BPA exposure levels (p = 0.0027). High BPA exposure was also significantly associated with increased post-surgical infection rates (OR=1.9, 95 % CI: 1.1–3.1).</div></div><div><h3>Conclusion</h3><div>These preliminary findings suggest BPA exposure represents a potential risk factor for CRC progression, likely mediated through metabolic alterations and immunosuppression within the tumor microenvironment. Environmental exposures may significantly influence cancer outcomes through immune-metabolic pathways, though further validation in larger cohorts is warranted.</div></div>","PeriodicalId":23206,"journal":{"name":"Toxicology letters","volume":"413 ","pages":"Article 111732"},"PeriodicalIF":2.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Toxicological evaluation of 4-methylimidazole: Research advances, health concerns and regulatory perspectives 4-甲基咪唑的毒理学评价:研究进展、健康问题和监管前景。
IF 2.9 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 Epub Date: 2025-10-15 DOI: 10.1016/j.toxlet.2025.111747
Shikha, Keerti Gautam, Muskan Sharma
This review provides a comprehensive analysis of the toxicology, mechanistic pathways, and regulatory evaluations of 4-methylimidazole (4-MI), a nitrogen-containing compound formed during caramel coloring production and industrial synthesis. The study aimed to consolidate evidence on health risks and clarify regulatory inconsistencies. Experimental models show that 4-MI induces hepatotoxicity via oxidative stress, mitochondrial dysfunction, and inflammation, leading to liver cell damage. Neurotoxicity includes behavioral changes, brain mitochondrial injury, and teratogenic effects. Reproductive toxicity has been observed in rodents and zebrafish, impairing sperm function, hormone production, and embryonic development. Although cytotoxic and genotoxic effects—such as DNA damage and chromosomal aberrations—have been reported, standard mutagenicity assays largely remain negative, contributing to regulatory uncertainty. California classifies 4-MI as a possible carcinogen with strict exposure limits, while EFSA finds genotoxic evidence insufficient. Emerging studies also link 4-MI to disruptions in glucose and lipid metabolism, raising concerns about chronic low-dose dietary exposure. Overall, these findings highlight significant public health risks and the urgent need for further toxicodynamic research to inform harmonized regulations and more accurate risk assessments.
4-甲基咪唑(4-MI)是焦糖着色剂生产和工业合成过程中形成的一种含氮化合物,本文综述了4-甲基咪唑(4-MI)的毒理学、机制途径和调控评价。这项研究旨在巩固有关健康风险的证据,并澄清监管上的不一致。实验模型显示,4-MI通过氧化应激、线粒体功能障碍和炎症诱导肝毒性,导致肝细胞损伤。神经毒性包括行为改变、脑线粒体损伤和致畸效应。在啮齿动物和斑马鱼中观察到生殖毒性,损害精子功能,激素产生和胚胎发育。虽然细胞毒性和基因毒性效应(如DNA损伤和染色体畸变)已被报道,但标准的诱变性分析在很大程度上仍然是阴性的,这导致了监管的不确定性。加州将4-MI列为可能的致癌物,有严格的接触限制,而欧洲食品安全局认为基因毒性证据不足。新兴的研究也将4-MI与葡萄糖和脂质代谢的破坏联系起来,引起了对慢性低剂量饮食暴露的关注。总的来说,这些发现突出了重大的公共卫生风险,迫切需要进一步进行毒理学研究,以便为统一法规和更准确的风险评估提供信息。
{"title":"Toxicological evaluation of 4-methylimidazole: Research advances, health concerns and regulatory perspectives","authors":"Shikha,&nbsp;Keerti Gautam,&nbsp;Muskan Sharma","doi":"10.1016/j.toxlet.2025.111747","DOIUrl":"10.1016/j.toxlet.2025.111747","url":null,"abstract":"<div><div>This review provides a comprehensive analysis of the toxicology, mechanistic pathways, and regulatory evaluations of 4-methylimidazole (4-MI), a nitrogen-containing compound formed during caramel coloring production and industrial synthesis. The study aimed to consolidate evidence on health risks and clarify regulatory inconsistencies. Experimental models show that 4-MI induces hepatotoxicity via oxidative stress, mitochondrial dysfunction, and inflammation, leading to liver cell damage. Neurotoxicity includes behavioral changes, brain mitochondrial injury, and teratogenic effects. Reproductive toxicity has been observed in rodents and zebrafish, impairing sperm function, hormone production, and embryonic development. Although cytotoxic and genotoxic effects—such as DNA damage and chromosomal aberrations—have been reported, standard mutagenicity assays largely remain negative, contributing to regulatory uncertainty. California classifies 4-MI as a possible carcinogen with strict exposure limits, while EFSA finds genotoxic evidence insufficient. Emerging studies also link 4-MI to disruptions in glucose and lipid metabolism, raising concerns about chronic low-dose dietary exposure. Overall, these findings highlight significant public health risks and the urgent need for further toxicodynamic research to inform harmonized regulations and more accurate risk assessments.</div></div>","PeriodicalId":23206,"journal":{"name":"Toxicology letters","volume":"413 ","pages":"Article 111747"},"PeriodicalIF":2.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145313935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Toxicology letters
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