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Selectivity screening of cytotoxicity evoked by viper venoms and their toxins after nanofractionation 毒蛇毒液及其毒素纳米分离后细胞毒性的选择性筛选。
IF 2.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-01-14 DOI: 10.1016/j.toxicon.2025.108969
Haifeng Xu , Mátyás A. Bittenbinder , Julien Slagboom , Nicholas R. Casewell , Paul Jennings , Jeroen Kool
Cytotoxicity is a major pathological effect that can occur during snakebite envenoming. To better understand the underlying biochemical and molecular mechanisms behind snake venom-induced cytotoxicity, it is essential to use appropriate in vitro tools for bioassaying cytotoxicity evoked by snake venoms. Identifying the toxins causing cytotoxicity is also important in this regard, particularly in the context of developing more effective snakebite treatments. Cytotoxicity induced by venom toxins can result in local pathologies in snakebite victims, which can result in long-term morbidity, and is frequently observed after bites by medically important vipers. In the present study, we optimized and applied an analytical cytotoxicity profiling platform for in vitro cytotoxicity assessment of viper venoms. Using four cell lines (RPTEC/TERT1, HepaRG, iPSC-EC, HaCat), we applied an imaging analysis assay together with resazurin reduction to identify the mechanisms of cytotoxicity at the level of cell necrosis, extracellular matrix (ECM) degradation and/or cell apoptosis. Strong cytotoxic peaks are consistent with ECM-associated cytotoxic effects, as reflected by pronounced reductions in cell area and monolayer integrity. These cytotoxicity bioassays were integrated into nanofractionation analytics and high throughput venomics, which allowed for the identification of viper venom cytotoxins at the biological and chemical levels. Venom profiling showed ECM degradation as the main cytotoxic mechanism, except for Daboia russelii, which induced necrosis and apoptosis in three cell lines. Cytotoxicity largely disappeared after reversed-phase separation, prompting use of non-denaturing SEC in nanofractionation analytics, which revealed strong cytotoxic peaks for Bothrops jararaca and Calloselasma rhodostoma in RPTEC/TERT1 cells. The methodology presented here combined analytical and biochemical tools allowing rapid cytotoxicity profiling of viper venom toxins in parallel with toxin identification.
细胞毒性是一种主要的病理效应,可以发生在蛇咬伤的环境。为了更好地了解蛇毒诱导细胞毒性的潜在生化和分子机制,有必要使用合适的体外工具进行蛇毒诱导细胞毒性的生物测定。在这方面,确定引起细胞毒性的毒素也很重要,特别是在开发更有效的蛇咬伤治疗方法的背景下。由毒液毒素引起的细胞毒性可导致蛇咬伤受害者的局部病变,这可能导致长期发病率,并且经常在医学上重要的毒蛇咬伤后观察到。在本研究中,我们优化并应用了一个分析细胞毒性谱分析平台,用于毒蛇毒液的体外细胞毒性评估。使用四种细胞系(RPTEC/TERT1, HepaRG, iPSC-EC, HaCat),我们应用成像分析方法和reazurin还原来确定细胞坏死,细胞外基质(ECM)降解和/或细胞凋亡水平的细胞毒性机制。强细胞毒性峰值与ecm相关的细胞毒性作用一致,这反映在细胞面积和单层完整性的明显减少上。这些细胞毒性生物测定被整合到纳米分离分析和高通量毒液组学中,从而可以在生物和化学水平上鉴定毒蛇毒液的细胞毒素。毒液谱分析结果显示,ECM降解是主要的细胞毒性机制,除了在3个细胞系中引起坏死和凋亡外。在反相分离后,细胞毒性基本消失,促使在纳米分离分析中使用非变性SEC,发现在RPTEC/TERT1细胞中,Bothrops jararaca和Calloselasma rhodostoma的细胞毒性很强。本文提出的方法结合了分析和生化工具,允许在毒素鉴定的同时快速分析蛇毒毒素的细胞毒性。
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引用次数: 0
Aflatoxin contamination and detoxification in traditional Chinese medicines 黄曲霉毒素污染与中药解毒。
IF 2.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-01-23 DOI: 10.1016/j.toxicon.2026.109013
Zhuofeng Jiang, Tingyuan Xing, Yau-Tuen Chan, Cheng Zhang, Yibin Feng, Ning Wang
Aflatoxins are toxic compounds produced by certain molds, primarily Aspergillus flavus and Aspergillus parasiticus. These mycotoxins can contaminate various agricultural products, including grains, nuts, and seeds, posing serious health risks. Similarly, a significant portion of Traditional Chinese Medicines (TCMs) is either cultivated through artificial means or harvested from natural environments, making it susceptible to contamination as well. By addressing these critical aspects, the review aims to enhance the safety and quality of TCMs. Despite extensive research on aflatoxins in food crops, systematic reviews focusing on their contamination in TCMs remain limited. This review aims to bridge this gap by synthesizing current knowledge on storage conditions and detoxification strategies for TCMs vulnerable to aflatoxin contamination.
黄曲霉毒素是由某些霉菌产生的有毒化合物,主要是黄曲霉和寄生曲霉。这些真菌毒素可污染各种农产品,包括谷物、坚果和种子,构成严重的健康风险。同样,很大一部分中药要么是通过人工手段种植的,要么是从自然环境中收获的,这也使其容易受到污染。通过解决这些关键问题,本综述旨在提高中药的安全性和质量。尽管对粮食作物中的黄曲霉毒素进行了广泛的研究,但对其在中草药中的污染进行的系统审查仍然有限。本综述旨在通过综合目前关于中草药易受黄曲霉毒素污染的储存条件和解毒策略的知识来弥补这一空白。
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引用次数: 0
Epimedium-derived icarisid I induces oxidative stress and nephrotoxicity by suppressing PI3K/AKT/Nrf2/HO-1 signaling pathway 淫羊藿衍生的淫羊藿I通过抑制PI3K/AKT/Nrf2/HO-1信号通路诱导氧化应激和肾毒性
IF 2.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-01-27 DOI: 10.1016/j.toxicon.2026.109015
Dalong Wang , Xiaopeng Chen , Yueyue Li , Yingying Wang , Yaojun Wang , Zujia Chen , Jingjing Wu , Chong Wang
Epimedium, a traditional herbal medicine with a wide range of pharmacological uses, has been linked to adverse effects, including nephrotoxicity. Nevertheless, the specific toxic components and underlying mechanisms remain elusive. This research examined the nephrotoxic effects of icarisid I, a major flavonoid metabolite of Epimedium, and delved into its molecular mechanisms. The study demonstrated that icarisid I induces significant nephrotoxicity both in vitro and in vivo. In HK-2 cells, it triggered oxidative stress, indicated by altered SOD, GSH, and MDA levels, and induced apoptosis. In mice, it caused severe renal tubular damage and elevated plasma BUN and creatinine. Mechanistically, icarisid I potentially inhibited the PI3K/AKT pathway, leading to the suppression of Nrf2 and its downstream target HO-1. We conclude that icarisid I contributes to the nephrotoxicity by inducing oxidative stress and apoptosis via suppression of the PI3K/AKT/Nrf2/HO-1 pathway, a finding critical for the safety evaluation of Epimedium-derived compounds.
淫羊藿是一种具有广泛药理用途的传统草药,与包括肾毒性在内的不良反应有关。然而,具体的毒性成分和潜在的机制仍然难以捉摸。本研究探讨淫羊藿主要类黄酮代谢物淫羊藿苷(icarisid I)的肾毒性作用,并探讨其分子机制。研究表明,鸢尾素I在体内和体外均具有显著的肾毒性。在HK-2细胞中,它通过改变SOD、GSH和MDA水平引发氧化应激,并诱导细胞凋亡。在小鼠中,它引起严重的肾小管损伤和血浆BUN和肌酐升高。从机制上讲,icarisid I可能抑制PI3K/AKT通路,导致Nrf2及其下游靶点HO-1的抑制。我们得出结论,淫羊藿苷I通过抑制PI3K/AKT/Nrf2/HO-1通路诱导氧化应激和细胞凋亡,从而导致肾毒性,这一发现对淫羊藿衍生化合物的安全性评估至关重要。
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引用次数: 0
Rosemary extract mitigates deoxynivalenol-induced intestinal inflammation in weaned piglets via activation of the Nrf2/HO-1 pathway and suppression of NF-κB/MAPK signaling 迷迭香提取物通过激活Nrf2/HO-1通路和抑制NF-κB/MAPK信号传导来减轻脱氧雪梨酚诱导的断奶仔猪肠道炎症
IF 2.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-01-29 DOI: 10.1016/j.toxicon.2026.109019
Wei Tang , Jinfeng Zhao , Kai Liu , Peng Liao
This study investigated the protective role of rosemary extract (RE) against intestinal inflammation induced by deoxynivalenol (DON) in weaned piglets. Sixty piglets were randomly allocated to three dietary treatments for a 21-day period: a basal diet (Control), a basal diet supplemented with 1.5 mg/kg DON (DON group), and a basal diet containing 200 mg/kg RE plus 1.5 mg/kg DON (RE + DON group). Dietary RE supplementation alleviated the negative impacts of DON on growth performance and organ indices (liver and spleen), while also improving DON-induced alterations in serum biochemical markers. RE effectively reduced intestinal oxidative stress, as evidenced by decreased concentrations of malondialdehyde (MDA) and reactive oxygen species (ROS), along with restored activities of glutathione peroxidase (GSH-Px), total antioxidant capacity (T-AOC), and superoxide dismutase (SOD) in the intestinal mucosa. Moreover, DON exposure increased the expression of pro-inflammatory cytokines (TNF-α, IL-1β, IL-6) and decreased anti-inflammatory cytokines (e.g., TGF-β, IL-10) in the mucosa, whereas RE supplementation significantly restored cytokine balance. At the molecular level, DON inhibited the Nrf2-Keap1 antioxidant pathway, while RE enhanced the expression of Nrf2, Keap1, and the downstream targets HO-1 and NQO1, thereby mitigating oxidative damage. Furthermore, RE suppressed the DON-induced activation of MAPK (ERK, p38, JNK) and NF-κB p65 signaling pathways, which contributed to the reduction of mucosal inflammation. In summary, RE attenuates DON-induced intestinal injury in weaned piglets by activating the Nrf2/HO-1 antioxidant pathway and inhibiting the MAPK/NF-κB inflammatory signaling cascade.
本研究探讨了迷迭香提取物(RE)对脱氧雪腐镰刀菌醇(DON)诱导的断奶仔猪肠道炎症的保护作用。将60头仔猪随机分为基础饲粮(对照组)、基础饲粮中添加1.5 mg/kg DON (DON组)和基础饲粮中添加200 mg/kg RE + 1.5 mg/kg DON (RE + DON组),试验期21 d。饲粮中添加RE可缓解DON对生长性能和器官指数(肝脏和脾脏)的负面影响,同时改善DON引起的血清生化指标的改变。RE可有效降低肠道氧化应激,降低丙二醛(MDA)和活性氧(ROS)浓度,恢复肠黏膜谷胱甘肽过氧化物酶(GSH-Px)、总抗氧化能力(T-AOC)和超氧化物歧化酶(SOD)活性。此外,DON暴露增加了粘膜中促炎细胞因子(TNF-α、IL-1β、IL-6)的表达,降低了抗炎细胞因子(TGF-β、IL-10)的表达,而补充RE可显著恢复细胞因子平衡。在分子水平上,DON抑制Nrf2-Keap1抗氧化途径,而RE增强Nrf2、Keap1及其下游靶点HO-1和NQO1的表达,从而减轻氧化损伤。此外,RE抑制don诱导的MAPK (ERK, p38, JNK)和NF-κB p65信号通路的激活,有助于减轻粘膜炎症。综上所述,RE通过激活Nrf2/HO-1抗氧化途径和抑制MAPK/NF-κB炎症信号级联来减轻don诱导的断奶仔猪肠道损伤。
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引用次数: 0
Anatoxin biosynthesis gene abundance correlates with anatoxin concentration in freshwater benthic samples 淡水底栖动物样品中安纳托毒素生物合成基因丰度与安纳托毒素浓度相关。
IF 2.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-01-24 DOI: 10.1016/j.toxicon.2026.109011
Joshua R. Evans , Daniel G. Beach , Jake Stillwell , Meghann Bruce , Adrian Reyes-Prieto , Cecilio Valadez-Cano , Pearse McCarron , Janice Lawrence
The abundance of the anaC gene, which is involved in anatoxin biosynthesis, correlated with anatoxin concentration (rs = 0.80, p < 0.0001) in Atlantic Canadian benthic freshwater samples. Average total anatoxins (100 μg g−1 by high resolution mass spectrometry) and anaC (4.7 x 108 copies g−1 by droplet digital PCR) were highest in August, while highest average toxin quota (8.9 pg anaC−1) was observed in July. Pairing approaches provided insight into the seasonality of anatoxin biosynthesis.
参与anaC生物合成的anaC基因丰度与anatoxin浓度(rs = 0.80,高分辨质谱p -1)和anaC (4.7 × 108拷贝g-1)的相关性在8月份最高,而平均毒素配额在7月份最高(8.9 pg anaC-1)。配对方法提供了深入了解安纳托毒素生物合成的季节性。
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引用次数: 0
Evaluation of embryotoxicity and teratogenicity of Cenostigma pyramidale (Tul.) fruit extract in zebrafish (Danio rerio) 锥体小柱头的胚胎毒性和致畸性评价(图)斑马鱼果实提取物(Danio rerio)。
IF 2.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-01-24 DOI: 10.1016/j.toxicon.2026.109002
Cainã Aillén Ouriques Oliveira , Thailan Arlindo da Silva , Rafael David Souto de Azevedo , Josefa Gerlane da Silva , Jaianne Keitt Alves de Melo , Pedro Gregório Vieira Aquino , Taciana Rabelo Ramalho Ramos
Cenostigma pyramidale is a plant native to the Caatinga biome of northeastern Brazil, which has been reported to cause congenital malformations, spontaneous abortion, and perinatal mortality in fetuses of goats and sheep. Although several bioactive compounds have been identified in this plant, none have been directly associated with the toxic effects in animals. Therefore, the aim of this study was to evaluate the embryotoxic and teratogenic potential of C. pyramidale extract in zebrafish (Danio rerio) and investigate their association with the plant's bioactive compounds. The aerial parts were extracted with ethanol, and the resulting extracts were successively partitioned with hexane, chloroform, and ethyl acetate. The brine shrimp (Artemia salina) lethality assay was used as a screening method by calculating the median lethal concentration (LC50). The chloroform fraction (CF) of C. pyramidale fruits showed the lowest LC50 (184 ppm) and, therefore, it was used in the identification of compounds by gas chromatography coupled with mass spectrometry and in the Fish Embryo Acute Toxicity test. Superoxide dismutase (SOD) and catalase (CAT) activities were evaluated in the embryos. Dose-dependent lethality, delayed development in viable embryos, bradycardia, and teratogenic defects, such as tail malformations pericardial edema, and scoliosis were observed. CAT activity increased with increasing extract concentration. Among the compounds identified, steroids (sitosterol, campesterol, and cholesterol) and palmitic acid were identified as potential toxic agents. The results show that the CF from C. pyramidale fruits exhibits embryotoxic and teratogenic potential in zebrafish, possibly associated with the isolated or synergistic action of these compounds.
锥锥虫是一种原产于巴西东北部Caatinga生物群系的植物,据报道,它会导致山羊和绵羊胎儿的先天性畸形、自然流产和围产期死亡。虽然在这种植物中发现了几种生物活性化合物,但没有一种与动物毒性作用直接相关。因此,本研究的目的是评估锥体草提取物在斑马鱼(Danio rerio)中的胚胎毒性和致畸潜力,并研究它们与该植物生物活性化合物的关系。用乙醇提取空中部位,用己烷、氯仿、乙酸乙酯依次对提取物进行分割。采用盐水对虾(Artemia salina)致死法,计算中位致死浓度(LC50)作为筛选方法。其中三氯甲烷部分的LC50最低(184 ppm),可用于气相色谱-质谱联用鉴定和鱼胚急性毒性试验。测定胚胎超氧化物歧化酶(SOD)和过氧化氢酶(CAT)活性。观察到剂量依赖性致死性、可存活胚胎发育迟缓、心动过缓和致畸性缺陷,如尾巴畸形、心包水肿和脊柱侧凸。CAT活性随提取物浓度的增加而增加。在所鉴定的化合物中,类固醇(谷甾醇、油菜甾醇和胆固醇)和棕榈酸被确定为潜在的毒性物质。结果表明,锥体果中的CF对斑马鱼具有胚胎毒性和致畸作用,可能与这些化合物的分离或协同作用有关。
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引用次数: 0
Nrf2: the key target for antagonizing the toxicity of deoxynivalenol Nrf2:拮抗脱氧雪腐镰刀菌醇毒性的关键靶点。
IF 2.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-01-16 DOI: 10.1016/j.toxicon.2026.109000
Chenchen Song , Kesong Zhu , Yafei Zhuang , Hongyu Jia , Aimei Liu
Chronic exposure to deoxynivalenol (DON)-contaminated food and feed poses significant hepatotoxic, enterotoxic, and immunotoxic risks to humans and animals. Nuclear factor erythroid 2-related factor 2 (Nrf2), a crucial cellular protective factor, plays a pivotal role in oxidative stress, inflammatory responses, and apoptosis. This review demonstrates that modulation of the Nrf2 signaling pathway can mitigate oxidative damage, suppress inflammatory responses and ferroptosis, reduce apoptosis, and alleviate endoplasmic reticulum stress and DON-induced injury, thereby protecting organisms from DON toxicity. Nrf2-targeting agents—including plant extracts, proteins and amino acids, selenium, microbial preparations, and other nutrients—primarily exert protective effects by enhancing Nrf2 expression, promoting its nuclear translocation, and upregulating downstream target genes to counteract DON-induced organotoxicity. Notably, we identified a “threshold effect” of Nrf2 in DON toxicity: moderate oxidative stress activates Nrf2-mediated cytoprotection, whereas excessive oxidative stress suppresses Nrf2 and exacerbates damage. This threshold is a concentration- and context-dependent regulatory boundary jointly determined by DON-induced reactive oxygen species (ROS) burst intensity, Keap1-Nrf2 binding affinity, and downstream pathway integrity. Below the threshold, physiological ROS induces Keap1 conformational change and Nrf2 nuclear translocation; beyond it, excessive ROS impairs Nrf2 activation and triggers its degradation. This review provides novel insights into Nrf2-based therapeutic strategies, offering promising approaches to alleviate DON-induced organ toxicity.
长期暴露于脱氧雪腐镰刀菌醇(DON)污染的食品和饲料会对人类和动物造成严重的肝毒性、肠毒性和免疫毒性风险。核因子红细胞2相关因子2 (Nuclear factor erythroid 2-related factor 2, Nrf2)是一种重要的细胞保护因子,在氧化应激、炎症反应和细胞凋亡中起关键作用。研究表明,调控Nrf2信号通路可以减轻氧化损伤,抑制炎症反应和铁凋亡,减少细胞凋亡,减轻内质网应激和DON诱导的损伤,从而保护生物体免受DON毒性的影响。Nrf2靶向剂(包括植物提取物、蛋白质和氨基酸、硒、微生物制剂和其他营养物)主要通过增强Nrf2表达、促进其核易位、上调下游靶基因以对抗dun诱导的器官毒性来发挥保护作用。值得注意的是,我们发现了Nrf2在DON毒性中的“阈值效应”:适度的氧化应激激活Nrf2介导的细胞保护,而过度的氧化应激抑制Nrf2并加剧损伤。该阈值是由don诱导的活性氧(ROS)爆发强度、Keap1-Nrf2结合亲和力和下游通路完整性共同决定的浓度和上下文相关的调节边界。低于阈值时,生理性ROS诱导Keap1构象改变和Nrf2核易位;除此之外,过量的ROS会损害Nrf2的激活并引发其降解。这篇综述为基于nrf2的治疗策略提供了新的见解,为减轻don诱导的器官毒性提供了有希望的方法。
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引用次数: 0
Detriment of mycotoxin contamination in feed and nutrition-based prevention and control strategies: A review 饲料中霉菌毒素污染危害及基于营养的防控策略综述。
IF 2.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-04-01 Epub Date: 2026-01-13 DOI: 10.1016/j.toxicon.2026.108996
Shijie Fan, Kunru Teng, Jiefeng Li, Beibei He, Aike Li, Weiwei Wang, Jing Zhang
The health of humans and livestock is significantly compromised by the pervasive and serious issue of mycotoxin contamination in crops. Exploring ways to eliminate mycotoxin contamination is a global concern. In vivo biological prevention and treatment of mycotoxin damage demand a comprehensive understanding of its harm mechanisms, which is essential for developing comprehensive strategies. This study aimed to systematically review the mechanisms by which mycotoxin contamination damages the organism, causing oxidative stress, cellular apoptosis, autophagy, ferroptosis, and via the gut–liver axis, gut–testis axis, and gut–immune axis, causing damage to multiple organs. Further, we explored a range of biological control measures, showing that supplementing diets and animal feed with plant extracts, trace elements, probiotics, and other additives effectively mitigates the damage caused by mycotoxin exposure. This review examines the feasibility and limitations of combined strategies utilizing trace element selenium, probiotics, and plant extracts, aiming to provide a promising approach for the prevention and control of mycotoxin contamination.
农作物中普遍存在的严重霉菌毒素污染问题严重损害了人类和牲畜的健康。探索消除霉菌毒素污染的方法是全球关注的问题。真菌毒素损伤的体内生物预防和治疗需要全面了解其危害机制,这对于制定综合策略至关重要。本研究旨在系统回顾霉菌毒素污染损害机体的机制,引起氧化应激、细胞凋亡、自噬、铁凋亡,并通过肠-肝轴、肠-睾丸轴和肠-免疫轴引起多脏器损伤。此外,我们探索了一系列生物防治措施,表明在饲料和动物饲料中添加植物提取物、微量元素、益生菌和其他添加剂可以有效减轻霉菌毒素暴露造成的损害。本文综述了微量元素硒、益生菌和植物提取物组合策略的可行性和局限性,旨在为真菌毒素污染的预防和控制提供一条有前景的途径。
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引用次数: 0
Prevalence and Associated Risk Factors of Marine Organism Injuries among Fishermen in Coastal Fujian, China. 福建沿海渔民海洋生物伤害流行及相关危险因素分析
IF 2.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-21 DOI: 10.1016/j.toxicon.2026.109085
Dan Yu, Qing Sun, Wensai Ji, Ying Chen, Xiaoli Wu, Yingzi Chen, Xiaoyu Hua, Zengliang Ruan, Liang Xiao

Marine organism injuries constitute a persistent occupational hazard for fishermen, yet epidemiological data describing their occurrence and determinants remain limited. We conducted a cross-sectional survey among 943 fishermen in coastal areas of Fujian Province, China, between July 2023 and July 2024 to assess injury prevalence, clinical manifestations, and associated risk factors. Injury history was reported by all participants, with nearly half (44.11%) experiencing medium-frequency injuries (4-6 episodes). Stingrays, jellyfish, and echinoderms were the most commonly reported causative organisms. Local manifestations were predominantly characterized by burning sensation, numbness, and pain, while myalgia was the most frequently reported systemic symptom. Sequelae were reported by the majority of injured fishermen. Fishing net repair showed a significant exposure-response relationship with injury frequency. Mariculture, seafood retail, vessel equipment maintenance and repair, and working while sick were identified as independent risk factors for high-frequency injuries (7-10 episodes). Working in shallow waters (OR = 0.63) and during April-June (OR = 0.24) were associated with a lower risk of medium-frequency injuries, while working during October-December (OR = 0.24) reduced the risk of high-frequency injuries. These findings highlight the substantial burden and recurrence of marine organism injuries among fishermen in Fujian Province and underscore the need for coordinated preventive measures integrating occupational safety management, targeted health education, and accessible medical support.

海洋生物伤害是渔民持续存在的职业危害,但描述其发生和决定因素的流行病学数据仍然有限。我们于2023年7月至2024年7月对中国福建省沿海地区的943名渔民进行了横断面调查,以评估伤害发生率、临床表现和相关危险因素。所有参与者都报告了损伤史,其中近一半(44.11%)经历过中频损伤(4-6次)。黄貂鱼、水母和棘皮动物是最常见的致病生物。局部表现主要以烧灼感、麻木和疼痛为特征,而肌痛是最常见的全身症状。大多数受伤的渔民都有后遗症。渔网修复与损伤频率呈显著的暴露-反应关系。海水养殖、海产品零售、船舶设备维护和维修以及带病工作被确定为高频伤害的独立危险因素(7-10次)。浅水作业(OR = 0.63)和4 - 6月作业(OR = 0.24)中频损伤风险较低,10 - 12月作业(OR = 0.24)高频损伤风险较低。这些发现强调了福建省渔民海洋生物伤害的巨大负担和复发性,并强调了协调预防措施的必要性,包括职业安全管理,有针对性的健康教育和可获得的医疗支持。
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引用次数: 0
Effects of apomorphine, spinal rTMS, and BoNT on camptocormia: an exploratory wearable sensor-based analysis in a patient with MSA. 阿波啡、脊髓rTMS和BoNT对喜树病的影响:一项基于可穿戴传感器的MSA患者探索性分析。
IF 2.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-20 DOI: 10.1016/j.toxicon.2026.109073
D De Monte, G M Squintani, G Ermanis, F Lavezzi, S Flumignan, G Valiante, B H Ercole, E Belgrado, A Bernardini, Y Tereshko, M Valente, S Rossi, C Lettieri

Multiple System Atrophy (MSA) is a progressive neurodegenerative disorder characterized by autonomic dysfunction, parkinsonism, and cerebellar signs. Among its motor manifestations, camptocormia-defined as an abnormal forward flexion of the trunk-often emerges early in the disease course and significantly compromises patients' quality of life. Aside from physical therapy, the treatment of camptocormia remains particularly challenging, especially in MSA, where surgical approaches such as deep brain stimulation and spinal cord stimulation are generally contraindicated. This underscores the urgent need for effective, non-invasive therapeutic strategies. We report a case of MSA presenting with early-onset and severe camptocormia, who underwent sequential treatment with three non-invasive interventions: subcutaneous apomorphine injection, repetitive trans-spinal magnetic stimulation (rTMS), and botulinum neurotoxin (BoNT) injections targeting the abdominal muscles. We aimed to evaluate and compare the efficacy of each intervention using standardized clinical rating scales, instrumented gait analysis, and static posturography. All three interventions resulted in partial improvements, though with varying degrees of efficacy. Subcutaneous apomorphine injection improved walking velocity and step length but was limited by adverse effects (nausea and hypotension), which precluded the use of continuous subcutaneous infusion as a long-term therapeutic option. Spinal rTMS enhanced performance on the Timed Up and Go (TUG) test, particularly during the return phase, but had no significant effect on posture-related measures. BoNT treatment yielded the most substantial improvements in both walking velocity and step length. Moreover, it was the only intervention to improve the posture item of the Unified Multiple System Atrophy Rating Scale (UMSARS) part II. This case underscores the importance of an integrated therapeutic approach in managing camptocormia, emphasizing the role of neurophysiological and biomechanical assessments in identifying biomarkers of therapeutic response and evaluating the efficacy of treatments such as BoNT and neuromodulation.

多系统萎缩(MSA)是一种进行性神经退行性疾病,以自主神经功能障碍、帕金森病和小脑体征为特征。在其运动表现中,喜树畸形(定义为躯干异常前屈)通常在病程早期出现,并显著影响患者的生活质量。除了物理治疗外,喜树病的治疗仍然特别具有挑战性,特别是在MSA中,手术方法如深部脑刺激和脊髓刺激通常是禁忌。这强调了迫切需要有效的、非侵入性的治疗策略。我们报告一例MSA表现为早发性和严重喜树病,他接受了三种非侵入性干预措施的顺序治疗:皮下注射阿波啡,重复经脊髓磁刺激(rTMS)和针对腹部肌肉注射肉毒杆菌神经毒素(BoNT)。我们的目的是通过标准化临床评定量表、仪器步态分析和静态姿势照相来评估和比较每种干预措施的疗效。所有三种干预措施都有部分改善,尽管效果程度不同。阿波吗啡皮下注射改善了行走速度和步长,但由于不良反应(恶心和低血压)而受到限制,这使得持续皮下注射不适合作为长期治疗的选择。脊髓rTMS增强了受试者在计时起跑(TUG)测试中的表现,特别是在返回阶段,但对姿势相关的测试没有显著影响。BoNT治疗在步行速度和步长方面取得了最显著的改善。此外,它是唯一的干预措施,以改善统一多系统萎缩评定量表(UMSARS)第二部分的姿态项目。该病例强调了综合治疗方法在管理喜树病中的重要性,强调了神经生理学和生物力学评估在识别治疗反应的生物标志物和评估BoNT和神经调节等治疗效果方面的作用。
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