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Cannabis- and Substance-Related Carcinogenesis in Europe: A Lagged Causal Inferential Panel Regression Study. 大麻和物质相关的癌变在欧洲:一个滞后的因果推断面板回归研究。
IF 6 Q1 TOXICOLOGY Pub Date : 2023-07-18 DOI: 10.3390/jox13030024
Albert Stuart Reece, Kellie Bennett, Gary Kenneth Hulse

Recent European data facilitate an epidemiological investigation of the controversial cannabis-cancer relationship. Of particular concern were prior findings associating high-dose cannabis use with reproductive problems and potential genetic impacts. Cancer incidence data age-standardised to the world population was obtained from the European Cancer Information System 2000-2020 and many European national cancer registries. Drug use data were obtained from the European Monitoring Centre for Drugs and Drug Addiction. Alcohol and tobacco consumption was sourced from the WHO. Median household income was taken from the World bank. Cancer rates in high-cannabis-use countries were significantly higher than elsewhere (β-estimate = 0.4165, p = 3.54 × 10-115). Eighteen of forty-one cancers (42,675 individual rates) were significantly associated with cannabis exposure at bivariate analysis. Twenty-five cancers were linked in inverse-probability-weighted multivariate models. Temporal lagging in panel models intensified these effects. In multivariable models, cannabis was a more powerful correlate of cancer incidence than tobacco or alcohol. Reproductive toxicity was evidenced by the involvement of testis, ovary, prostate and breast cancers and because some of the myeloid and lymphoid leukaemias implicated occur in childhood, indicating inherited intergenerational genotoxicity. Cannabis is a more important carcinogen than tobacco and alcohol and fulfills epidemiological qualitative and quantitative criteria for causality for 25/41 cancers. Reproductive and transgenerational effects are prominent. These findings confirm the clinical and epidemiological salience of cannabis as a major multigenerational community carcinogen.

最近欧洲的数据促进了有争议的大麻与癌症关系的流行病学调查。特别令人关切的是,先前的研究结果将大剂量大麻使用与生殖问题和潜在的遗传影响联系起来。根据世界人口年龄标准化的癌症发病率数据来自2000-2020年欧洲癌症信息系统和许多欧洲国家癌症登记处。药物使用数据是从欧洲毒品和吸毒成瘾监测中心获得的。酒精和烟草消费量来自世界卫生组织。家庭收入中位数取自世界银行。大麻高使用率国家的癌症发病率显著高于其他国家(β-估计= 0.4165,p = 3.54 × 10-115)。在双变量分析中,41种癌症中有18种(42,675例个体发病率)与大麻暴露显著相关。25种癌症在逆概率加权的多变量模型中相互关联。面板模型中的时间滞后加剧了这些影响。在多变量模型中,大麻与癌症发病率的相关性比烟草或酒精更强。生殖毒性的证据是睾丸癌、卵巢癌、前列腺癌和乳腺癌的参与,因为一些涉及的髓性和淋巴性白血病发生在儿童时期,表明遗传的代际遗传毒性。大麻是一种比烟草和酒精更重要的致癌物,符合25/41癌症因果关系的流行病学定性和定量标准。生殖和跨代效应是突出的。这些发现证实了大麻作为主要的多代社区致癌物在临床和流行病学上的显著性。
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引用次数: 2
Vulvovaginal Candidiasis in Pregnancy-Between Sensitivity and Resistance to Antimycotics. 妊娠期外阴阴道念珠菌病——抗真菌药敏感性与耐药性之间的关系。
IF 6 Q1 TOXICOLOGY Pub Date : 2023-07-05 DOI: 10.3390/jox13030023
Nicoleta-Maricica Maftei, Manuela Arbune, Costinela Valerica Georgescu, Alina Mihaela Elisei, Alina Viorica Iancu, Alin Laurentiu Tatu

Vulvovaginitis with Candida spp. is the most common infection in women and the rate is increased during pregnancy. Antifungal prescription in pregnant women continues to present challenges and the decision must balance the risk of fetal toxicity with the benefits to the fetus and mother. Starting from the idea that clotrimazole is the most recommended antifungal in candidal vaginitis in pregnancy, we tested the sensitivity of different species of Candida spp. to other azoles, polyenes, and antimetabolites. This retrospective study (January to June 2019) assessed 663 pregnant women hospitalized for various pregnancy-related symptoms in which samples of phage secretion were taken. The laboratory results confirmed 21% of cases, indicating 140 positive mycologic samples. In this study, vaginal candidiasis was mostly related to the first trimester of pregnancy (53.57%,) and less related in the last trimester (17.14%). Candida albicans was the most frequent isolated strain in this study, accounting for 118 cases, followed by 16 strains of Candida glabrata and 6 cases of Candida krusei. The highest sensitivity for C. albicans was found in azoles, mostly in miconazole (93.2%), while C. krusei was completely resistant to polyene with low sensitivity in antimetabolites and even in some azoles, such as fluconazole. In our study, higher resistance rates to flucytosine were found, with C. glabrata and C. krusei exhibiting greater resistance than C. albicans.

念珠菌引起的外阴阴道炎是女性最常见的感染,在怀孕期间发病率增加。孕妇的抗真菌处方仍然存在挑战,决定必须平衡胎儿毒性风险与胎儿和母亲的益处。从克霉唑是妊娠念珠菌阴道炎最推荐的抗真菌药物的观点出发,我们测试了不同种类念珠菌对其他唑类、多烯类和抗代谢物的敏感性。这项回顾性研究(2019年1月至6月)评估了663名因各种妊娠相关症状住院的孕妇,并采集了噬菌体分泌样本。实验室结果证实了21%的病例,表明140份真菌学样本呈阳性。本研究中,阴道念珠菌病与妊娠前三个月的相关性最高(53.57%),与妊娠后期的相关性较低(17.14%)。白色念珠菌是本研究中最常见的分离菌株,共118例,其次是光秃念珠菌16例,克鲁西念珠菌6例。白色念珠菌对唑类药物的敏感性最高,以咪康唑(93.2%)居多,而克氏念珠菌对多烯完全耐药,对抗代谢物敏感性较低,甚至对氟康唑等部分唑类药物敏感性也较低。在我们的研究中,发现对氟胞嘧啶的耐药率较高,其中光滑C.和克鲁塞C.比白色C.表现出更大的耐药率。
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引用次数: 0
Deposition, Dietary Exposure and Human Health Risks of Heavy Metals in Mechanically Milled Maize Flours in Mbarara City, Uganda. 乌干达姆巴拉拉市机械碾磨玉米粉中重金属的沉积、饮食暴露和人体健康风险。
IF 6 Q1 TOXICOLOGY Pub Date : 2023-06-26 DOI: 10.3390/jox13030022
Herbert Kariitu Mugume, Denis Byamugisha, Timothy Omara, Emmanuel Ntambi

Consumption of maize and maize-based products contributes a significant percentage to the total food energy intake in Uganda. However, the production of maize-derived foodstuffs is performed traditionally or by small- and medium-scale processors using different processing techniques. This can lead to differences in the quality of these products from processors, raising food safety concerns. In this study, the effects of mechanical processing (milling) methods on deposition of heavy metals into milled maize flour and the associated consumption health risks were assessed. Atomic absorption spectrophotometry was used to quantitatively establish the concentration of iron (Fe), manganese (Mn), zinc (Zn), cadmium (Cd), lead (Pb), chromium (Cr), copper (Cu), cobalt (Co) and nickel (Ni) in 100 samples of maize milled using a wooden mortar (n = 2), a metallic mortar (n = 2), diesel engine-powered mills (n = 48) and electric motor-powered mills (n = 48). Results showed that the mean concentrations of heavy metals in mg/kg were Fe (11.60-34.45), Cu (0.50-8.10), Ni (0.50-1.60), Mn (0.70-25.40), Zn (4.40-15.90), Pb (0.53-10.20), Cd (0.51-0.85), Cr (0.50-1.53) and Co (0.50-1.51). The highest concentrations were found in flour milled using a traditional metallic mortar while the lowest levels were in those samples milled using a wooden mortar. The Fe, Pb and Cd contents of flours produced using the metallic mortar and some commercial mills was found to be higher than the permissible limits set by WHO/FAO. Human health risk assessment showed that there are potential carcinogenic health risks from adults' intake of heavy metals in maize flour milled using a metallic mortar. Therefore, processing of maize flour needs to be monitored by the relevant statutory bodies in Uganda to minimize the possibility of heavy metal contamination of food products and animal feeds.

在乌干达,玉米和玉米制品的消费占总食物能量摄入的很大比例。然而,玉米衍生食品的生产是传统的或由中小型加工商使用不同的加工技术进行的。这可能导致这些加工者的产品质量存在差异,从而引起对食品安全的担忧。本研究评估了机械加工(碾磨)方法对玉米粉中重金属沉积的影响以及相关的消费健康风险。采用原子吸收分光光度法定量测定了100个玉米样品中铁(Fe)、锰(Mn)、锌(Zn)、镉(Cd)、铅(Pb)、铬(Cr)、铜(Cu)、钴(Co)和镍(Ni)的浓度,分别采用木臼(n = 2)、金属臼(n = 2)、柴油机磨(n = 48)和电动机磨(n = 48)。结果表明,重金属平均浓度(mg/kg)为Fe(11.60 ~ 34.45)、Cu(0.50 ~ 8.10)、Ni(0.50 ~ 1.60)、Mn(0.70 ~ 25.40)、Zn(4.40 ~ 15.90)、Pb(0.53 ~ 10.20)、Cd(0.51 ~ 0.85)、Cr(0.50 ~ 1.53)、Co(0.50 ~ 1.51)。在使用传统金属臼研磨的面粉中发现的浓度最高,而在使用木制臼研磨的样品中发现的浓度最低。发现使用金属砂浆和一些商业磨坊生产的面粉的铁、铅和镉含量高于世卫组织/粮农组织规定的允许限度。人类健康风险评估表明,成年人摄入金属臼碾磨的玉米粉中的重金属存在潜在的致癌健康风险。因此,乌干达的相关法定机构需要对玉米粉的加工过程进行监测,以尽量减少食品和动物饲料受到重金属污染的可能性。
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引用次数: 1
Development of a Dynamic Network Model to Identify Temporal Patterns of Structural Malformations in Zebrafish Embryos Exposed to a Model Toxicant, Tris(4-chlorophenyl)methanol. 一个动态网络模型的发展,以确定斑马鱼胚胎结构畸形的时间模式暴露于模型毒物,Tris(4-氯苯)甲醇。
IF 6 Q1 TOXICOLOGY Pub Date : 2023-06-16 DOI: 10.3390/jox13020021
Ashley V Schwartz, Karilyn E Sant, Uduak Z George

Embryogenesis is a well-coordinated process relying on precise cues and environmental signals that direct spatiotemporal embryonic patterning. Quite often, when one error in this process occurs, others tend to co-occur. We posit that investigating the co-occurrence of these abnormalities over time would yield additional information about the mode of toxicity for chemicals. Here, we use the environmental contaminant tris(4-chlorophenyl)methanol (TCPMOH) as a model toxicant to assess the relationship between exposures and co-occurrence of developmental abnormalities in zebrafish embryos. We propose a dynamic network modeling approach to study the co-occurrence of abnormalities, including pericardial edema, yolk sac edema, cranial malformation, spinal deformity, delayed/failed swim bladder inflation, and mortality induced by TCPMOH exposure. TCPMOH-exposed samples revealed increased abnormality co-occurrence when compared to controls. The abnormalities were represented as nodes in the dynamic network model. Abnormalities with high co-occurrence over time were identified using network centrality scores. We found that the temporal patterns of abnormality co-occurrence varied between exposure groups. In particular, the high TCPMOH exposure group experienced abnormality co-occurrence earlier than the low exposure group. The network model also revealed that pericardial and yolk sac edema are the most common critical nodes among all TCPMOH exposure levels, preceding further abnormalities. Overall, this study introduces a dynamic network model as a tool for assessing developmental toxicology, integrating structural and temporal features with a concentration response.

胚胎发生是一个协调良好的过程,依赖于精确的线索和环境信号来指导胚胎的时空模式。通常,当这个过程中出现一个错误时,其他错误往往会同时出现。我们假设,随着时间的推移,调查这些异常的共同发生将产生关于化学品毒性模式的额外信息。在这里,我们使用环境污染物三(4-氯苯)甲醇(TCPMOH)作为模型毒物来评估暴露与斑马鱼胚胎共同发生发育异常之间的关系。我们提出了一种动态网络建模方法来研究TCPMOH暴露引起的异常共发生,包括心包水肿、卵黄囊水肿、颅畸形、脊柱畸形、延迟/失败的鳔膨胀和死亡率。与对照组相比,暴露于tcpmoh的样本显示异常发生率增加。这些异常被表示为动态网络模型中的节点。随着时间的推移,使用网络中心性评分来识别高发生率的异常。我们发现,在不同的暴露组中,异常共现的时间模式有所不同。特别是高TCPMOH暴露组比低TCPMOH暴露组更早出现异常共现。网络模型还显示,在所有TCPMOH暴露水平中,心包和卵黄囊水肿是最常见的关键节点,在进一步异常之前。总的来说,本研究引入了一个动态网络模型作为评估发育毒理学的工具,将结构和时间特征与浓度反应相结合。
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引用次数: 0
Evaluation of Cytotoxicity, Release Behavior and Phytopathogens Control by Mancozeb-Loaded Guar Gum Nanoemulsions for Sustainable Agriculture. 载锰锌瓜尔胶纳米乳对可持续农业的细胞毒性、释放行为及植物病原体控制评价。
IF 6 Q1 TOXICOLOGY Pub Date : 2023-06-05 DOI: 10.3390/jox13020020
Ravinder Kumar, Manju Nehra, Dharmender Kumar, Baljeet Singh Saharan, Prince Chawla, Pardeep Kumar Sadh, Anju Manuja, Joginder Singh Duhan

Chemical fungicides are the backbone of modern agriculture, but an alternative formulation is necessary for sustainable crop production to address human health issues and soil/water environmental pollution. So, a green chemistry approach was used to form guar gum nanoemulsions (NEs) of 186.5-394.1 nm containing the chemical fungicide mancozeb and was characterized using various physio-chemical techniques. An 84.5% inhibition was shown by 1.5 mg/mL mancozeb-loaded NEs (GG-1.5) against A. alternata, comparable to commercial mancozeb (86.5 ± 0.7%). The highest mycelial inhibition was exhibited against S. lycopersici and S. sclerotiorum. In tomatoes and potatoes, NEs showed superior antifungal efficacy in pot conditions besides plant growth parameters (germination percentage, root/shoot ratio and dry biomass). About 98% of the commercial mancozeb was released in just two h, while only about 43% of mancozeb was released from nanoemulsions (0.5, 1.0 and 1.5) for the same time. The most significant results for cell viability were seen at 1.0 mg/mL concentration of treatment, where wide gaps in cell viability were observed for commercial mancozeb (21.67%) and NEs treatments (63.83-71.88%). Thus, this study may help to combat the soil and water pollution menace of harmful chemical pesticides besides protecting vegetable crops.

化学杀菌剂是现代农业的支柱,但需要一种替代配方来实现可持续作物生产,以解决人类健康问题和土壤/水环境污染。因此,采用绿色化学方法制备了含有化学杀菌剂代锰锌的瓜尔胶纳米乳液(NEs),粒径为186.5 ~ 394.1 nm,并采用多种理化方法对其进行了表征。1.5 mg/mL负载代森锰锌的NEs (mg -1.5)对麻草的抑制率为84.5%,与商品代森锰锌(86.5±0.7%)相当。对番茄葡萄球菌和菌丝体的抑制作用最强。在番茄和马铃薯中,除了植物生长参数(发芽率、根冠比和干生物量)外,在盆栽条件下,NEs表现出较好的抑菌效果。约98%的商业代森锰锌在2小时内释放,而在相同时间内,纳米乳液(0.5,1.0和1.5)中只有约43%的代森锰锌释放。在1.0 mg/mL浓度处理下,细胞活力差异最大,其中商业代森锰锌处理(21.67%)和NEs处理(63.83-71.88%)的细胞活力差异较大。因此,本研究在保护蔬菜作物的同时,也有助于对抗有害化学农药对土壤和水体的污染威胁。
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引用次数: 1
Microbe-Plant Interactions Targeting Metal Stress: New Dimensions for Bioremediation Applications. 针对金属胁迫的微生物-植物相互作用:生物修复应用的新维度。
IF 6 Q1 TOXICOLOGY Pub Date : 2023-06-01 DOI: 10.3390/jox13020019
Baljeet Singh Saharan, Twinkle Chaudhary, Balwan Singh Mandal, Dharmender Kumar, Ravinder Kumar, Pardeep Kumar Sadh, Joginder Singh Duhan

In the age of industrialization, numerous non-biodegradable pollutants like plastics, HMs, polychlorinated biphenyls, and various agrochemicals are a serious concern. These harmful toxic compounds pose a serious threat to food security because they enter the food chain through agricultural land and water. Physical and chemical techniques are used to remove HMs from contaminated soil. Microbial-metal interaction, a novel but underutilized strategy, might be used to lessen the stress caused by metals on plants. For reclaiming areas with high levels of heavy metal contamination, bioremediation is effective and environmentally friendly. In this study, the mechanism of action of endophytic bacteria that promote plant growth and survival in polluted soils-known as heavy metal-tolerant plant growth-promoting (HMT-PGP) microorganisms-and their function in the control of plant metal stress are examined. Numerous bacterial species, such as Arthrobacter, Bacillus, Burkholderia, Pseudomonas, and Stenotrophomonas, as well as a few fungi, such as Mucor, Talaromyces, Trichoderma, and Archaea, such as Natrialba and Haloferax, have also been identified as potent bioresources for biological clean-up. In this study, we additionally emphasize the role of plant growth-promoting bacteria (PGPB) in supporting the economical and environmentally friendly bioremediation of heavy hazardous metals. This study also emphasizes future potential and constraints, integrated metabolomics approaches, and the use of nanoparticles in microbial bioremediation for HMs.

在工业化时代,许多不可生物降解的污染物,如塑料,HMs,多氯联苯和各种农用化学品是一个严重的问题。这些有害的有毒化合物通过农田和水源进入食物链,对粮食安全构成严重威胁。采用物理和化学技术从污染土壤中去除微生物。微生物-金属相互作用是一种新的但尚未充分利用的策略,可以用来减轻金属对植物造成的胁迫。对于重金属污染严重的地区,生物修复是有效和环保的。本文对污染土壤中促进植物生长和生存的内生细菌——耐重金属植物促生长微生物(HMT-PGP)的作用机制及其在植物重金属胁迫控制中的作用进行了研究。许多细菌种类,如节杆菌、芽孢杆菌、伯克氏菌、假单胞菌和窄养单胞菌,以及一些真菌,如毛霉、Talaromyces、木霉和古生菌,如Natrialba和Haloferax,也已被确定为生物清洁的有效生物资源。在本研究中,我们还强调了植物生长促进菌(plant growth-promoting bacteria, PGPB)在支持经济环保的重金属生物修复中的作用。本研究还强调了未来的潜力和限制,综合代谢组学方法,以及纳米颗粒在微生物生物修复中的应用。
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引用次数: 0
Transcriptional Alterations Induced by Delta-9 Tetrahydrocannabinol in the Brain and Gonads of Adult Medaka. δ -9四氢大麻酚诱导的Medaka成虫脑和性腺转录改变。
IF 6 Q1 TOXICOLOGY Pub Date : 2023-05-30 DOI: 10.3390/jox13020018
Marlee Vassall, Sourav Chakraborty, Yashi Feng, Mehwish Faheem, Xuegeng Wang, Ramji Kumar Bhandari

With the legalization of marijuana smoking in several states of the United States and many other countries for medicinal and recreational use, the possibility of its release into the environment cannot be overruled. Currently, the environmental levels of marijuana metabolites are not monitored on a regular basis, and their stability in the environment is not well understood. Laboratory studies have linked delta 9-tetrahydrocannabinol (Δ9-THC) exposure with behavioral abnormalities in some fish species; however, their effects on endocrine organs are less understood. To understand the effects of THC on the brain and gonads, we exposed adult medaka (Oryzias latipes, Hd-rR strain, both male and female) to 50 ug/L THC for 21 days spanning their complete spermatogenic and oogenic cycles. We examined transcriptional responses of the brain and gonads (testis and ovary) to Δ9-THC, particularly molecular pathways associated with behavioral and reproductive functions. The Δ9-THC effects were more profound in males than females. The Δ9-THC-induced differential expression pattern of genes in the brain of the male fish suggested pathways to neurodegenerative diseases and pathways to reproductive impairment in the testis. The present results provide insights into endocrine disruption in aquatic organisms due to environmental cannabinoid compounds.

随着大麻在美国几个州和许多其他国家的药用和娱乐用途的合法化,其释放到环境中的可能性无法被否决。目前,大麻代谢物的环境水平并没有被定期监测,其在环境中的稳定性也不是很清楚。实验室研究已将delta - 9-四氢大麻酚(Δ9-THC)暴露与某些鱼类的行为异常联系起来;然而,它们对内分泌器官的影响尚不清楚。为了了解THC对大脑和性腺的影响,我们将成年medaka (Oryzias latipes, Hd-rR品系,雄性和雌性)暴露在50 ug/L的THC中21天,跨越其完整的生精和生卵周期。我们研究了大脑和性腺(睾丸和卵巢)对Δ9-THC的转录反应,特别是与行为和生殖功能相关的分子途径。Δ9-THC对男性的影响比女性更大。雄性鱼大脑中Δ9-THC-induced基因的差异表达模式提示了神经退行性疾病的途径和睾丸生殖障碍的途径。目前的结果提供了见解内分泌干扰水生生物由于环境大麻素化合物。
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引用次数: 0
Incubation Time Influences Organic Anion Transporter 1 Kinetics and Renal Clearance Predictions. 培养时间影响有机阴离子转运蛋白1动力学和肾清除预测。
IF 6 Q1 TOXICOLOGY Pub Date : 2023-05-10 DOI: 10.3390/jox13020016
Aaron O Buaben, Ryan M Pelis

Accurate predictions of drug uptake transporter involvement in renal excretion of xenobiotics require determination of in vitro transport kinetic parameters under initial-rate conditions. The purpose of the present study was to determine how changing the incubation time from initial rate to steady state influences ligand interactions with the renal organic anion transporter 1 (OAT1), and the impact of the different experimental conditions on pharmacokinetic predictions. Transport studies were performed with Chinese hamster ovary cells expressing OAT1 (CHO-OAT1) and the Simcyp Simulator was used for physiological-based pharmacokinetic predictions. Maximal transport rate and intrinsic uptake clearance (CLint) for PAH decreased with increasing incubation time. The CLint values ranged 11-fold with incubation times spanning from 15 s (CLint,15s, initial rate) to 45 min (CLint,45min, steady state). The Michaelis constant (Km) was also influenced by the incubation time with an apparent increase in the Km value at longer incubation times. Inhibition potency of five drugs against PAH transport was tested using incubation times of either 15 s or 10 min. There was no effect of time on inhibition potency for omeprazole or furosemide, whereas indomethacin was less potent, and probenecid (~2-fold) and telmisartan (~7-fold) more potent with the longer incubation time. Notably, the inhibitory effect of telmisartan was reversible, albeit slowly. A pharmacokinetic model was developed for PAH using the CLint,15s value. The simulated plasma concentration-time profile, renal clearance, and cumulative urinary excretion-time profile of PAH agreed well with reported clinical data, and the PK parameters were sensitive to the time-associated CLint value used in the model.

准确预测药物摄取转运体参与外源性药物的肾脏排泄需要确定初始速率条件下的体外转运动力学参数。本研究的目的是确定将孵育时间从初始速率改变为稳态如何影响配体与肾脏有机阴离子转运体1 (OAT1)的相互作用,以及不同实验条件对药代动力学预测的影响。在表达OAT1 (CHO-OAT1)的中国仓鼠卵巢细胞中进行转运研究,并使用Simcyp模拟器进行基于生理的药代动力学预测。PAH的最大转运率和内在摄取清除率(CLint)随孵育时间的增加而降低。CLint值为11倍,孵卵时间从15s (CLint,15s,初始速率)到45min (CLint,45min,稳态)。Michaelis常数(Km)也受孵育时间的影响,随着孵育时间的延长,Km值明显增加。用15 s或10 min的孵育时间检测5种药物对PAH转运的抑制效力。时间对奥美拉唑或呋塞米的抑制效力没有影响,而吲哚美辛的抑制效力较弱,probenecid(~2倍)和替米沙坦(~7倍)的抑制效力随孵育时间的延长而增强。值得注意的是,替米沙坦的抑制作用是可逆的,尽管缓慢。采用CLint,15s值建立多环芳烃药代动力学模型。模拟的多环芳烃的血浆浓度-时间曲线、肾脏清除率和累积尿排泄时间曲线与报道的临床数据吻合良好,并且PK参数对模型中使用的与时间相关的CLint值敏感。
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引用次数: 0
Systematic Review of Safety of Selective Androgen Receptor Modulators in Healthy Adults: Implications for Recreational Users. 选择性雄激素受体调节剂在健康成年人中的安全性系统回顾:对休闲使用者的影响。
IF 6.8 Q1 TOXICOLOGY Pub Date : 2023-05-10 DOI: 10.3390/jox13020017
Jonathan D Vignali, Kevin C Pak, Holly R Beverley, Jesse P DeLuca, John W Downs, Adrian T Kress, Brett W Sadowski, Daniel J Selig

Selective Androgen Receptor Modulators (SARMs) are not FDA approved, and obtaining SARMs for personal use is illegal. Nevertheless, SARM use is increasingly popular amongst recreational athletes. Recent case reports of drug-induced liver injury (DILI) and tendon rupture raise serious concerns for the safety of recreational SARM users. On 10 November 2022 PubMed, Scopus, Web of Science, and ClinicalTrials.gov were searched for studies that reported safety data of SARMs. A multi-tiered screening approach was utilized, and any study or case report of generally healthy individuals exposed to any SARM was included. Thirty-three studies were included in the review with 15 case reports or case series and 18 clinical trials (total patients N = 2136 patients, exposed to SARM N = 1447). There were case reports of drug-induced liver injury (DILI) (N = 15), Achilles tendon rupture (N = 1), rhabdomyolysis (N = 1), and mild reversible liver enzyme elevation (N = 1). Elevated alanine aminotransferase (ALT) was commonly reported in clinical trials in patients exposed to SARM (mean 7.1% across trials). Two individuals exposed to GSK2881078 in a clinical trial were reported to have rhabdomyolysis. Recreational SARM use should be strongly discouraged, and the risks of DILI, rhabdomyolysis, and tendon rupture should be emphasized. However, despite warnings, if a patient refuses to discontinue SARM use, ALT monitoring or dose reduction may improve early detection and prevention of DILI.

选择性雄激素受体调节剂(SARMs)未经美国食品及药物管理局批准,获取 SARMs 供个人使用属于非法行为。然而,SARM 的使用在休闲运动员中越来越流行。最近有关药物性肝损伤(DILI)和肌腱断裂的病例报告引起了人们对休闲 SARM 使用者安全性的严重担忧。2022 年 11 月 10 日,我们在 PubMed、Scopus、Web of Science 和 ClinicalTrials.gov 等网站上搜索了报告 SARM 安全性数据的研究。采用了多层筛选方法,并纳入了针对接触任何 SARM 的一般健康人的任何研究或病例报告。共有 33 项研究被纳入审查范围,其中包括 15 个病例报告或病例系列和 18 个临床试验(患者总数 N = 2136 人,暴露于 SARM 的患者总数 N = 1447 人)。病例报告包括药物性肝损伤(DILI)(15 例)、跟腱断裂(1 例)、横纹肌溶解(1 例)和轻度可逆性肝酶升高(1 例)。在临床试验中,暴露于 SARM 的患者普遍报告丙氨酸氨基转移酶(ALT)升高(各项试验的平均值为 7.1%)。据报告,在一项临床试验中,有两名接触 GSK2881078 的患者出现横纹肌溶解症。应强烈劝阻娱乐性使用 SARM,并应强调 DILI、横纹肌溶解症和肌腱断裂的风险。不过,尽管有警告,但如果患者拒绝停止使用 SARM,则 ALT 监测或减少剂量可提高 DILI 的早期发现和预防率。
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引用次数: 0
Correlation of Vitamin 25(OH)D, Liver Enzymes, Potassium, and Oxidative Stress Markers with Lipid Profile and Atheromatic Index: A Pilot Study. 维生素25(OH)D、肝酶、钾和氧化应激标志物与血脂和动脉粥样硬化指数的相关性:一项初步研究
IF 6 Q1 TOXICOLOGY Pub Date : 2023-04-01 DOI: 10.3390/jox13020015
Stavroula Ioannidou, Konstantina Kazeli, Hristos Ventouris, Dionysia Amanatidou, Argyrios Gkinoudis, Evgenia Lymperaki

According to recent literature, there is a limited amount of data about the correlation of vitamin 25(OH)D, potassium (K), oxidative stress parameters, and other biomarkers with dyslipidemia, which is an established risk factor for cardiovascular diseases (CVDs). This study aims to investigate the correlation of lipid profile and atheromatic index TC/HDL with several biomarkers and oxidative stress parameters. A total of 102 volunteers, 67 with atheromatic index TC/HDL > 3.5 (Group A) and 35 with TC/HDL < 3.5 (Group B), aged from 26 to 78 years, participated in this study. Serum levels of triglycerides (TG), total cholesterol (TC), low- and high-density lipoproteins (LDL and HDL), vitamin 25(OH)D [25(OH)D], potassium (K), sodium (Na), lactose dehydrogenase (LDH), liver enzymes including serum glutamic oxaloacetic and glutamic pyruvic transaminases (SGOT and SGPT), gamma-glutamyl transferase (γ-GT), and alkaline phosphatase (ALP) were analyzed using standard photometric methods. Oxidative stress parameters such as reactive oxygen species (ROS) were detected with fluorometric methods, whereas total oxidative (TOS) and antioxidative status (TAS) were measured with spectrophotometric methods. According to the results, negative correlations of HDL (r = -0.593) and 25(OH)D (r = -0.340) and K (r = -0.220) were found, and positive expected correlations of LDL (r = 0.731), TC (r = 0.663), and TG (r = 0.584) with atheromatic index in the total studied sample were found. In conclusion, patients with a dyslipidemic profile should frequently check not only their lipid profile but also other biomarkers such as 25(OH)D, potassium, and oxidative stress markers to predict dyslipidemia and avoid subsequent disorders.

根据最近的文献,关于维生素25(OH)D、钾(K)、氧化应激参数和其他生物标志物与血脂异常的相关性的数据有限,血脂异常是心血管疾病(cvd)的一个确定的危险因素。本研究旨在探讨血脂和动脉粥样硬化指数TC/HDL与几种生物标志物和氧化应激参数的相关性。本研究共纳入102名志愿者,其中动脉粥样硬化指数TC/HDL > 3.5组67人(A组),TC/HDL < 3.5组35人(B组),年龄26 ~ 78岁。采用标准光度法分析血清甘油三酯(TG)、总胆固醇(TC)、低脂蛋白和高密度脂蛋白(LDL和HDL)、维生素25(OH)D [25(OH)D]、钾(K)、钠(Na)、乳糖脱氢酶(LDH)、血清谷草酰乙酸和谷丙转氨酶(SGOT和SGPT)、γ-谷氨酰转移酶(γ-GT)和碱性磷酸酶(ALP)水平。氧化应激参数如活性氧(ROS)用荧光法检测,而总氧化(TOS)和抗氧化状态(TAS)用分光光度法测定。结果表明,研究样本中HDL (r = -0.593)、25(OH)D (r = -0.340)、K (r = -0.220)与动脉粥样硬化指数呈负相关,LDL (r = 0.731)、TC (r = 0.663)、TG (r = 0.584)与动脉粥样硬化指数呈正相关。总之,血脂异常的患者不仅应该经常检查他们的血脂,还应该经常检查其他生物标志物,如25(OH)D、钾和氧化应激标志物,以预测血脂异常并避免随后的疾病。
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引用次数: 0
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Journal of Xenobiotics
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