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Correction. 修正。
IF 6.4 2区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2025-05-19 Epub Date: 2025-01-12 DOI: 10.1080/10937404.2025.2452040
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引用次数: 0
Particulate matter 2.5 (PM2.5) - associated cognitive impairment and morbidity in humans and animal models: a systematic review. 人类和动物模型中与PM2.5相关的认知障碍和发病率:系统综述
IF 8.1 2区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2025-05-19 Epub Date: 2025-01-18 DOI: 10.1080/10937404.2025.2450354
Ritu Chauhan, Susmitha Dande, Darryl B Hood, Sanika S Chirwa, Michael A Langston, Stephen K Grady, Levente Dojcsak, Mohammad Tabatabai, Derek Wilus, R Burciaga Valdez, Mohammad Z Al-Hamdan, Wansoo Im, Monique McCallister, Donald J Alcendor, Charles P Mouton, Aramandla Ramesh

Particulate matter with an aerodynamic diameter of less than 2.5 µm (PM2.5) is one of the criteria air pollutants that (1) serve as an essential carrier of airborne toxicants arising from combustion-related events including emissions from industries, automobiles, and wildfires and (2) play an important role in transient to long-lasting cognitive dysfunction as well as several other neurological disorders. A systematic review was conducted to address differences in study design and various biochemical and molecular markers employed to elucidate neurological disorders in PM2.5 -exposed humans and animal models. Out of 340,068 scientific publications screened from 7 databases, 312 studies were identified that targeted the relationship between exposure to PM2.5 and cognitive dysfunction. Equivocal evidence was identified from pre-clinical (animal model) and human studies that PM2.5 exposure contributes to dementia, Parkinson disease, multiple sclerosis, stroke, depression, autism spectrum disorder, attention deficit hyperactivity disorder, and neurodevelopment. In addition, there was substantial evidence from human studies that PM2.5 also was associated with Alzheimer's disease, anxiety, neuropathy, and brain tumors. The role of exposome in characterizing neurobehavioral anomalies and opportunities available to leverage the neuroexposome initiative for conducting longitudinal studies is discussed. Our review also provided some areas that warrant consideration, one of which is unraveling the role of microbiome, and the other role of climate change in PM2.5 exposure-induced neurological disorders.

空气动力学直径小于2.5微米(PM2.5)的颗粒物是标准空气污染物之一,它(1)是由工业、汽车和野火排放等燃烧相关事件产生的空气中有毒物质的重要载体,(2)在短暂到长期的认知功能障碍以及其他一些神经系统疾病中起着重要作用。我们进行了一项系统综述,以解决研究设计的差异以及用于阐明PM2.5暴露的人类和动物模型中神经疾病的各种生化和分子标记。在从7个数据库筛选的340,068份科学出版物中,确定了312项针对PM2.5暴露与认知功能障碍之间关系的研究。从临床前(动物模型)和人体研究中发现了模棱两可的证据,表明PM2.5暴露会导致痴呆、帕金森病、多发性硬化症、中风、抑郁症、自闭症谱系障碍、注意缺陷多动障碍和神经发育。此外,来自人体研究的大量证据表明,PM2.5也与阿尔茨海默病、焦虑、神经病变和脑肿瘤有关。讨论了暴露体在表征神经行为异常方面的作用,以及利用神经暴露体倡议进行纵向研究的机会。我们的综述还提供了一些值得考虑的领域,其中之一是揭示微生物组的作用,以及气候变化在PM2.5暴露诱发的神经系统疾病中的作用。
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引用次数: 0
Which prenatal biomarker is most appropriate for methylmercury dose-response for neurodevelopmental effects? 哪个产前生物标志物最适合甲基汞剂量反应对神经发育的影响?
IF 6.4 2区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2025-05-19 Epub Date: 2024-12-20 DOI: 10.1080/10937404.2024.2444650
Leonid Kopylev, Michael Dzierlenga, Yu-Sheng Lin, Rebecca Nachman, Elizabeth Radke, Hongyu Ru, Deborah Segal

Developmental neurotoxicity (DNT) is a well-established hazard attributed to methylmercury (MeHg) exposure. This evidence is based primarily upon includes studies that measured biomarkers of MeHg exposure in samples of maternal hair and blood, and cord blood. The aim of this review was to investigate which of these prenatal biomarkers is most appropriate for quantifying the DNT effects attributed to MeHg. A comprehensive literature search covered MeHg dose-response literature published 1998-2022. Studies were evaluated for risk of bias and study sensitivity using IRIS approach. Quantitative results of investigations were extracted and statistically compared. Seven studies were identified that measured both maternal hair and cord blood Hg levels. In these investigations, several DNT umbrella tests and their sub-tests results were modeled. Cord blood MeHg was more sensitive, producing larger estimates of MeHg potency, in most of the comparisons (91%) with maternal hair MeHg estimates for the same sub-tests in the same study. When comparing results from cord blood Hg to maternal hair Hg there was a 75% increase in sensitivity (range: 4-583%). In the two domains where results for maternal hair Hg were more sensitive, the rise was only 18% (Range: 7-29%). There were limited data (two studies) that compared maternal blood and maternal hair biomarkers (maternal blood Hg was more sensitive (mean 320% and range 43-855%) and cord blood biomarkers (maternal blood Hg was more sensitive by approximately 30%). Maternal hair Hg remains an appropriate biomarker for exposure monitoring in many populations, but these data suggest that cord blood Hg is more appropriate for dose-response modeling of MeHg DNT effects.

发育性神经毒性(DNT)是一种公认的与甲基汞(MeHg)接触有关的危害。这一证据主要基于测量母亲头发和血液样本以及脐带血中甲基汞暴露生物标志物的研究。本综述的目的是研究这些产前生物标志物中哪一个最适合量化甲基汞引起的DNT效应。综合文献检索涵盖1998-2022年发表的MeHg剂量反应文献。使用IRIS方法评估研究的偏倚风险和研究敏感性。提取定量调查结果并进行统计比较。有7项研究同时测量了母亲头发和脐带血的汞含量。在这些调查中,几个DNT伞测试及其子测试结果建模。脐带血MeHg更敏感,在大多数比较中(91%),与母亲头发的MeHg估计值相比,脐带血MeHg的效力更大。当比较脐带血汞和母亲头发汞的结果时,敏感性增加了75%(范围:4-583%)。在母亲头发汞检测结果较为敏感的两个领域,上升幅度仅为18%(范围:7-29%)。比较母体血液和毛发生物标志物(母体血液汞柱更敏感(平均320%,范围43-855%)和脐带血生物标志物(母体血液汞柱更敏感约30%)的数据有限(两项研究)。在许多人群中,母亲头发汞仍然是监测暴露的合适生物标志物,但这些数据表明,脐带血汞更适合用于MeHg DNT效应的剂量反应建模。
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引用次数: 0
Uncovering layer by layer the risk of nanoplastics to the environment and human health. 层层揭示纳米塑料对环境和人类健康的危害。
IF 6.4 2区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2025-02-17 Epub Date: 2024-12-13 DOI: 10.1080/10937404.2024.2424156
Joana Cepeda da Silva Antunes, Paula Sobral, Vasco Branco, Marta Martins

Nanoplastics (NPs), defined as plastic particles with dimensions less than 100 nm, have emerged as a persistent environmental contaminant with potential risk to both environment and human health. Nanoplastics might translocate across biological barriers and accumulate in vital organs, leading to inflammatory responses, oxidative stress, and genotoxicity, already reported in several organisms. Disruptions to cellular functions, hormonal balance, and immune responses were also linked to NPs exposure in in vitro assays. Further, NPs have been found to adsorb other pollutants, such as persistent organic pollutants (POPs), and leach additives potentially amplifying their advere impacts, increasing the threat to organisms greater than NPs alone. However, NPs toxic effects remain largely unexplored, requiring further research to elucidate potential risks to human health, especially their accumulation, degradation, migration, interactions with the biological systems and long-term consequences of chronic exposure to these compounds. This review provides an overview of the current state-of-art regarding NPs interactions with environmental pollutants and with biological mechanisms and toxicity within cells.

纳米塑料(NPs)被定义为尺寸小于100纳米的塑料颗粒,已成为一种持久性环境污染物,对环境和人类健康都有潜在风险。纳米塑料可能跨越生物屏障,在重要器官中积累,导致炎症反应、氧化应激和遗传毒性,已经在几种生物体中报道过。在体外实验中,细胞功能、激素平衡和免疫反应的破坏也与NPs暴露有关。此外,已发现NPs吸附其他污染物,如持久性有机污染物(POPs)和浸出添加剂,可能会放大其不利影响,增加对生物体的威胁,比单独的NPs更大。然而,NPs的毒性作用在很大程度上仍未被探索,需要进一步研究以阐明对人类健康的潜在风险,特别是它们的积累、降解、迁移、与生物系统的相互作用以及长期接触这些化合物的长期后果。本文综述了NPs与环境污染物相互作用、细胞内生物机制和毒性的最新研究进展。
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引用次数: 0
Review of non-invasive biomarkers as a tool for exposure characterization in human health risk assessments. 审查作为人类健康风险评估中暴露特征描述工具的非侵入性生物标志物。
IF 6.4 2区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2025-02-17 Epub Date: 2024-11-28 DOI: 10.1080/10937404.2024.2428206
N Shilnikova, F Momoli, N Karyakina, D Krewski

Blood and urine are historically the most frequent matrices used for measuring chemical levels in human biomonitoring studies. As biomonitoring programs are refreshed, consideration of specific priority substances and specific population targets provide opportunities for inclusion of alternative non- or minimally invasive matrices. This review describes methods used in health risk assessment to characterize exposure and risk based upon biomarkers from noninvasive matrices other than urine or blood, including human milk, hair, fingernails, toenails, exhaled breath, deciduous teeth, sweat, semen, meconium, and feces. Illustrative examples of these methods relevant to chemical management are provided. This review suggests that, although these alternative noninvasive biomarkers are not frequently used in human health risk assessment at present, these biomarkers may prove useful in (1) characterizing exposure and health risk in vulnerable populations, (2) cumulative risk assessments, and (3) community-based risk assessments, depending upon the substance of concern. To incorporate alternative noninvasive biomarkers into human health risk assessments with confidence, more research is needed to improve our knowledge of the relationships between external dose, internal dose, and biologic consequent effects in matrices other than blood and urine.

血液和尿液历来是人类生物监测研究中最常用的测量化学品水平的基质。随着生物监测计划的更新,对特定优先物质和特定人群目标的考虑为纳入替代性非侵入性或微侵入性基质提供了机会。本综述介绍了健康风险评估中使用的方法,这些方法是根据尿液或血液以外的非侵入性基质(包括母乳、毛发、指甲、脚趾甲、呼出的气体、脱落的牙齿、汗液、精液、胎粪和粪便)中的生物标志物来确定暴露和风险的特征。文中举例说明了这些与化学品管理相关的方法。本综述表明,虽然这些替代性非侵入性生物标志物目前并不常用于人类健康风险评估,但这些生物标志物可能会在以下方面发挥作用:(1) 确定脆弱人群的暴露和健康风险特征;(2) 累积风险评估;(3) 基于社区的风险评估,具体取决于所关注的物质。要有把握地将替代性非侵入性生物标志物纳入人类健康风险评估,还需要进行更多的研究,以提高我们对血液和尿液以外基质中外部剂量、内部剂量和生物效应之间关系的认识。
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引用次数: 0
Ecotoxicological bioassays with terrestrial plants: a holistic view of standards, guidelines, and protocols. 陆生植物的生态毒理学生物分析:标准、指南和协议的整体观点。
IF 6.4 2区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2025-01-05 DOI: 10.1080/10937404.2024.2440876
Leonardo Mendes da Silva, Larissa Fonseca Andrade-Vieira

Terrestrial and aquatic ecosystems face various chemicals that might induce acute and/or long-term harm. To assess these impacts, ecotoxicological bioassays are essential. However, bioassays using animals, particularly mammals, are costly, time-consuming, and raise ethical concerns. In this context, terrestrial plants emerge as a viable alternative to conventional assays. Thus, the aim of this review was to address the history and evolution of plant bioassays, highlighting the main regulations, guidelines, and protocols governing the use of terrestrial plants in ecotoxicological tests. Initially, plant bioassays were employed to assess the cytogenotoxic effects of chemicals, gaining prominence with the GENE-TOX program in the 80s. Subsequently, plants were used in allelopathy bioassays and in studies aimed to examine the ecotoxicity of pesticides in soil. Currently, ecotoxicological bioassays with plants are regulated by specific standards, such as ASTM E1963-22, EPA 600/3-88/029, EPS 1/RM/45, ISO 11269-1, ISO 11269-2, ISO 17126, ISO 18763, ISO 29200, ISO 22030, OECD-208, OECD-227, OCSPP 850.4100, OCSPP 850.4230, OCSPP 850.4800 and OPPTS 850.4200. The existing protocols standardize bioassays in greenhouse and lab environments, and the duration of the tests varies from hours to months. The main ecotoxicological parameters to be analyzed after exposure include germination percentage, survival rate, root length, aerial part length, fresh mass of exposed plants, and phytotoxicity symptoms. In addition, the absorption rate of substances and genotoxic and mutagenic effects might also be assessed. Therefore, data in this review demonstrate that terrestrial plants represent an important tool in the analysis of environmental risks associated with chemicals and might serve as crucial allies in modern ecotoxicology.

陆地和水生生态系统面临可能造成急性和/或长期危害的各种化学物质。为了评估这些影响,生态毒理学生物分析是必不可少的。然而,使用动物,特别是哺乳动物进行生物测定,成本高,耗时长,并引起伦理问题。在这种情况下,陆生植物成为替代传统分析方法的可行方法。因此,本综述的目的是阐述植物生物测定的历史和演变,强调在生态毒理学试验中使用陆生植物的主要法规、指南和方案。最初,植物生物测定被用于评估化学物质的细胞基因毒性作用,在80年代随着GENE-TOX计划而得到重视。随后,植物被用于化感作用生物测定和旨在检查土壤中农药生态毒性的研究。目前,植物生态毒理学生物测定有特定的标准,如ASTM E1963-22、EPA 600/3-88/029、EPS 1/RM/45、ISO 11269-1、ISO 11269-2、ISO 17126、ISO 18763、ISO 29200、ISO 22030、OECD-208、OECD-227、OCSPP 850.4100、OCSPP 850.4230、OCSPP 850.4800和OPPTS 850.4200。现有的规程使温室和实验室环境中的生物测定标准化,测试的持续时间从几小时到几个月不等。暴露后分析的主要生态毒理学参数包括发芽率、存活率、根长、地上部长、暴露植株的鲜质量和植物毒性症状。此外,还可以评估物质的吸收率和基因毒性和诱变效应。因此,本综述的数据表明,陆生植物是分析与化学品相关的环境风险的重要工具,可能是现代生态毒理学的重要盟友。
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引用次数: 0
Incorporating new approach methods (NAMs) data in dose-response assessments: The future is now! 将新方法(NAMs)数据纳入剂量反应评估:未来就是现在!
IF 8.1 2区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2025-01-02 Epub Date: 2024-10-10 DOI: 10.1080/10937404.2024.2412571
En-Hsuan Lu, Ivan Rusyn, Weihsueh A Chiu

Regulatory dose-response assessments traditionally rely on in vivo data and default assumptions. New Approach Methods (NAMs) present considerable opportunities to both augment traditional dose-response assessments and accelerate the evaluation of new/data-poor chemicals. This review aimed to determine the potential utilization of NAMs through a unified conceptual framework that compartmentalizes derivation of toxicity values into five sequential Key Dose-response Modules (KDMs): (1) point-of-departure (POD) determination, (2) test system-to-human (e.g. inter-species) toxicokinetics and (3) toxicodynamics, (4) human population (intra-species) variability in toxicodynamics, and (5) toxicokinetics. After using several "traditional" dose-response assessments to illustrate this framework, a review is presented where existing NAMs, including in silico, in vitro, and in vivo approaches, might be applied across KDMs. Further, the false dichotomy between "traditional" and NAMs-derived data sources is broken down by organizing dose-response assessments into a matrix where each KDM has Tiers of increasing precision and confidence: Tier 0: Default/generic values, Tier 1: Computational predictions, Tier 2: Surrogate measurements, and Tier 3: Direct measurements. These findings demonstrated that although many publications promote the use of NAMs in KDMs (1) for POD determination and (5) for human population toxicokinetics, the proposed matrix of KDMs and Tiers reveals additional immediate opportunities for NAMs to be integrated across other KDMs. Further, critical needs were identified for developing NAMs to improve in vitro dosimetry and quantify test system and human population toxicodynamics. Overall, broadening the integration of NAMs across the steps of dose-response assessment promises to yield higher throughput, less animal-dependent, and more science-based toxicity values for protecting human health.

监管机构的剂量反应评估传统上依赖于体内数据和默认假设。新方法(NAMs)提供了大量机会,既能增强传统的剂量-反应评估,又能加快对缺乏数据的新化学品的评估。本综述旨在通过一个统一的概念框架来确定新方法的潜在用途,该框架将毒性值的推导划分为五个连续的关键剂量-反应模块(KDMs):(1) 出发点(POD)确定,(2) 试验系统对人类(如物种间)毒物动力学和 (3) 毒力动力学,(4) 人类群体(物种内)毒力动力学变异,以及 (5) 毒物代谢动力学。在使用几种 "传统 "剂量-反应评估来说明这一框架后,对现有的 NAM(包括硅学、体外和体内方法)可能适用于 KDM 的情况进行了综述。此外,"传统 "数据源和 NAMs 派生数据源之间错误的二分法被打破,剂量-反应评估被组织成一个矩阵,每个 KDM 都有精度和置信度不断提高的层级:第 0 层:默认值/通用值,第 1 层:计算预测,第 2 层:替代测量,第 3 层:直接测量。这些研究结果表明,尽管许多出版物都提倡在 KDM 中使用 NAM(1)用于 POD 测定和(5)用于人类毒代动力学,但建议的 KDM 和层级矩阵揭示了 NAM 在其他 KDM 中整合的更多直接机会。此外,还确定了开发 NAM 的关键需求,以改进体外剂量测定并量化测试系统和人群毒物动力学。总之,在剂量-反应评估的各个步骤中扩大对 NAM 的整合,有望产生更高的吞吐量、更少的动物依赖性和更科学的毒性值,从而保护人类健康。
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引用次数: 0
In vitro models to evaluate multidrug resistance in cancer cells: Biochemical and morphological techniques and pharmacological strategies. 评估癌细胞多药耐药性的体外模型:生化和形态学技术及药理学策略。
IF 6.4 2区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2025-01-02 Epub Date: 2024-10-03 DOI: 10.1080/10937404.2024.2407452
Maria Fernanda Madrid, Eleicy Nathaly Mendoza, Ana Lizeth Padilla, Celia Choquenaira-Quispe, Celina de Jesus Guimarães, João Victor de Melo Pereira, Francisco Washington Araújo Barros-Nepomuceno, Ingredy Lopes Dos Santos, Claudia Pessoa, Manoel Odorico de Moraes Filho, Danilo Damasceno Rocha, Paulo Michel Pinheiro Ferreira

The overexpression of ATP-binding cassette (ABC) transporters contributes to the failure of chemotherapies and symbolizes a great challenge in oncology, associated with the adaptation of tumor cells to anticancer drugs such that these transporters become less effective, a mechanism known as multidrug resistance (MDR). The aim of this review is to present the most widely used methodologies for induction and comprehension of in vitro models for detection of multidrug-resistant (MDR) modulators or inhibitors, including biochemical and morphological techniques for chemosensitivity studies. The overexpression of MDR proteins, predominantly, the subfamily glycoprotein-1 (P-gp or ABCB1) multidrug resistance, multidrug resistance-associated protein 1 (MRP1 or ABCCC1), multidrug resistance-associated protein 2 (MRP2 or ABCC2) and cancer resistance protein (ABCG2), in chemotherapy-exposed cancer lines have been established/investigated by several techniques. Amongst these techniques, the most used are (i) colorimetric/fluorescent indirect bioassays, (ii) rhodamine and efflux analysis, (iii) release of 3,30-diethyloxacarbocyanine iodide by fluorescence microscopy and flow cytometry to measure P-gp function and other ABC transporters, (iv) exclusion of calcein-acetoxymethylester, (v) ATPase assays to distinguish types of interaction with ABC transporters, (vi) morphology to detail phenotypic characteristics in transformed cells, (vii) molecular testing of resistance-related proteins (RT-qPCR) and (viii) 2D and 3D models, (ix) organoids, and (x) microfluidic technology. Then, in vitro models for detecting chemotherapy MDR cells to assess innovative therapies to modulate or inhibit tumor cell growth and overcome clinical resistance. It is noteworthy that different therapies including anti-miRNAs, antibody-drug conjugates (to natural products), and epigenetic modifications were also considered as promising alternatives, since currently no anti-MDR therapies are able to improve patient quality of life. Therefore, there is also urgency for new clinical markers of resistance to more reliably reflect in vivo effectiveness of novel antitumor drugs.

ATP结合盒(ABC)转运体的过度表达是化疗失败的原因之一,也是肿瘤学面临的一个巨大挑战,这与肿瘤细胞对抗癌药物的适应性有关,从而降低了这些转运体的有效性,这种机制被称为多药耐药性(MDR)。本综述旨在介绍最广泛使用的诱导和理解体外模型的方法,以检测多药耐药性(MDR)调节剂或抑制剂,包括用于化疗敏感性研究的生化和形态学技术。在化疗暴露的癌系中,MDR 蛋白(主要是多药耐药性糖蛋白-1(P-gp 或 ABCB1)亚家族、多药耐药性相关蛋白 1(MRP1 或 ABCCC1)、多药耐药性相关蛋白 2(MRP2 或 ABCC2)和抗癌蛋白(ABCG2))的过表达已通过多种技术建立/研究。在这些技术中,最常用的是:(i) 比色/荧光间接生物测定;(ii) 罗丹明和外流分析;(iii) 通过荧光显微镜和流式细胞仪检测 3,30 二甲基氧杂羰花青碘化物的释放,以测量 P-gp 功能和其他 ABC 转运体;(iv) 排除钙黄绿素-乙酰氧甲基酯、(v) ATPase 检测,以区分与 ABC 转运体相互作用的类型;(vi) 形态学,以详细了解转化细胞的表型特征;(vii) 耐药性相关蛋白的分子检测(RT-qPCR);(viii) 二维和三维模型;(ix) 器官组织;以及 (x) 微流体技术。然后,通过体外模型检测化疗 MDR 细胞,以评估调节或抑制肿瘤细胞生长、克服临床耐药性的创新疗法。值得注意的是,包括抗 miRNA、抗体药物共轭物(天然产品)和表观遗传修饰在内的不同疗法也被认为是有前景的替代疗法,因为目前还没有抗 MDR 疗法能够改善患者的生活质量。因此,迫切需要新的临床耐药性指标,以更可靠地反映新型抗肿瘤药物的体内疗效。
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引用次数: 0
The biological and sociological implications of diversity, equity, and inclusion (DEI): life within microbiomes and on earth. 多样性、公平和包容(DEI)的生物学和社会学含义:微生物组内和地球上的生命。
IF 8.1 2区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2025-01-01 Epub Date: 2025-04-29 DOI: 10.1080/10937404.2025.2497826
David A Lawrence, Brandon O'Sullivan, Joerg Graf, Alex Hogan, Katherine W Herbst, Juan C Salazar

From a biological point of view, Diversity, Equity, and Inclusion (DEI) are important at multiple levels, which include our genetics, microbiomes, diets, and all organ system interactions. Considering only DEI's sociological aspects is equivalent to the error of "throwing out the baby with the bath water." Variances in microbial diversity within our microbiomes might affect our health through systemic interactions affecting metabolites, maintaining immune homeostasis, and wound healing of cellular damage from an infection, physical stress, or psychological trauma. An imbalance of our immune cell subsets, both innate and adaptive, and the microbes in any of our microbiomes might lead to more cellular damage from excessive inflammation and oxidative stress and less immune regulation. The immune dysregulation may occur due to the loss of endometrial barriers enabling the spread of microbes, environmental pollutants, and allergens. Heat waves, sleep deprivation, and increased prevalence of pollutants such as polychlorinated biphenyls, which weaken endothelial barriers, may be responsible for the enhanced prevalence of physical and psychological stresses. Leakage of our useful gut microbiota into the periphery might initiate inflammatory responses, and an altered gut microbiome might affect the gut-brain axis that influences physical and mental health.

从生物学的角度来看,多样性、公平和包容(DEI)在多个层面上都很重要,包括我们的遗传、微生物组、饮食和所有器官系统的相互作用。只考虑DEI的社会学方面等同于“把婴儿连同洗澡水一起倒掉”的错误。微生物组中微生物多样性的差异可能通过影响代谢物、维持免疫稳态和感染、身体压力或心理创伤引起的细胞损伤的伤口愈合等系统性相互作用影响我们的健康。先天和适应性免疫细胞亚群的失衡,以及任何微生物组中的微生物,都可能导致过度炎症和氧化应激造成更多的细胞损伤,以及免疫调节的减少。免疫失调可能是由于子宫内膜屏障的丧失导致微生物、环境污染物和过敏原的传播。热浪、睡眠剥夺和污染物(如削弱内皮屏障的多氯联苯)的增加可能是导致身体和心理压力增加的原因。我们有用的肠道微生物群渗漏到外周可能会引发炎症反应,而肠道微生物群的改变可能会影响影响身心健康的肠-脑轴。
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引用次数: 0
Morphine and treatment of cancer -related pain-risk or benefit? 吗啡和治疗癌症相关疼痛的利弊?
IF 8.1 2区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2025-01-01 Epub Date: 2025-05-26 DOI: 10.1080/10937404.2025.2509920
Jie Wang, Pengfei Guo, Yanfei Bian, Jing Ma, Shumin Zhao, Zhiguo Zhang, Yunfeng Xu

Morphine has been widely used to treat physical non-cancer pain as well as cancer-related pain. However, a growing body of evidence has emerged indicating that morphine in addition to alleviating pain initiates and suppresses immune functions in different types of cancer. At present the actions of morphine on tumor growth are contradictory with both inhibition and stimulation reported. Thus, the effects of morphine use needs to be identified with respect to the immune system in consideration of the therapeutic course to follow. It is known that cancer cells express various types of opioid receptors and morphine interaction with these receptors needs to be elucidated in cancer treatment. The expression and distribution of different opioid receptors for morphine binding may provide a basis for varying effects attributed to morphine actions on cancer cell promotion and suppression. Evidence indicates that knowledge regarding distribution of opioid receptors may be considered as a therapeutic tool to determine the use of morphine as a painkiller to treat cancer-related pain.

吗啡已被广泛用于治疗身体上的非癌症性疼痛以及与癌症相关的疼痛。然而,越来越多的证据表明,吗啡除了减轻疼痛外,还能抑制不同类型癌症的免疫功能。目前报道的吗啡对肿瘤生长的抑制作用和刺激作用相互矛盾。因此,在考虑后续治疗过程时,需要确定吗啡使用对免疫系统的影响。众所周知,癌细胞表达多种类型的阿片受体,吗啡与这些受体的相互作用在癌症治疗中需要阐明。吗啡结合的不同阿片受体的表达和分布可能为吗啡作用对癌细胞的促进和抑制的不同作用提供了基础。有证据表明,关于阿片受体分布的知识可能被认为是确定使用吗啡作为止痛药治疗癌症相关疼痛的治疗工具。
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Journal of Toxicology and Environmental Health-Part B-Critical Reviews
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