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Inhibitory effects of NaF on mitochondrial energy generation in human platelets in vitro. NaF 对体外人体血小板线粒体能量生成的抑制作用。
IF 3.6 Q2 TOXICOLOGY Pub Date : 2024-09-05 eCollection Date: 2024-01-01 DOI: 10.3389/ftox.2024.1421184
Tetsuhiro Tsujino, Tomoni Kasahara, Hideo Kawabata, Taisuke Watanabe, Koji Nishiyama, Yutaka Kitamura, Takao Watanabe, Hajime Okudera, Tomoharu Mochizuki, Takashi Ushiki, Tomoyuki Kawase

Background: fluoride is a beneficial ion that has been used in various fields, from industrial products to therapeutics. However, due to its narrow therapeutic index, fluoride sometimes acts as a toxic agent at relatively higher concentrations in the human body. Based on the interest in genetic stability, its cytotoxic effects have been investigated mainly in nucleated, adherent cells, such as fibroblasts. However, the sensitivity of blood cells, especially anucleate platelets, to fluoride is poorly understood. To fill this gap in the literature, we investigated the effects of relatively low levels of fluoride on platelet energy metabolism, function, and viability.

Methods: Platelet-rich plasma (PRP) was prepared from 15 non-smoking healthy male adults (age: 28-63) and treated with NaF (0.5 or 1.0 mM) in microtubes for up to 3 days. Platelet function was evaluated based on aggregation and adhesion activities. Platelet energy metabolism was evaluated based on intracellular ATP levels, extracellular lactate levels, and respiration activities. The mitochondrial membrane potential (Em) and localization of reactive oxygen species (ROS) were visualized using cytochemical methods. Platelet viability was evaluated by cell counting and tetrazolium reduction.

Result: NaF (1 mM) significantly reduced platelet viability and inhibited functions. Behind these phenomena, NaF substantially decreased mitochondrial Em and increased ROS production along with significant decreases in oxygen consumption and ATP levels. Simultaneously, NaF increased the lactate levels. Although not statistically significant, similar effects were observed at 0.5 mM NaF.

Conclusion: At relatively low levels, NaF has the potential to attenuate platelet function probably primarily through the inhibition of mitochondrial energy generation. Cytotoxicity may be directly related to ROS production. These findings suggest that when used topically, for example, for caries prevention in the oral cavity, NaF could interfere with wound healing and tissue regeneration by endogenous and exogenously added platelets in the form of PRP.

背景:氟是一种有益的离子,已被用于从工业产品到治疗等各个领域。然而,由于氟的治疗指数较窄,有时在人体内浓度相对较高时,氟会成为一种有毒物质。基于对遗传稳定性的关注,人们主要在有核、粘附的细胞(如成纤维细胞)中研究氟的细胞毒性作用。然而,人们对血细胞,尤其是无核血小板对氟化物的敏感性知之甚少。为了填补这一文献空白,我们研究了相对低浓度的氟对血小板能量代谢、功能和活力的影响:从 15 名非吸烟的健康男性(年龄:28-63 岁)中制备富血小板血浆(PRP),并在微管中用 NaF(0.5 或 1.0 mM)处理长达 3 天。根据聚集和粘附活动评估血小板功能。根据细胞内 ATP 水平、细胞外乳酸水平和呼吸活动评估血小板的能量代谢。使用细胞化学方法观察线粒体膜电位(Em)和活性氧(ROS)的定位。通过细胞计数和四唑还原法评估血小板活力:结果:NaF(1 mM)能明显降低血小板的活力并抑制其功能。在这些现象的背后,NaF 大大降低了线粒体 Em,增加了 ROS 的产生,同时显著降低了耗氧量和 ATP 水平。同时,NaF 还增加了乳酸水平。虽然没有统计学意义,但在 0.5 mM NaF 时也观察到了类似的影响:结论:在相对较低的水平下,NaF 有可能主要通过抑制线粒体能量生成来削弱血小板功能。细胞毒性可能与 ROS 的产生直接相关。这些研究结果表明,当局部使用 NaF 时,例如用于预防口腔龋齿,NaF 可能会干扰内源性和外源性血小板以 PRP 形式的伤口愈合和组织再生。
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引用次数: 0
A rare case of early onset lewy body dementia with parkinsonism associated with chronic exposure to copper contaminated drinking water. 一例与长期接触受铜污染的饮用水有关的早发性白质痴呆伴帕金森病的罕见病例。
IF 3.6 Q2 TOXICOLOGY Pub Date : 2024-09-02 eCollection Date: 2024-01-01 DOI: 10.3389/ftox.2024.1451235
Marcia H Ratner, Jonathan S Rutchik

There is a well-recognized relationship between a person's body burden of essential trace elements such as copper and their neurological function in which both deficiencies and exposures to excessive concentrations are associated with adverse clinical outcomes. Preclinical studies indicate chronic excess copper exposure is associated with altered motor function, dopaminergic neuronal loss, astrocytosis, and microgliosis. Copper also promotes oligomerization and fibrilization of α-synuclein suggesting it may hasten the course of an α-synucleinopathy. Here we report a rare case of early onset Lewy Body Dementia with Parkinsonism in a 53-year-old Caucasian woman exposed to copper contaminated drinking water for more than 10 years. Her hair and that of her daughter had streaks of blue-green discoloration as did the porcelain sinks in their home. Testing confirmed copper contamination of the drinking water. A neurologist diagnosed her with Lewy Body Dementia with Parkinsonism. Skin biopsy for phosphorylated α was consistent with a diagnosis of an α-synucleinopathy. These findings suggest chronic exposure to excessive copper may act as disease modifying factor in Lewy Body Dementia with Parkinsonism. It has previously been recommended that individuals at risk of Alzheimer's disease (AD) avoid excessive intake of copper. Genetic studies indicate that Lewy Body Dementia shares risk factors and pathways with AD. Based on the observations in this patient we recommend that individuals at risk for an α-synucleinopathy based on a positive family history, genetic testing, and/or positive results on a skin biopsy for phosphorylated α-synuclein avoid exposure to excess copper.

铜等人体必需微量元素的含量与其神经功能之间存在着公认的关系,缺乏铜或铜含量过高都会导致不良的临床结果。临床前研究表明,长期过量接触铜与运动功能改变、多巴胺能神经元丧失、星形胶质细胞增多症和小胶质细胞增多症有关。铜还能促进α-突触核蛋白的寡聚化和纤维化,这表明铜可能会加速α-突触核蛋白病的进程。在此,我们报告了一例罕见的早发卢瓦体痴呆伴帕金森病病例,患者是一名 53 岁的白种女性,接触铜污染的饮用水长达 10 多年。她和她女儿的头发以及家中的陶瓷水槽都出现了蓝绿色变色条纹。检测证实饮用水受到铜污染。神经科医生诊断她患有路易体痴呆症和帕金森症。皮肤活检的磷酸化 α 与 α-突触核蛋白病的诊断一致。这些研究结果表明,长期接触过量铜可能会成为路易体痴呆伴帕金森病的疾病改变因素。以前曾建议有阿尔茨海默病(AD)风险的人避免摄入过量的铜。遗传学研究表明,路易体痴呆症与阿兹海默症具有相同的风险因素和发病途径。根据对该患者的观察,我们建议有α-突触核蛋白病风险的人,如果家族史、基因检测和/或皮肤活检中磷酸化α-突触核蛋白检测结果呈阳性,则应避免接触过量铜。
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引用次数: 0
Developmental toxicity and estrogenic activity of antimicrobial phenolic-branched fatty acids using in silico simulations and in vivo and in vitro bioassay. 利用硅学模拟和体内、体外生物测定研究抗菌剂酚支链脂肪酸的发育毒性和雌激素活性。
IF 3.6 Q2 TOXICOLOGY Pub Date : 2024-09-02 eCollection Date: 2024-01-01 DOI: 10.3389/ftox.2024.1380485
Xinwen Zhang, Helen Ngo, Karen Wagner, Xuetong Fan, Changqing Wu

Due to the growing safety and environmental concerns associated with biocides, phenolic-soy branched chain fatty acids (phenolic-soy BCFAs) are synthesized as new bio-based antimicrobial agents. Safety evaluation is essential before the wide adoption of these new antimicrobial products. This study was initiated to evaluate the safety of four phenolic-soy BCFAs (with phenol, thymol, carvacrol, or creosote branches). Methyl-branched iso-oleic acid, phenol, and creosote were included in the study as controls. In silico toxicity simulation tools predicted that the phenolic BCFAs had much higher toxicities to aquatic organisms than free phenolics did, while the opposite was predicted for rats. The developmental toxicity of four phenolic-soy BCFAs was assessed using an in vivo chicken embryonic assay. Results showed that creosote-soy BCFA had much lower mortality rates than creosote at the same dosages. Additionally, creosote-soy BCFA and methyl-branched iso-oleic acid induced minimal estrogenic activity in the concentration range of 10 nM - 1 µM. Carvacrol-soy BCFA treatments significantly increased (p < 0.05) oxidative stress levels with higher thiobarbituric acid reactive substances in the livers of chicken embryos. Altogether, the phenolic-soy BCFAs, especially creosote-soy BCFA, reported in this study are potentially promising and safer bio-based antimicrobial products.

由于与杀菌剂相关的安全和环境问题日益突出,酚-大豆支链脂肪酸(酚-大豆 BCFAs)被合成为新的生物基抗菌剂。在广泛采用这些新型抗菌剂产品之前,安全评估至关重要。本研究旨在评估四种酚类大豆 BCFA(含苯酚、百里酚、香芹酚或杂酚油分支)的安全性。甲基支链异油酸、苯酚和杂酚油作为对照被纳入研究。根据硅毒性模拟工具的预测,酚类 BCFAs 对水生生物的毒性远高于游离酚类,而对大鼠的预测则相反。利用体内鸡胚胎试验评估了四种酚类大豆萃取物的发育毒性。结果表明,在相同剂量下,杂酚油-大豆 BCFA 的死亡率远低于杂酚油。此外,在 10 nM - 1 µM 的浓度范围内,杂酚油-大豆 BCFA 和甲基支链异油酸诱导的雌激素活性极低。香芹酚-大豆 BCFA 处理显著增加了氧化应激水平(p < 0.05),鸡胚肝脏中硫代巴比妥酸活性物质增加。总之,本研究中报道的酚类大豆 BCFAs,尤其是香芹酚大豆 BCFA,是一种潜在的、更安全的生物基抗菌产品。
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引用次数: 0
The effect of iron status on gadolinium deposition in the rat brain: mechanistic implications. 铁状态对大鼠脑内钆沉积的影响:机理意义。
IF 3.6 Q2 TOXICOLOGY Pub Date : 2024-08-26 eCollection Date: 2024-01-01 DOI: 10.3389/ftox.2024.1403031
John P Prybylski, Olivia Jastrzemski, Michael Jay

Introduction: Sites associated with gadolinium (Gd) deposition in the brain (e.g., the globus pallidus) are known to contain high concentrations of ferric iron. There is considerable debate over the mechanism of Gd deposition in the brain. The role of iron transport mechanisms in Gd deposition has not been determined. Thus, we seek to identify if Gd deposition can be controlled by modifying iron exposure. Methods: Female Sprague-Dawley rats were given diets with controlled iron levels at 2-6 ppm, 6 ppt (20 g/kg Fe carbonyl) or 48 ppm for 3 weeks to induce iron deficiency, overload or normalcy. They were kept on those diets while receiving a cumulative 10 mmol/kg dose of gadodiamide intravenously over 2 weeks, then left to washout gadodiamide for 3 days or 3 weeks before tissues were harvested. Gd concentrations in tissues were analyzed by ICP-MS. Results: There were no significant effect of dietary iron and total Gd concentrations in the organs, but there was a significant effect of iron status on Gd distribution in the brain. For the 3-week washout cohort, there was a non-significant trend of increasing total brain deposition and decreasing dietary iron, and about 4-fold more Gd in the olfactory bulbs of the low iron group compared to the other groups. Significant brain accumulation was observed in the low iron group total brain Gd in the 3-week washout group relative to the 3-day washout group and no accumulation was observed in other tissues. There was a strong negative correlation between femur Gd concentrations and concentrations in other organs when stratifying by dietary iron. Discussion: Gd brain deposition from linear Gd-based contrast agents (GBCAs) are dependent upon iron status, likely through variable transferrin saturation. This iron dependence appears to be associated with redistribution of peripheral deposited Gd (e.g., in the bone) into the brain.

简介已知大脑中与钆(Gd)沉积有关的部位(如苍白球)含有高浓度的铁。关于 Gd 在大脑中沉积的机理存在很大争议。铁的运输机制在钆沉积中的作用尚未确定。因此,我们试图确定是否可以通过改变铁暴露来控制钆沉积。研究方法给雌性 Sprague-Dawley 大鼠喂食铁含量控制在 2-6 ppm、6 ppt(20 克/千克羰基铁)或 48 ppm 的食物 3 周,以诱导缺铁、铁过载或正常。小白鼠吃这些食物的同时,在 2 周内静脉注射累积剂量为 10 mmol/kg 的钆二胺,然后让小白鼠在 3 天或 3 周内洗掉钆二胺,然后再采集组织。组织中的钆浓度通过 ICP-MS 进行分析。结果显示膳食中的铁对器官中的总钆浓度没有明显影响,但铁的状态对大脑中钆的分布有明显影响。在为期 3 周的冲洗组群中,大脑总沉积量呈上升趋势,而膳食铁含量则呈下降趋势,但这一趋势并不明显;与其他组群相比,低铁组群嗅球中的钆含量高出约 4 倍。相对于 3 天冲洗组,低铁组在 3 周冲洗组中观察到脑部总钆显著累积,而在其他组织中未观察到累积。按膳食铁分层时,股骨钆浓度与其他器官的钆浓度之间存在很强的负相关。讨论:线性钆基造影剂(GBCAs)的钆脑沉积取决于铁的状态,可能是通过不同的转铁蛋白饱和度。这种铁依赖性似乎与外周沉积的 Gd(如骨骼中的 Gd)重新分布到大脑有关。
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引用次数: 0
Stem cell-based approaches for developmental neurotoxicity testing. 基于干细胞的发育神经毒性测试方法。
IF 3.6 Q2 TOXICOLOGY Pub Date : 2024-08-22 eCollection Date: 2024-01-01 DOI: 10.3389/ftox.2024.1402630
Joy Ku, Prashanth Asuri

Neurotoxicants are substances that can lead to adverse structural or functional effects on the nervous system. These can be chemical, biological, or physical agents that can cross the blood brain barrier to damage neurons or interfere with complex interactions between the nervous system and other organs. With concerns regarding social policy, public health, and medicine, there is a need to ensure rigorous testing for neurotoxicity. While the most common neurotoxicity tests involve using animal models, a shift towards stem cell-based platforms can potentially provide a more biologically accurate alternative in both clinical and pharmaceutical research. With this in mind, the objective of this article is to review both current technologies and recent advancements in evaluating neurotoxicants using stem cell-based approaches, with an emphasis on developmental neurotoxicants (DNTs) as these have the most potential to lead to irreversible critical damage on brain function. In the next section, attempts to develop novel predictive model approaches for the study of both neural cell fate and developmental neurotoxicity are discussed. Finally, this article concludes with a discussion of the future use of in silico methods within developmental neurotoxicity testing, and the role of regulatory bodies in promoting advancements within the space.

神经毒剂是指可对神经系统的结构或功能产生不良影响的物质。这些物质可以是化学剂、生物剂或物理剂,它们可以穿过血脑屏障损害神经元或干扰神经系统与其他器官之间复杂的相互作用。随着对社会政策、公共卫生和医学的关注,有必要确保对神经毒性进行严格检测。虽然最常见的神经毒性测试涉及使用动物模型,但向基于干细胞的平台转变有可能为临床和药物研究提供更准确的生物替代方案。有鉴于此,本文旨在回顾利用干细胞方法评估神经毒物的现有技术和最新进展,重点是发育神经毒物(DNT),因为这些毒物最有可能对大脑功能造成不可逆转的严重损害。下一节将讨论为研究神经细胞命运和发育神经毒性开发新型预测模型方法的尝试。最后,本文讨论了硅学方法在发育神经毒性测试中的未来应用,以及监管机构在促进该领域发展中的作用。
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引用次数: 0
Editorial: Over and under the skin: how our habits can influence cutaneous toxicity. 社论:皮肤内外:我们的习惯如何影响皮肤毒性。
IF 3.6 Q2 TOXICOLOGY Pub Date : 2024-08-20 eCollection Date: 2024-01-01 DOI: 10.3389/ftox.2024.1476284
Martina Iulini, Monday Ogaba Ogese
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引用次数: 0
Effect of altered production and storage of dopamine on development and behavior in C. elegans. 改变多巴胺的产生和储存对 elegans 发育和行为的影响
IF 3.6 Q2 TOXICOLOGY Pub Date : 2024-08-16 eCollection Date: 2024-01-01 DOI: 10.3389/ftox.2024.1374866
Irene Lee, Ava C Knickerbocker, Charlotte R Depew, Elizabeth L Martin, Jocelyn Dicent, Gary W Miller, Meghan L Bucher

Introduction: The nematode, Caenorhabditis elegans (C. elegans), is an advantageous model for studying developmental toxicology due to its well-defined developmental stages and homology to humans. It has been established that across species, dopaminergic neurons are highly vulnerable to neurotoxicant exposure, resulting in developmental neuronal dysfunction and age-induced degeneration. C. elegans, with genetic perturbations in dopamine system proteins, can provide insight into the mechanisms of dopaminergic neurotoxicants. In this study, we present a comprehensive analysis on the effect of gene mutations in dopamine-related proteins on body size, development, and behavior in C. elegans.

Methods: We studied C. elegans that lack the ability to sequester dopamine (OK411) and that overproduce dopamine (UA57) and a novel strain (MBIA) generated by the genetic crossing of OK411 and UA57, which both lack the ability to sequester dopamine into vesicles and, additionally, endogenously overproduce dopamine. The MBIA strain was generated to address the hypothesis that an endogenous increase in the production of dopamine can rescue deficits caused by a lack of vesicular dopamine sequestration. These strains were analyzed for body size, developmental stage, reproduction, egg laying, motor behaviors, and neuronal health utilizing multiple methods.

Results: Our results further implicate proper dopamine synthesis and sequestration in the regulation of C. elegans body size, development through larval stages into gravid adulthood, and motor functioning. Furthermore, our analyses demonstrate that body size in terms of length is distinct from the developmental stage as fully developed gravid adult C. elegans with disruptions in the dopamine system have decreased body lengths. Thus, body size should not be used as a proxy for the developmental stage when designing experiments.

Discussion: Our results provide additional evidence that the dopamine system impacts the development, growth, and reproduction in C. elegans. Furthermore, our data suggest that endogenously increasing the production of dopamine mitigates deficits in C. elegans lacking the ability to package dopamine into synaptic vesicles. The novel strain, MBIA, and novel analyses of development and reproduction presented here can be utilized in developmental neurotoxicity experiments.

简介线虫(Caenorhabditis elegans, C.elegans)是研究发育毒理学的一个有利模型,因为它具有明确的发育阶段和与人类的同源性。已经证实,在不同物种中,多巴胺能神经元极易受到神经毒素暴露的影响,导致发育期神经元功能障碍和年龄诱导的退化。通过对多巴胺系统蛋白进行遗传扰乱, elegans 可以深入了解多巴胺能神经毒素的作用机制。本研究全面分析了多巴胺相关蛋白基因突变对 elegans 体型、发育和行为的影响:方法:我们研究了缺乏多巴胺封存能力(OK411)和过量产生多巴胺(UA57)的 elegans,以及由 OK411 和 UA57 基因杂交产生的新品系(MBIA)。MBIA品系的产生是为了解决一个假设,即内源性多巴胺产量的增加可以挽救因缺乏囊泡多巴胺螯合能力而导致的缺陷。我们采用多种方法对这些品系的体型、发育阶段、繁殖、产卵、运动行为和神经元健康状况进行了分析:结果:我们的研究结果进一步表明,适当的多巴胺合成和螯合参与了对优雅鼠体型、从幼虫期发育到成虫期以及运动功能的调控。此外,我们的分析表明,体型的长度与发育阶段是不同的,因为发育完全的雌性成年秀丽隐杆线虫在多巴胺系统受到干扰的情况下体长会缩短。因此,在设计实验时,不应将体型作为发育阶段的代表:讨论:我们的研究结果提供了更多证据,证明多巴胺系统会影响秀丽隐杆线虫的发育、生长和繁殖。此外,我们的数据表明,内源性增加多巴胺的产生可减轻缺乏将多巴胺包装到突触小泡能力的 elegans 的缺陷。本文介绍的新菌株 MBIA 以及对发育和繁殖的新分析可用于发育神经毒性实验。
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引用次数: 0
The heart of plastic: utilizing the Drosophila model to investigate the effects of micro/nanoplastics on heart function. 塑料心脏:利用果蝇模型研究微型/纳米塑料对心脏功能的影响。
IF 3.6 Q2 TOXICOLOGY Pub Date : 2024-08-16 eCollection Date: 2024-01-01 DOI: 10.3389/ftox.2024.1438061
Alyssa M Hohman, Rachel M Sorensen, Boris Jovanovic, Elizabeth M McNeill

Microplastics (MPs) and nanoplastics (NPs) have increasingly been found in the environment. Until recently, most MPs/NPs toxicological research has been done in aquatic systems resulting in a gap in knowledge regarding terrestrial systems. Plastics have been shown to enter the circulatory system of humans, and can accumulate within organs, little is known about the effect this has on health. Heart disease is the leading cause of death globally, so it's critical to understand the possible impacts MPs/NPs have on the heart. The Drosophila model has been growing in popularity within the toxicology field, it allows for affordable and rapid research on the impacts of a variety of toxins, including plastics. Some research has examined toxicological effects of plastics on the fly, evaluating the effects on mortality, fecundity, development, and locomotion. However, no one has studied the effects on the Drosophila heart. We utilize the Drosophila model to identify the potential effects of oral exposure to polystyrene MPs (1 µm in diameter) and NPs (0.05 µm in diameter) particles on heart function. Flies were exposed to 1.4 × 1011 particles/d/kg of larvae for MPs and 1.2 × 1018 particles/d/kg of larvae for NPs from egg to pupal eclosion. Heart function was then analyzed utilizing semi-intact dissections and Semi-automatic Optic Heartbeat Analysis software (SOHA). Following exposure to MPs and NPs we see sexually dimorphic changes to heart size and function. This study highlights the importance of additional Drosophila MPs/NPs research to identify the molecular mechanisms behind these changes.

环境中发现的微塑料(MPs)和纳米塑料(NPs)越来越多。直到最近,大多数 MPs/NPs 毒理学研究都是在水生系统中进行的,导致对陆生系统的了解存在空白。塑料已被证明可进入人体循环系统,并可在器官内积聚,但人们对其对健康的影响却知之甚少。心脏病是全球死亡的主要原因,因此了解 MPs/NPs 对心脏可能产生的影响至关重要。果蝇模型在毒理学领域越来越受欢迎,它可以对包括塑料在内的各种毒素的影响进行经济、快速的研究。一些研究已经考察了塑料对果蝇的毒理影响,评估了塑料对果蝇死亡率、繁殖力、发育和运动的影响。但是,还没有人研究过塑料对果蝇心脏的影响。我们利用果蝇模型来确定经口接触聚苯乙烯 MPs(直径 1 微米)和 NPs(直径 0.05 微米)颗粒对心脏功能的潜在影响。从卵孵化到蛹羽化,蝇类暴露于 1.4 × 1011 粒子/天/千克幼虫(MPs)和 1.2 × 1018 粒子/天/千克幼虫(NPs)。然后利用半接触解剖和半自动光学心跳分析软件(SOHA)分析心脏功能。在接触 MPs 和 NPs 后,我们发现心脏大小和功能发生了性别双态变化。这项研究强调了进一步研究果蝇MPs/NPs以确定这些变化背后的分子机制的重要性。
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引用次数: 0
Science evolves but outdated testing and static risk management in the US delay protection to human health. 科学在发展,但美国过时的测试和静态的风险管理延误了对人类健康的保护。
IF 3.6 Q2 TOXICOLOGY Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.3389/ftox.2024.1444024
Maricel V Maffini, Laura N Vandenberg
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引用次数: 0
The safety of magnetic resonance imaging contrast agents. 磁共振成像造影剂的安全性。
IF 3.6 Q2 TOXICOLOGY Pub Date : 2024-08-12 eCollection Date: 2024-01-01 DOI: 10.3389/ftox.2024.1376587
Amy Cunningham, Martin Kirk, Emily Hong, Jing Yang, Tamara Howard, Adrian Brearley, Angelica Sáenz-Trevizo, Jacob Krawchuck, John Watt, Ian Henderson, Karol Dokladny, Joshua DeAguero, G Patricia Escobar, Brent Wagner

Gadolinium-based contrast agents are increasingly used in clinical practice. While these pharmaceuticals are verified causal agents in nephrogenic systemic fibrosis, there is a growing body of literature supporting their role as causal agents in symptoms associated with gadolinium exposure after intravenous use and encephalopathy following intrathecal administration. Gadolinium-based contrast agents are multidentate organic ligands that strongly bind the metal ion to reduce the toxicity of the metal. The notion that cationic gadolinium dissociates from these chelates and causes the disease is prevalent among patients and providers. We hypothesize that non-ligand-bound (soluble) gadolinium will be exceedingly low in patients. Soluble, ionic gadolinium is not likely to be the initial step in mediating any disease. The Kidney Institute of New Mexico was the first to identify gadolinium-rich nanoparticles in skin and kidney tissues from magnetic resonance imaging contrast agents in rodents. In 2023, they found similar nanoparticles in the kidney cells of humans with normal renal function, likely from contrast agents. We suspect these nanoparticles are the mediators of chronic toxicity from magnetic resonance imaging contrast agents. This article explores associations between gadolinium contrast and adverse health outcomes supported by clinical reports and rodent models.

钆类造影剂在临床实践中的使用越来越多。虽然这些药物已被证实是肾源性系统纤维化的致病因子,但越来越多的文献支持它们是静脉注射钆暴露和鞘内注射脑病相关症状的致病因子。钆基造影剂是一种多叉有机配体,能与金属离子紧密结合,从而降低金属的毒性。患者和医疗服务提供者普遍认为阳离子钆会从这些螯合物中解离并导致疾病。我们假设患者体内非配体结合型(可溶性)钆的含量会非常低。可溶性离子钆不可能是导致任何疾病的第一步。新墨西哥州肾脏研究所率先从啮齿动物的磁共振成像造影剂中发现了皮肤和肾脏组织中富含钆的纳米颗粒。2023 年,他们在肾功能正常的人类肾脏细胞中发现了类似的纳米粒子,很可能是造影剂造成的。我们怀疑这些纳米粒子是磁共振成像造影剂慢性毒性的介质。本文探讨了钆对比剂与不良健康后果之间的关联,这些关联得到了临床报告和啮齿动物模型的支持。
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引用次数: 0
期刊
Frontiers in toxicology
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