产前和生命早期接触铅导致的神经中毒。

Aluru Parithathvi, Neha Choudhari, Herman S Dsouza
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摘要

铅(Pb)已成为一种主要的环境污染物。铅可通过多种途径进入人体并对人体健康产生毒性影响。本综述重点关注铅毒性在产前和生命早期阶段的影响及其对神经发育的影响。发育中的胎儿接触铅后,其目标是胎儿的神经干细胞。因此,铅会对发育中的神经和神经胶质细胞产生有害影响,从而对认知和行为产生不利影响。铅对钙离子(Ca2+)的运动有深远的影响,这可以归因于铅影响神经发育的大多数机制。目前还没有已知的儿童铅暴露安全阈值。铅会影响胎儿的神经发育,导致各种神经系统疾病,并对行为和认知结果产生神经毒性影响。在本综述中,我们将讨论产前和生命早期的铅暴露、其机制以及对神经退行性疾病(如阿尔茨海默病和帕金森病)的影响。本综述进一步强调了孕期和哺乳期铅暴露以及儿童早期发育对于了解铅对胎儿/儿童神经系统的损害程度和相关未来风险的重要性。
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Prenatal and early life lead exposure induced neurotoxicity.

Lead (Pb) has become a major environmental contaminant. There are several ways in which lead can enter the human body and cause toxic effects on human health. This review focuses on the impact of lead toxicity at prenatal and early life stages and its effect on neurodevelopment. Lead exposure to the developing foetus targets foetal neural stem cells. Hence, it has detrimental effects on developing neural and glial cells, adversely influencing cognition and behaviour. Lead has a profound influence on the movement of calcium ions (Ca2+), which can be attributed to most of the mechanisms by which lead affects neurodevelopment. There is no known safe threshold of lead exposure for children. Lead can affect foetal neurodevelopment leading to various neurological disorders, and neurotoxic effects on behavioural and cognitive outcomes. In this review, we discuss prenatal and early-life lead exposure, its mechanism, and consequences for neurodegenerative disorders such as Alzheimer's disease and Parkinson's disease in later stages of life. This review further highlights the importance of lead exposure during pregnancy and lactation periods as well as early development of the child in understanding the extent of lead-induced neurological damage to the foetus/children and the associated future risks.

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