双A,其类似物和胎盘中的衍生物与神经管缺陷风险之间的关联:一个病例控制研究
Haiyan Zhu1, Qianhui Cheng1, Jufen Liu1
1Institute of Reproductive and Child Health, National Health Commission Key Laboratory of Reproductive Health, Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China.
The Science of the total environment
|July 20, 2023
概括
胎盘中双A (BPA) 和双Z (BPZ) 的高水平与神经管缺陷 (NTD) 的风险增加有关. BPA和BPZ似乎是新生儿NTD的重要危险因素.
科学领域:
- 环境健康 环境健康
- 生殖毒理学 生殖毒理学
- 发育生物学 发展生物学
背景情况:
- 双A (BPA) 和其类似物,如双Z (BPZ),在消费品中很常见.
- 关于双化合物 (BPs) 与神经管缺陷 (NTDs) 之间的联系存在有限的研究.
研究的目的:
- 调查胎盘BP度与NTD风险之间的关联.
- 确定有助于NTD风险的特定BP.
主要方法:
- 一个病例控制研究涉及122个NTD病例和164个对照.
- 在胎盘组织中使用液体染色学-并联质谱学量化BP.
- 使用逻辑回归和加权量积 (WQS) 回归模型进行统计分析.
主要成果:
- 胎盘中BPA和BPZ水平升高与NTD风险显著增加有关 (分别为OR=3.17和OR=3.11).
- 在BPA和BPZ度和NTD风险之间观察到剂量反应关系.
- 该WQS模型表明,BPA和BPZ是BP对NTD风险的综合影响的主要贡献者.
结论:
- 血中高度的BP,特别是BPA和BPZ,与增加NTD风险有关.
- BPA和BPZ被确定为NTD的关键风险因素.
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