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暴露于空气污染物和类风湿性关节炎生物标志物:范围审查
Jillian M Moore1, Jill M Norris2, Maggie L Clark1
1Department of Environmental and Radiological Health Sciences, Colorado State University, 1681 Campus Delivery, Fort Collins, CO 80523, USA.
Seminars in arthritis and rheumatism
|January 17, 2024
概括
这次审查没有发现特定空气污染物和类风湿性关节炎 (RA) 生物标志物之间存在一致的联系. 然而,一些研究表明潜在的关联,特别是颗粒物和二氧化硫,需要进一步调查.
科学领域:
- 环境健康 环境健康
- 类风湿病学 类风湿病学
- 流行病学 流行病学
背景情况:
- 类风湿性关节炎 (RA) 是一种常见的自身免疫性疾病,病因复杂.
- 遗传,荷尔蒙和环境因素有助于RA的发展.
- 环境和职业空气污染物在RA中的作用尚未完全理解.
研究的目的:
- 评估目前关于空气污染物暴露与RA生物标志物之间的关联的文献.
- 作为RA生物标志物,研究了类风湿因子 (RF) 和抗素化抗体 (ACPA).
- 检查了环境和职业空气污染物作为潜在的风险因素.
主要方法:
- 在PubMed和Web of Science的系统文献搜索.
- 包括测量空气污染和RA生物标志物的流行病学研究.
- 关于污染物,暴露,生物标志物,方法,种群和发现的信息.
主要成果:
- 13项研究评估了各种空气污染物和职业吸入剂.
- 经常观察到二氧化硫,颗粒物 (<2.5微米) 和ACPA之间的联系.
- 一些研究表明,在具有特定遗传因子 (SE等位基因) 的个体中,污染物相关性更强.
结论:
- 在任何单一污染物和RA生物标志物结果之间没有发现一致的联系.
- 研究的局限性包括人口异质性和方法上的差异.
- 需要进一步研究强大的因果框架,考虑遗传修饰.
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