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暴露导致的慢性病是不可避免的,可以逆转吗?
1Kidney Disease Research Collaborative, Translational Research Institute, Woolloongabba, Brisbane, QLD 4102, Australia.
Biomedicines
|April 27, 2024
概括
暴露于会导致不可逆转的损伤,导致功能减弱和白尿. 当前的环境暴露水平可能不足以扭转这些有害影响.
科学领域:
- 环境健康 环境健康
- 毒理学 毒理学 毒理学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- (Cd) 是一种在食品中发现的有毒金属污染物,没有生理作用.
- 由于肠道的高吸收和缺乏排泄机制,身体积累了.
- 管状细胞是积的主要部位,导致进展性病.
研究的目的:
- 在一般人群中审查与功能下降 (GFR损失) 和白色素尿相关的尿液和血液中的当前水平.
- 强调暴露个体中蛋白分泌的机制.
- 讨论制定保护性暴露指南的挑战.
主要方法:
- 对调查含量和功能标志物 (eGFR,白尿) 的研究进行文献综述.
- 剂量反应关系的分析,将分泌正常化到肌素清除.
- 讨论与损伤有关的毒动力学和毒动力学.
主要成果:
- 在脏中的积累导致渐进性病,由估计的球过率 (eGFR) 和白尿率的下降表明.
- 暴露于后EGFR的减少通常是不可逆转的.
- 尿液和血液中的含量与GFR损失和白尿有关.
结论:
- 暴露于会造成不可逆转的损伤和衰竭的重大风险.
- 通过消除当前的环境暴露来扭转诱导的损伤不太可能.
- 准确评估暴露需要将排泄率正常化到肌素清除率,以便可靠的剂量反应评估.
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