产前甲酸盐暴露对胎儿发育和产妇/新生儿健康后果的影响:系统性审查
Laura Almeida-Toledano1, Elisabet Navarro-Tapia2, Giorgia Sebastiani3
1Institut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain; BCNatal, Barcelona Center for Maternal-Fetal and Neonatal Medicine, Hospital Sant Joan de Déu and Hospital Clínic, Universitat de Barcelona, 08950 Barcelona, Spain.
The Science of the total environment
|July 30, 2024
概括
产前暴露于塑料和个人护理用品中常见的酸盐,与儿童的妊娠并发症和神经发育问题有关. 需要进一步的研究来了解具体的机制和安全的暴露水平.
科学领域:
- 环境健康 环境健康
- 生殖毒理学 生殖毒理学
- 发育儿科 发育儿科
背景情况:
- 酸盐在消费品中广泛存在,导致人类显著暴露.
- 产前暴露于酸盐是越来越令人担忧的,因为它可能对母亲和胎儿的健康产生不良影响.
- 现有的研究表明,甲酸盐暴露与各种健康问题之间存在联系,需要进行全面的审查.
研究的目的:
- 系统地审查产前甲酸盐暴露对重大妊娠并发症的影响.
- 分析酸盐在胎儿神经发育障碍中的作用.
- 讨论分子机制和关键暴露窗口对于甲酸盐诱导的影响.
主要方法:
- 系统的文献审查遵循PRISMA方法.
- 包括在过去10年内发表的100多篇文章.
- 对研究甲酸盐暴露和怀孕结果/胎儿发育的研究进行分析.
主要成果:
- 母亲暴露于酸盐与妊娠糖尿病,怀孕引起的高血压,胎儿生长限制和早产的风险增加有关.
- 产前甲酸盐暴露会对儿童的运动技能,记忆和语言学习产生负面影响,并增加自闭症谱系障碍特征和ADHD的风险.
- 二甲基甲酸盐及其代谢物经常与这些不良结果有关.
结论:
- 产前甲酸盐暴露对怀孕和胎儿神经发育构成重大风险.
- 内分泌干扰,氧化应激,炎症和DNA甲基化是关键的分子机制.
- 第一季度是暴露的关键窗口,突出了对特定影响和长期后果的进一步研究的需要.
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