氧化压力介导的乙烯氧化物暴露与骨关节炎风险之间的关联:来自NHANES 2013-2020年的证据
Xinyue Yang1, Jianwen Wang1, Chengcheng Wei2
1Department of Hand Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Medical gas research
|November 8, 2024
概括
乙烯氧化物暴露与骨关节炎的更高风险有关. 氧化应激,而不是炎症,似乎是推动美国成年人这种关联的生物机制.
科学领域:
- 环境健康 环境健康
- 毒理学 毒理学 毒理学
- 类风湿病学 类风湿病学
背景情况:
- 乙烯氧化物 (EtO) 是已知的致癌物,与糖尿病和高血压有关.
- 它与骨关节炎 (OA) 风险的关联以前没有确立.
- 了解EtO对健康的影响对于公共健康至关重要.
研究的目的:
- 调查乙烯氧化物暴露与骨关节炎风险之间的关联.
- 探索氧化应激和炎症在这种关系中的调解作用.
主要方法:
- 分析国家健康和营养检查调查 (2013-2020年) 数据来自6088名美国成年人.
- 权衡的通用线性模型来评估ETO暴露和OA风险.
- 使用氧化应激 (γ-glutamyl转移酶) 和炎症标志物的调解分析.
主要成果:
- 乙烯氧化物水平升高与骨关节炎风险增加相关 (OR=1.86在Q4与Q1中,P=0.0097).
- 亚组分析证实了不同队列的一致发现.
- 调解分析确定氧化应激 (γ-谷氨基转移酶) 是一个显著的调解剂,而炎症标志物并没有调解该效应.
结论:
- 乙烯氧化物暴露与骨关节炎风险增加直接相关.
- 氧化应激是一种关键的生物学途径,将EtO暴露与OA发展联系起来.
- 这些发现凸显了减轻EtO暴露的必要性,以预防骨关节炎.
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