暴露和骨质疏松症:流行病学证据和机制
Cai Tang1, Xingmin Lv1, Lingling Zou1
1Acupuncture and Rehabilitation Department, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou 646000, China.
概括
暴露与骨质疏松和骨折的风险更高有关. 这种有毒金属通过直接和间接途径影响骨健康,影响骨细胞和矿物代谢.
科学领域:
- 环境健康 环境健康
- 毒理学 毒理学 毒理学
- 骨生物学 骨生物学 骨生物学
背景情况:
- (Cd) 是一种具有长期生物持久性的有毒重金属.
- 暴露于Cd发生在吸入,摄入和与皮肤接触时,影响多个器官.
- 骨质疏松症风险越来越多地与Cd暴露有关,超出了衰老因素.
研究的目的:
- 审查有关和骨质疏松症的流行病学,体内和体外研究.
- 阐明引起的骨质疏松症的直接和间接分子机制.
- 突出作为可能被忽视的骨质疏松症风险因素.
主要方法:
- 系统审查流行病学数据.
- 实验研究 (体内和体外) 的分析.
- 研究涉及毒性的分子途径.
主要成果:
- 流行病学研究表明,CD暴露与骨质疏松症/骨折率之间存在积极的关联.
- 实验证据表明,Cd通过直接影响骨细胞诱导骨质疏松症.
- 由于损害功能和矿物质代谢,CD也间接导致骨质疏松症.
结论:
- 暴露是骨质疏松症的重要危险因素.
- 了解CD的分子病原体是预防和治疗的关键.
- 公共卫生战略应考虑降低Cd暴露.
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