与酒精相关的肝病和PFAS暴露中的协同毒性
Arthur D Stem1, Ricardo Scheufen Tieghi2,3, Vaia Lida Chatzi4
1Department of Environmental Health Sciences, Yale School of Public Health, New Haven, CT, USA.
概括
酒精相关性肝病 (ALD) 和环境中和多基物质 (PFAS) 分享有害的肝损伤途径. 同时暴露可能会恶化肝损伤,特别是在脆弱人群中.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 环境健康 环境健康
- 毒理学 毒理学 毒理学
背景情况:
- 酒精相关性肝病 (ALD) 是一个主要的全球健康问题,由慢性乙醇摄入驱动.
- 和多醇基物质 (PFAS) 是一种持久性环境污染物,已知会破坏肝功能.
- 无论是ALD还是PFAS暴露都涉及到共享的致病机制,如氧化应激和改变的脂质代谢.
研究的目的:
- 审查ALD病理学的机制.
- 总结一下PFAS的肝毒性作用.
- 探索ALD和PFAS在恶化肝损伤中的融合作用,并确定潜在的协同影响.
主要方法:
- 文献综述综合了关于ALD机制的当前发现.
- PFAS诱导的肝毒性的总结.
- 分析ALD和PFAS暴露之间的共享和融合途径.
主要成果:
- ALD和PFAS共享关键路径,包括线粒体功能障碍,氧化应激和脂肪酸症.
- PFAS可以通过类似于酒精的机制促进肝损伤.
- 同时暴露可能导致添加性或协同性肝损伤.
结论:
- 由于广泛的暴露和共享的毒理途径,了解ALD和PFAS的联合影响至关重要.
- 同时暴露的高风险人群值得关注,特别是那些获得医疗保健有限的人群.
- 需要使用系统生物学方法进行进一步的研究,以调查协同作用的危害,并制定缓解策略.
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