内分泌干扰化学物质:将机制转化为围产期风险评估
Wiku Andonotopo1, Muhammad Adrianes Bachnas2, Julian Dewantiningrum3
1Department of Obstetrics and Gynecology, Fetomaternal Division, Women Health Center, Eka Hospital, Tangerang, Banten, Indonesia.
Journal of perinatal medicine
|September 22, 2025
概括
产前暴露于内分泌干扰化学物质 (EDC),如BPA,酸盐和PFAS,与不良妊娠结果有关. 对EDC风险评估的临床整合仍然有限,这阻碍了改善母胎健康.
科学领域:
- 环境健康 环境健康
- 生殖毒理学 生殖毒理学
- 围产儿医学 围产儿医学
背景情况:
- 产前暴露于环境内分泌干扰化学物质 (EDC) 是一个越来越令人担忧的问题.
- 关键的EDC包括双A (BPA),甲酸盐和和多基基物质 (PFAS).
- 这些暴露可能会影响怀孕和胎儿发育.
研究的目的:
- 系统地评估证据,将产前EDC暴露与不良怀孕和胎儿发育结果联系起来.
- 评估将这些证据转化为临床围产期风险评估的可能性.
主要方法:
- 在主要数据库 (PubMed,Scopus,Web of Science) 中对2000-2025年的研究进行了系统的文献搜索.
- 包括关于产前EDC暴露和胎儿-胎盘结局的流行病学和实验研究.
- 分析了52项研究,提取了暴露指标,发育窗口和效果大小.
主要成果:
- 产前EDC暴露与胎盘功能障碍,胎儿生长改变以及内分泌/表观遗传修饰有关.
- 效应大小通常是温和的,但在生物学上是合理的,由机械学数据支持.
- 存在广泛的EDC暴露,对脆弱人群的负担更高;临床查仍然有限.
结论:
- 产前EDC暴露与被破坏的胎儿胎盘发育有生物学联系.
- 临床转化到实践和风险评估框架是不完整的.
- 将环境暴露评估纳入产周护理可以改善母胎健康并减少差异.
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