电子烟使用者的炎症和致癌生物标志物签名:对约24,000名成年人的综合元分析
Khalid A Bin Abdulrahman1, Amro K Bin Abdulrahman2, Razique Anwer3
1Department of Medical Education, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia.
International journal of public health
|November 28, 2025
概括
电子烟使用与炎症和潜在的癌症生物标志物有关. 虽然一些标记物比吸烟者低,但需要进一步的研究来确认风险.
科学领域:
- 环境健康 环境健康
- 毒理学 毒理学 毒理学
- 暴露的生物标志物
背景情况:
- 电子烟 (e-cig) 的使用普遍存在,引发了人们对潜在健康影响的担忧.
- 了解电子烟使用与生理反应之间的关联对于公共卫生至关重要.
研究的目的:
- 进行一项元分析,研究电子烟使用与肺炎和致癌的生物标志物之间的联系.
- 为了比较电子烟使用者,吸烟者和非吸烟者的生物标志物水平.
主要方法:
- 对多个数据库 (PubMed,Scopus等) 的系统审查. 从2014年开始到2024年4月.
- 包括16项研究,涉及24,079名成年人,分析生物样本中的生物标志物 (cotinine,NNAL,interleukins).
- 使用ANOVA和Tukey测试进行统计分析;通过GRADE评估证据确定性.
主要成果:
- 电子烟使用者的唾液中丁胺含量高于非吸烟者.
- 吸烟者显示NNAL水平显著升高.
- 与非吸烟者相比,电子烟使用者表现出炎症标志物 (IL-6,TNF-α) 的增加,但低于吸烟者.
- 在电子烟使用者中检测到的致癌生物标志物度低于吸烟者.
结论:
- 电子烟使用与改变的生物标志物有关,这些生物标志物表明炎症和潜在的致癌性.
- 这些效果部分反映了传统吸烟的效果.
- 需要进一步的纵向研究来确定因果关系和长期健康风险.
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