滞留效应:环境暴露导致9·11第一响应者通过IL1RAP导致克隆性血液形成
Ksenia R Safina1,2,3,4, Peter van Galen1,2,3,4
1Division of Hematology, Brigham and Women's Hospital, Boston, Massachusetts.
Cancer discovery
|December 2, 2025
概括
9/11世界贸易中心的急救人员显示,克隆性血液形成 (CH) 和血液癌症风险增加,年轻人有不寻常的突变. 暴露于WTC颗粒物可能会通过IL1RAP驱动CH,这是一个潜在的治疗标.
科学领域:
- 环境健康 环境健康
- 血液学 血液学 血液学
- 癌症研究 癌症研究
背景情况:
- 克隆性血液形成 (CH) 与衰老和血液癌症有关.
- 9/11世界贸易中心 (WTC) 的急救人员面临着独特的环境暴露.
- 包括CH在内的WTC暴露对健康的长期影响需要进一步调查.
研究的目的:
- 调查9/11 WTC第一响应者中CH的患病率和特征.
- 探索WTC暴露与CH相关突变之间的关联.
- 确定可能的生物机制,将WTC暴露于CH和血液癌症风险联系起来.
主要方法:
- 在9/11 WTC第一响应者队列中分析CH流行率和突变特征.
- 使用小鼠模型研究WTC颗粒物暴露对血液形成的影响.
- 在对WTC暴露的反应中测量介素-1受体辅助蛋白 (IL1RAP) 的水平.
主要成果:
- 在9/11 WTC第一响应者中观察到CH的患病率增加.
- 与CH相关的非特征性突变在年轻的响应者中被发现.
- 在小鼠模型中WTC颗粒物暴露导致IL1RAP水平增加和克隆扩张.
结论:
- 暴露于WTC与第一响应者中CH和血液癌症的风险增加有关.
- IL1RAP被认为是WTC诱导的克隆扩张的调解者,具有潜在的治疗标.
- 需要进一步的研究,以了解和减轻暴露在WTC的人群中的CH风险.
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