生物矩阵中的重金属毒理学:从单个分析物的测量到综合查的范式转变
Souleiman El Balkhi1,2, Christelle Machon3
1Department of Pharmacology, Toxicology and Pharmacovigilance, Limoges University Hospital, Limoges, France.
Therapeutic drug monitoring
|December 8, 2025
概括
由于非特异性症状和不充分的单金属测试,诊断重金属毒性是具有挑战性的. 综合的多元选提供了一个整体的视图,以提高准确性.
科学领域:
- 临床毒理学 临床毒理学
- 环境健康 环境健康
- 分析化学 分析化学
背景情况:
- 由于非特异性症状,重金属毒性诊断很困难.
- 目前的方法专注于单一的金属,忽视复杂的金属相互作用.
- 现有的诊断方法不足以理解人类的金属组.
研究的目的:
- 倡导重金属毒性诊断的范式转变.
- 建议对有针对性的测量进行全面的定量选.
- 强调需要对元素选采取整体方法.
主要方法:
- 对当前的诊断挑战和技术进步进行叙述性审查.
- 在毒性方面讨论金属对金属的相互作用.
- 强调先进分析技术的作用,如ICP-MS/MS.
主要成果:
- 非特异性症状使诊断复杂化,单元测试是不够的.
- 金属与金属的相互作用至关重要,但在当前的指导方针中被忽视.
- 感应合等离子体双重质谱法 (ICP-MS/MS) 可实现高通量多元件面板.
结论:
- 定量多元件选提供了一个完整的金属学概况.
- 这种整体方法捕捉了有毒物质及其生物背景.
- 多元查是准确的临床毒理学和改善患者结果的实际必要性.
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