稀土元素毒性的化疗法:当前证据,挑战和未来方向
1School of Medicine, Laboratory of Toxicology and Environmental Health, Universitat Rovira i Virgili, Reus, Catalonia, Spain.
Basic & clinical pharmacology & toxicology
|December 15, 2025
概括
技术中的稀土元素 (REEs) 由于氧化应激等毒性机制造成健康风险. 对REE暴露缺乏有效的化疗法,突出显示迫切需要新的治疗方法和临床指导方针.
科学领域:
- 环境科学 环境科学
- 毒理学 毒理学 毒理学
- 材料科学 材料科学 材料科学
背景情况:
- 在技术中越来越多地使用稀土元素 (REEs),引发了人们对人类暴露和毒性的担忧.
- 现有的REE毒性研究在不同的暴露途径和生物系统中是分散的.
研究的目的:
- 综合现有关于REE在各种暴露途径 (吸入,摄入,职业) 中毒性的证据.
- 批判性地评估REE特定的毒性机制及其临床表现.
- 确定REE暴露管理中的治疗缺口,特别是缺乏有效的化疗法.
主要方法:
- 综合人体临床数据,动物模型和体外研究的综合文献综述.
- 对REE特异性毒理学机制 (例如氧化应激,线粒体功能障碍) 的批判性评估.
- 分析当前的化疗法及其对REE暴露的疗效.
主要成果:
- 常见的REEs通过不同的机制诱导多器官效应,与传统的重金属不同.
- 存在一个显著的治疗差距,当前的化剂,如DTPA,对REEs,如加多和的有效性有限.
- REE毒性的临床表现需要早期识别和量身定制的支持性护理.
结论:
- 迫切需要开发和验证REE特定的化剂.
- 临床医生必须意识到REE毒性风险,强调早期检测和管理.
- 未来的研究应该集中在新化策略和国际指导协调上,以保护公共健康.
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