在TRAEC框架内探索PFAS暴露和妊娠糖尿病风险之间的联系
Jinzhao Ma1, Rui Niu2, Yupeng Wang1
1Key Laboratory of Modern Toxicology of Ministry of Education, School of Public Health, Nanjing Medical University, Nanjing 211166, China.
概括
暴露在per-和多基基物质 (PFAS) 中与妊娠糖尿病 (GDM) 风险的增加有关. 这项研究使用系统毒理风险评估和小鼠模型证实了这种关联,强调了需要进行干预的必要性.
科学领域:
- 环境健康 环境健康
- 毒理学 毒理学 毒理学
- 生殖健康 生殖健康
背景情况:
- 和多基基物质 (PFAS) 是持久的环境污染物.
- 怀孕期间PFAS对健康的潜在影响越来越令人担忧.
- 证据将PFAS暴露与妊娠糖尿病 (GDM) 联系在一起是不确定的.
研究的目的:
- 系统地评估PFAS暴露与GDM风险之间的关联.
- 通过使用TRAEC战略,整合流行病学,动物和机械学证据.
- 为公共卫生干预提供强有力的证据.
主要方法:
- 在PubMed和Web of Science的系统文献搜索.
- 环境化学品毒理风险评估 (TRAEC) 战略的应用.
- 针对性小鼠对妊娠期暴露于典型的PFAS的实验.
主要成果:
- 综合了36项关于9种PFAS亚型和GDM风险的研究结果.
- 鼠标实验证实PFNA暴露会增加血糖和降低葡萄糖耐受性.
- TRAEC的评估显示,PFAS暴露和GDM风险之间存在显著的相关性,证据强度中等.
结论:
- 暴露在PFAS中强烈地提高了GDM风险.
- perfluorooctanoic 酸 (PFOA), perfluorooctane 硫酸盐 (PFOS) 和 PFNA 显示出最强的关联.
- 需要进行公共卫生干预,以保护孕产妇和胎儿的代谢健康.
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