非印第安人的儿童肝硬化是由于饮食中的铜过量引起的吗?
1National Center for the Study of Wilson's Disease, Columbia University, New York, NY 10019.
Lancet (London, England)
|October 8, 1994
概括
非印第安人的儿童肝硬化并不是由于饮用水中的高铜含量引起的. 有证据表明,婴儿肝脏疾病实际上是遗传的.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 环境健康 环境健康
- 遗传学 是一个遗传学.
背景情况:
- 印度儿童肝硬化与铜器中煮熟的牛奶过量摄入铜有关.
- 非印度人的儿童肝硬化病例被归因于饮用水中的铜,报告的含量范围为0.05至6.8毫克Cu/L.
研究的目的:
- 调查饮用水中高铜含量与非印度儿童肝硬化之间的关联.
- 为了确定非印第安人的儿童肝硬化病的病因因素.
主要方法:
- 在三个马萨诸塞州城镇 (1969-1991) 饮用水中铜含量的回顾性分析.
- 对6岁以下儿童的死亡率数据的检查,这些儿童暴露在饮用水中,含量为8.5-8.8 mg Cu/L.
- 审查以前关于非印第安人的儿童肝硬化病例报告.
主要成果:
- 在64124个儿童年中,没有观察到因肝硬化或肝脏疾病而导致的死亡,这些儿童年暴露于高铜饮用水 (8.5-8.8 mg Cu/L).
- 之前关于非印第安人的儿童肝硬化病的报道包括潜在的遗传倾向的婴儿.
- 肝硬化发生率没有增加,尽管高铜暴露.
结论:
- 饮用水中的高铜含量不太可能是非印第安人的儿童肝硬化病的原因.
- 非印第安人的儿童肝硬化似乎是一种遗传性疾病,而不是环境毒性问题.
相关概念视频
Diseases of the Liver and Gallbladder
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not related to...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not related to...
Cirrhosis I: Introduction
Cirrhosis is a chronic, irreversible liver disease characterized by the widespread replacement of healthy liver tissue with fibrotic scar tissue and the formation of regenerative nodules.Etiology of cirrhosisCirrhosis results from sustained liver injury that triggers progressive fibrosis and structural remodeling. The underlying causes are diverse, encompassing common and less frequent clinical conditions. Regardless of the origin, all causes lead to chronic inflammation, hepatocyte loss, and...
Cirrhosis II: Pathophysiology
Cirrhosis is a progressive chronic liver injury caused by prolonged inflammation, excessive fibrotic remodeling, and impaired regeneration. Over time, repeated hepatic insults disrupt the liver’s architecture and function, leading to reduced blood flow, impaired bile drainage, and diminished metabolic capacity.Pathophysiology of cirrhosisCirrhosis arises from three main responses to chronic liver damage: inflammation, immune activation, and hepatocyte death. These processes lead to structural...
Hepatic Encephalopathy
DefinitionHepatic encephalopathy is a reversible neurologic syndrome that results from advanced liver dysfunction or portosystemic shunting. It leads to disturbances in cognition, behavior, and motor function due to the brain’s exposure to gut-derived toxins that the liver fails to detoxify.EtiologyThis condition develops either in the setting of acute fulminant hepatitis or progressively during chronic liver disease, such as cirrhosis and portal hypertension. Portosystemic shunting—including...
Jaundice
Jaundice, or icterus, is the yellow discoloration of the skin, sclerae, and mucous membranes. It happens when plasma bilirubin levels rise above 2.5-3 mg/dL, leading to bilirubin deposition in tissue.Bilirubin is a byproduct of hemoglobin degradation. In macrophages, hemoglobin breaks down into globin and heme. Globin is converted into amino acids, while heme is turned into biliverdin by heme oxygenase, which is then reduced to unconjugated bilirubin by biliverdin reductase.Unconjugated...
Chronic Pancreatitis II: Pathophysiology
Chronic pancreatitis is a progressive and irreversible inflammation of the pancreas, most often caused by long-term alcohol abuse, but it can also be related to ductal obstruction, smoking, or genetic factors.Chronic pancreatitis occurs when the pancreas is repeatedly exposed to harmful agents like alcohol, smoking, ductal obstruction, or genetic predisposition. These factors lead to the release of toxic metabolites and inflammatory cytokines, sustaining chronic inflammation in the pancreatic...


