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癌症的环境病因:内分泌干扰物作为致癌物质。

Environmental causes of cancer: endocrine disruptors as carcinogens.

机构信息

Department of Anatomy and Cellular Biology, Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA 02111, USA.

出版信息

Nat Rev Endocrinol. 2010 Jul;6(7):363-70. doi: 10.1038/nrendo.2010.87. Epub 2010 May 25.

Abstract

Environmental endocrine disrupting chemicals (EDCs), including pesticides and industrial chemicals, have been and are released into the environment producing deleterious effects on wildlife and humans. The effects observed in animal models after exposure during organogenesis correlate positively with an increased incidence of malformations of the male genital tract and of neoplasms and with the decreased sperm quality observed in European and US populations. Exposure to EDCs generates additional effects, such as alterations in male and female reproduction and changes in neuroendocrinology, behavior, metabolism and obesity, prostate cancer and thyroid and cardiovascular endocrinology. This Review highlights the carcinogenic properties of EDCs, with a special focus on bisphenol A. However, humans and wildlife are exposed to a mixture of EDCs that act contextually. To explain this mindboggling complexity will require the design of novel experimental approaches that integrate the effects of different doses of structurally different chemicals that act at different ages on different target tissues. The key to this complex problem lies in the adoption of mathematical modeling and computer simulations afforded by system biology approaches. Regardless, the data already amassed highlight the need for a public policy to reduce exposure to EDCs.

摘要

环境内分泌干扰化学物质(EDCs),包括农药和工业化学品,已经并正在释放到环境中,对野生动物和人类产生有害影响。在器官发生期间暴露后在动物模型中观察到的效应与男性生殖道畸形和肿瘤的发生率增加以及欧洲和美国人群中观察到的精子质量下降呈正相关。接触 EDC 会产生其他影响,如男性和女性生殖功能的改变以及神经内分泌、行为、代谢和肥胖、前列腺癌以及甲状腺和心血管内分泌的变化。本综述强调了 EDC 的致癌特性,特别关注双酚 A。然而,人类和野生动物暴露于以特定方式起作用的 EDC 混合物中。要解释这种令人费解的复杂性,需要设计新的实验方法,将不同剂量的具有不同结构的化学物质在不同年龄对不同靶组织的作用整合在一起。解决这个复杂问题的关键在于采用系统生物学方法提供的数学建模和计算机模拟。无论如何,已经积累的数据强调了需要制定减少接触 EDC 的公共政策。

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