Amato Angelica Amorim, Wheeler Hailey Brit, Blumberg Bruce
Department of Pharmaceutical Sciences, University of Brasilia, Brasilia, Brazil.
Department of Developmental and Cell Biology, University of California, Irvine, California, USA.
Endocr Connect. 2021 Feb;10(2):R87-R105. doi: 10.1530/EC-20-0578.
Obesity is now a worldwide pandemic. The usual explanation given for the prevalence of obesity is that it results from consumption of a calorie dense diet coupled with physical inactivity. However, this model inadequately explains rising obesity in adults and in children over the past few decades, indicating that other factors must be important contributors. An endocrine-disrupting chemical (EDC) is an exogenous chemical, or mixture that interferes with any aspect of hormone action. EDCs have become pervasive in our environment, allowing humans to be exposed daily through ingestion, inhalation, and direct dermal contact. Exposure to EDCs has been causally linked with obesity in model organisms and associated with obesity occurrence in humans. Obesogens promote adipogenesis and obesity, in vivo, by a variety of mechanisms. The environmental obesogen model holds that exposure to obesogens elicits a predisposition to obesity and that such exposures may be an important yet overlooked factor in the obesity pandemic. Effects produced by EDCs and obesogen exposure may be passed to subsequent, unexposed generations. This "generational toxicology" is not currently factored into risk assessment by regulators but may be another important factor in the obesity pandemic as well as in the worldwide increases in the incidence of noncommunicable diseases that plague populations everywhere. This review addresses the current evidence on how obesogens affect body mass, discusses long-known chemicals that have been more recently identified as obesogens, and how the accumulated knowledge can help identify EDCs hazards.
肥胖如今已成为全球性的流行病。对于肥胖流行的常见解释是,它是由高热量饮食的摄入以及缺乏身体活动导致的。然而,这种模式并不能充分解释过去几十年来成年人和儿童肥胖率的上升,这表明其他因素必定是重要的促成因素。内分泌干扰化学物质(EDC)是一种外源性化学物质或混合物,它会干扰激素作用的任何方面。EDC在我们的环境中已无处不在,使得人类每天都通过摄入、吸入和皮肤直接接触而暴露于其中。在模式生物中,EDC暴露已被证明与肥胖存在因果关系,在人类中也与肥胖的发生有关。在体内,肥胖诱导物通过多种机制促进脂肪生成和肥胖。环境肥胖诱导物模型认为,暴露于肥胖诱导物会引发肥胖倾向,而且这种暴露可能是肥胖大流行中一个重要但被忽视的因素。EDC和肥胖诱导物暴露所产生的影响可能会传递给后续未暴露的几代人。目前,监管机构在风险评估中并未将这种“代际毒理学”考虑在内,但它可能是肥胖大流行以及困扰各地人群的非传染性疾病发病率在全球范围内上升的另一个重要因素。这篇综述阐述了关于肥胖诱导物如何影响体重的现有证据,讨论了最近被确认为肥胖诱导物的早已为人所知的化学物质,以及这些积累的知识如何有助于识别EDC的危害。