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水环境中微塑料对炎症性肠病的影响。

Effects of microplastics in aquatic environments on inflammatory bowel disease.

机构信息

The Affiliated Kangning Hospital, School of Public Health and Management, Wenzhou Medical University, Wenzhou, 325035, China.

Zhejiang Provincial Key Laboratory of Organic Pollution Process and Control, Department of Environmental Science, Zhejiang University, Hangzhou, 310058, China.

出版信息

Environ Res. 2023 Jul 15;229:115974. doi: 10.1016/j.envres.2023.115974. Epub 2023 Apr 23.

Abstract

The incidence of inflammatory bowel disease (IBD) has been increasing in recent years, particularly in newly industrialized nations. Environmental factors have been identified as playing a crucial role in IBD pathogenesis. Microplastics (MPs), a novel class of environmental pollutants, are a significant global pollution concern. MPs are found in almost all aquatic environments. MPs in the environment may pose health risks, specifically concerning the intestinal system, due to prolonged exposure through the consumption of aquatic foods and drinking water. In this review, we aimed to provide a comprehensive overview of the current knowledge on the impact of MPs in water resources on the occurrence and progression of IBD. Our systematic analysis of in vitro and in vivo studies found that MPs induce intestinal barrier dysfunction, imbalance in the intestinal microbiome, and metabolic abnormalities, ultimately leading to IBD. In addition, MP exposure causes greater harm to individuals with preexisting gastrointestinal disorders than those without them. Our analysis of this literature review highlights the need for further research to improve the understanding of the complex relationship between MP exposure and IBD.

摘要

近年来,炎症性肠病(IBD)的发病率一直在上升,特别是在新兴工业化国家。环境因素已被确定在 IBD 的发病机制中起着关键作用。微塑料(MPs)是一类新型的环境污染物,是一个全球性的重要污染关注点。MPs 几乎存在于所有的水生环境中。由于通过食用水生食品和饮用水而长期暴露,环境中的 MPs 可能会对健康造成风险,特别是对肠道系统。在这篇综述中,我们旨在全面概述有关水资源中 MPs 对 IBD 发生和发展的影响的现有知识。我们对体外和体内研究的系统分析发现, MPs 可诱导肠道屏障功能障碍、肠道微生物组失衡和代谢异常,最终导致 IBD。此外,MP 暴露对有胃肠道疾病的个体造成的危害大于没有胃肠道疾病的个体。我们对文献综述的分析强调了需要进一步研究,以提高对 MP 暴露与 IBD 之间复杂关系的理解。

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