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1.
J Hazard Mater ; 421: 126683, 2022 01 05.
Artigo em Inglês | MEDLINE | ID: mdl-34315024

RESUMO

Experimental studies have demonstrated that disinfection byproducts (DBPs) can cause ovarian toxicity including inhibition of antral follicle growth and disruption of steroidogenesis, but there is a paucity of human evidence. We aimed to investigate whether urinary biomarkers of exposure to drinking water DBPs were associated with ovarian reserve. The present study included 956 women attending an infertility clinic in Wuhan, China from December 2018 to January 2020. Antral follicle count (AFC), ovarian volume (OV), anti-Mullerian hormone (AMH), and follicle-stimulating hormone (FSH) were measured as indicators of ovarian reserve. Urinary dichloroacetic acid (DCAA) and trichloroacetic acid (TCAA) were assessed as potential biomarkers of drinking water DBP exposures. Multivariate linear and Poisson regression models were applied to estimate the associations of urinary DCAA and TCAA concentrations with indicators of ovarian reserve. Elevated urinary DCAA and TCAA levels were monotonically associated with reduced total AFC (- 5.98%; 95% CI: - 10.30%, - 1.44% in DCAA and - 12.98%; 95% CI: - 17.00%, - 8.76% in TCAA comparing the extreme tertiles; both P for trends ≤ 0.01), and the former was only observed in right AFC but not in left AFC, whereas the latter was estimated for both right and left AFC. Moreover, elevated urinary TCAA levels were monotonically associated with decreased AMH (- 14.09%; 95% CI: - 24.79%, - 1.86% comparing the extreme tertiles; P for trend = 0.03). These negative associations were still observed for the exposure biomarkers modeled as continuous variables. Our findings suggest that exposure to drinking water DBPs may be associated with decreased ovarian reserve.


Assuntos
Água Potável , Reserva Ovariana , Biomarcadores , Estudos Transversais , Desinfecção , Feminino , Humanos
2.
J Hazard Mater ; 424(Pt B): 127394, 2022 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-34628266

RESUMO

Mercury sulfide (HgS) constitutes the largest Hg reservoir in the lithosphere but has long been considered to be not bioavailable and a minor participant in Hg biogeochemical cycling. Herein, we report that bulk α-HgS can be dissolved and methylated in paddy soils, especially with rice culture. Bulk α-HgS exposure did not affect rice growth compared to the control group but significantly increased methylmercury (MeHg) contents in the rhizospheric soils (e.g., 80.15% and 108.71% higher for bulk α-HgS treatment vs. control at the seedling and maturation stages, respectively). Moreover, bulk α-HgS exposure induced an apparent accumulation of MeHg (50% higher for bulk α-HgS treatment vs. control) and markedly elevated total Hg (THg) in rice grains. The presence of DOM and reduced sulfide in paddy soils was further evidenced to drive the mobilization and dissolution of bulk α-HgS, thereby resulting in THg and MeHg accumulation in rice grains. These findings highlight the bioavailability of HgS in rice paddies and suggest that bulk HgS should be considered when assessing Hg health risks and developing efficient remediation approaches in Hg-contaminated croplands.

3.
Materials (Basel) ; 14(23)2021 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-34885507

RESUMO

Carbon nano-materials have been widely used in many fields due to their electron transport, mechanics, and gas adsorption properties. This paper introduces the structure and properties of carbon nano-materials the preparation of carbon nano-materials by chemical vapor deposition method (CVD)-which is one of the most common preparation methods-and reaction simulation. A major factor affecting the material structure is its preparation link. Different preparation methods or different conditions will have a great impact on the structure and properties of the material (mechanical properties, electrical properties, magnetism, etc.). The main influencing factors (precursor, substrate, and catalyst) of carbon nano-materials prepared by CVD are summarized. Through simulation, the reaction can be optimized and the growth mode of substances can be controlled. Currently, numerical simulations of the CVD process can be utilized in two ways: changing the CVD reactor structure and observing CVD chemical reactions. Therefore, the development and research status of computational fluid dynamics (CFD) for CVD are summarized, as is the potential of combining experimental studies and numerical simulations to achieve and optimize controllable carbon nano-materials growth.

4.
Medicine (Baltimore) ; 100(46): e27474, 2021 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-34797274

RESUMO

ABSTRACT: The best time window of percutaneous coronary intervention (PCI) is within 12 hours for ST-segment elevation myocardial infarction (STEMI). However, there is limited evidence about the proper time of PCI for delayed STEMI patients.From June 2014 to June 2015, a total of 268 patients receiving PCI with second-generation drug-eluting stent in a Chinese hospital after 3 days of STEMI onset were enrolled in this retrospective study, who were divided into the early group (3-14 days) and the late group (>14 days). A propensity score match was conducted to reduce the baseline difference. The primary endpoint of all-cause death and secondary endpoints of major adverse cardiac and cerebrovascular event (myocardial infarction [MI], stroke, emergent revascularization, and rehospitalization due to heart failure) were compared using survival analysis.At last, 182 cases were matched after propensity score match, with no statistical difference in baseline characteristics and PCI data. Kaplan-Meier survival curve demonstrated no difference in all-cause death of the 2 groups (P = .512). However, the early group presented a higher incidence of MI than the late group (P = .036). The multivariate Cox regression analysis also demonstrated that the early PCI was an independent risk factor for MI compared with late PCI (hazard ratio = 3.83, 95%CI [1.91-8.82], P = .001). There was no statistical difference in other major adverse cardiac and cerebrovascular event, including stroke, emergent revascularization, and rehospitalization due to heart failure.Using the 2nd drug-eluting stent, early PCI (3-14 days) and late PCI (>14 days) have comparable efficacy and outcomes. However, patients receiving early PCI are subjected to a relatively higher risk of recurrent MI.

6.
Biometals ; 34(6): 1353-1363, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34599705

RESUMO

Mercury (Hg) is highly toxic while selenium (Se) has been found to antagonize Hg. Both Hg and Se have been found to induce metallothioneins (MTs). In this study, the complexes formed by metallothionein-1 (MT-1) with HgCl2 and/or Na2SeO3 was studied using matrix-assisted laser desorption/ionization-time of flight-mass spectrometry (MALDI-TOF-MS) and X-ray absorption spectrometry (XAS). MALDI-TOF-MS and XAS indicated the formation of Hg-S bond or Se-S bond when MT-1 reacted with HgCl2 or Na2SeO3, respectively. The bond lengths of Hg-S and coordination number in MT-Hg are 2.41 ± 0.02 Å and 3.10 and in MT-Se are 2.50 ± 0.03 Å and 2.69. A MT-Se-Hg complex was formed when MT-1 reacted with both HgCl2 and Na2SeO3, in which the neighboring atom of Hg is Se, while the neighboring atoms of Se are S and Hg. Our study is an important step towards a better understanding of the interaction of HgCl2 and/or Na2SeO3 with proteins like MT-1.

7.
Ecotoxicol Environ Saf ; 225: 112791, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34555721

RESUMO

Mercury (Hg) brings adverse effects to the environment and human beings and inorganic mercury (IHg) is a typical hepatic toxin. This work studied the impacts of IHg on gut microbes and metabolome together with its damage to liver and gut in rats through gut microbiome, metabolomics and metallomics. Sprague Dawley (SD) rats were orally exposed to 0.4 µg/mL IHg and sacrificed after 24 h. It was found that IHg perturbed greatly on the gut microbiota, such as increased pathogenic bacteria like G. bacillus. In addition, IHg also changed gut-liver axis related metabolites, which was confirmed by the secretion of a large number of inflammatory factors in both the gut and the liver. The changed gut-liver axis related metabolites correlated well to the changes of gut microbiome. In all, besides the direct deposition in liver of Hg, the perturbance to gut microbiome and alteration of gut-liver axis related metabolites by IHg also contributed to its hepatoxicity, which provides new insights about the hepatoxicity of chemicals. The strategy applied in this work may also be used to understand the hepatoxicity of other chemicals.


Assuntos
Microbioma Gastrointestinal , Mercúrio , Animais , Fígado , Mercúrio/toxicidade , Metabolômica , Ratos , Ratos Sprague-Dawley
8.
Neoplasma ; 68(6): 1157-1168, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34533029

RESUMO

The crosstalk between tumor and stroma plays a critical role in cancer metastasis. However, the function of miR-10a-5p on liver fibroblasts in the metastatic microenvironment of colon cancer (CC) and the effect of activated fibroblasts on CC cells are still unclear. In our study, miR-10a-5p overexpression inhibited the proliferation, migration, and IL-6/IL-8 level of LX-2 cells and human liver cancer fibroblasts (HLCFs). Moreover, miR-10a-5p had lower expression in HLCFs than in human liver normal fibroblasts (HLNFs). The conditioned medium (CM) from LX-2 cells with miR-10a-5p overexpression or HLNFs could inhibit the invasion, migration, and stemness of CC SW480 cells, whereas HLCFs CM could promote these malignant phenotypes of SW480 cells. The present study illustrates the effect of miR-10a-5p on the liver fibroblasts and the altered liver fibroblasts in the microenvironment on CC cells induced by miR-10a-5p, which may aid the understanding of the mechanisms underlying CC liver metastasis.

9.
Inorg Chem ; 60(17): 13434-13439, 2021 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-34423965

RESUMO

Herein, a Co(II) heteroatom metal-organic framework was successfully post-modified via unsaturated coordinated S precisely capturing Ni2+ on the surface of the porous structure. The newly pristine bimetallic MOFs have increasing active edge sites (Ni(II) and S), boosting electrocatalytic activity toward oxygen evolution reaction and hydrogen evolution reaction.

10.
Environ Int ; 156: 106749, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34247006

RESUMO

Cadmium (Cd) contamination in paddy fields is a serious health concern because of its high toxicity and widespread pollution. Recently, much progress has been made in elucidating the mechanisms involved in Cd uptake, transport, and transformation from paddy soils to rice grains, aiming to mitigate the associated health risk; however, these topics have not been critically reviewed to date. Here, we summarized and reviewed the (1) geochemical distribution and speciation of Cd in soil-rice systems, (2) mobilization, uptake, and transport of Cd from soil to rice grains and the associated health risks, (3) pathways and transformation mechanisms of Cd from soil to rice grains, (4) transporters involved in reducing Cd uptake, transport, and accumulation in rice plants, (5) factors governing Cd bioavailability in paddy, and (6) comparison of remediation approaches for mitigating the environmental and health risks of Cd contamination in paddy fields. Briefly, this review presents the state of the art about the fate of Cd in paddy fields and its transport from soil to grains, contributing to a better understanding of the environmental hazards of Cd in rice ecosystems. Challenges and perspectives for controlling Cd risks in rice are thus raised. The summarized findings in this review may help to develop innovative and applicable methods for controlling Cd accumulation in rice grains and sustainably manage Cd-contaminated paddy fields.


Assuntos
Oryza , Poluentes do Solo , Cádmio/análise , Cádmio/toxicidade , Ecossistema , Inocuidade dos Alimentos , Solo , Poluentes do Solo/análise
11.
World J Pediatr ; 17(4): 409-418, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34059960

RESUMO

BACKGROUND: Primary vesicoureteral reflux (VUR) is a common congenital anomaly of the kidney and urinary tract (CAKUT) in childhood. The present study identified the possible genetic contributions to primary VUR in children. METHODS: Patients with primary VUR were enrolled and analysed based on a national multi-center registration network (Chinese Children Genetic Kidney Disease Database, CCGKDD) that covered 23 different provinces/regions in China from 2014 to 2019. Genetic causes were sought using whole-exome sequencing (WES) or targeted-exome sequencing. RESULTS: A total of 379 unrelated patients (male: female 219:160) with primary VUR were recruited. Sixty-four (16.9%) children had extrarenal manifestations, and 165 (43.5%) patients showed the coexistence of other CAKUT phenotypes. Eighty-eight patient (23.2%) exhibited impaired renal function at their last visit, and 18 of them (20.5%) developed ESRD at the median age of 7.0 (IQR 0.9-11.4) years. A monogenic cause was identified in 28 patients (7.39%). These genes included PAX2 (n = 4), TNXB (n = 3), GATA3 (n = 3), SLIT2 (n = 3), ROBO2 (n = 2), TBX18 (n = 2), and the other 11 genes (one gene for each patient). There was a significant difference in the rate of gene mutations between patients with or without extrarenal complications (14.1% vs. 6%, P = 0.035). The frequency of genetic abnormality was not statistically significant based on the coexistence of another CAKUT (9.6% vs. 5.6%, P = 0.139, Chi-square test) and the grade of reflux (9.4% vs. 6.7%, P = 0.429). Kaplan-Meier survival curve showed that the presence of genetic mutations did affect renal survival (Log-rank test, P = 0.01). PAX2 mutation carriers (HR 5.1, 95% CI 1.3-20.0; P = 0.02) and TNXB mutation carriers (HR 20.3, 95% CI 2.4-168.7; P = 0.01) were associated with increased risk of progression to ESRD. CONCLUSIONS: PAX2, TNXB, GATA3 and SLIT2 were the main underlying monogenic causes and accounted for up to 46.4% of monogenic VUR. Extrarenal complications and renal function were significantly related to the findings of genetic factors in children with primary VUR. Like other types of CAKUT, several genes may be responsible for isolated VUR.

12.
IEEE Trans Vis Comput Graph ; 27(9): 3701-3716, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34048346

RESUMO

Semi-supervised learning (SSL) provides a way to improve the performance of prediction models (e.g., classifier) via the usage of unlabeled samples. An effective and widely used method is to construct a graph that describes the relationship between labeled and unlabeled samples. Practical experience indicates that graph quality significantly affects the model performance. In this paper, we present a visual analysis method that interactively constructs a high-quality graph for better model performance. In particular, we propose an interactive graph construction method based on the large margin principle. We have developed a river visualization and a hybrid visualization that combines a scatterplot, a node-link diagram, and a bar chart to convey the label propagation of graph-based SSL. Based on the understanding of the propagation, a user can select regions of interest to inspect and modify the graph. We conducted two case studies to showcase how our method facilitates the exploitation of labeled and unlabeled samples for improving model performance.

13.
Ying Yong Sheng Tai Xue Bao ; 32(5): 1643-1652, 2021 May.
Artigo em Chinês | MEDLINE | ID: mdl-34042358

RESUMO

In this study, with water salinity as the core index, sea-land hydrological connectivity index was constructed by integrating the hydrological structure connectivity index (water surface ratio, intake and outtake density, sea-land distance, and ditch distance). Based on multi-scale spatial analysis, we carried out the spatial quantitative analysis and classification of sea-land hydrological connectivity in the study area under an evaluation unit of 150 m×150 m grid. The results showed that sea-land hydrological connectivity gradually decreased from sea to land, with different decreasing rates. The spatial differentiation of water salinity in the study area was substantial, with certain impacts on the change rate of hydrological connectivity. The sea-land hydrological connectivity was divided into four grades, which was excellent, good, medium, and poor. The areas under excellent and good grades were mainly distributed in offshore areas, with saltwater aquaculture ponds and farmland as the main land use types. The regions with moderate and poor land use were mainly distributed in inland areas, with freshwater aquaculture ponds and farmland as the land use types. The hydrological process of coastal wetlands was complex. Quantitative coastal wetland hydrological connectivity could provide reference for coastal wetland status assessment and wetland restoration.


Assuntos
Salinidade , Áreas Alagadas , Água Doce , Hidrologia , Água
14.
Ying Yong Sheng Tai Xue Bao ; 32(5): 1653-1662, 2021 May.
Artigo em Chinês | MEDLINE | ID: mdl-34042359

RESUMO

Hydrological conditions in the plains irrigation area are complex, which are strongly affected by small irrigation facilities and human management. In this study, the connectivity index of ditch network and the influence index of rural small irrigation facilities were constructed to quantitatively analyze the hydrological connectivity of a typical plain irrigation area, Fudong irrigation area, in north Jiangsu Province. The self-organizing feature map (SOM) analysis method was used to identify the effects of small irrigation facilities on the spatial heterogeneity of ditch network structure connectivity. The results showed that the hydrological structure connectivity differed in different regions of Fudong. The connectivity in the north of the irrigation area was the best, but the worst in the central and southern part of the irrigation area. There were 876 pumps, 633 gates and 2420 culverts in the study area. Without the effects of small irrigation facilities, there were 13 villages with poor hydrological structure connectivity and 48 villages with good and best hydrological structure connectivity. Under the effects of small irrigation facilities, the number of villages with poor connectivity was reduced to 8, while the number of villages with good and best connectivity was increased to 53. Due to the influence of gates and culvert, the hydrological connectivity of 26 villages in Fudong became poor. The hydrological connectivity of 39 villages had been enhanced due to the existence of pump.


Assuntos
Hidrologia , China , Humanos
15.
Neoplasma ; 68(4): 780-787, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34034499

RESUMO

circRNAs have been considered as a rising factor in cancers. However, the roles and mechanisms of circ-sirt1 in gastric cancer (GC) remain largely unknown. In this study, we found that the expressions of sirt1 and circ-sirt1 are decreased in tissues or serums of GC patients by real-time quantitative PCR (RT-qPCR). The expressions of miR-132-3p/miR-212-3p showed an opposite tendency in these samples. The co-transfection of miR-132-3p/miR-212-3p mimics counteracted the enhancement of sirt1 expression induced by circ-sirt1. The results of cell colony-formation assay and transwell assays demonstrated that the proliferation, migration, and invasion activities of BGC-823 cells were inhibited by circ-sirt1 overexpression or miR-132-3p/miR-212-3p knockdown, respectively. The xenograft tumor model result indicated that the circ-sirt1 overexpression suppressed the tumor growth of BGC-823 cells. The regulation of miR-132-3p/miR-212-3p between circ-sirt1 and sirt1 was verified in the mice tumor tissues. Thus, circ-sirt1 inhibited tumor growth and invasion probably by sponging miR-132-3p/miR-212-3p and upregulating sirt1 expression in GC. These findings may provide a theoretical basis for the classification of GC and a novel therapeutic target for GC patients.


Assuntos
MicroRNAs , Neoplasias Gástricas , Animais , Linhagem Celular Tumoral , Proliferação de Células , Humanos , Camundongos , MicroRNAs/genética , Sirtuína 1/genética , Neoplasias Gástricas/genética
16.
Environ Pollut ; 281: 116994, 2021 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-33819668

RESUMO

The Fuyang River system (FRS) in north China, for a long time, is seriously polluted with organic compounds and heavy metals due to industrialization. However, the information on heavy metal pollution in this area is still limited, and health risks raised by trace elements are neglected up to now. To characterize the heavy metal pollutants and assess their potential ecological risks scientifically in FRS, surface sediments were collected from 66 sampling sites selected according to the hydrological and anthropogenic conditions along the river. A total of twelve metal pollutants (e.g., Cr, As, and Hg) in the sediments were detected among the distributaries. A combining application of geoaccumulation index (Igeo), ratio of secondary phase and primary phase (RSP), and the ecological risk factor (Eri) in this study gave systematic assessment results of single or combined pollution status raised by heavy metals in this area. The results show that Cr, Ni, Cu, As, Cd, Co, and Sn are mainly dispersed in the river reaches of Xingtai City and pose potential health risks in midstream, as per the geoaccumulation index and Pearson's correlation analyses. In particular, Cd accumulates strongly in sediments of Ming River and Aixinzhuang dam from Xingtai City. In upstream and downstream of FRS, the potential ecological risk is low, except in Yongnian County where high ecological risk was caused by Cd and Hg. These findings provide new insights into the pollution characteristics and assessment of the potential ecological risks induced by heavy metals along FRS, which suggest new directions should strategically tend to typical pollutants control by policy formulation and taking effective measures to prevent and manage heavy metal pollution in North China.


Assuntos
Metais Pesados , Poluentes Químicos da Água , China , Cidades , Monitoramento Ambiental , Sedimentos Geológicos , Metais Pesados/análise , Medição de Risco , Poluentes Químicos da Água/análise
17.
Curr Med Sci ; 41(2): 236-249, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33877540

RESUMO

Ovary plays an important role in the female reproductive system. The maintenance and regulation of ovarian function are affected by various physical and chemical factors. With the development of industrialization, environmental pollutants have caused great harm to public health. Phthalates, as a class of endocrine-disrupting chemicals (EDCs), are synthesized and used in large quantities as plasticizers due to their chemical properties. They are easily released into environment because of their noncovalent interactions with substances, causing human exposure and possibly impairing ovary. In recent years, more and more attention has been paid to the role of epigenetics in the occurrence and development of diseases. And it is urgent to study the role of methylation, gene imprinting, miRNA, and other epigenetic mechanisms in reproductive toxicology.


Assuntos
Epigênese Genética , Metaboloma , Ovário/metabolismo , Ovário/patologia , Ácidos Ftálicos/toxicidade , Animais , Epigênese Genética/efeitos dos fármacos , Feminino , Humanos , Folículo Ovariano/efeitos dos fármacos , Folículo Ovariano/crescimento & desenvolvimento , Ovário/efeitos dos fármacos , Esteroides/biossíntese
18.
Zhongguo Zhong Yao Za Zhi ; 46(5): 1260-1267, 2021 Mar.
Artigo em Chinês | MEDLINE | ID: mdl-33787121

RESUMO

To systematically evaluate the efficacy and safety of Ningxinbao Capsules in treatment of arrhythmia by Meta-analysis. Randomized controlled trial(RCT) or quasi-randomized control trial(Quasi-RCT) on Ningxinbao Capsules treating arrhythmia were obtained by computer-based retrieval in CNKI, Wanfang, VIP, SinoMed, PubMed, Web of Science, Cochrane Library and EMbase as well as manual retrieval, with time limit from database establishment to April 7, 2020. According to the inclusion and exclusion criteria of trials, all RCTs were screened and evaluated. Then the effective data were collected and RevMan 5.3 Meta-analysis software was used for analysis. Thirteen trials were included, involving 1 379 patients in total. Ningxinbao Capsules combined with anti-arrhythmia Western medicine were adopted as the intervention, and the patients in control group were treated with the anti-arrhythmia Western medicine alone. Meta-analysis results showed that as compared to control group, Ningxinbao Capsules combined with anti-arrhythmia Western medicine group was superior in clinical efficacy, dynamic electrocardiogram and average heart rate in patients with bradycardia, with indicated statistically significant differences. Ningxinbao Capsules had fewer adverse reactions and could relieve the toxic and side effects of anti-arrhythmia medicine possibly. The study showed that Ningxinbao Capsules played a role in treatment of arrhythmia and was relatively safe. However, due to the limited quality of the included studies, high-quality clinical trials are needed to verify the conclusions.


Assuntos
Medicamentos de Ervas Chinesas , Bradicardia , Cápsulas , Medicamentos de Ervas Chinesas/efeitos adversos , Humanos , Resultado do Tratamento
19.
Metallomics ; 13(4)2021 04 22.
Artigo em Inglês | MEDLINE | ID: mdl-33770173

RESUMO

Nanosafety evaluation is paramount since it is necessary not only for human health protection and environmental integrity but also as a cornerstone for industrial and regulatory bodies. The current nanometallomics did not cover non-metallic nanomaterials, which is an important part of nanomaterials. In this critical review, the concept of nanometallomics was expanded to incorporate all nanomaterials. The impacts on metal(loid) and metallo-biomolecular homeostasis by nanomaterials will be focused upon in nanometallomics study. Besides, the impacts on elemental and biomolecular homeostasis by metallo-nanomaterials are also considered as the research subjects of nanometallomics. Based on the new concept of nanometallomics, comparative nanometallomics was proposed as a new tool for nanosafety evaluation, which is high throughput and will be precise considering the nature of machine learning techniques. The perspectives of nanometallomics like metallo-wide association study and non-target nanometallomics were put forward.


Assuntos
Homeostase , Nanopartículas Metálicas/toxicidade , Metais/toxicidade , Nanoestruturas/toxicidade , Proteínas/química , Gestão da Segurança/métodos , Animais , Humanos
20.
Ecotoxicol Environ Saf ; 215: 112174, 2021 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33773155

RESUMO

BACKGROUND: Phthalates, which are used as excipients of drugs, have been related to adverse reproductive outcomes. However, the relationships between medication use and phthalate exposure among women undergoing in vitro fertilization (IVF) have not been studied. OBJECTIVE: To investigate the associations between the medication intake and phthalate metabolites in urine and follicular fluid (FF). METHOD: Eight phthalate metabolites were measured in urine and FF samples from 274 women undergoing IVF using liquid chromatography-tandem mass spectrometry. Information on recent medication intake was obtained via interview by trained staff. We constructed generalized linear regression models to examine the associations of medication intake with phthalate metabolite concentrations and dose-response relationships between the number of medicines used and metabolite concentrations in two matrices. RESULTS: Four of 10 drugs were used by more than 10% of the participants, including vitamins (23.0%), traditional Chinese medicine (TCM, 22.3%), antioxidants (12.4%) and amoxicillin (10.2%). Participants who had used TCM had 26.0% (95% CI: 0.0, 58.8%), 32.6% (95% CI: 4.2, 68.8%) and 32.3% (95% CI: 2.6, 70.6%) higher urinary mono-n-butyl phthalate (MBP), mono(2-ethyl-5-hydroxyhexyl) phthalate (MEHHP) and mono(2-ethyl-5-oxohexyl) phthalate (MEOHP) concentrations, respectively, than those who had not. Antioxidant intake was associated with a 30.6% (95% CI: -48.5, -6.6%) decrease in the urinary MBP concentration. Compared with non-users, women who reported the use of medicines had 53.2% (95% CI: 2.7, 128.5%) higher concentrations of MMP and a 37.7% (95% CI: -60.7, -1.5%) lower level of MBP in FF, respectively. CONCLUSION: Our data suggest that the intake of some medications may increase phthalate exposure among women undergoing IVF.


Assuntos
Poluentes Ambientais/metabolismo , Líquido Folicular/metabolismo , Ácidos Ftálicos/metabolismo , Adulto , Antioxidantes/análise , Cromatografia Líquida , Exposição Ambiental/análise , Exposição Ambiental/estatística & dados numéricos , Poluentes Ambientais/análise , Poluentes Ambientais/urina , Feminino , Fertilização In Vitro , Líquido Folicular/química , Humanos , Espectrometria de Massas , Pessoa de Meia-Idade , Ácidos Ftálicos/urina , Reprodução , Vitamina A , Vitaminas , Adulto Jovem
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