Talc

滑石
  • 文章类型: Journal Article
    研究了在各种初始有机氮浓度下,滑石微粒对S.rimosus代谢和形态的影响。摇瓶培养在酵母提取物(氮源)浓度等于1克YEL-1和20克YEL-1的培养基中进行。在微粒增强型培养(MPEC)运行中测试了5gTALCL-1和10gTALCL-1的两种滑石微粒浓度。20gYEL-1的高氮浓度促进了投影面积低于105µm2的小团聚体(颗粒)的发展,并分散了假菌丝。1gYEL-1的低氮浓度导致了S.rimosus生长的限制,因此,与含有大量氮源的培养物相比,投影面积高于105µm2的大量假性团聚体(颗粒)的发展较少。在这两种情况下,将滑石微粒包埋在颗粒中并导致其尺寸减小。较低量的滑石(5gTALCL-1)通常对S.rimosus形态和代谢物产生的影响较弱。在土霉素的生物合成中,微粒对金霉素形态和代谢的影响之间的这种相关性尤其明显。2-乙酰基-2-二甲酰胺土霉素(ADOTC)和喷恶嗪A。与对照相比,在MPEC中,它们的水平增加了4倍,分别为5倍和1.6倍。滑石的添加还改善了2-甲硫基-顺式-玉米素的生产,氯胺酸J和米尔贝霉素A3。
    The influence of talc microparticles on metabolism and morphology of S. rimosus at various initial organic nitrogen concentrations was investigated. The shake flask cultivations were conducted in the media with yeast extract (nitrogen source) concentration equal to 1 g YE L- 1 and 20 g YE L- 1. Two talc microparticle concentrations of 5 g TALC L- 1 and 10 g TALC L- 1 were tested in microparticle-enhanced cultivation (MPEC) runs. A high nitrogen concentration of 20 g YE L- 1 promoted the development of small agglomerates (pellets) of projected area lower than 105 µm2 and dispersed pseudohyphae. A low nitrogen concentration of 1 g YE L- 1 led to the limitation of S. rimosus growth and, in consequence, the development of the smaller number of large pseudohyphal agglomerates (pellets) of projected area higher than 105 µm2 compared to the culture containing a high amount of nitrogen source. In both cases talc microparticles were embedded into pellets and caused the decrease in their sizes. The lower amount of talc (5 g TALC L- 1) usually caused the weaker effect on S. rimosus morphology and metabolite production than the higher one. This correlation between the microparticles effect on morphology and metabolism of S. rimosus was especially noticeable in the biosynthesis of oxytetracycline, 2-acetyl-2-dicarboxamide oxytetracycline (ADOTC) and spinoxazine A. Compared to the control run, in MPEC their levels increased 4-fold, 5-fold and 1.6-fold respectively. The addition of talc also improved the production of 2-methylthio-cis-zeatin, lorneic acid J and milbemycin A3.
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  • 文章类型: Systematic Review
    目的:滑石粉胸膜固定术是恶性胸腔积液(MPE)的一种广泛使用的治疗选择。然而,最佳管理形式仍存在争议。因此,我们进行了系统评价和荟萃分析,以评估滑石粉浆液(TS)与胸腔镜滑石粉吹入/囊袋(TTI)治疗MPE的有效性.
    方法:我们搜索了PubMed,EMBASE,和CochraneLibrary数据库,用于比较MPE患者TS和TTI的研究。我们使用了一个具有95%CI的随机效应模型来汇集数据。用I2统计量评估异质性。
    结果:我们纳入了8项研究,涉及1,163名患者,其中584人(50.21%)接受了TS。手术间的胸膜固定术失败率相似(OR=1.07;95%CI:0.56-2.06;p=0.83;I2=62%);68%的患者(95%CI:0.31-1.47;p=0.33;I2=58%)有术后并发症,TS组患者低于TTI组。在仅考虑随机临床试验的亚组分析中,TS治疗组的失败率显著较低(OR=0.62;95%CI:0.42-0.90;p=0.01;I2=0%).同样,呼吸困难在TS组中较少见(OR=0.74;95%CI:0.41-1.34;p=0.32;I2=55%).86例患者报告了不良反应,TS组和TTI组之间没有显着差异:脓胸(OR=1.43;95%CI:0.36-5.64;p=0.86;I2=0%),疼痛(OR=1.22(95%CI:0.67-2.21;p=0.51;I2=38%),和肺炎(OR=1.15;95%CI:0.30-4.46;p=0.86;I2=27%)。
    结论:我们的研究结果表明,TS是MPE的有效治疗方法,不良事件没有明显增加。结果表明两种手术的疗效和安全性相同。
    OBJECTIVE: Talc pleurodesis is a widely used treatment option for malignant pleural effusion (MPE). However, the optimal form of administration remains controversial. Thus, we performed a systematic review and meta-analysis to assess the effectiveness of talc slurry (TS) in comparison with thoracoscopic talc insufflation/poudrage (TTI) for MPE treatment.
    METHODS: We searched PubMed, EMBASE, and Cochrane Library databases for studies that compared TS with TTI in patients with MPE. We used a random-effects model with a 95% CI to pool the data. Heterogeneity was assessed with I2 statistics.
    RESULTS: We included eight studies involving 1,163 patients, 584 of whom (50.21%) underwent TS. Pleurodesis failure rates were similar between the procedures (OR = 1.07; 95% CI: 0.56-2.06; p = 0.83; I2 = 62%); and 68% of patients (95% CI: 0.31-1.47; p = 0.33; I2 = 58%) had postoperative complications, which were lower in patients in the TS group than in the TTI group. In a subgroup analysis considering only randomized clinical trials, the failure rate was significantly lower in the TS treatment group (OR = 0.62; 95% CI: 0.42-0.90; p = 0.01; I2 = 0%). Similarly, dyspnea was less common in the TS group (OR = 0.74; 95% CI: 0.41-1.34; p = 0.32; I2 = 55%). Adverse effects were reported in 86 patients, and no significant difference was seen between the TS and TTI groups: empyema (OR = 1.43; 95% CI: 0.36-5.64; p = 0.86; I2 = 0%), pain (OR = 1.22 (95% CI: 0.67-2.21; p = 0.51; I2 = 38%), and pneumonia (OR = 1.15; 95% CI: 0.30-4.46; p = 0.86; I2 = 27%).
    CONCLUSIONS: Our findings suggest that TS is an effective treatment for MPE, with no significant increase in adverse events. Results suggest equivalent efficacy and safety for both procedures.
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  • 文章类型: Journal Article
    作为日常生活中常见的食品原料,小麦粉的质量安全直接关系到人们的身体健康。在这项研究中,建立了一种快速识别和检测面粉中三种非法添加剂的模型,即偶氮二甲酰胺(ADA),滑石粉,还有石膏粉.该模型结合了近红外光谱和化学计量学方法。使用一维卷积神经网络来降低数据维度,同时应用支持向量机进行非线性分类以识别面粉中的非法添加剂。该模型实现了99.38%的校准集F1得分和99.63%的准确性,验证集F1得分为98.81%,准确率为98.89%。介绍了两种级联的波长选择方法:第一种方法采用后向区间偏最小二乘(BiPLS)结合改进的二进制粒子群优化算法(IBPSO)。第二种方法利用了CARS-IBPSO算法,将竞争自适应重加权抽样(CARS)与IBPSO集成在一起。两种级联波长选择方法用于选择与添加剂相关的特征波长并构建偏最小二乘定量检测模型。使用CARS-IBPSO构建的模型选择了用于检测ADA的特征波长,滑石粉,和石膏粉表现出最高的整体性能。该模型实现了0.9786、0.9102和0.9226的验证集确定系数,对应的均方根误差为0.0024%。1.3693%,和1.6506%,残差预测偏差分别为6.8368、3.5852和3.9253。近红外光谱与卷积神经网络降维和支持向量机分类相结合,可以快速识别各种非法添加剂。CARS-IBPSO特征波长选择和偏最小二乘回归模型的组合促进了这些添加剂的快速定量检测。这项研究为快速准确地识别和检测面粉中的非法添加剂提供了一种新的方法。
    As a common food raw material in daily life, the quality and safety of wheat flour are directly related to people\'s health. In this study, a model was developed for the rapid identification and detection of three illegal additives in flour, namely azodicarbonamide (ADA), talcum powder, and gypsum powder. This model utilized a combination of near-infrared spectroscopy with chemometric methods. A one-dimensional convolutional neural network was used to reduce data dimensionality, while a support vector machine was applied for non-linear classification to identify illegal additives in flour. The model achieved a calibration set F1 score of 99.38% and accuracy of 99.63%, with a validation set F1 score of 98.81% and accuracy of 98.89%. Two cascaded wavelength selection methods were introduced: The first method involved backward interval partial least squares (BiPLS) combined with an improved binary particle swarm optimization algorithm (IBPSO). The second method utilized the CARS-IBPSO algorithm, which integrated competitive adaptive reweighted sampling (CARS) with IBPSO. The two cascade wavelength selection methods were used to select feature wavelengths associated with additives and construct partial least squares quantitative detection models. The models constructed using CARS-IBPSO selected feature wavelengths for detecting ADA, talcum powder, and gypsum powder exhibited the highest overall performance. The model achieved validation set determination coefficients of 0.9786, 0.9102, and 0.9226, with corresponding to root mean square errors of 0.0024%, 1.3693%, and 1.6506% and residual predictive deviations of 6.8368, 3.5852, and 3.9253, respectively. Near-infrared spectroscopy in combination with convolutional neural network dimensionality reduction and support vector machine classification enabled rapid identification of various illegal additives. The combination of CARS-IBPSO feature wavelength selection and partial least squares regression models facilitated rapid quantitative detection of these additives. This study introduces a new approach for rapidly and accurately identifying and detecting illegal additives in flour.
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  • 文章类型: Journal Article
    背景:内科胸腔镜检查是一种微创且安全的手术,主要用于无法解释的渗出性胸腔积液,但可考虑用于气胸(PNX)。
    方法:这项回顾性研究包括受PNX影响的参与者,他们从2008年到2021年在一家学术医院接受了带滑石粉袋的医用胸腔镜检查。主要终点是在内科胸腔镜检查后7天内观察到完全的影像学肺再扩张和胸腔引流管没有空气供应。次要终点是在出院后24个月未实现同侧PNX的复发。
    结果:共有95例受原发性自发性PNX(PSP)影响的患者,次级自发PNX(SSP),医源性,并纳入创伤性PNX。17.89%的患者需要额外的手术,只有一名SSP患者需要后续手术。9.47%的患者在出院后24个月内发生同侧PNX复发,中位复发时间为13.5个月。PSP组明显更有可能达到主要终点。胸膜形态与到达主要终点显著相关,在住院期间接受大于或等于4g的累积剂量的滑石粉与较低的满足风险相关。在所有情况下,接受大于或等于4g的累积剂量的滑石导致达到次要终点。医源性和创伤性PNX患者在短期和长期评估中均具有良好的预后。
    结论:内科胸腔镜检查是一种有效的治疗PNX的方法,在急性情况下,在某些病例中,同时防止长期复发。需要大量的前瞻性临床研究来支持和更好地定义医用胸腔镜在当前临床实践中的作用。
    BACKGROUND: Medical thoracoscopy is a minimally invasive and safe procedure mostly performed for unexplained exudative pleural effusions but may be considered for pneumothorax (PNX).
    METHODS: This retrospective study included participants affected by PNX who underwent medical thoracoscopy with talc poudrage at a single academic hospital from 2008 to 2021. The primary endpoint was the observation of complete radiographical lung re-expansion and absence of air supply from the chest drain within 7 days of medical thoracoscopy. The secondary endpoint was achieving no recurrence of ipsilateral PNX at 24 months post-discharge.
    RESULTS: A total of 95 patients affected by primary spontaneous PNX (PSP), secondary spontaneous PNX (SSP), iatrogenic, and traumatic PNX were enrolled. An additional procedure was required by 17.89% of patients, and only one patient with SSP required subsequent surgery. Recurrence of PNX occurred on the same side within 24 months after discharge in 9.47% of patients, with a median time to recurrence of 13.5 months. The PSP group was significantly more likely to achieve the primary endpoint. Pleural morphology was significantly associated with reaching the primary endpoint, while receiving a cumulative dose of talc greater than or equal to 4 g during hospitalization was associated with a lower risk of meeting it. Receiving a cumulative dose of talc greater than or equal to 4 g led in all cases to the achievement of the secondary endpoint. Patients with iatrogenic and traumatic PNX had an excellent prognosis in both the short- and long-term evaluation.
    CONCLUSIONS: Medical thoracoscopy is an effective procedure for treating PNX in the acute setting in selected cases while preventing long-term relapses. Large prospective clinical studies are needed to support and better define the role of medical thoracoscopy in current clinical practice.
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  • 文章类型: Journal Article
    Bed bugs are considered a major public health problem in industrialized countries. Usually, bed bug infestations are managed using a combination of physical and chemical methods. In recent years, new strategies for bed bug control have emerged, particularly the use of dusts like diatomaceous earth and silicon dioxide. However, in Europe, the use of silicon dioxide is restricted to professional, while diatomaceous earth can be harmful to the lungs. This study aimed to assess bed bug mortality rates associated with Sommières earth, green clay, talc, and sodium bicarbonate compared to silicon dioxide and diatomaceous earth from a pest management company, diatomaceous earth for litter conditioner, and diatomaceous earth from a supermarket. We tested permanent exposure, short exposure, horizontal transfer and repellent effect on two bed bug colonies. Sommières earth demonstrated efficacy ranging from 75% to 100% in permanent and short exposures, similar to the efficacy of diatomaceous earth from the pest management company. On the contrary, diatomaceous earth for litter conditioner and diatomaceous earth from a supermarket, green clay, talc, and sodium bicarbonate were found to be ineffective. This study demonstrates, for the first time, the efficacy of Sommières earth against bed bugs, but also highlights the variability in efficacy of diatomaceous earths on bed bugs depending on their quality.
    UNASSIGNED: Lutte contre les punaises de lit avec des poudres : comparaison de l’efficacité du dioxyde de silicium, de la terre de diatomée et de la terre de Sommières.
    UNASSIGNED: Les punaises de lit sont considérées comme un problème de santé publique majeur dans les pays industrialisés. Habituellement, les infestations de punaises de lit sont gérées en utilisant une combinaison de méthodes physiques et chimiques. Ces dernières années, de nouvelles stratégies de lutte contre les punaises de lit ont vu le jour, notamment l’utilisation de poudres comme la terre de diatomées et le dioxyde de silicium. Cependant, en Europe, l’usage du dioxyde de silicium est réservé aux professionnels tandis que la terre de diatomées peut être nocive pour les poumons. Cette étude visait à évaluer les taux de mortalité des punaises de lit associés à la terre de Sommières, à l’argile verte, au talc et au bicarbonate de sodium par rapport au dioxyde de silicium, à la terre de diatomées d’une entreprise de lutte antiparasitaire, à la terre de diatomées pour conditionneur de litière et à la terre de diatomées d’un supermarché. Nous avons testé l’exposition permanente, l’exposition courte, le transfert horizontal et l’effet répulsif sur deux colonies de punaises de lit. La terre de Sommières a démontré une efficacité allant de 75% à 100% en exposition permanente et courte, similaire à l’efficacité de la terre de diatomées d’une entreprise de lutte antiparasitaire. Au contraire, la terre de diatomées pour conditionneur de litière et la terre de diatomées d’un supermarché, l’argile verte, le talc et le bicarbonate de sodium se sont révélés inefficaces. Cette étude démontre, pour la première fois, l’efficacité de la terre de Sommières contre les punaises de lit mais met également en évidence la variabilité de l’efficacité des terres de diatomées sur les punaises de lit en fonction de leur qualité.
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  • 文章类型: Journal Article
    美国国家癌症研究所的Jointpoint回归软件用于模拟年龄调整后的男性和女性胸膜和腹膜间皮瘤发生率,流行病学,以及最终结果(SEER)8、SEER12和SEER22癌症登记处。然后使用线性混合模型来确定美国化妆品滑石粉消费与30年滞后年龄调整的间皮瘤发生率之间是否存在统计关联(1)在每个注册表的报告期内,以及(2)在确定的时间段内间皮瘤发生率发生变化的联合点模型。无论使用何种SEER注册表,从20世纪80年代初到2020年,腹膜间皮瘤的发病率保持稳定或下降.女性胸膜间皮瘤的发病率从20世纪80年代初一直保持不变,直到2017年发病率下降,而男性比率在20世纪90年代初达到顶峰,此后一直在下降。在男性或女性中,化妆品滑石粉的消耗量与胸膜或腹膜间皮瘤的发生率无统计学关联,这表明使用化妆品滑石产品与间皮瘤的发展无关。
    Jointpoint Regression Software from the National Cancer Institute was used to model age-adjusted male and female pleural and peritoneal mesothelioma rates in the surveillance, epidemiology, and end results (SEER) 8, SEER 12, and SEER 22 cancer registries. Linear mixed models were then used to determine if there was a statistical association between U.S. cosmetic talc consumption and the 30-year lagged age-adjusted mesothelioma rates (1) over the reporting period for each registry and (2) for the periods of time identified by the jointpoint model where changes in the rate of mesothelioma occurred. Regardless of the SEER registry used, from the early-1980s through 2020, rates of peritoneal mesothelioma have remained steady or declined. Female pleural mesothelioma rates were unchanged from the early-1980s until 2017 when rates declined, while male rates peaked in the early 1990s and have since declined. Cosmetic talc consumption was not statistically associated with an increased rate of pleural or peritoneal mesothelioma in males or females, suggesting that the use of cosmetic talc products is not associated with the development of mesothelioma.
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  • 文章类型: Journal Article
    自1970年代以来,在美国已经报道了化妆品滑石中存在石棉。本文首先回顾了意大利的情况,然后重点介绍技术特点和相关法律,规则,和法规,以预防性循证方法结束。研究的主要目的是检索意大利卫生局几十年前进行的测试的官方文件,以确定出售产品的滑石中是否存在任何石棉。结果表明,在意大利,国家卫生研究院(卫生部的技术机构)和意大利药典(1985)使用扫描电子显微镜(SEM)确定不存在石棉纤维,在他们分析的几个样本中得到阳性鉴定后。2008年,意大利通过了欧盟药典,根据该药典,光学显微镜(LM)足以进行分析。这种技术降级显然违背了预防对用户健康造成伤害的标准原则。不幸的是,没有从意大利国家档案馆中恢复有关上述SEM研究的文件,这些文件将具有背景性的观察结果。观察和结果表明,在实践中,对该问题的关注水平大幅(负面)下降,以至于不可能有效地规划必要的控制措施,不幸的是这一天是真实的。最终意见涉及预防原则和可能的实际操作解决方案。
    The presence of asbestos in cosmetic talc has been reported in the United States since the 1970s. The present article first retraces the Italian case, then focuses on technical features as well as the relevant laws, rules, and regulations, ending with a precautionary evidence-based approach. Research was mainly aimed at retrieving official Italian Health Authority papers on the tests carried out several decades ago, to identify the presence of any asbestos in talc of products for sale. Results show that, in Italy, National Institute of Health (the technical agency of the Ministry of Health) and the Italian Pharmacopoeia (1985) used scanning electron microscopy (SEM) to ascertain the absence of asbestos fibres, following positive identification in several samples they had analysed. In 2008, Italy adopted the EU Pharmacopoeia according to which light microscopy (LM) was sufficient for analysis. Such a technical downgrading clearly went - and goes - against the standard principle of precaution to prevent harm to users\' health.Unfortunately, documents on the above-mentioned SEM research that would have contextualized observations were not recovered from the Italian State Archive. Observations and results indicate that in practice levels of attention on the issue underwent a considerable (negative) decline, so much that effective planning of the necessary controls was not possible, which is unfortunately true to this day. Final comments deal with the principle of precaution and possible practical operational solutions.
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  • 文章类型: Journal Article
    背景:2006年,国际癌症研究机构(IARC)得出结论,无石棉滑石的致癌性证据不足(第3组),而会阴使用滑石粉被归类为可能致癌(2B组)。
    目的:评估后续研究是否提供了有关无石棉滑石粉和滑石粉致癌风险的更可靠信息以及更好的暴露特征。
    方法:系统评价。
    方法:对接触无石棉滑石粉的滑石粉矿工和磨坊进行队列研究,以及从2006年起发表的报告滑石粉消费者癌症风险的队列和病例对照研究通过PubMed和参考列表进行了鉴定.包括汇总分析,但不是评论和荟萃分析。在反复报告研究的情况下,选取随访时间最长或观察病例数量最多的文章进行数据抽象.注意到分别报告并包括在汇总分析中的研究。
    结果:符合纳入标准的出版物是:2项关于滑石粉矿工和磨坊的队列研究,10项关于滑石粉使用者的队列研究(其中4项评估卵巢癌风险),和14个病例对照研究(13个卵巢和1个子宫内膜癌)的滑石粉使用的风险。在无石棉滑石粉矿工和磨坊主中,没有报告过重的癌症死亡率。病例对照研究始终导致与使用会阴滑石粉相关的卵巢癌过度估计(比值比高达1.5)。大多数量化暴露的研究也提供了剂量-反应关系的证据。个体队列研究估计风险比(HR)略高于1。在对总共3,112例病例的汇总队列的分析中,生殖道未闭女性的HR为1.13(95CI1.01-1.26),HR与使用频率之间存在相关性(p为趋势0.03).在所有队列研究中,在随访的早期阶段,会阴使用滑石粉仅测量一次,从而产生不准确的累积暴露量。关于其他器官癌症风险的流行病学研究结果有限且不一致。
    结论:在IARC2006年评估后更新或发表的流行病学研究表明:无石棉滑石粉矿工和磨坊主的癌症风险没有增加;在会阴使用商业滑石粉后,卵巢癌的风险增加。许多研究表明,使用量指标与癌症风险之间存在相关性。在这些研究中考虑的滑石粉的组成是未知的。
    in 2006, the International Agency for Research on Cancer (IARC) concluded that the evidence of carcinogenicity for asbestos-free talc was inadequate (group 3), whereas perineal use of talcum powder was classified as possibly carcinogenic (group 2B).
    to assess whether later studies provide more solid information on the carcinogenic risk from asbestos-free talc and talcum powder and a better characterization of exposure.
    systematic review.
    cohort studies of talc miners and millers exposed to asbestos-free talc, as well as cohort and case-control studies reporting cancer risk in talc powder consumers published from 2006 onwards were identified through PubMed and reference lists. Pooled analyses were included, but not reviews and meta-analyses. In the case of repeatedly reported studies, the article with the longest follow-up or the largest number of observed cases was selected for data abstraction. Notice was taken of studies which were both reported individually and included in pooled analyses.
    publications meeting inclusion criteria were: 2 cohort studies on talc miners and millers, 10 cohort studies on talcum powder users (4 of which estimated ovarian cancer risk), and 14 case-control studies (13 on ovarian and 1 on endometrial cancer) on the risk from talcum powder use. No excess cancer mortality has been reported among asbestos-free talc miners and millers. Case-control studies consistently led to estimates of ovarian cancer excesses associated with the use of perineal talcum powder (odds ratios up to 1.5). Most studies quantifying exposure also provided evidence of a dose-response relationship. Individual cohort studies estimated hazard ratios (HR) just above 1. In an analysis of pooled cohorts for a total of 3,112 cases, the HR for women with patent reproductive tract was 1.13 (95%CI 1.01-1.26) with a correlation between HR and frequency of use (p for trend 0.03). In all cohort studies, the perineal use of talcum powder was measured only once in the early phases of follow-up, thus producing an inaccurate measure of cumulative exposure. Results of epidemiological studies regarding cancer risk in other organs are limited and inconsistent.
    epidemiological studies updated or published after IARC 2006 evaluation indicate that: no increase in cancer risk is apparent among miners and millers of asbestos-free talc; risk for ovarian cancer increases following the perineal use of commercial talcum powder. A correlation between indicators of quantity of use and cancer risk is suggested by a number of studies. The composition of talcum powders considered in such studies is not known.
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  • 文章类型: Journal Article
    在过去几十年的科学文献中发表的许多关于人类和实验动物的研究已经评估了滑石的潜在致癌性。许多研究报告说,滑石粉暴露与任何类型的癌症之间没有关联。为了充分了解有关滑石粉诱发人类癌症的潜力的科学现状,我们对现有的实验动物和机制证据进行了全面和系统的回顾(同时对伴随分析中的流行病学证据进行了系统回顾),以评估滑石粉是否对人类具有致癌性.我们考虑了研究质量及其对结果解释的影响,并评估了所有类型的癌症和所有暴露途径。我们还评估了滑石粉在体内迁移到潜在肿瘤部位的可能性的证据。我们确定了7项实验动物致癌性研究和11项滑石粉机理研究,以进行系统回顾。我们发现,一些滑石粉的实验性动物致癌性研究具有局限性,使其无法检测肿瘤发病率增加的敏感性。无论如何,这些研究涵盖了多种暴露途径,物种,和暴露持续时间,并且没有表明滑石粉在实验动物中是致癌物,除了在极高暴露条件下可能导致肺颗粒超负荷的大鼠中,高暴露于难溶颗粒的非特异性效应,而不是来自滑石的任何致癌特性。导致肺部肿瘤形成的肺颗粒超负荷仅在大鼠中观察到,而在任何其他物种中均未观察到,包括人类。机理研究表明,滑石没有遗传毒性或诱变性,但可以诱导一些可能是致癌途径的事件,主要是在高暴露或体外研究中,体内暴露的相关性不明确,但是这些影响在研究和细胞类型之间并不一致。这项对实验动物致癌性和滑石粉机理证据的系统评价表明,在人类中不会出现滑石粉暴露与癌症之间的关联。滑石致癌性在除大鼠以外的任何物种中都是不可能的,只有当暴露条件高到足以诱发肺颗粒超负荷时,这与人类暴露无关。
    The potential carcinogenicity of talc has been evaluated in many studies in humans and experimental animals published in the scientific literature over the last several decades, with a number of these studies reporting no associations between talc exposure and any type of cancer. In order to fully understand the current state of the science regarding the potential for talc to induce human cancers, we conducted a comprehensive and systematic review of the available experimental animal and mechanistic evidence (in conjunction with a systematic review of the epidemiology evidence in a companion analysis) to evaluate whether it supports talc as being carcinogenic to humans. We considered study quality and its impact on the interpretation of results and evaluated all types of cancer and all exposure routes. We also evaluated the evidence on the potential for talc to migrate in the body to potential tumor sites. We identified seven experimental animal carcinogenicity studies and 11 mechanistic studies of talc to systematically review. We found that several of the experimental animal carcinogenicity studies of talc have limitations that preclude their sensitivity to detect increases in tumor incidence. Regardless, the studies cover multiple exposure routes, species, and exposure durations, and none indicate that talc is a carcinogen in experimental animals except in rats under conditions of extremely high exposure that likely resulted in lung particle overload, a nonspecific effect of high exposures to poorly soluble particles, and not from any carcinogenic properties of talc. Lung particle overload leading to lung tumor formation has only been observed in rats and not in any other species, including humans. The mechanistic studies indicate that talc is not genotoxic or mutagenic, but can induce some effects that could be events on a possible pathway to carcinogenicity, mainly at high exposures or in in vitro studies with exposures of unclear relevance in vivo, but these effects are not consistent across studies and cell types. This systematic review of the experimental animal carcinogenicity and mechanistic evidence for talc indicates that an association between talc exposure and cancer is not expected in humans. Talc carcinogenicity is not plausible in any species except rats, and only when the exposure conditions are high enough to induce lung particle overload, which is not relevant to human exposures.
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