未经评估:暴露于多-和全氟烷基物质(PFAS),一类持久性有机污染物,无处不在。动物研究表明,PFAS可能会增加脂肪肝和肝细胞癌(HCC)通过影响肝脂质的风险,氨基酸,和葡萄糖代谢,但是缺乏人类数据。我们检查了PFAS暴露之间的关联,改变了代谢途径,和非病毒性HCC的风险。
未经评估:在这项嵌套病例对照研究中,在多种族队列(MEC)研究的50例HCC和50例单独匹配的对照中测量了诊断前血浆PFAS和代谢组学.病例/对照按年龄匹配,性别,种族,和学习区。使用条件逻辑回归检查PFAS暴露和HCC风险。对PFAS暴露和HCC风险进行了全代谢组关联研究和途径富集分析,和关键的代谢物/代谢途径使用中间方法进行识别。
未经证实:高全氟辛烷磺酸(PFOS)水平(NHANES的第90百分位数;>55μg/L)与HCC风险增加4.5倍相关(比值比4.5,95%CI1.2-16.0)。途径富集分析表明,全氟辛烷磺酸暴露与氨基酸和聚糖生物合成途径的改变有关,这也与HCC风险相关。我们确定了4种将全氟辛烷磺酸暴露与肝癌联系起来的代谢物,包括葡萄糖,丁酸(短链脂肪酸),α-酮异戊酸(支链α-酮酸),和7α-羟基-3-氧代-4-胆汁酸酯(一种胆汁酸),这些因素均与全氟辛烷磺酸暴露和HCC风险呈正相关.
UNASSIGNED:这项概念验证分析表明,暴露于高PFOS水平与非病毒性HCC的风险增加有关,可能是通过葡萄糖的改变,氨基酸,和胆汁酸代谢。需要更大规模的研究来证实这些发现。
未经评估:全氟烷基和多氟烷基物质(PFAS),通常被称为“永远的化学物质”,因为它们很难分解并在人体中停留多年,非常常见,会导致肝脏损伤。在第一个同类研究中,我们发现暴露于高水平的全氟辛烷磺酸,最常见的PFAS化学品之一,与人类肝细胞癌风险增加有关。肝细胞癌难以治疗,是肝癌的最常见形式之一,这些发现可能为帮助预防这种疾病提供了新的途径。
UNASSIGNED: Exposure to poly- and perfluoroalkyl substances (PFAS), a class of persistent organic pollutants, is ubiquitous. Animal studies suggest that PFAS may increase risk of fatty liver and hepatocellular carcinoma (HCC) via impacts on hepatic lipid, amino acid, and glucose metabolism, but human data is lacking. We examined associations between PFAS exposure, altered metabolic pathways, and risk of non-viral HCC.
UNASSIGNED: In this nested case-control study, pre-diagnostic plasma PFAS and metabolomics were measured in 50 incident HCC cases and 50 individually matched controls from the Multiethnic Cohort (MEC) study. Cases/controls were matched by age, sex, race, and study area. PFAS exposure and risk of HCC were examined using conditional logistic regression. A metabolome-wide association study and pathway enrichment analysis was performed for PFAS exposure and HCC risk, and key metabolites/metabolic pathways were identified using a meet in the middle approach.
UNASSIGNED: High perfluorooctane sulfonic acid (PFOS) levels (90th percentile from NHANES; >55 μg/L) were associated with 4.5-fold increased risk of HCC (odds ratio 4.5, 95% CI 1.2-16.0). Pathway enrichment analysis showed that PFOS exposure was associated with alterations in amino acid and glycan biosynthesis pathways, which were also associated with HCC risk. We identified 4 metabolites linking PFOS exposure with HCC, including glucose, butyric acid (a short-chain fatty acid), α-ketoisovaleric acid (a branched-chain α-keto acid), and 7α-hydroxy-3-oxo-4-cholestenoate (a bile acid), each of which was positively associated with PFOS exposure and risk of HCC.
UNASSIGNED: This proof-of-concept analysis shows that exposure to high PFOS levels was associated with increased risk of non-viral HCC, likely via alterations in glucose, amino acid, and bile acid metabolism. Larger studies are needed to confirm these findings.
UNASSIGNED: Per- and polyfluoroalkyl substances (PFAS), often referred to as \"forever chemicals\" because they are difficult to break down and stay in the human body for years, are extremely common and can cause liver damage. In a first of its kind study, we found that exposure to high levels of perfluorooctanesulfonic acid, one of the most common PFAS chemicals, was linked to increased risk of hepatocellular carcinoma in humans. Hepatocellular carcinoma is difficult to treat and is one of the most common forms of liver cancer, and these findings may provide new avenues for helping to prevent this disease.