chronic exposure

慢性暴露
  • 文章类型: Journal Article
    这项研究调查了免疫活性小鼠长期皮肤暴露(16周)于硫酸(SA)的致癌潜力。临床评估,组织病理学分析,进行免疫组织化学分析和生化测定以评估皮肤刺激,氧化应激生物标志物和SA的潜在致癌作用。结果表明,长时间暴露于SA会导致皮肤结构的各种变化,尤其是炎症,毛囊中的肿瘤前期和肿瘤增生,以及角化过度和棘皮病,导致表皮厚度增加98.50±21.6μm。免疫组织化学分析进一步证实了这些观察结果,显示p53和Ki-67的核表达升高,有丝分裂指数为(57.5%±2.5%)。此外,生化分析表明,SA诱导皮肤脂质过氧化,丙二醛含量高,过氧化氢酶活性随之降低。这些发现表明,长时间暴露于SA可以诱发皮肤肿瘤,强调在经常使用SA的环境中需要采取严格的安全措施。这项研究强调了与SA暴露相关的潜在职业健康风险。
    This study investigates the carcinogenic potential of chronic dermal exposure (16 weeks) to sulfuric acid (SA) in immunocompetent mice. Clinical assessments, histopathological analyses, immunohistochemical analyses and biochemical assays were conducted to evaluate skin irritation, oxidative stress biomarkers and the potential carcinogenic effect of SA. Results indicated that prolonged exposure to SA leads to various alterations in skin structure, notably inflammation, preneoplastic and neoplastic proliferation in hair follicles, as well as hyperkeratosis and acanthosis, resulting in an increased epidermal thickness of 98.50 ± 21.6 μm. Immunohistochemistry analysis further corroborates these observations, showcasing elevated nuclear expression of p53 and Ki-67, with a significant mitotic index of (57.5% ± 2.5%). Moreover, biochemical analyses demonstrate that SA induces lipid peroxidation in the skin, evidenced by a high level of Malondialdehyde and a consequential reduction in catalase activity. These findings suggest that prolonged exposure to SA can induce skin neoplasms, highlighting the need for stringent safety measures in environments where SA is frequently used. This study underscores the potential occupational health risks associated with SA exposure.
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  • 文章类型: Journal Article
    生活方式的改变,比如不良的饮食习惯和体育锻炼的减少,已经损害了人类的脂质分布。他汀类药物广泛用于治疗血脂异常,其中瑞舒伐他汀在血脂方面显示出更大的改善,并且可以从儿童时期开始使用。本研究旨在评估当雄性小鼠从出生后第23天(PND)至PND80天给予0.9%盐水溶液或1.5或5.5mg/kg/天剂量的瑞舒伐他汀时的肝脏效应。在治疗期间监测体重增加以及水和食物消耗。当收集血液以获得血清时,将小鼠在PND80上安乐死,收集了几个器官并称重。血清用于评估血脂谱和肝损伤标志物。对肝脏进行了组织病理学评估,形态计量学,和立体变化。瑞舒伐他汀暴露组的体重增加以及水和食物消耗暂时减少。瑞舒伐他汀治疗组均表现出总胆固醇水平降低,并表现出响应于长时间暴露的肝组织适应迹象。如正弦膨胀,炎性浸润,和肝细胞的细胞死亡。这些结果被认为是治疗的副作用,可能表明肝脏对慢性暴露的适应。
    Lifestyle changes, such as poor eating habits and a reduction in physical exercise, have impaired human lipid profiles. Statins are widely used to treat dyslipidemias, of which rosuvastatin shows greater improvement in the lipid profile and may be used since childhood. This study aimed to assess the hepatic effects when male mice were given 0.9% saline solution or doses of rosuvastatin of 1.5 or 5.5 mg/kg/day from postnatal day (PND) 23 until PND 80. Body mass gain and water and food consumption were monitored during the treatment. Mice were euthanized on PND 80 when blood was collected for serum obtainment, and several organs were collected and weighed. Serum was used for evaluating lipid profiles and markers of hepatic injuries. The liver was assessed for histopathological, morphometric, and stereological changes. There was a temporary reduction in body mass gain and water and food consumption in the rosuvastatin-exposed groups. Both rosuvastatin-treated groups exhibited reduced total cholesterol levels and showed signs of hepatic tissue adaptation in response to prolonged exposure, such as sinusoidal dilation, inflammatory infiltrates, and cell death of hepatocytes. These results are considered side effects of the treatment and may indicate a hepatic adaptation to the chronic exposure.
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  • 文章类型: Journal Article
    来自海水淡化厂的废弃盐水含有大量的重金属。在这项研究中,我们评估了黑沙维尼的有效性,1816年(P.nigra)通过生物累积过程从海水淡化厂的废弃盐水中去除钒。初步评估显示,黑原中钒的积累速率非常高,外衣中的生物积累因子超过4.7×104,地幔中的生物积累因子超过5.1×105。驯化实验表明,黑假单胞菌可以在高达56个实际盐度单位(psu)的盐度下生存,温度≤32°C,pH值为6.5-8.5。我们在实验设计中采用L-16Taguchi方法来优化P.nigra去除钒的环境条件。我们的结果表明,温度对增加黑假单胞菌中钒的生物积累具有最显著的影响,其次是盐度和pH。在最优条件下,钒的浓度达到1892.30ppm在整个身体的黑草与350ppm在自然条件下。考虑到这一点,高浓度的钒对环境有毒,从盐水中去除钒的常规方法成本高昂,包括使用污染环境的化学品,因此,在未来,使用黑假单胞菌从盐水中去除钒可以被认为是一种经济有效且环保的方法,与某些化学方法相反。
    The rejected brines from desalination plants contain significant amounts of heavy metals. In this study, we evaluated the effectiveness of Phallusia nigra Savigny, 1816 (P. nigra) in removing vanadium from the rejected brines of desalination plants through the bioaccumulation process. Initial assessments revealed a remarkably high accumulation rate of vanadium in P. nigra with a bioaccumulation factor exceeding 4.7 × 104 in the tunic and 5.1 × 105 in the mantle body. Acclimation experiments demonstrated that P. nigra could survive salinities up to 56 practical salinity units (psu), temperatures of ≤32 °C, and pH of 6.5-8.5. We employed the L-16 Taguchi approach in experimental design to optimize environmental conditions for vanadium removal by P.nigra. Our results indicated that temperature has the most significant effect on increasing vanadium bioaccumulation in P. nigra, followed by salinity and pH. Under optimal conditions, the vanadium concentration reached 1892.30 ppm in the entire body of P. nigra compared to 350 ppm in natural conditions. Considering that, a high concentration of vanadium is toxic to the environment and the conventional methods of its removal from brine are costly and include the use of chemicals that pollute the environment, therefore, vanadium removal from brine using P. nigra can be considered a cost-effective and environmentally friendly method in the future, as opposed to some chemical methods.
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  • 文章类型: Journal Article
    放射性污染物对生态系统的长期影响(以及相关风险)仍然受到广泛的社会和科学辩论,而野生动植物则长期暴露于各种来源和使用核能产生的环境或人为电离辐射的水平。本研究旨在评估短期连续γ射线照射后雄性和雌性gammarids的诱导表型反应,作为典型的特征良好的基因毒性应激源,可以直接与生物相互作用。特别是,我们开始使用标准化的生物效应测量来表征该物种对少数生物学功能的影响,尤其是摄食抑制试验,蜕皮,和生殖能力,已经被证明是化学物质,并且很可能受到电离辐射的干扰。结果表明,在生物(雄性和雌性)的存活方面没有显着差异,他们的短期食物消费与总体健康状况(男性和女性)相关,和蜕皮周期(雌性)。相比之下,对于受辐照的雌性(51mGyh-1)和雄性(5和51mGyh-1),暴露以最高剂量率显着影响繁殖力(产生的胚胎数量)。这些结果表明,在gammarids中,繁殖,这是人口动态的关键终点,是对辐射最敏感的表型终点,对男性生殖能力有显著影响,比女性更敏感。环境毒物化学2024;00:1-9。©2024SETAC。
    The long-term impacts of radiocontaminants (and the associated risks) for ecosystems are still subject to vast societal and scientific debate while wildlife is chronically exposed to various sources and levels of either environmental or anthropogenic ionizing radiation from the use of nuclear energy. The present study aimed to assess induced phenotypical responses in both male and female gammarids after short-term continuous γ-irradiation, acting as a typical well-characterized genotoxic stressor that can interact directly with living matter. In particular, we started characterizing the effects using standardized measurements for biological effects on few biological functions for this species, especially feeding inhibition tests, molting, and reproductive ability, which have already been proven for chemical substances and are likely to be disturbed by ionizing radiation. The results show no significant differences in terms of the survival of organisms (males and females), of their short-term food consumption which is linked to the general health status (males and females), and of the molting cycle (females). In contrast, exposure significantly affected fecundity (number of embryos produced) at the highest dose rates for irradiated females (51 mGy h-1) and males (5 and 51 mGy h-1). These results showed that, in gammarids, reproduction, which is a critical endpoint for population dynamics, is the most radiosensitive phenotypic endpoint, with significant effects recorded on male reproductive capacity, which is more sensitive than in females. Environ Toxicol Chem 2024;00:1-9. © 2024 SETAC.
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  • 文章类型: Journal Article
    至少从15世纪到19世纪后期,奥地利施蒂里亚州的农民每天或每周食用多达数百毫克的三氧化二砷或硫化物,持续数年。服用这些剂量的砷被认为可以增加肌肉力量,增强农民女孩的美丽和性吸引力。似乎没有同时记录慢性砷暴露的已知后果。那里吃砷的历史记录经过审查,似乎是有效的。这些好处是砷食者的主观判断。缺乏关于砷中毒的预期外部和内部临床和病理影响的客观报告,取决于当时的临床账目和尸检报告以及一般医学文献的数量较少,所以它较弱,但它是一致的。
    为什么食用砷的人没有表现出长期暴露于高剂量砷的众所周知的后果是未知的。可能的解释包括由于人和肠道微生物组的诱导基因组变化和选择,消费者的解毒代谢增加。如其他人群所示。这些影响是否足以保护人们免受高剂量砷的影响尚未被研究。
    尽管砷毒性的性质和机制已被广泛描述,还有很多有待发现。
    UNASSIGNED: From at least the fifteenth to late nineteenth centuries, peasants in the Austrian province of Styria ate up to several hundred milligrams of arsenic trioxide or sulfide daily or weekly for periods up to a number of years. Taking these doses of arsenic was believed to increase muscular power and enhance the beauty and sexual attractiveness of peasant girls. There do not appear to be contemporaneous records of the known consequences of chronic arsenic exposure. The historical records of arsenic eating there are reviewed and appear to be valid. The benefits are subjective judgements by arsenic eaters. The lack of objective reports of the anticipated external and internal clinical and pathological effects of arsenic poisoning depends on a smaller number of clinical accounts and autopsy reports and the general medical literature of those times, so it is weaker, but it is consistent.
    UNASSIGNED: Why the arsenic eaters did not show the well-known consequences of prolonged exposure to high doses of arsenic is not known. Possible explanations include increases in detoxifying metabolism in the consumers due to induced genomic changes and selection in people and in the gut microbiome, as shown in other populations. Whether these effects would suffice to protect people against their high doses of arsenic has not been explored.
    UNASSIGNED: Although the nature and mechanisms of arsenic toxicity have been extensively described, much still remains to be discovered.
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  • 文章类型: Journal Article
    镉(Cd)污染严重影响海洋生物的健康,对食品安全构成威胁。尽管Cd污染在水产养殖中引起了广泛的关注,慢性Cd暴露对对虾生长性能的毒性机制知之甚少。本研究调查了慢性暴露于不同浓度的Cd(包括0、75、150和300μg/L)30天对生长性能的综合影响。组织生物累积,肠道微生物学,和凡纳滨对虾的代谢反应。结果表明,在暴露于150和300μg/L的Cd2下,生长受到显着抑制。随着Cd2浓度的增加,g和肠中的生物积累分别显示出增加和倒置的“U”形趋势。慢性Cd改变了肠道微生物区系,在暴露于75和150μg/LCd2时,微生物丰富度显着降低,潜在致病菌弧菌和Maribacter的丰度呈增加趋势,和300μg/L的Maribacter此外,慢性Cd干扰肠道代谢过程。某些代谢产物的表达与促进生长和增强抗氧化能力有关,包括N-甲基-D-天冬氨酸,L-苹果酸,胍基乙酸,甜菜碱,和葡萄糖酸显著下调,特别是在暴露于150和300μg/L的Cd2+时,并与弧菌和Maribacter的丰度水平呈负相关。总之,慢性Cd暴露导致对虾组织中严重的生长抑制和Cd积累增加。肠道致病菌水平升高和促生长代谢物水平降低可能是生长抑制的关键原因。有害细菌弧菌和Maribacter可能与抑制促进生长的代谢物表达有关,并可能参与破坏肠道代谢功能,最终损害虾的生长潜力。本研究揭示了慢性Cd抑制对虾生长性能的潜在毒理机制,为水产养殖中的Cd毒性研究提供了新的见解。
    Cadmium (Cd) pollution seriously affects marine organisms\' health and poses a threat to food safety. Although Cd pollution has attracted widespread attention in aquaculture, little is known about the toxic mechanisms of chronic Cd exposure on shrimp growth performance. The study investigated the combined effects of chronic exposure to Cd of different concentrations including 0, 75, 150, and 300 μg/L for 30 days on the growth performance, tissue bioaccumulation, intestinal microbiology, and metabolic responses of Litopenaeus vannamei. The results revealed that the growth was significantly inhibited under exposure to 150 and 300 μg/L Cd2+. The bioaccumulation in gills and intestines respectively showed an increasing and inverted \"U\" shaped trend with increasing Cd2+ concentration. Chronic Cd altered the intestinal microflora with a significant decrease in microbial richness and increasing trends in the abundances of the potentially pathogenic bacteria Vibrio and Maribacter at exposure to 75 and 150 μg/L Cd2+, and Maribacter at 300 μg/L. In addition, chronic Cd interfered with intestinal metabolic processes. The expressions of certain metabolites associated with growth promotion and enhanced antioxidant power, including N-methyl-D-aspartic acid, L-malic acid, guanidoacetic acid, betaine, and gluconic acid were significantly down-regulated, especially at exposure to 150 and 300 μg/L Cd2+, and were negatively correlated with Vibrio and Maribacter abundance levels. In summary, chronic Cd exposure resulted in severe growth inhibition and increased Cd accumulation in shrimp tissues. Increased levels of intestinal pathogenic bacteria and decreased levels of growth-promoting metabolites may be the key causes of growth inhibition. Harmful bacteria Vibrio and Maribacter may be associated with the inhibition of growth-promoting metabolite expression and may be involved in disrupting intestinal metabolic functions, ultimately impairing shrimp growth potential. This study sheds light on the potential toxicological mechanisms of chronic Cd inhibition on shrimp growth performance, offering new insights into Cd toxicity studies in aquaculture.
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  • 文章类型: Journal Article
    建立了概念动态生态系统模型,以评估生物演替过程中生态系统营养结构的自组织。该模型用于分析人为物理应激源-长期暴露于电离辐射的影响下生态系统的可能变化。该模型预测,环境中限制性生物营养素的数量可以改变电离辐射的生态效应。在高食物供应的生态系统中,长期暴露的负面影响不太明显。该模型没有显示出在暴露率低于推导的考虑参考水平时辐射的任何生态效应。由国际自然有机体辐射防护委员会获得。如果剂量率高于这些水平,辐射暴露会影响物种之间的生态相互作用。该模型表明,环境兴奋可以存在于生态系统中,受到长期辐射的影响.这种影响的原因是生态系数的变化(例如,捕食率的降低),在一定的参数范围内,在生态系统中限制生物养分含量相同的情况下,所有物种的生物量都会增加。触发机制存在于混合喂养消费者的模型生态系统中。在触发区域内,特定营养结构的实现取决于初始物种的生物量。这种生态系统中存在滞后现象,这意味着,如果影响因素逐渐降低到以前的值,则随着影响因素的增加而实现的营养结构的连续变化不会以相同的顺序再现。模型预测这种情况,放射性污染的生态系统不一定会恢复到最初的营养结构,尽管剂量率下降到初始水平。
    The conceptual dynamic ecosystem model was developed to evaluate the self-organization of trophic structure in ecosystems during the course of biogenic succession. This model was applied to analyze the possible changes in the ecosystem under impact of the anthropogenic physical stressor - chronic exposure to ionizing irradiation. The model predicts that amount of the limiting biogenic nutrient in the environment can modify the ecological effects of ionizing radiation. Negative effects of the chronic exposure are less significant in ecosystems with high food supply. The model does not show presence of any ecological effect of radiation at the exposure rates less than the derived consideration reference levels, obtained by International Commission on Radiological Protection for individual nature organisms. If the dose rates are higher than those levels, radiation exposure can affect ecological interactions between species. The model shows that environmental hormesis can exist in the ecosystems, impacted by the chronic radiation exposure. The reason of this effect is change of the ecological coefficients (for example, decrease of the predation rate), which in the certain range of parameters leads to the increase of biomasses of all species at the same amount of the limiting biogenic nutrient in ecosystem. Trigger regimes exist in the model ecosystem with mixed-feeding consumers. Within the trigger area, the realization of a particular trophic structure depends on initial species biomasses. A hysteresis phenomenon exists in such ecosystems, which means that the successive changes in the trophic structures realized following the increase of the influencing factor are not reproduced in the same order if the influencing factor was gradually decreased back to its previous values. The model predicts for this case, that the radioactively contaminated ecosystem does not necessarily return to its initial trophic structure, despite the dose rate decreases to the initial levels.
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  • 文章类型: Journal Article
    近年来,由于长期暴露于外源性物质,蜜蜂的潜在衰弱和对病原体的易感性日益增加。目前的工作旨在研究对遭受Nosemaceranae感染并暴露于经常使用的蜂巢内杀螨剂的蜜蜂的影响,amitraz.为了实现这一点,在实验室条件下,新出现的蜜蜂分别感染了N.ceranae孢子和/或在饮食中接受亚致死浓度的双甲草胺。死亡率,食物摄入量,排泄物总量,身体外观,和寄生虫的发展被登记。与单独暴露的蜜蜂相比,暴露于两种压力源的蜜蜂的死亡率更高,与寄生虫的发育没有区别。在所有处理过的蜜蜂中,观察到糖浆的消耗量都增加,而饲喂双甲脒的受感染蜜蜂的花粉摄入量也减少了。这些结果加上排泄事件总数的增加,在行为和身体表面的个体接受双甲草胺的改变可以证明这种分子的有害作用。为了在半野外条件下证实这些发现,工蜂被人工感染,标记,被释放到殖民地。然后,他们通过接触接触了一种基于双甲草胺的商业产品。恢复的蜜蜂显示,由于双甲草胺暴露,寄生虫的发育没有差异。这项研究提供了证据,表明长期暴露于双甲胺治疗可能会削弱感染了N.ceranae的蜜蜂。
    In recent years, there has been growing concern on the potential weakening of honey bees and their increased susceptibility to pathogens due to chronic exposure to xenobiotics. The present work aimed to study the effects on bees undergoing an infection by Nosema ceranae and being exposed to a frequently used in-hive acaricide, amitraz. To achieve this, newly emerged bees were individually infected with N. ceranae spores and/or received a sublethal concentration of amitraz in their diets under laboratory conditions. Mortality, food intake, total volume excrement, body appearance, and parasite development were registered. Bees exposed to both stressors jointly had higher mortality rates compared to bees exposed separately, with no difference in the parasite development. An increase in sugar syrup consumption was observed for all treated bees while infected bees fed with amitraz also showed a diminishment in pollen intake. These results coupled with an increase in the total number of excretion events, alterations in behavior and body surface on individuals that received amitraz could evidence the detrimental action of this molecule. To corroborate these findings under semi-field conditions, worker bees were artificially infected, marked, and released into colonies. Then, they were exposed to a commercial amitraz-based product by contact. The recovered bees showed no differences in the parasite development due to amitraz exposure. This study provides evidence to which extent a honey bee infected with N. ceranae could potentially be weakened by chronic exposure to amitraz treatment.
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  • 文章类型: Journal Article
    在传统的生态毒理学研究中,生物体通常暴露于浓度稳定的目标污染物。然而,很难真正代表实际水生污染的动态和复杂性进行风险管理。污染物可能会在脉冲暴露中进入附近的水生系统,从而导致水生生物将暴露于浓度波动的污染物中。尤其是在夏天的季节,由于水产养殖中兽用抗生素的位移或周期性排放的变化,藻类水华经常发生在周围的水域,从而导致水体富营养化。氟苯尼考(FFC)目前被广泛用作兽用抗生素,但浓度波动下FFC的水生生态风险仍未知。因此,急性暴露,研究了FFC的慢性暴露和脉冲暴露对铜绿微囊藻的影响,以全面评估FFC的生态风险,提高对脉冲暴露模式的认识。结果表明,FFC对铜绿假单胞菌的毒性作用以暴露模式为主,暴露持续时间,暴露频率,和暴露浓度。在18天的慢性暴露期间,10μg/LFFC处理的最大生长抑制率为4.07%。然而,在第一次脉冲暴露(8小时)期间,藻类暴露于10μg/LFFC时,生长抑制率从55.1%下降到19.31%。因此,当FFC的浓度在慢性和脉冲暴露下相等时,FFC在短脉冲暴露中对铜绿分枝杆菌的毒性高于连续暴露。此外,重复脉冲暴露增强了铜绿假单胞菌对FFC的抗性。藻类的适应性调节与暴露的持续时间和频率有关。以上结果表明,传统的毒性评估缺乏对污染物排放过程中浓度波动的考虑,从而低估了污染物的环境风险。这项研究旨在促进脉冲暴露的标准化。
    Organisms are generally exposed to target contaminant with stable concentrations in traditional ecotoxicological studies. However, it is difficult to truly represent the dynamics and complexity of actual aquatic pollution for risk management. Contaminants may enter nearby aquatic systems in pulsed exposure, thus resulting in that aquatic organisms will be exposed to contaminants at fluctuating concentrations. Especially during the season of summer, due to the changes in displacement or periodic emissions of veterinary antibiotics in aquaculture, algal blooms occur frequently in surrounding waters, thus leading to eutrophication of the water. Florfenicol (FFC) is currently widely used as a veterinary antibiotic, but the aquatic ecological risks of FFC under concentration fluctuations are still unknown. Therefore, the acute exposure, chronic exposure and pulsed exposure effects of FFC on Microcystis aeruginosa were investigated to comprehensively evaluate the ecological risk of FFC and raise awareness of the pulsed exposure mode. Results indicated that the toxic effects of FFC on M. aeruginosa were dominated by exposure mode, exposure duration, exposure frequency, and exposure concentration. The maximum growth inhibition rate of the 10 μg/L FFC treatment amounted to 4.07% during chronic exposure of 18 days. However, the growth inhibition rate decreased from 55.1% to 19.31% when algae was exposure to 10 μg/L FFC during the first pulsed exposure (8 h). Therefore, when the concentration of FFC was equal under chronic and pulsed exposure, FFC exhibited greater toxicity on M. aeruginosa in short pulsed exposure than in continuous exposure. In addition, repetitive pulsed exposure strengthened the resistance of M. aeruginosa on FFC. The adaptive regulation of algae was related to the duration and frequency of exposure. Above results suggested that traditional toxicity assessments lacked consideration for fluctuating concentrations during pollutant emissions, thus underestimating the environmental risk of contaminant. This investigation aims to facilitate the standardization of pulsed exposure.
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  • 文章类型: Journal Article
    背景:空气污染是心血管疾病(CVD)的公认危险因素。温度也与CVD有关,主要关注急性效应。尽管空气污染和温度有着密切的关系,它们的健康影响经常单独检查,有可能忽视它们的协同效应。此外,较少研究对多个共同暴露进行混合分析,对于调整它们之间的混杂效应以及评估累积效应和个体效应至关重要。
    方法:我们获得了美国14个州居民的住院记录,2000-2016年,来自卫生成本和利用项目州住院数据库。我们使用了分组加权分位数和回归,一种新的混合物分析方法,同时评估对四种分组混合物的年度暴露的累积和个体关联:空气污染物(元素碳,铵,硝酸盐,有机碳,硫酸盐,二氧化氮,臭氧),整个研究期间夏季和冬季温度平均值及其长期平均值之间的差异(即,夏季和冬季温度平均异常),整个研究期间夏季和冬季温度标准偏差(SD)与其长期平均值之间的差异(即,夏季和冬季温度SD异常),空气污染物与夏季和冬季温度平均异常之间的相互作用项。结果是四种流行的CVD亚型的住院率:缺血性心脏病,脑血管疾病,心力衰竭,和心律不齐。
    结果:长期暴露于空气污染物混合物与所有CVD亚型的住院率增加有关,心力衰竭是最易感的亚型。硫酸盐,硝酸盐,二氧化氮,和有机碳构成最高的风险。空气污染物和温度平均异常之间的相互作用项的混合与所有CVD亚型的住院率增加有关。
    结论:我们的发现确定了目标排放控制的关键污染物,并表明异常温度变化通过与空气污染相互作用而长期影响心血管健康。不是直接的。
    BACKGROUND: Air pollution is a recognized risk factor for cardiovascular disease (CVD). Temperature is also linked to CVD, with a primary focus on acute effects. Despite the close relationship between air pollution and temperature, their health effects are often examined separately, potentially overlooking their synergistic effects. Moreover, fewer studies have performed mixture analysis for multiple co-exposures, essential for adjusting confounding effects among them and assessing both cumulative and individual effects.
    METHODS: We obtained hospitalization records for residents of 14 U.S. states, spanning 2000-2016, from the Health Cost and Utilization Project State Inpatient Databases. We used a grouped weighted quantile sum regression, a novel approach for mixture analysis, to simultaneously evaluate cumulative and individual associations of annual exposures to four grouped mixtures: air pollutants (elemental carbon, ammonium, nitrate, organic carbon, sulfate, nitrogen dioxide, ozone), differences between summer and winter temperature means and their long-term averages during the entire study period (i.e., summer and winter temperature mean anomalies), differences between summer and winter temperature standard deviations (SD) and their long-term averages during the entire study period (i.e., summer and winter temperature SD anomalies), and interaction terms between air pollutants and summer and winter temperature mean anomalies. The outcomes are hospitalization rates for four prevalent CVD subtypes: ischemic heart disease, cerebrovascular disease, heart failure, and arrhythmia.
    RESULTS: Chronic exposure to air pollutant mixtures was associated with increased hospitalization rates for all CVD subtypes, with heart failure being the most susceptible subtype. Sulfate, nitrate, nitrogen dioxide, and organic carbon posed the highest risks. Mixtures of the interaction terms between air pollutants and temperature mean anomalies were associated with increased hospitalization rates for all CVD subtypes.
    CONCLUSIONS: Our findings identified critical pollutants for targeted emission controls and suggested that abnormal temperature changes chronically affected cardiovascular health by interacting with air pollution, not directly.
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