儿童哮喘与邻苯二甲酸酯暴露关系的研究

Associations between Childhood Asthma and Phthalate Exposure

  • 摘要: 在过去30 年里儿童哮喘的发病率快速增长,而在同一时期包括邻苯二甲酸酯在内的环境化学物质的污染状况也越来越严重,这提示,邻苯二甲酸酯的暴露可能与儿童哮喘的高发有关。本文概述邻苯二甲酸酯的儿童内暴露状况与儿童哮喘发病情况之间的关系。其中,邻苯二甲酸酯儿童暴露与过敏性疾病的流行病学研究,为儿童哮喘的环境归因研究提供了一定的线索和研究方向;相关的动物实验和体外细胞实验,为探索邻苯二甲酸酯暴露所致包括过敏性哮喘在内的健康损害及可能的机制提供了一定的科学依据。虽然目前的研究显示,邻苯二甲酸酯暴露在哮喘发作过程中起到了佐剂的作用,但对于研究结果存在不一致性未得到明确结论。因此,在未来的研究中仍需要继续探索邻苯二甲酸酯对儿童罹患哮喘的影响,并进一步分析其可能的作用机制。

     

    Abstract: In the last three decades, the incidence rate of childhood asthma has risen dramatically, and a great deal of data shows an increasing amount of environmental pollutants including phthalates, suggesting that phthalate exposure is probably associated with asthma attack in children. This review focused on the correlation between pediatric phthalate exposure and childhood asthma. Epidemiologic studies, animal experiments and in vitro studies on phthalates and allergic asthma were discussed. Despite that a majority of studies supported the adjuvant effects of phthalates on asthma, it is unclear if phthalate exposure could be the underlying reason of the rising prevalence of asthma in children. Therefore, more efforts should be made to investigate the impact of phthalates on childhood asthma and explore the possible related mechanisms in further studies.

     

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