环境内分泌干扰物与甲状腺疾病关系的研究进展
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1.南京医科大学第一附属医院;2.南京医科大学公共卫生学院;3.南京医科大学第一附属医院内分泌科

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基金项目:

中国健康促进基金会“甲状腺中青年医生研究项目”(2019(PB19));伊犁州临床医学研究院研究基金(yl2021ms03)


Research advances in the relationship between environmental endocrine disrupting chemicals and thyroid disease
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Affiliation:

The First Affiliated Hospital of Nanjing Medical University

Fund Project:

'Thyroid Research Program of Young and Middle-aged Physicians' from China Health Promotion Foundation(2019(PB19));Research Foundation of Yili Institute of Clinical Medicine (yl2021ms03)

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    摘要:

    环境内分泌干扰物广泛存在于人们的生产生活环境中,其种类繁多,不仅干扰人体的生殖、神经、免疫等系统,更是对体内最大的内分泌器官——甲状腺产生不可忽视的影响。然而,过往的研究多从甲状腺激素和甲状腺的组织病理学入手,很少从自身免疫性甲状腺疾病和甲状腺癌的角度切入。我们通过系统回顾,阐述了几种常见的环境内分泌干扰物在自身免疫性甲状腺疾病和甲状腺癌发生发展过程中的作用,包括诱导抗甲状腺自身抗体产生和影响T细胞分化等,为研究自身免疫性甲状腺疾病和甲状腺癌的潜在环境暴露危险因素提供了依据,具有积极的防治意义。

    Abstract:

    Environmental endocrine disrupting chemicals (EDCs) are widespread in people"s production and living environment. Due to a wide variety of endocrine disruptors, they not only interfere with human reproductive system, nervous system and immune system, but also exert a non-negligible influence on thyroid, the largest endocrine organ in the body. The previous studies mostly focused on thyroid hormone and histopathology, and few reports were available on the associations between autoimmune thyroid diseases (AITD) or thyroid cancer (TC) and the EDCs. Therefore, the current review elucidates the potential adverse effects of EDCs on thyroid, especially in autoimmune thyroid diseases and thyroid cancer, including induction of thyroid autoantibodies and influence T cell differentiation, etc., which may provide a basis for the study of the potential environmental exposure risk factors of autoimmune thyroid diseases and thyroid cancer, and has positive prevention and treatment significance.

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历史
  • 收稿日期:2022-11-16
  • 最后修改日期:2022-12-13
  • 录用日期:2023-03-02
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