三氯生和三氯卡班暴露健康效应的研究进展

Research progress on health effects of triclosan and triclocarban

  • 摘要: 三氯生(TCS)和三氯卡班(TCC)是广泛使用的合成广谱抗菌剂,可通过皮肤和胃肠道等进入人体。越来越多研究发现,TCS和TCC暴露可能影响人体健康。但目前关于人群TCS和TCC暴露的健康效应的综述较少。为此,本研究通过检索PubMed数据库,回顾关于TCS和TCC暴露的健康效应的人群研究,总结TCS和TCC暴露的健康效应,归纳健康效应的生物机制。共检索到56项研究,其中横断面研究(25项,44.64%)和队列研究(25项,44.64%)占比较大,病例对照研究(6项,10.71%)占比较小,且TCS暴露的相关研究占比(54项)高于TCC暴露的相关研究(7项)。研究结果显示,TCS暴露与男性和女性生殖功能、胎儿生长、儿童行为发育、肥胖、妊娠期糖尿病、免疫相关疾病显示出关联,但不同研究之间存在明显差异,提示TCS暴露是上述健康问题的潜在影响因素。由于研究数量少,支持TCC暴露与上述绝大部分健康效应关系的证据不足。体内外研究和人群研究显示,TCS和TCC暴露可能干扰机体微生物稳态、内分泌系统、氧化应激和免疫功能,是造成不良健康效应的潜在机制。未来仍需大样本前瞻性队列研究及体内外研究,进一步明确TCS和TCC暴露与健康效应的关系,深入探索TCS和TCC暴露对健康效应的作用机制,为阐明TCS和TCC暴露的健康危害和制定防治措施提供参考。

     

    Abstract: Triclosan (TCS) and triclocarban (TCC) are widely used synthetic broad-spectrum antibacterial agents that can enter the human body through the skin, gastrointestinal tract, and other pathways. More and more studies have found that exposure to TCS and TCC can affect human health, but currently, review reports on the health effects of human exposure to TCS and TCC are rare. For this purpose, this study reviewed population studies on the relationship between TCS and TCC exposure and health effects by searching the PubMed database, summarized the association between TCS and TCC exposure and health effects, and generalized the biological mechanisms. A total of 56 studies were retrieved, among which cross-sectional studies (25 studies, 44.64%) and cohort studies (25 studies, 44.64%) accounted for a relatively large proportion, while case-control studies (6 studies, 10.71%) were relatively few. Moreover, the number of TCS (54 studies) related studies was significantly more than that of TCC (7 studies). The research results revealed that TCS exposure was associated with male and female reproductive functions, fetal growth, children's behavioral development, obesity, gestational diabetes, and immune-related diseases. However, there were significant differences among different studies, suggesting that TCS exposure is a potential influencing factor for the aforementioned health issues. Due to the small number of studies, there is insufficient evidence of the relationship between TCC exposure and the vast majority of the aforementioned health effects. In vitro and in vitro studies as well as population studies have shown that exposure to TCS and TCC can interfere with the microbial homeostasis, the endocrine system, oxidative stress and immune function of the body, which are potential mechanisms causing adverse health effects. In the future, large-sample prospective cohort studies and in vitro and in vivo studies are still needed to further clarify the relationship between TCS and TCC exposure and health effects, and deeply explore the mechanism of action, providing references for clarifying the health hazards of TCS and TCC and formulating prevention and treatment measures.

     

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