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学机制。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%)较多,病例对照研究(6项,10.72%)较少。TCS暴露相关研究占比(48项,85.71%)远高于TCC暴露相关研究(2项,3.57%),6项研究同时涉及TCS和TCC暴露。研究结果显示,TCS暴露与男性和女性生殖功能异常、胎儿生长缓慢、儿童行为发育异常、肥胖、妊娠糖尿病及免疫相关疾病显示出关联。尽管不同研究结果存在明显差异,但这些研究提示TCS暴露是上述健康问题的潜在影响因素。由于TCC相关研究数量少,TCC暴露与上述绝大部分健康效应关系的证据不足。人群研究和体内、体外试验显示,TCS和TCC暴露可能干扰机体微生物组、内分泌系统、氧化应激和免疫功能,这可能是TCS和TCC暴露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、体外试验进一步明确TCS和TCC暴露与健康效应的关联,深入探索TCS和TCC暴露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 limited. Therefore, this study reviewed population studies on the relationship between TCS and TCC exposure and health effects by searching the PubMed database, summarized the associated health outcomes, and elucidated 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, 10.72%) were relatively few. Studies on TCS exposure (48 studies, 85.71%) were far more prevalent than those on TCC exposure (2 studies, 3.57%). The remaining 6 studies involved both TCS and TCC exposure. The research results revealed that TCS exposure was associated with male and female abnormal reproductive functions, fetal growth restriction, abnormal behavior development in children, obesity, gestational diabetes mellitus (GDM), and immune-related diseases. Although the results of different studies show significant differences, they have indicated that exposure to TCS is a potential risk factor for these health problems. Due to the limited number of studies, the evidence for the relationship between TCC exposure and most of the aforementioned health effects is insufficient. Population studies and in vitro and in vivo 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-scale prospective cohort studies, as well as in vivo and in vitro studies, are still needed to further clarify the associations between TCS and TCC exposure and health effects, and to deeply explore its mechanism of action. These efforts will provide references for clarifying the human health hazards of TCS and TCC exposure and formulating targeted prevention and control strategies.

     

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