健康促进对学龄前儿童铅中毒预防和控制的研究进展

综述了国内外学龄前儿童铅中毒的危害和防治现状,针对目前健康教育对降低铅暴露有效性的研究结果并不理想,而且部分研究尚存在设计缺陷的情形,提出了健康促进对学龄前儿童预防和控制铅中毒的必要性和科学根据。     

Hispidulin Ameliorates Endotoxin-Induced Acute Kidney Injury in Mice

Lipopolysaccharide (LPS) is an endotoxin that plays a crucial role in septic acute kidney injury (AKI). Hispidulin is a natural flavonoid that possesses various biological activities. Recent studies have shown that hispidulin administration alleviates various inflammatory diseases in animal models. This study aimed to investigate the renoprotective effect of hispidulin on LPS-induced AKI. Male C57BL/6 mice were administered LPS (10 mg/kg) with or without hispidulin (50 mg/kg). Hispidulin administration attenuated renal dysfunction, histological alterations, and the upregulation of neutrophil gelatinase-associated lipocalin. This flavonoid also reduced cytokine production and Toll-like receptor 4 expression, inhibited nuclear factor-κB and mitogen-activated protein kinase cascades, and alleviated immune cell infiltration. The oxidation of lipids and DNA was also inhibited by hispidulin administration. This antioxidant effect of hispidulin was associated with the downregulation of NADPH oxidase 4, the activation of catalase and superoxide dismutase activities, and the restoration of glutathione levels. Moreover, hispidulin administration attenuated tubular cell apoptosis by inhibiting caspase-3 pathway. These data suggest that hispidulin ameliorates endotoxin-induced kidney injury by suppressing inflammation, oxidative stress, and tubular cell death.     

Antioxidative,Antiapoptotic, and Anti-Inflammatory Effects of Apamin in a Murine Model of Lipopolysaccharide-Induced Acute Kidney Injury

Sepsis is the major cause of acute kidney injury (AKI) in severely ill patients, but only limited therapeutic options are available. During sepsis, lipopolysaccharide (LPS), an endotoxin derived from bacteria, activates signaling cascades involved in inflammatory responses and tissue injury. Apamin is a component of bee venom and has been shown to exert antioxidative, antiapoptotic, and anti-inflammatory activities. However, the effect of apamin on LPS-induced AKI has not been elucidated. Here, we show that apamin treatment significantly ameliorated renal dysfunction and histological injury, especially tubular injury, in LPS-injected mice. Apamin also suppressed LPS-induced oxidative stress through modulating the expression of nicotinamide adenine dinucleotide phosphate oxidase 4 and heme oxygenase-1. Moreover, tubular cell apoptosis with caspase-3 activation in LPS-injected mice was significantly attenuated by apamin. Apamin also inhibited cytokine production and immune cell accumulation, suppressed toll-like receptor 4 pathway, and downregulated vascular adhesion molecules. Taken together, these results suggest that apamin ameliorates LPS-induced renal injury through inhibiting oxidative stress, apoptosis of tubular epithelial cells, and inflammation. Apamin might be a potential therapeutic option for septic AKI.     

Protective Effects of Traditional Polyherbs on Cisplatin-Induced Acute Kidney Injury Cell Model by Inhibiting Oxidative Stress and MAPK Signaling Pathway

Acute kidney injury (AKI) is a disease caused by sudden renal dysfunction, which is an important risk factor for chronic renal failure. However, there is no effective treatment for renal impairment. Although some traditional polyherbs are commercially available for renal diseases, their effectiveness has not been reported. Therefore, we examined the nephroprotective effects of polyherbs and their relevant mechanisms in a cisplatin-induced cell injury model. Rat NRK-52E and human HK-2 subjected to cisplatin-induced AKI were treated with four polyherbs, Injinhotang (IJ), Ucha-Shinki-Hwan (US), Yukmijihwang-tang (YJ), and Urofen^TM (Uro) similar with Yondansagan-tang, for three days. All polyherbs showed strong free radical scavenging activities, and the treatments prevented cisplatin-induced cell death in both models, especially at 1.2 mg/mL. The protective effects involved antioxidant effects by reducing reactive oxygen species and increasing the activities of superoxide dismutase and catalase. The polyherbs also reduced the number of annexin V-positive apoptotic cells and the expression of cleaved caspase-3, along with inhibited expression of mitogen-activated protein kinase-related proteins. These findings provide evidence for promoting the development of herbal formulas as an alternative therapy for treating AKI.     

锌原卟啉与儿童铅中毒和贫血关系的研究

[目的 ]探讨锌原卟啉测定诊断儿童铅中毒与贫血可能性。 [方法 ]测定了 2 3 5名儿童血ZPP、Hb、BPb。 [结果 ]ZPP值 2 3 9± 1 0 2 μg/gHb ,增高率 1 3 61 % ;血铅水平 8 94± 4 62 μg/dL ,铅中毒率 41 0 7%。Hb平均浓度 1 1 2 5 0± 1 0 5 5g/L ,贫血患病率 3 1 48%。ZPP与Hb呈高度负相关 (P <0 0 1 ) ,与BPb无相关性 (P >0 0 5 )。血铅水平正常组与铅中毒组ZPP值差异无显著意义(P >0 0 5 )。Hb正常组与贫血组ZPP值差异有显著意义 (P <0 0 1 )。 [结论 ]ZPP升高可作为缺铁性贫血的诊断指标 ,但在血铅水平较低的地区 ,则不宜用ZPP作为儿童铅中毒的筛查指标。     

贫血儿童血铅含量的变化及意义

测定了78例贫血患儿及30例健康儿血铅含量。结果显示，贫血患儿血铅水平明显升高。提示铅中毒影响造血系统。     

儿童铅中毒率高的原因探讨

分析了不同高度的大气中铅尘含量。结果表明，铅尘在大气中的分布随着高度的降低而大幅度增加。儿童身高刚好在大气铅浓度最高的范围内，这也正是儿童血铅超标比例大的主要原因。马路边的铅尘大于公园绿地上的铅尘；干旱多尘土季节大气中的铅尘大于雨季。     

杭州市下城区572例2～6岁社区儿童血铅、锌、钙、铁含量检测及相关分析

对杭州下城区572例2～6岁儿童血铅、锌、钙、铁含量进行了检测。结果显示,572例2～6岁儿童血铅平均值为89 97μg/L,其中191例儿童血铅值≥100μg/L,占总调查人数33 4%;铅中毒组的血清锌均值低于正常组,差别有非常显著意义(P<0 01);血清钙、铁含量两组差别无显著意义;铅中毒组血铅与血清锌呈负相关。提示对铅中毒儿童及时纠正低锌状态是减少肠道对铅吸收的重要措施。建议3周岁社区儿童常规检测血铅,以便及时进行铅个体干预。     

东莞市城区儿童血锌、铁、钙元素与饮食习惯、生长发育关系的研究

探讨了莞城地区幼儿园3～7岁儿童血锌、铁、钙值与饮食习惯、身高、体重、易感染情况的关系，以便进一步指导喂养。采用群体自愿参加者取静脉血，检测了血清锌、铁、钙。检测前向家长发问卷调查饮食习惯、易感染情况。抽血后测量身高、体重。结果表明，在城区7所幼儿园1125例受检儿童中，检出血锌、铁、钙异常者831例(73．9％)，其中低于正常值者525例(63．2％)。有不良饮食习惯儿童342例(30．4％)。有轻度营养不良189例(16．8％)。身高不达标342例(30．4％)。复感儿508例(54．8％)。结论为：(1)本组儿童低血锌情况严重，而血锌值与饮食习惯、易感染情况、身高有密切关系。(2)未发现一例低血清铁者。(3)儿童低血钙者较少，低血钙与不良饮食习惯有关。     

A miniaturized active sampler for the assessment of personal exposure to nitrogen dioxide

A personalized, miniaturized air sampling system was evaluated to estimate the daily exposure of pediatric asthmatics to nitrogen dioxide (NO₂). The lightweight device (170 g) uses a sampling pump connected to a solid sorbent tube containing triethanolamine (TEA)-impregnated molecular sieve. The pump is powered by a 9 V battery and samples air over a 24 h period at a collection rate of 0.100 L/min. After exposure, the solid sorbent is removed from the tubes for spectrophotometric analysis (Griess Assay). The lower detection limit of the overall method for NO₂ is 11 μg/m³. The linearity, precision and accuracy of the sampler was evaluated. Different NO₂ concentrations generated in the laboratory (range: 50 to 340 μg/m³) were simultaneously measured by the TEA tube samplers and colocated continuous chemiluminescent NO_x analyzers (reference method). The coefficient of determination for the laboratory test derived from ordinary linear regression (OLR) was r ²=0.99 (y _OLR=0.94x−4.58) and the precision 3.6%. Further, ambient NO₂ concentrations in the field (range: 10–120 μg/m³) were verified with continuous chemiluminescent monitors next to the active samplers. Reweighted least squares analysis (RLS) based on the least median squares procedure (LMS) resulted in a correlation of r ²=0.68 for a field comparison in Riverside, CA (y _RLS=1.01x−0.94) and r ²=0.92 in Los Angeles, CA (y _RLS=1.31x−7.12). The precision of the TEA tube devices was 7.4% (at 20–60 μg/m³ NO₂) under outdoor conditions. Data show that the performance of this small active sampling system was satisfactory for measuring environmental concentrations of NO₂ under laboratory and field conditions. It is useful for personal monitoring of NO₂ in environmental epidemiology studies where daily measurements are desired.