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遭受切尔诺贝利核电站事故所致碘-131暴露的白俄罗斯儿童和青少年甲状腺功能测定 被引量:1
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作者 Evgenia Ostroumova Alexander Rozhko +14 位作者 Maureen Hatch Kyoji Furukawa Olga Polyanskaya Robert J.McConnell Eldar Nadyrov Sergey Petrenko George Romanov Vasilina Yauseyenka vladimir drozdovitch Viktor Minenko Alexander Prokopovich Irina Savasteeva Lydia B.Zablotska Kiyohiko Mabuchi Alina V.Brenner 《环境与职业医学》 CAS 北大核心 2013年第10期761-761,共1页
[背景]年幼时受到低或中等剂量放射性碘131(131I)暴露导致的甲状腺功能紊乱是一个公共卫生问题。然而,鲜见有关这些常见疾病的131I相关风险的定量数据。[目的]评估甲状腺功能紊乱的发病率与童年(≤18岁)时受到来自切尔诺贝利事故放射性... [背景]年幼时受到低或中等剂量放射性碘131(131I)暴露导致的甲状腺功能紊乱是一个公共卫生问题。然而,鲜见有关这些常见疾病的131I相关风险的定量数据。[目的]评估甲状腺功能紊乱的发病率与童年(≤18岁)时受到来自切尔诺贝利事故放射性微尘131I暴露的关联。[方法]在一项白俄罗斯队列研究中,对甲状腺功能减退、甲状腺功能亢进、自身免疫性甲状腺炎(AIT)、血清促甲状腺激素(TSH)浓度、甲状腺过氧化物酶自身抗体(ATPO)与基于测定的131I剂量估计之间的关联进行横断面分析。这项队列研究筛查10827名参加者的各种甲状腺疾病。[结果]暴露时的平均年龄(±SD)为(8.2±5.0)岁。甲状腺131I剂量的平均(中位数)估值为0.54(0.23)Gy(范围值为0.001~26.6Gy)。131I剂量与甲状腺功能减退(主要为亚临床型及抗体阴性)和血清TSH浓度呈显著正相关。每1Gy对于甲状腺功能减退症的附加比值比为0.34(95%CI:0.15~0.62),并随着暴露和检测时的年龄、存在甲状腺肿大、居住于城市/农村而显著变化。未发现与抗体阳性甲状腺功能减退、甲状腺功能亢进、AIT或ATPO升高之间有正关联的证据。[结论]在此白俄罗斯队列中,131I剂量与甲状腺功能减退之间的关联与以前报道的一项乌克兰队列的研究结果相一致。上述研究提供了强有力的证据表明,儿童期环境131I暴露的影响结果是甲状腺功能减退,而不是其他甲状腺疾病。 展开更多
关键词 抗甲状腺抗体 自身免疫性甲状腺炎 切尔诺贝利 剂量反应 甲状腺功能亢进 甲状腺功能减退 放射性碘 甲状腺
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Genetic factors for differentiated thyroid cancer in French Polynesia:new candidate loci
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作者 Monia Zidane Marc Haber +18 位作者 Thérèse Truong Frédérique Rachédi Catherine Ory Sylvie Chevillard Hélène Blanché Robert Olaso Anne Boland Éric Conte Mojgan Karimi Yan Ren Constance Xhaard Vincent Souchard Jacques Gardon Marc Taquet André Bouville Jean-François Deleuze vladimir drozdovitch Florent de Vathaire Jean-Baptiste Cazier 《Precision Clinical Medicine》 2023年第2期57-66,共10页
Background:Populations of French Polynesia(FP),where France performed atmospheric tests between 1966 and 1974,experience a high incidence of differentiated thyroid cancer(DTC).However,up to now,no sufficiently large s... Background:Populations of French Polynesia(FP),where France performed atmospheric tests between 1966 and 1974,experience a high incidence of differentiated thyroid cancer(DTC).However,up to now,no sufficiently large study of DTC genetic factors in this population has been performed to reach definitive conclusion.This research aimed to analyze the genetic factors of DTC risk among the native FP populations.Methods:We analyzed more than 300000 single nucleotide polymorphisms(SNPs)genotyped in 283 DTC cases and 418 matched controls born in FP,most being younger than 15 years old at the time of the first nuclear tests.We analyzed the genetic profile of our cohort to identify population subgroups.We then completed a genome-wide analysis study on the whole population.Results:We identified a specific genetic structure in the FP population reflecting admixture from Asian and European populations.We identified three regions associated with increased DTC risk at 6q24.3,10p12.2,and 17q21.32.The lead SNPs at these loci showed respective p-values of 1.66×10^(−7),2.39×10^(−7),and 7.19×10^(−7) and corresponding odds ratios of 2.02,1.89,and 2.37.Conclusion:Our study results suggest a role of the loci 6q24.3,10p12.2 and 17q21.32 in DTC risk.However,a whole genome sequencing approach would be better suited to characterize these factors than genotyping with microarray chip designed for the Caucasian population.Moreover,the functional impact of these three new loci needs to be further explored and validated. 展开更多
关键词 differentiated thyroid cancer population genetics genetic susceptibility
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