邻苯二甲酸二乙基己酯(DEHP)污染及其毒性研究进展

邻苯二甲酸二乙基己酯(DEHP)作为重要的增塑剂被广泛应用于涂料、食品包装、医疗器材、儿童玩具等产品中。研究表明DEHP在水、土壤、空气等各个环境要素以及食物、饮用水中已被普遍检出,并对环境产生潜在的危害。本文通过分析国内外DEHP的环境暴露和毒性效应的研究成果,总结了DEHP在室外大气、室内空气、土壤、地表水、地下水、食品和饮用水中的污染现状,并对DEHP的替代产品进行总结;此外,本文深入探讨了DEHP对水生生物和陆生生物的生态毒性效应,以及对生殖发育、肝脏、呼吸系统和神经系统等的健康毒性效应。最后,结合DEHP在环境暴露调查和毒性效应研究方面的不足,指出需要进一步加强我国DEHP的环境暴露调查,制定相关环境基准值与标准限值,开展慢性生态毒性效应和人体健康毒性效应等方面的研究。

如何做好慢性乙型肝炎患者的健康教育

乙型病毒性肝炎（乙型肝炎）是由乙型肝炎病毒引起的肝脏炎性损害．目前是我国流行最广泛、危害最严重的一种传染病。病情迁延，常易复发。病人在漫长的治疗过程中只有得到科学的护理和自我保养，才能有效地预防和控制并发症、减少复发，从而达到提高生活质量和延长生命的目的。

Serum concentration of sFas and sFasL in healthy HBsAg carriers,chronic viral hepatitis B and C patients

AIM:To estimate the amount of apoptosis among healthy HBsAg carriers,patients with chronic HBV infection treated wibh lamivudine and patients with chronic HCV infection treated with interferon alpha and ribavirin.Activity of apoptosis was evaluated by serum sFas/sFasL concentration measurement. Moreover dependence between apoptosis and HBV-DNA or HCV-RNA levels was studied. METHODS:Eighty-six persons were included into study:34 healthy HBsAg carders,33 patients with chronic HBV infecl^on and 19 patients with chronic HCV infection.Serum levels of sFas/sFasL were measured by ELISA assay.HBV-DNA and HCV-RNA were measured by RT-PCR assay.Levels of sFas/sFasL were determined before and 2 and 12 wk after therapy in patients with chronic hepatitis B and C infection. HBV-DNA or HCV-RNA was detected before treatment and 6 mo after treatment. RESULTS:Twenty-four (71%) healthy HBsAg carders showed HBV-DNA over 10~5/mL,which was comparable to the patients with chronic hepatitis B.independently from HBV-DNA levels, the concentration of sFas among healthy HBsAg carders was comparable to healthy persons.Among patients with chronic hepatitis B and C,the concentration of sFas was significantly higher in comparison to healthy HBsAg carriers and healthy persons.In chronic hepatitis B patients the concentration of sFas was decreased during lamivudine treatment.Among chronic hepatitis C patients the concentration of sFas was increased during IFN alpha and ribavirin treatment,sFasL was not detected in control group.Furbhermore sFasL occurred more frequently in chronic hepatitis C patients in comparison to chronic hepatitis B patients. CONCLUSION:There are no correlations between apoptosis and HBV-DNA levels.However ther is an association between apoptosis and activity of inflammation in patients with chronic HBV infection.Apoptosis can be increased in patients with chronic hepatitis C by effective treatment which may be a result of apoptosis stimulation by IFN-α.

Hepatitis C virus infection and health-related quality of life

Hepatitis C virus(HCV) hepatitis and other diseases related to HCV,such as cryoglobulinemia,lymphoma and renal failure,impair health-related quality of life(HRQoL).In addition,HCV per se might directly influence HRQoL via colonization of microglia in the brain or,indirectly,via the effect of systemic inflammatory cytokines which,in turn,can trigger brain interleukin production.The treatment of HCV-related disorders with interferon(IFN) has an effect on HRQoL.Initially,IFN causes a transient deterioration of HRQoL,due to the induction of depression and other side effects of treatment.Subsequently,the subjects who obtain a sustained virologic response experience an improvement in HRQoL.Only rarely does interferon treatment causes permanent detrimental effects on HRQoL,due to residual psychiatric or neurologic side effects.Liver transplantation is the only treatment for end-stage HCV-related liver disease.HRQoL generally improves massively a few months after transplantation,except in the case of serious complications of the transplant procedure.Furthermore,high levels of anxiety and neuroticism pre-transplant are associated with lower HRQoL one year after transplant.Additionally,six months after transplant,patients with HCV who experience virologic recurrence show significantly greater depression,anxiety,phobic anxiety,and paranoid ideation than anti-HCV-negative patients.In conclusion,optimal care for the overall well-being of patients with HCV infection requires adequate knowledge of their neurological and psychological status.

Exposure Level, Toxicity Effects and Health Risk Assessment of Organophosphorus Flame Retardants in Water Environment

Organophosphorus flame retardants(OPFRs) are gradually replacing brominated flame retardants(BFRs), which are widely used in the world. The increasing output of OPFRs and the increasing detection of OPFRs in environmental media have attracted wide attention of scholars at home and abroad. OPFRs are generally semi-volatile, easy to enter the environment and accumulate in organisms,causing potential hazards to the environment and human health. In this paper, the pollution status and toxic effects of OPFRs in aquatic environment were introduced,and the research progress of human health risk caused by them was summarized.The existing problems were pointed out, and the future research was prospected. In the future, the analytical methods of various environmental and biological media should be improved, and comprehensive and in-depth environmental investigation and ecological and health risk assessment should be carried out. Attention should be paid to the effects of combined pollution on organisms and the study of biological acceptability.

Analysis Method for Pesticide Residues in Biological Matrices： Gas Chromatography-mass Spectrometry

Pesticides have done a great service to human, but their use is not safe for public health. Apart from pesticides acute toxicity, their chronic toxicity can cause various problems for human health. The objective of this work was to validate a liquid-liquid extraction method, which allows a fairly reliable analysis of pesticides using gas chromatography-spectrometry mass （GC/MS） in toxicology laboratory at National Institute of hygiene, Rabat Morocco. The equipment required to perform these analyzes are the biological matrices （blood, gastric fluid）, in which the authors have doped the Organophosphorus pesticides such as Chlorpyrifos, Dichlorvos and Organochlorine pesticide： dichlorodiphenyltrichloroethane （DDT） and Heptachlor. After extracting the mixture with toluene, the supernatant was collected after centrifugation and concentrated in a small volume of 1.5 mL and then analyzed in GC/MS. After analyzing, the authors found that the yields of each pesticide in samples are significant; respectively they represented 73.4% of Chlorpyrifos, 70.8% of Dichlorvos, 47.8% of DDT and 71.6% of Heptachlor. The blood has a strong link with the most pesticides, where it＇s important to use the GC/MS to identify these products. The extraction with toluene was effective, especially to OP, but it＇s also sensitive to OC.

TOPKAT和TEST软件在化学物毒性预测中的应用

[目的]归纳TOPKAT、TEST两款毒性预测软件对有毒化学物健康和生态毒性的可预测性和适用范围,探讨高效、简便、快速的毒物检测实用方法。[方法]采用简化分子线性输入规范(SMILES),结合两款毒性预测软件对化学物的毒理学进行预测,并将预测结果与欧洲化学品管理署公布的毒理学数据进行对比,总结两款软件的优缺点。[结果]TOPKAT和TEST软件能预测大多数的常见化学物毒性,TEST软件的化学物预测覆盖率高于TOPKAT软件,能预测多取代苯环类、杂环类和大分子化学物,而TOPKAT无法预测吡啶类、部分苯酚类和苯胺类化学物的毒性。两款毒性预测软件在预测化学物是否具有毒性方面的正确率均在85%左右。TOPKAT软件对于农药类化学物的毒性预测正确率高于TEST软件,TOPKAT预测值与文献值的线性决定系数R^2为0.852(健康毒性)(P<0.01)、0.826(生态毒性)(P<0.01)。而TEST软件对于苯系化学物的毒性预测结果略优于TOPKAT软件,TEST预测值与文献值的线性决定系数R^2为0.932(P<0.01)(健康毒性)、0.787(生态毒性)(P<0.01)。对于酯类和醇类化学物,TOPKAT和TEST软件都显示出良好的预测能力,预测值与文献值的线性决定系数R^2为0.854~0.986(健康毒性)(P<0.01)、0.821~0.981(生态毒性)(P<0.01)。[结论]TOPKAT、TEST软件能高效、正确地预测大部分化学物的健康和生态毒性.可为新化学物的健康和生态毒性评价提供依据,为药物的早期开发提供决策支持。

Regulatory effects of coenzyme Q10 on the immunological activity of mice

To examine how coenzyme Q10（CoQ10） regulates immunity, experiments using low, middle and high doses of CoQ10 were conducted in mice to confirm its non-toxicity and non-genotoxicity. Delayed type hypersensitivity（DTH） and MTT assays were used to to examine various lymphocyte transformations, the proliferation of antibody-producing cells, the phagocytotsis activity of macrophages, and the activity of nature killer cell（NK）. High-dose（0.50 g/kg.bw） CoQ10 increased DTH levels and promoted the proliferation of antibody-producing cells and levels of red blood cell hemolysis. Medium and high doses enhanced the phagocytic ratio of macrophages but did not influence other indexes. These results showed that the applied CoQ10 did not exhibit any toxicity or genotoxicity, and CoQ10 can actually improve immunologic function in mice.