Background exposure to PCDDs/PCDFs/PCBs and its potential health effects : a review of epidemiologic studiesT

被引:88
作者
Arisawa, Kokichi [1 ]
Takeda, Hideo [1 ]
Mikasa, Hiroaki [1 ]
机构
[1] Univ Tokushima, Grad Sch, Inst Hlth Biosci, Dept Prevent Med, Tokushima, Japan
关键词
dioxin-related compounds; diabetes; thyroid function; endometriosis; neurodevelopment;
D O I
10.2152/jmi.52.10
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Herewe reviewepidemiologic studies dealingwith the dietary intake and the body burden of polychlorinated dibenzo-p-dioxins (PCDDs)/polychlorinateddibenzo-furans (PCDFs)/ polychlorinated biphenyls (PCBs) in the general population, and potential adverse health effects of these substances, especially on the risk of diabetes mellitus and endometriosis, and on thyroid function and the neurodevelopment of infants. Themean ormedian intake of dioxin-related compounds among the general populations of various countries is lower than the maximum tolerable daily intake (TDI) set by the WHO in 1998 (4pg TEQ/kg/day). However, there have been few reports on the distribution of intake and the proportion of subjects whoseexposure levels exceed themaximumTDI. Atpresent, it remains unclearwhether background exposure to dioxin-related compounds is associated with increased risk of diabetes (because of lack of longitudinal studies), endometriosis (because of lack of studieswithsufficient statistical power), or altered thyroid function (because of inconsistent results on humans). Consistent results have been reported for the association between exposure to background levels of PCBs/dioxins, especially trans-placental PCBs, and defective neurodevelopment of infants intheU. S. andEurope. Thus, efforts shouldbemadetofurtherdecreasethebodyburden among women of reproductive age by reducing the release of PCDDs/PCDFs/PCBs into the environment.
引用
收藏
页码:10 / 21
页数:12
相关论文
共 86 条
[1]  
IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. Vol 69 Polychlorinated Dibenzo-para-dioxins and Polychlorinated Dibenzofurans, 69, (1997)
[2]  
Safe S., Polychlorinated biphenyls (PCBs), dibenzo-p-dioxins (PCDDs), dibenzofurans (PCDFs), and related compounds: Environmental and mechanistic considerations which support the development of toxic equivalency factors (TEFs), Crit Rev Toxicol, 21, pp. 51-88, (1990)
[3]  
Van Den Berg M., Birnbaum L., Bosveld A.T.C., Brunstrom B., Cook P., Feeley M., Giesy J.P., Hanberg A., Hasegawa R., Kennedy S.W., Kubiak T., Larsen J.C., Van Leeuwen F.X.R., Liem A.K.D., Nolt C., Peterson R.E., Poellinger L., Safe S., Schrenk D., Tillitt D., Tysklind M., Younes M., Warn F., Zacharewski T., Toxic equivalency factors (TEFs) for PCBs, PCDDs, PCDFs for humans and wildlife, Environ Health Perspect, 106, pp. 775-792, (1998)
[4]  
Van Leeuwen F.X.R., Feeley M., Schrenk D., Larsen J.C., Farland W., Younes M., Dioxins: WHO'S tolerable daily intake (TDI) revisited, Chemosphere, 40, pp. 1095-1101, (2000)
[5]  
Rier S.E., Martin D.C., Bowman R.E., Dmowski P., Becker J.L., Endometriosis in Rhesus Monkeys (Macca mulatta) following chronic exposure to 2,3,7,8-tetrachlorodibenzo-p-dioxin, Fundam Appl Toxicol, 21, pp. 433-441, (1993)
[6]  
Gray L.E., Ostby J.S., Kelce W.R., A dose-response analysis of the reproductive effects of a single gestational dose of 2,3,7,8-tetrachlorodibenzo-p-dioxin in male Long Evans Hooded rat offspring, Toxicol Appl Pharmacol, 146, pp. 11-20, (1997)
[7]  
Steenland K., Piacitelli L., Deddens J., Fingerhut M., Chang L.I., Cancer, heart disease, and diabetes in workers exposed to 2,3,7,8-tetrachlorodibenzo-p-dioxin, J Natl Cancer Inst, 91, pp. 779-786, (1999)
[8]  
Schecter A., Cramer P., Boggess K., Stanley J., Olson J.R., Kessler H., Dioxin intake from U.S. food: Results from a new nationwide food survey, Organohalogen Compounds, 28, pp. 320-324, (1996)
[9]  
Theelen R.M.C., Liem A.K.D., Solb W., Van Wijnen J.H., Intake of 2,3,7,8 chlorine substituted dioxins, furans, and planar PCBs from food in The Netherlands: Median and distribution, Chemosphere, 27, pp. 1625-1635, (1993)
[10]  
Beck H., Eckart K., Mathar W., Wittkowski R., PCDD and PCDF body burden from food intake in the federal republic of Germany, Chemosphere, 18, pp. 417-424, (1989)