Đánh giá Chuyên sâu về Sự Phơi nhiễm và Tác động: Ý nghĩa cho Việc Đặt Tiêu chí Y tế Quản lý cho Đồng Được Tiêu thụ

Environmental Management - Tập 65 Số 1 - Trang 131-159 - 2020
Alicia A. Taylor1, Joyce S. Tsuji2, Michael R. Garry2, Margaret E. McArdle3, William L. Goodfellow4, William J. Adams5, Charles A. Menzie4
1Exponent, Inc., 475 14th Street, Suite 400, Oakland, CA, 94612, USA
2Exponent, Inc., 15375 SE 30th Place, Suite 250, Bellevue, WA, 98027, USA
3Exponent, Inc., One Mill and Main Place, Suite 150, Maynard, MA, 01754, USA
4Exponent, Inc., 1800 Diagonal Road, Suite 500, Alexandria, VA, 22314, USA
5Red Cap Consulting, 7760 North Boulder Drive, Lake Point, UT, 84074, USA

Tóm tắt

Tóm tắt

Các nghiên cứu trong nhiều thập kỷ cho thấy phơi nhiễm đồng qua đường miệng thường không phải là mối quan tâm về sức khỏe con người. Việc tiêu thụ nồng độ cao các muối đồng hòa tan có thể gây ra các triệu chứng tiêu hóa cấp tính và, trong trường hợp hiếm gặp, ngộ độc gan ở những cá nhân nhạy cảm khi tiếp xúc lặp lại. Bài đánh giá độc tính có trọng tâm này đã xem xét tài liệu hiện có kể từ các đánh giá toàn diện trước đó (2007–2010). Đánh giá của chúng tôi đã xác định các hạn chế trong hướng dẫn hiện tại của Hoa Kỳ và quốc tế về việc xác định liều tham chiếu đường miệng (RfD) cho các kim loại thiết yếu như đồng. Thay vào đó, một phương pháp thay thế sử dụng phân tích hồi quy phân loại để phát triển liều tối ưu, xem xét sự thiếu hụt, độc tính và tích hợp thông tin từ các nghiên cứu trên người và động vật, đã được đánh giá nhằm giải thích liều RfD đường miệng cho đồng. Chúng tôi cũng xem xét độc tính dưới mức mãn tính hoặc mãn tính do nhạy cảm di truyền với việc rối loạn đồng, dẫn đến các trường hợp hiếm gặp về độc tính gan và độc tính các cơ quan khác khi phơi nhiễm với đồng tăng cao. Dựa trên phương pháp này, một liều RfD đường miệng là 0,04 mg Cu/kg/ngày sẽ bảo vệ chống lại độc tính cấp tính hoặc mãn tính ở người lớn và trẻ em. Liều RfD này cũng bảo vệ cho khả năng nhạy cảm di truyền với việc phơi nhiễm đồng tăng cao và cho phép tính đến lượng đồng có sẵn trong chế độ ăn uống. Liều này không nhằm bảo vệ cho những bệnh nhân có các rối loạn di truyền hiếm gặp liên quan đến độ nhạy cảm với đồng trong các khoảng tiếp nhận dinh dưỡng điển hình, cũng như không bảo vệ cho những người có lượng bổ sung quá mức. Các dạng khoáng đồng ít hòa tan trong đất có tính sinh khả dụng thấp hơn so với đồng hòa tan hơn trong nước và chế độ ăn, điều này cũng nên được xem xét khi sử dụng liều RfD này cho các đánh giá rủi ro về đồng.

Từ khóa


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