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Endocrine-disrupting chemicals and public health protection: A statement of principles from the Endocrine Society

机译:破坏内分泌的化学物质与公共卫生保护:内分泌学会的原则声明

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摘要

Anendocrine-disrupting chemical (EDC) is an exogenous chemical, or mixture of chemicals, that can interfere with any aspect of hormone action. The potential for deleterious effects of EDC must be considered relative to the regulation of hormone synthesis, secretion, and actions and the variability in regulation of these events across the life cycle. The developmental age at which EDC exposures occur is a critical consideration in understanding their effects. Because endocrine systems exhibit tissue-, cell-, and receptor-specific actions during the life cycle, EDC can produce complex, mosaic effects. This complexity causes difficulty when a static approach to toxicity through endocrine mechanisms driven by rigid guidelines is used to identify EDC and manage risk to human and wildlife populations. We propose that principles taken from fundamental endocrinology be employed to identify EDC and manage their risk to exposed populations. We emphasize the importance of developmental stage and, in particular, the realization that exposure to a presumptive "safe" dose of chemical may impact a life stage when there is normally no endogenous hormone exposure, thereby underscoring the potential for very low-dose EDC exposures to have potent and irreversible effects. Finally, with regard to the current program designed to detect putative EDC, namely, the Endocrine Disruptor Screening Program, we offer recommendations for strengthening this program through the incorporation of basic endocrine principles to promote further understanding of complex EDC effects, especially due to developmental exposures.
机译:破坏内分泌的化学物质(EDC)是一种外源性化学物质或化学物质的混合物,可以干扰激素作用的任何方面。必须相对于激素合成,分泌和作用的调节以及生命周期中这些事件调节的可变性来考虑EDC有害作用的可能性。 EDC暴露发生的发育年龄是了解其影响的关键考虑因素。由于内分泌系统在生命周期中表现出组织,细胞和受体特异性作用,因此EDC可以产生复杂的镶嵌效应。当采用严格的指导方针通过内分泌机制采取静态毒性方法来鉴定EDC并管理对人类和野生动植物种群的风险时,这种复杂性会带来困难。我们建议采用基本内分泌学中的原则来识别EDC并管理其对接触人群的风险。我们强调发育阶段的重要性,尤其是要认识到,在通常不存在内源激素的情况下,暴露于假定的“安全”剂量化学物质可能会影响生命周期,从而强调了低剂量EDC暴露的可能性具有强大而不可逆的作用。最后,关于旨在检测假定的EDC的当前计划,即内分泌干扰物筛选计划,我们提供建议,通过纳入基本的内分泌原理来加强该计划,以进一步理解复杂的EDC效应,尤其是由于发育暴露。

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