首页|期刊导航|岭南现代临床外科|常见环境内分泌干扰物对尿道下裂的影响

常见环境内分泌干扰物对尿道下裂的影响OA

Effects of common endocrine disrupting chemicals on hypospadias

中文摘要英文摘要

尿道下裂是一种较为常见的小儿泌尿生殖系统先天性畸形,近年来全球发病率呈现上升趋势,该病不仅会导致排尿功能异常、阴茎发育畸形等问题,还可能因阴茎外观异常及其引发的社交压力对患儿心理造成影响.在其病因研究中,流行病学调查显示环境内分泌干扰物(EDCs)的暴露是导致该疾病风险升高的重要环境因素.本文系统综述了主要EDCs的类别及其主要的暴露途径,并重点从干扰激素信号、破坏发育微环境与分子动力学、孕酮假说及影响关键基因表达四个层面探讨其致病机制,旨在为深入理解尿道下裂的病因学提供系统参考.

Hypospadias is a relatively common congenital malformation of the pediatric genitourinary system,and its incidence has been increasing worldwide in recent years.This disorder not only leads to abnormal micturition and penile developmental malformations,but may also have an adverse psychologi-cal effect on affected children due to penile morphological anomalies and the resulting social stress.In etiological research on hypospadias,epidemiological studies have shown that exposure to endocrine-disrupting chemicals(EDCs)is an important environmental factor that increases the risk of this disease.This paper systematically reviews the main categories of EDCs and their primary exposure routes,and focuses on exploring their pathogenic mechanisms from four aspects:interfering with hormonal signals,impairing the developmental microenvironment and molecular dynamics,affecting and affecting the pro-gesterone receptorhypothesis and the regulation of key genes.It aims to provide a systematic reference for an in-depth understanding of the etiology of hypospadias.

吴限;牛帅宇;汤井源;魏云飞

南京中医药大学附属医院,江苏省中医院泌尿外科,南京 210029南京中医药大学附属医院,江苏省中医院泌尿外科,南京 210029南京中医药大学附属医院,江苏省中医院泌尿外科,南京 210029南京中医药大学附属医院,江苏省中医院泌尿外科,南京 210029||伊犁哈萨克自治州中医医院,新疆 伊犁 835800

医药卫生

尿道下裂环境内分泌干扰物雄激素邻苯二甲酸酯发病机制

hypospadiasendocrine disrupting chemicalsandrogensphthalatespathogenesis

《岭南现代临床外科》 2026 (1)

62-67,6

江苏省中医药科技发展计划项目(MS2021018)新疆维吾尔自治区卫生健康科技计划项目(2025001MXJCSYJST-GXM65408625)伊犁哈萨克自治区科技计划项目(YJC2023A30YJC2025B43)江苏省中医院科主任学术提升专项课题(Y2022ZR27)

10.3969/j.issn.1009-976X.2026.01.009

评论