Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (2025)

Review Biochemistry & Molecular Biology

Endocrine-Disrupting Chemicals and Disease Endpoints

Changhwan Ahn, Eui-Bae Jeung

Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (1)

Summary: Endocrine-disrupting chemicals (EDCs) have significant impacts on biological systems, especially by disrupting hormone balance, affecting reproductive, neurological, and metabolic development and function, and even stimulating tumor growth. EDC exposure during development can disrupt normal development patterns and alter susceptibility to disease. Many chemicals, including bisphenol A, organochlorines, polybrominated flame retardants, alkylphenols, and phthalates, have been identified as risk factors for reproductive, neural, metabolic diseases, and cancers. Endocrine disruption has spread to wildlife and species connected to the food chains. Dietary uptake is an important source of EDC exposure. The relationship and specific mechanism between EDCs and diseases remain unclear. This review focuses on the disease-EDC relationship and disease endpoints associated with endocrine disruption to better understand the EDC-disease relationship, and explores the development of new prevention/treatment opportunities and screening methods.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2023)

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Article Medicine, General & Internal

Endocrine-disrupting chemicals: Mainstream recognition of health effects and implications for the practicing internist

Leonardo Trasande, Robert M. Sargis

Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (2)

Summary: Rapidly advancing evidence indicates that synthetic chemicals in the environment contribute to disease and disability across the lifespan. Endocrine-disrupting chemicals (EDCs) have a substantial impact on chronic diseases in adulthood, especially metabolic, cardiovascular, and reproductive conditions. The mortality and economic costs of exposure to certain phthalates are significant. Low-income and minority populations are disproportionately affected by these exposures. Government action is necessary to limit hazardous exposures and screen new chemicals. Routine healthcare should include guidance to reduce EDC exposures.

JOURNAL OF INTERNAL MEDICINE (2023)

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Review Environmental Sciences

Integrating -omics approaches into population-based studies of endocrine disrupting chemicals: A scoping review

Paulina Jedynak, Marta Gallego, Laura Ciaran, Karine Audouze, Maribel Casas, Martine Vrijheid

Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (3)

Summary: Health effects of endocrine disrupting chemicals (EDCs) are difficult to detect in the general population. Omics technologies are commonly used in epidemiological studies to identify early biological changes, explore toxic mechanisms, and enhance the plausibility of associations. This scoping review summarizes the application of omics in EDCs-associated biological effects research, identifying gaps and priorities for future studies. The review highlights the need for larger longitudinal studies, wider coverage of exposures and biomarkers, replication studies, and standardization of research methods and reporting. Rating: 7 out of 10.

ENVIRONMENTAL RESEARCH (2023)

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Review Endocrinology & Metabolism

The epidemiology of cryptorchidism and potential risk factors, including endocrine disrupting chemicals

Stine A. Holmboe, Astrid L. Beck, Anna-Maria Andersson, Katharina M. Main, Niels Jorgensen, Niels E. Skakkebaek, Laerke Priskorn

Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (4)

Summary: This article mainly introduces congenital cryptorchidism, including its definition, prevalence, risk factors, and its relationship with environmental chemicals. Cryptorchidism is one of the common birth defects in boys, and factors such as preterm birth and low birth weight increase the risk of the disease. Maternal smoking is also one of the risk factors. In addition, prenatal exposure to environmental chemicals may also be related to the increase in the prevalence of cryptorchidism.

FRONTIERS IN ENDOCRINOLOGY (2024)

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Review Environmental Sciences

Research advances in identification procedures of endocrine disrupting chemicals

Xing Guo, Bing Liu, Haohao Liu, Xingde Du, Xinghai Chen, Wenjun Wang, Shumeng Yuan, Bingyu Zhang, Yongshui Wang, Hongxiang Guo, Huizhen Zhang

Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (5)

Summary: Endocrine disrupting chemicals (EDCs) are substances of increasing concern for human health and the environment. The lack of a unified standard for identifying chemicals as EDCs is a controversial issue internationally. This review discusses the procedures for EDC identification in different organizations/countries and summarizes three aspects to be considered, including mechanistic data, animal experiments, and epidemiological information. Scientific data on specific chemicals are collected and evaluated, providing a clearer understanding of their effects on hormones and health hazards. This review contributes to standardizing the identification procedure for EDCs.

ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH (2023)

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Article Biochemistry & Molecular Biology

Prenatal Exposure to Metabolism-Disrupting Chemicals, Cord Blood Transcriptome Perturbations, and Birth Weight in a Belgian Birth Cohort

Anran Cai, Lutzen Portengen, Gokhan Ertaylan, Juliette Legler, Roel Vermeulen, Virissa Lenters, Sylvie Remy

Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (6)

Summary: This study investigated the molecular mechanisms underlying the association between metabolism-disrupting chemicals (MDCs) and birth weight. Through transcriptome analysis, several metabolism-related gene expressions associated with both an MDC and birth weight were identified, and pathways related to genetic information processing were found to be overlapping. This study provides valuable insights into the potential mechanisms of MDC-induced altered birth weight.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2023)

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Review Environmental Sciences

Endocrine-disrupting chemicals and endocrine neoplasia: A forty-year systematic review

Sofia Macedo, Elisabete Teixeira, Tiago Bordeira Gaspar, Paula Boaventura, Mariana Alves Soares, Leandro Miranda-Alves, Paula Soares

Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (7)

Summary: The aim of this study was to investigate the association between human exposure to endocrine disrupting chemicals (EDCs) and the risk of endocrine-related tumors. A systematic review of observational studies published between 1980 and 2020 was conducted, and it was found that exposure to different types of EDCs, such as phthalates, heavy metals, and pesticides, was associated with increased cancer risk. However, there is a limited amount of research on the effects of EDCs, and further multinational and multicentric human studies are needed to obtain stronger and more consistent evidence.

ENVIRONMENTAL RESEARCH (2023)

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Article Environmental Sciences

The effect of endocrine-disrupting chemicals in follicular fluid: The insights from oocyte to fertilization

Jiehao Li, Lixin Zhou, Songyi Huang, Tiantian Duan, Jinying Xie, Xiaojie Li, Langjing Deng, Chenyan Zeng, Fengrui Jing, Sui Zhu, Chaoqun Liu, Yajie Gong, Yaqing Shu, Xiaoting Shen, Pan Yang

Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (8)

Summary: This study investigated the individual and mixture effects of EDCs in follicular fluid on early reproductive outcomes. Multiple EDCs were significantly negatively associated with early assisted reproduction outcomes, and mixtures had a more significant impact. Phthalates were the main negative factor. Future research is needed to validate these findings.

ENVIRONMENT INTERNATIONAL (2024)

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Review Environmental Sciences

Main factors influencing the perceived health risk of endocrine-disrupting chemicals: A systematic literature review☆

Aleksandr Pravednikov, Sonja Perkovic, Carl-Johan Lagerkvist

Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (9)

Summary: This article presents a systematic literature review of 45 articles published between 1985 and 2023 on the risk perception of endocrine-disrupting chemicals (EDCs). Four major categories of factors influencing EDC risk perception were identified, including sociodemographic factors, family-related factors, cognitive factors, and psychosocial factors. The review emphasizes the complex nature of EDC risk perception and the importance of these factors for policymakers in developing educational and communication strategies. Future research should expand to cover more EDCs, use representative samples, and explore the influence of psychosocial factors on risk perception more deeply.

ENVIRONMENTAL RESEARCH (2024)

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Article Environmental Sciences

Associations of hair dye and relaxer use with breast tumor clinicopathologic features: Findings from the Women's circle of Health Study

Rohan Rao, Jasmine A. McDonald, Emily S. Barrett, Patricia Greenberg, Dede K. Teteh, Susanne B. Montgomery, Bo Qin, Yong Lin, Chi-Chen Hong, Christine B. Ambrosone, Kitaw Demissie, Elisa Bandera, Adana A. M. Llanos

Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (10)

Summary: The study found associations between home kit and combination use of permanent hair dye and poorly differentiated tumors, especially among Black and ER+ patients. Combination use of relaxers was also linked to larger tumors. While there were correlations between longer duration of use and certain tumor features, they did not maintain significance with Bonferroni correction.

ENVIRONMENTAL RESEARCH (2022)

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Review Biotechnology & Applied Microbiology

Sensor technologies for the detection and monitoring of endocrine-disrupting chemicals

Muhammad Musaddiq Shah, Khurshid Ahmad, Sonia Boota, Tor Jensen, Michael R. La Frano, Joseph Irudayaraj

Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (11)

Summary: Endocrine-disrupting chemicals (EDCs) are man-made substances that can disrupt the standard function of the endocrine system. They are widespread in the environment and pose a potential threat to human health, aquatics, and wildlife. Traditional instrument-based analytical techniques are not suitable for onsite detection, while sensor/biosensor-based approaches are more attractive due to their rapid, portable, equally sensitive, and eco-friendly characteristics.

FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY (2023)

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Article Biochemistry & Molecular Biology

Endocrine Disrupting Chemicals Influence Hub Genes Associated with Aggressive Prostate Cancer

Diaaidden Alwadi, Quentin Felty, Changwon Yoo, Deodutta Roy, Alok Deoraj

Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (12)

Summary: Prostate cancer is a commonly diagnosed cancer among men, but the relationship between environmental exposures to chemicals and aggressive PCa is not well understood. This research aims to identify endocrine-disrupting chemicals (EDCs) associated with PCa hub genes and/or transcription factors, as well as their protein-protein interaction network. Through bioinformatics analysis of PCa microarray datasets and chemical toxicogenomic database, potential molecular biomarkers can be developed for risk assessment of EDCs in aggressive PCa prognosis.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2023)

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Review Cell Biology

Advances in understanding the reproductive toxicity of endocrine-disrupting chemicals in women

Jinguang Wang, Chunwu Zhao, Jie Feng, Pingping Sun, Yuhua Zhang, Ailing Han, Yuemin Zhang, Huagang Ma

Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (13)

Summary: This study focuses on the increase in female reproductive system diseases and adverse pregnancy outcomes, and their association with environmental pollution, especially endocrine disrupting chemicals. By reviewing the reproductive toxicity of five major environmental EDCs, it provides a theoretical basis for further research and expects to promote the progress of related prevention and treatment.

FRONTIERS IN CELL AND DEVELOPMENTAL BIOLOGY (2024)

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Article Environmental Sciences

Endocrine disrupting chemicals impact on ovarian aging: Evidence from epidemiological and experimental evidence

Ting Ding, Wei Yan, Ting Zhou, Wei Shen, Tian Wang, Milu Li, Su Zhou, Meng Wu, Jun Dai, Kecheng Huang, Jinjin Zhang, Jiang Chang, Shixuan Wang

Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (14)

Summary: This review study examines the impacts of endocrine-disrupting chemicals (EDCs) on ovarian aging and identifies potential mechanisms. It highlights inconsistent results and knowledge gaps in related research.

ENVIRONMENTAL POLLUTION (2022)

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Article Toxicology

Thresholds of adversity for endocrine disrupting substances: a conceptual case study

Judy Choi, Stefanie Rotter, Vera Ritz, Carsten Kneuer, Philip Marx-Stoelting, Marize de Lourdes Marzo Solano, Angelika Oertel, Susanne Rudzok, Andrea Zikova-Kloas, Tewes Tralau, Andreas Hensel

Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (15)

Summary: This study investigated the existence of safe exposure levels and threshold levels for endocrine disrupting chemicals (EDCs). Screening of 14 active substances identified as EDCs in the European Union revealed that the toxicological data for three of the substances indicated the presence of adverse thresholds below which no adverse effects were observed. This finding provides evidence that EDCs, like other substances of concern, have threshold levels.

ARCHIVES OF TOXICOLOGY (2024)

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Review Toxicology

Ferroptosis: Latest evidence and perspectives on plant-derived natural active compounds mitigating doxorubicin-induced cardiotoxicity

Boyu Wang, Jiameng Wang, Changxing Liu, Chengjia Li, Tianwei Meng, Jia Chen, Qingnan Liu, Wang He, Zhiping Liu, Yabin Zhou

Summary: This review explores the mechanisms of ferroptosis in doxorubicin-induced cardiomyopathy (DIC) and summarizes how natural plant products can alleviate DIC by inhibiting ferroptosis through reducing oxidative stress, correcting iron ion homeostasis, regulating lipid metabolism, and improving mitochondrial function. Doxorubicin (DOX) is an effective chemotherapy drug but is limited by cardiotoxicity such as doxorubicin-induced cardiomyopathy (DIC). Mechanisms include oxidative stress, inflammation, and more. Natural medicines show promise in mitigating DOX-induced ferroptosis and easing DIC due to their high efficacy and low side effects.

JOURNAL OF APPLIED TOXICOLOGY (2024)

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Review Toxicology

Caenorhabditis elegans CYP33 Family in Eicosanoid Regulation, Xenobiotic Metabolism, Nanotoxicity and Spermatogenesis

Sharoen Yu Ming Lim, Willone Lim, Angela Paul Peter, Yan Pan, Mustafa Alshagga, Mohammed Abdullah Alshawsh

Summary: This article introduces the importance of the CYP33 family in Caenorhabditis elegans and its similarity to human CYP33. It reviews the role of CYP33 enzymes in eicosanoid biosynthesis, xenobiotic metabolism, nanotoxicity, and spermatogenesis, which helps to gain a deeper understanding of cytochrome P450 biology, metabolism, and related diseases.

JOURNAL OF APPLIED TOXICOLOGY (2024)

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Review Toxicology

Nicotine as a female reproductive toxicant-A review

Jitender Kumar Bhardwaj, Anshu Siwach, Som Nath Sachdeva

Summary: This article reviews the harmful effects of nicotine on women's reproductive health, including oxidative stress, apoptosis, and hormonal imbalance. It also describes the possible mechanisms by which nicotine impairs reproductive processes. Women's reproductive health is influenced by various factors, and nicotine is a harmful substance in tobacco that has multiple negative impacts on women's health.

JOURNAL OF APPLIED TOXICOLOGY (2024)

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Article Toxicology

Oleanolic acid induces hepatic injury by disrupting hepatocyte tight junction and dysregulation of farnesoid X receptor-mediated bile acid efflux transporters

Li Zeng, Jianxiang Huang, Yi Wang, Yan Hu, Shaoyu Zhou, Yuanfu Lu

Summary: Oleanolic acid (OA) is a pentacyclic triterpene compound that causes cholestatic liver injury. This study found that OA inhibits FXR-mediated BSEP and MRP2, resulting in impaired bile acid efflux and disruption of tight junctions between liver cells, leading to liver damage. Activation of FXR and MRP2 mitigated OA-induced liver injury, while inhibition of BSEP and MRP2 further aggravated OA-induced liver injury.

JOURNAL OF APPLIED TOXICOLOGY (2024)

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Article Toxicology

The ameliorative potential of metformin against aluminum-induced neurotoxicity: Insights from in vitro studies

Sonia Sanajou, Anil Yiruen, Goksun Demirel, Pinar Erkekoglu, Gonul Sahin, Terken Baydar

Summary: This study investigated the potential of metformin in reducing aluminum-induced neurotoxicity. It was found that metformin decreased oxidative stress markers, enhanced antioxidant defenses, modulated signaling pathways, reduced Tau protein levels, and promoted neurogenesis, offering a new therapeutic approach for AD.

JOURNAL OF APPLIED TOXICOLOGY (2024)

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Article Toxicology

Nebivolol hydrochloride and its impurities induce pseudo-allergic reactions via mast cell activation

Liju Yu, Yi Shan, Jiayu Lu, Huaizhen He

Summary: This study investigated the ability of nebivolol and its isomeric impurities to induce allergic reactions. They were found to activate mast cell degranulation and cause toe swelling in mice, with interactions between the compounds and key amino acids of MRGPRX2 revealed. This lays the foundation for enhancing the clinical safety of nebivolol.

JOURNAL OF APPLIED TOXICOLOGY (2024)

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Article Toxicology

Toxic Effects of 4-Bromodiphenyl Ether (BDE-3) on Antioxidant Enzymes, Cell Viability, Histology and Biomolecules in Zebrafish Embryo-Larvae

Shiv Kumar, Pooja Chadha

Summary: This study investigated the toxicity of 4-bromodiphenyl ether (BDE-3) on zebrafish larvae, including its effects on biochemistry, apoptosis, histopathology, ultrastructure, and biomolecules. The results showed that BDE-3 caused oxidative stress, decreased cell viability, and led to histopathological and biomolecular structural changes. These findings contribute to a better understanding of the toxic mechanism of less brominated diphenyl ethers and provide valuable information for environmental risk assessment.

JOURNAL OF APPLIED TOXICOLOGY (2024)

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Article Toxicology

Taurocholic acid represents an earlier and more sensitive biomarker and promotes cholestatic hepatotoxicity in ANIT-treated rats

Hang Yang, Tingting Yang, Jiaxin Ding, Xue Wang, Xi Chen, Jia Liu, Ting Shu, Ziteng Wu, Lixin Sun, Xin Huang, Zhenzhou Jiang, Luyong Zhang

Summary: This study investigated the changes in bile acid profiles during cholestasis and their association with liver injury. The findings suggest that alterations in bile acid profiles can serve as early markers for diagnosing cholestasis, with TCA showing high sensitivity for liver injury. Additionally, TCA exacerbates ANIT-induced liver injury. However, under physiological conditions, exogenous TCA does not cause liver damage.

JOURNAL OF APPLIED TOXICOLOGY (2024)

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Article Toxicology

Piceatannol induces caspase-dependent apoptosis by modulating intracellular reactive oxygen species/mitochondrial membrane potential and enhances autophagy in neuroblastoma cells

Ebru Guclu, Ilknur Cinar Ayan, Sumeyra Cetinkaya, Hatice Gul Dursun, Hasibe Vural

Summary: This study evaluated the anticancer effects of piceatannol on human neuroblastoma cells, and found that it could inhibit cell proliferation, colony formation and invasion, induce apoptosis and autophagy, reduce mitochondrial membrane potential, increase reactive oxygen species levels, and the expression levels of related genes also changed.

JOURNAL OF APPLIED TOXICOLOGY (2024)

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Article Toxicology

Investigation of oral toxicity of WS2 nanosheets to mouse intestine: Pathological injury, trace element balance, lipid profile changes, and autophagy

Zhenghao Zha, Sihuan Luo, Lianghuan Wei, Feixing Li, Youwen Li, Yi Cao

Summary: This study investigated the oral toxicity of WS2 NSs to mouse intestines. The results showed that WS2 NSs did not cause pathological or ultrastructural changes in the intestines, and had minimal effects on trace element balance, autophagy, and lipid profiles, indicating a relatively high biocompatibility of WS2 NSs to the mouse intestine via the oral route.

JOURNAL OF APPLIED TOXICOLOGY (2024)

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Article Toxicology

Hepatic enzyme induction and its potential effect on thyroid hormone metabolism in the metamorphosing tadpole of Xenopus laevis (African clawed frog)

Kohei Wada, Takafumi Yamaguchi, Hitoshi Tanaka, Takuo Fujisawa

Summary: This study investigated the effects of three mammalian enzyme inducers on the expression of metabolizing enzymes in Xenopus laevis tadpoles, finding that they induced the expression of phase-I and phase-II enzymes in different patterns, and BNF treatment also increased the phase-II metabolic activity towards TH. These results suggest that certain enzyme inducers may affect the TH clearance rate in X. laevis tadpoles, providing new insights into the indirect effects of hepatic enzyme induction on the thyroid system in nonmammalian species.

JOURNAL OF APPLIED TOXICOLOGY (2024)

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Review Toxicology

Oxidative Stress and Inflammation in Myocardial Ischemia-Reperfusion Injury: Protective Effects of Plant-Derived Natural Active Compounds

Jia Chen, Boyu Wang, Tianwei Meng, Chengjia Li, Changxing Liu, Qingnan Liu, Jiameng Wang, Zhiping Liu, Yabin Zhou

Summary: This article focuses on AMI and its treatment, noting that PCI may lead to MIRI, and oxidative stress and inflammation are important mechanisms of MIRI. Natural compounds have potential in reducing MIRI, and the article reviews the relevant mechanisms and roles to provide a reference for drug development.

JOURNAL OF APPLIED TOXICOLOGY (2024)

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Review Toxicology

Hepatotoxicity of titanium dioxide nanoparticles

Jangrez Khan, Nicholas D. Kim, Collette Bromhead, Penelope Truman, Marlena C. Kruger, Beth L. Mallard

Summary: This passage mainly introduces the application, controversy and adverse effects on the liver of food additive E171 (titanium dioxide). E171 is commonly used in food and other fields, but its risk assessment has not been completed. Studies have shown that it has dose-dependent toxicity in different organs, which can lead to changes such as liver inflammation, and its toxicity varies depending on factors such as organs and physicochemical characteristics. Oral administration is an important exposure route.

JOURNAL OF APPLIED TOXICOLOGY (2024)

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Article Toxicology

Toxicity of soil leaching liquor from coking plant in developmental zebrafish embryos/larvae model

Guangchao Yang, Jining Liu, Qian Yang, Wen Gu

Summary: This study analyzed the composition of soil leaching liquor from a coking plant in Taiyuan and its developmental toxicity to zebrafish. The results showed that the leaching liquor contains a variety of harmful substances, which can cause damage to the development of zebrafish larvae. Metabolomics analysis also showed that the leaching liquor can induce metabolic profile disturbances in zebrafish embryos/larvae, and its developmental toxicity may be related to the abnormal embryonic development of zebrafish induced by the leaching liquor.

JOURNAL OF APPLIED TOXICOLOGY (2024)

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Article Toxicology

Arsenic-Induced Inflammatory Response via ROS-Dependent Activation of ERK/NF-kB Signaling Pathways: Protective Role of Natural Polyphenol Tannic Acid

Sehal Mishra, Mahendran Botlagunta, Subbiah Rajasekaran

Summary: This study investigated the As-induced inflammatory response and its underlying molecular mechanisms, as well as the anti-inflammatory effects of tannic acid. The results showed that As exposure could induce an inflammatory response, while tannic acid could attenuate the inflammatory response by suppressing ROS production and ERK/NF-κB signaling pathway activation.

JOURNAL OF APPLIED TOXICOLOGY (2024)

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Systematic Review of the Epidemiology of Hair Relaxer Use and Hormone-Sensitive Reproductive Outcomes Among Black Adult Women in the United States - Peeref (2025)
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