临床儿科杂志 ›› 2025, Vol. 43 ›› Issue (10): 792-797.doi: 10.12372/jcp.2025.24e1368
收稿日期:2024-12-20
录用日期:2025-06-13
出版日期:2025-10-15
发布日期:2025-09-29
通讯作者:
颜崇淮 电子信箱:yanchonghuai@xinhuamed.com.cn
基金资助:Received:2024-12-20
Accepted:2025-06-13
Published:2025-10-15
Online:2025-09-29
摘要:
汞(Hg)是一种严重危害儿童健康的重金属。汞会对神经系统造成不可逆损伤,其机制已得到了广泛研究。但是,汞暴露对免疫系统产生的影响却研究甚少。本文综述了不同形态汞的免疫毒性及其毒理机制,探讨了免疫细胞、免疫球蛋白和细胞因子等汞暴露损害免疫功能的不同途径,以及汞暴露与儿童自身免疫性疾病及癌症发生之间存在的相关性。营养素如硒和维生素E可能对于汞暴露具有保护作用。迄今,汞的免疫毒性机制尚未完全明确,未来需更多标准化研究以阐明其影响及干预策略。
中图分类号:
崔欣怡, 颜崇淮. 汞暴露对儿童免疫系统影响的研究进展[J]. 临床儿科杂志, 2025, 43(10): 792-797.
CUI Xinyi, YAN Chonghuai. Research progress of the effects of mercury exposure on the immune system in children[J]. Journal of Clinical Pediatrics, 2025, 43(10): 792-797.
| [1] |
Parida L, Patel TN. Systemic impact of heavy metals and their role in cancer development: a review[J]. Environ Monit Assess, 2023, 195(6): 766.
doi: 10.1007/s10661-023-11399-z pmid: 37249740 |
| [2] | Balali-Mood M, Naseri K, Tahergorabi Z, et al. Toxic mechanisms of five heavy metals: mercury, lead, chromium, cadmium, and arsenic[J]. Front Pharmacol, 2021, 12: 643972. |
| [3] |
Carocci A, Rovito N, Sinicropi MS, et al. Mercury toxicity and neurodegenerative effects[J]. Rev Environ Contam Toxicol, 2014, 229: 1-18.
doi: 10.1007/978-3-319-03777-6_1 pmid: 24515807 |
| [4] | 冯永全, 耿雪, 胡静, 等. 28d灌胃给予氯化甲基汞对Wistar雌性大鼠免疫系统影响的研究[J]. 毒理学杂志, 2015, 29(2): 102-105. |
| Feng YQ, Geng X, Hu J, et al. Immunotoxicity assessment of Methyl mercuty chloride in female rats after 28-day oral exposure[J]. Dulixue Zazhi, 2015, 29(2): 102-105. | |
| [5] | 李玄, 王锐, 尹大强. 饮用水汞暴露对小鼠免疫系统的毒性[J]. 环境化学, 2014, 33(9): 1427-1432. |
| Li X, Wang Y, Yin DQ. Immunotoxic effects of mercury exposure via drinking water[J]. Huanjing Huaxue, 2014, 33(9): 1427-1432. | |
| [6] | 李倩, 郁馨纯, 张燕东, 等. 经饮水甲基汞对小鼠脾脏中成熟免疫细胞影响的时间-效应特征[J]. 环境与职业医学, 2017, 34(3): 264-720. |
| Li Q, Yu XC, Zhang YD, et al. Time-effect features of methyl mercury exposure via drinking on mature immune cells in spleen of mice[J]. Huanjing Yu Zhiye Yixue, 2017, 34(3): 264-270. | |
| [7] | Levin M, Jasperse L, Desforges JP, et al. Methyl mercury (MeHg) in vitro exposure alters mitogen-induced lymphocyte proliferation and cytokine expression in Steller sea lion (Eumetopias jubatus) pups[J]. Sci Total Environ, 2020, 725: 138308. |
| [8] | Silva-Pereira LC, da Rocha CA, Cunha LR, et al. Protective effect of prolactin against methylmercury-induced mutagenicity and cytotoxicity on human lymphocytes[J]. Int J Environ Res Public Health, 2014, 11(9): 9822-9834. |
| [9] | Zheng K, Zeng Z, Tian Q, et al. Epidemiological evidence for the effect of environmental heavy metal exposure on the immune system in children[J]. Sci Total Environ, 2023, 868: 161691. |
| [10] | 冀军, 刘扬. 汞对免疫球蛋白IgG分子构象的体外研究[J]. 高分子通报, 2019, (8): 29-34. |
| Ji J, Liu Y. In vitro Study of Mercury and Immunoglobulin IgG[J]. Gaofenzi Tongbao, 2019, (8): 29-34. | |
| [11] | 宋文超. 铅、镉、汞对小鼠免疫毒性的研究[D]. 延边大学, 2018. |
| Song WC. The immunotoxicity of lead, cadmiun and mercury in mice[D]. Yanbian Daxue, 2018. | |
| [12] | Abu Zeid EH, Khalifa BA, Said EN, et al. Neurobehavioral and immune-toxic impairments induced by organic methyl mercury dietary exposure in Nile tilapia Oreochromis niloticus[J]. Aquat Toxicol, 2021, 230: 105702. |
| [13] | Ahn H, Kim J, Kang SG, et al. Mercury and arsenic attenuate canonical and non-canonical NLRP3 inflam-masome activation[J]. Sci Rep, 2018, 8(1): 13659. |
| [14] |
Hui LL, Chan MHM, Lam HS, et al. Impact of fetal and childhood mercury exposure on immune status in children[J]. Environ Res, 2016, 144(Pt A): 66-72.
doi: S0013-9351(15)30133-X pmid: 26562044 |
| [15] |
Al-Mazroua HA, Nadeem A, Ansari MA, et al. Methy-lmercury chloride exposure exacerbates existing neurobehavioral and immune dysfunctions in the BTBR T(+) Itpr3(tf)/J mouse model of autism[J]. Immunol Lett, 2022, 244: 19-27.
doi: 10.1016/j.imlet.2022.03.001 pmid: 35259423 |
| [16] | Ahmad SF, Bakheet SA, Ansari MA, et al. Methylmercury chloride exposure aggravates proinflammatory mediators and Notch-1 signaling in CD14(+) and CD40(+) cells and is associated with imbalance of neuroimmune function in BTBR T(+) Itpr3tf/J mice[J]. Neurotoxicology, 2021, 82: 9-17. |
| [17] |
Yamamoto M, Khan N, Muniroh M, et al. Activation of interleukin-6 and -8 expressions by methylmercury in human U937 macrophages involves RelA and p50[J]. J Appl Toxicol, 2017, 37(5): 611-620.
doi: 10.1002/jat.3411 pmid: 27917510 |
| [18] | Monastero RN, Vacchi-Suzzi C, Marsit C, et al. Expression of genes involved in stress, toxicity, inflammation, and autoimmunity in relation to cadmium, mercury, and lead in human blood: a pilot study[J]. Toxics, 2018, 6(3): 35. |
| [19] |
Carruthers NJ, Rosenspire AJ, Caruso JA, et al. Low level Hg(2+) exposure modulates the B-cell cytoskeletal phosphoproteome[J]. J Proteomics, 2018, 173: 107-114.
doi: S1874-3919(17)30409-8 pmid: 29199152 |
| [20] |
Caruso JA, Carruthers N, Shin N, et al. Mercury alters endogenous phosphorylation profiles of SYK in murine B cells[J]. BMC Immunol, 2017, 18(1): 37.
doi: 10.1186/s12865-017-0221-0 pmid: 28716125 |
| [21] | Dupont A, De Pauw-Gillet MC, Schnitzler J, et al. Effects of methylmercury on harbour seal peripheral blood leucocytes in vitro studied by electron microscopy[J]. Arch Environ Contam Toxicol, 2016, 70(1): 133-142. |
| [22] |
Migdal C, Foggia L, Tailhardat M, et al. Sensitization effect of thimerosal is mediated in vitro via reactive oxygen species and calcium signaling[J]. Toxicology, 2010, 274(1-3): 1-9.
doi: 10.1016/j.tox.2010.04.016 pmid: 20457211 |
| [23] | Ren Z, Liu J, Huang W, et al. Antioxidant defenses and immune responses of flounder Paralichthys olivaceus larvae under methylmercury exposure[J]. Comp Biochem Physiol C Toxicol Pharmacol, 2019, 225: 108589. |
| [24] | Moniruzzaman M, Lee S, Park Y, et al. Evaluation of dietary selenium, vitamin C and E as the multi-antioxidants on the methylmercury intoxicated mice based on mercury bioaccumulation, antioxidant enzyme activity, lipid peroxidation and mitochondrial oxidative stress[J]. Chemosphere, 2021, 273: 129673. |
| [25] | Benvenga S, Famà F, Perdichizzi LG, et al. Fish and the thyroid: a janus bifrons relationship caused by pollutants and the omega-3 polyunsaturated fatty acids[J]. Front Endocrinol (Lausanne), 2022, 13: 891233. |
| [26] | Wei Y, Ni L, Pan J, et al. Methylmercury promotes oxidative stress and autophagy in rat cerebral cortex: involvement of PI3K/AKT/mTOR or AMPK/TSC2/mTOR pathways and attenuation by N-acetyl-L-cysteine[J]. Neurotoxicol Teratol, 2022, 95: 107137. |
| [27] | Shinde A, Sharma R, Kumar P, et al. Combined effect of mercury and ammonia toxicity and its mitigation through selenium nanoparticles in fish[J]. Aquat Toxicol, 2025, 280: 107270. |
| [28] | Alhusaini A, Alghilani S, Alhuqbani W, et al. Vitamin E and lactobacillus provide protective effects against liver injury induced by HgCl(2): role of CHOP, GPR87, and mTOR proteins[J]. Dose Response, 2021, 19(2): 15593258211011360. |
| [29] | Shalan MG. Amelioration of mercuric chloride-induced physiologic and histopathologic alterations in rats using vitamin E and zinc chloride supplement[J]. Heliyon, 2022, 8(12): e12036. |
| [30] |
Crowe W, Allsopp PJ, Nyland JF, et al. Inflammatory response following in vitro exposure to methylmercury with and without n-3 long chain polyunsaturated fatty acids in peripheral blood mononuclear cells from systemic lupus erythematosus patients compared to healthy controls[J]. Toxicol In Vitro, 2018, 52: 272-278.
doi: S0887-2333(18)30185-1 pmid: 29778720 |
| [31] | Pollard KM, Cauvi DM, Toomey CB, et al. Mercury-induced inflammation and autoimmunity[J]. Biochim Biophys Acta Gen Subj, 2019, 1863(12): 129299. |
| [32] | Yeter D, Deth R, Kuo HC. Mercury promotes cate-cholamines which potentiate mercurial autoimmunity and vasodilation: implications for inositol 1,4,5-triphosphate 3-kinase C susceptibility in kawasaki syndrome[J]. Korean Circ J, 2013, 43(9): 581-591. |
| [33] |
Häggqvist B, Havarinasab S, Björn E, et al. The immunosuppressive effect of methylmercury does not preclude development of autoimmunity in genetically susceptible mice[J]. Toxicology, 2005, 208(1): 149-164.
pmid: 15664442 |
| [34] | Chang LS, Yan JH, Li JY, et al. Blood mercury levels in children with Kawasaki disease and disease outcome[J]. Int J Environ Res Public Health, 2020, 17(10): 3762. |
| [35] |
Yanai T, Yoshida S, Takeuchi M, et al. Association between maternal heavy metal exposure and Kawasaki disease, the Japan Environment and Children's Study (JECS)[J]. Sci Rep, 2024, 14(1): 9947.
doi: 10.1038/s41598-024-60830-z pmid: 38689029 |
| [36] |
Bjørklund G, Dadar M, Aaseth J. Delayed-type hypersensitivity to metals in connective tissue diseases and fibromyalgia[J]. Environ Res, 2018, 161: 573-579.
doi: S0013-9351(17)31728-0 pmid: 29245125 |
| [37] | Amirhosseini M, Alkaissi H, Hultman PA, et al. Autoantibodies in outbred Swiss Webster mice following exposure to gold and mercury[J]. Toxicol Appl Pharmacol, 2021, 412: 115379. |
| [38] | Pamphlett R, Kum Jew S. Mercury is taken up selectively by cells involved in joint, bone, and connective tissue disorders[J]. Front Med (Lausanne), 2019, 6: 168. |
| [39] | Kim KN, Bae S, Park HY, et al. Low-level mercury exposure and risk of asthma in school-age children[J]. Epidemiology, 2015, 26(5): 733-739. |
| [40] | Smith AR, Lin PD, Rifas-Shiman SL, et al. Prenatal blood metals, per-and polyfluoroalkyl substances and antigen-or mitogen-stimulated cord blood lymphocyte proliferation and cytokine secretion[J]. Environ Res, 2024, 259: 119555. |
| [41] | Lee JY, Choi YH, Choi HI, et al. Association between environmental mercury exposure and allergic disorders in Korean children: Korean National Environmental Health Survey (KoNEHS) cycles 3-4 (2015-2020)[J]. Sci Rep, 2024, 14(1): 1472. |
| [42] | Shin J, Kim BM, Ha M, et al. The Association between mercury exposure and atopic dermatitis in early childhood: a mothers and children's environmental health study[J]. Epidemiology, 2019, 30 Suppl 1: S3-S8. |
| [43] | Miyazaki J, Ikehara S, Tanigawa K, et al. Prenatal exposure to selenium, mercury, and manganese during pregnancy and allergic diseases in early childhood: the Japan environment and children's study[J]. Environ Int, 2023, 179: 108123. |
| [44] | Carrasco P, Estarlich M, Iñiguez C, et al. Pre and postnatal exposure to mercury and respiratory health in preschool children from the Spanish INMA birth cohort study[J]. Sci Total Environ, 2021, 782: 146654. |
| [45] |
Heinrich J, Guo F, Trepka MJ. Brief report: low-level mercury exposure and risk of asthma in school-age children[J]. Epidemiology, 2017, 28(1): 116-118.
pmid: 27755278 |
| [46] | Wu KG, Chang CY, Yen CY, et al. Associations between environmental heavy metal exposure and childhood asthma: A population-based study[J]. J Microbiol Immunol Infect, 2019, 52(2): 352-362. |
| [47] | Feiler MO, Kulick ER, Sinclair K, et al. Toxic metals and pediatric clinical immune dysfunction: A systematic review of the epidemiological evidence[J]. Sci Total Environ, 2024, 927: 172303. |
| [48] | Zefferino R, Piccoli C, Ricciardi N, et al. Possible mechanisms of mercury toxicity and cancer promotion: involvement of gap junction intercellular communications and inflammatory cytokines[J]. Oxid Med Cell Longev, 2017, 2017: 7028583. |
| [49] | Skalny AV, Aschner M, Sekacheva MI, et al. Mercury and cancer: Where are we now after two decades of research?[J]. Food Chem Toxicol, 2022, 164: 113001. |
| [1] | 林锦凤, 陈伊, 邓燕, 冯爱, 黄隽, 陈丽珠, 谢靖麒, 聂晓晶. 化学发光法与细胞间接免疫荧光法检测儿童肾病综合征血清抗Nephrin抗体的比较研究[J]. 临床儿科杂志, 2026, 44(8): 682-689. |
| [2] | 郑方圆, 王淼, 丁明明, 陆爱东, 贾月萍, 曾慧敏, 张乐萍. 儿童费城染色体阳性急性淋巴细胞白血病二代测序基因变异及预后意义的回顾性队列研究[J]. 临床儿科杂志, 2026, 44(8): 690-697. |
| [3] | 张晓, 方红军, 旷小军, 王丽娟, 吴照, 蒋莎, 李佩, 吴丽文. 儿童失张力发作的临床与电生理特征分析[J]. 临床儿科杂志, 2026, 44(8): 698-704. |
| [4] | 王梦倩, 杨辉. 儿童肠型贝赫切特综合征13例病例系列分析[J]. 临床儿科杂志, 2026, 44(8): 705-711. |
| [5] | 吴喜蓉, 高琦, 郭思远, 尹青琴, 秦强, 殷菊, 焦安夏, 陈诚豪, 吴迪, 王蓓, 段晓岷, 彭芸, 徐保平, 高立伟. 儿童糖尿病合并肺毛霉病患者临床特征及预后分析[J]. 临床儿科杂志, 2026, 44(8): 712-720. |
| [6] | 韩亚男, 葛兰兰, 崔洁媛. 1例EYA1基因变异所致鳃-耳-肾综合征患儿的6年诊治及随访报告[J]. 临床儿科杂志, 2026, 44(8): 721-726. |
| [7] | 时嘉仪, 高春林, 贾丽丽, 陆云云, 孙涛, 朱小东, 夏正坤, 张沛. COQ2基因复合杂合突变致儿童孤立性肾病综合征1家系表型特征与预后分析[J]. 临床儿科杂志, 2026, 44(8): 727-732. |
| [8] | Rachel Rosen, Osvaldo Borrelli, Christophe Faure, Katja Karrento, Usha Krishnan, Samuel Nurko, Nathalie Rommel, Alan Silverman, Michiel van Wijk, Marc Benninga (著), 中华医学会肠外肠内营养学分会儿科学组, 中华医学会儿科学分会消化学组, 中国医师协会儿科医师分会消化学组(译). 罗马Ⅴ诊断标准核心释义与解读:肠-脑互动异常的儿童与青少年上消化道疾病[J]. 临床儿科杂志, 2026, 44(7): 595-608. |
| [9] | Carlo Di Lorenzo, Miguel Saps, Bruno P. Chumpitazi, Shaman Rajindrajith, Annamaria Staiano, Nikhil Thapar, Miranda van Tilburg, Carlos Velasco-Benítez, Arine Vlieger(著), 中华医学会肠外肠内营养学分会儿科学组, 中华医学会儿科学分会消化学组, 中国医师协会儿科医师分会消化学组(译). 罗马Ⅴ诊断标准核心释义与解读:肠-脑互动异常的儿童与青少年下消化道及胆道疾病[J]. 临床儿科杂志, 2026, 44(7): 609-621. |
| [10] | 李旭峰, 唐浩勋, 李兴军, 张立泽, 高晨晴, 赵顺英, 刘建华. 儿童肺炎衣原体肺炎76例临床特点及影像学分型与预后相关性分析[J]. 临床儿科杂志, 2026, 44(7): 622-627. |
| [11] | 王真, 邵静波, 张娜, 夏敏, 朱嘉莳, 杜成坎, 李红. 初诊低危组儿童急性淋巴细胞白血病远期复发影响因素:基于单中心254例患儿的5年随访分析[J]. 临床儿科杂志, 2026, 44(7): 628-635. |
| [12] | 郭雪梅, 薛瑶, 王永韧, 戎留成, 方拥军, 林如峰. 伴CBFA2T3::GLIS2融合基因的儿童急性髓系白血病临床特征及预后分析[J]. 临床儿科杂志, 2026, 44(7): 636-643. |
| [13] | 杨丽君, 付东霞, 崔岩, 杨俊梅, 张利明. CHD7基因变异致CHARGE综合征临床特征及遗传学分析[J]. 临床儿科杂志, 2026, 44(7): 644-650. |
| [14] | 胡燕, 杨凡, 梁爱民, 毛萌. 生长减缓儿童的识别与管理:第十三届国际营养与生长会议要点解读[J]. 临床儿科杂志, 2026, 44(6): 485-488. |
| [15] | 刘子尧, 王聪颖, 王宏茂, 张明明, 许瑛杰, 赖建铭, 牛文全, 李晓惠. 伴关节症状川崎病与川崎病样症状起病全身型幼年特发性关节炎的早期鉴别:一项单中心回顾性研究[J]. 临床儿科杂志, 2026, 44(6): 489-498. |
|
||
沪公网安备 31011002000392号
