Association of Per- and Polyfluoroalkyl Substances with Allostatic Load Stratified by Herpes Simplex Virus 1 and 2 Exposure.

Association of Per- and Polyfluoroalkyl Substances with Allostatic Load Stratified by Herpes Simplex Virus 1 and 2 Exposure.
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DOI:
10.3390/toxics11090745
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发表时间:
2023-09-01
期刊:
影响因子:
4.6
通讯作者:
Obeng-Gyasi E
Obeng-Gyasi E
中科院分区:
环境科学与生态学3区
文献类型:
--
作者:
Boafo YS;Mostafa S;Obeng-Gyasi E

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单纯疱疹病毒 (HSV) 1 和 2 是持续性感染,影响很大比例的美国成年人,其中 48% 患有 HSV-1,12% 患有 HSV-2。本研究利用 HSV-1 和 HSV-2 暴露分层数据,调查了全氟烷基物质和多氟烷基物质 (PFAS)(一组在环境、职业和家庭环境中发现的有毒合成有机氟化合物)与稳态负荷 (AL)(慢性生理应激指数)之间的关系。使用 2007-2014 年国家健康和营养检查调查 (NHANES) 的数据,采用描述性统计、多变量逻辑回归和贝叶斯核机器回归 (BKMR) 模型来评估多种 PFAS 暴露对 AL 的影响。结果表明,未接触 PFAS 的参与者出现较高 AL 的几率较低 77% 至 97% (p < 0.001)。例如,每增加一个单位的 PFOS 会使 AL 增加 2% 的可能性(OR:1.02;95% CI:1.00、1.05;p < 0.05)。无论 HSV-1 和 HSV-2 状态如何,暴露于 PFAS 的参与者出现较高 AL 的几率均降低 (77%–79%)。 HSV-1 感染者 (60%) 比 HSV-2 感染者 (20%) 接触 PFAS 更为普遍,而两组的 AL 水平相当 (17%)。 BKMR 揭示了 PFAS-AL 的非线性关联,并证实了 PFAS 之间的相互作用。总之,PFAS 暴露增加了持续感染 HSV 的患者出现较高 AL 的可能性。我们的研究增强了目前对涉及 PFAS、持续感染和 AL 的复杂动态的理解,这对公共卫生和临床干预策略具有重大影响。
Herpes Simplex Virus (HSV) 1 and 2 are persistent infections that affect a significant percentage of United States (US) adults, with 48% having HSV-1 and 12% having HSV-2. Using data stratified by HSV-1 and HSV-2 exposures, this study investigated the association of per- and polyfluoroalkyl substances (PFAS), a group of toxic synthetic organofluorine chemical compounds found in environmental, occupational, and home settings, with allostatic load (AL), an index of chronic physiological stress. Descriptive statistics, multivariable logistic regression, and Bayesian Kernel Machine Regression (BKMR) modeling were used to assess the effects of multi-PFAS exposures on AL using data from the National Health and Nutrition Examination Survey (NHANES) 2007–2014. Results indicated participants not exposed to PFAS exhibited 77% to 97% lower odds of higher AL (p < 0.001). For example, PFOS per unit increase brought forth a 2% odds increase in higher AL (OR: 1.02; 95% CI: 1.00, 1.05; p < 0.05). Participants exposed to PFAS had reduced odds of higher AL (77%–79%), regardless of their HSV-1 and HSV-2 status. PFAS exposure was more prevalent in those with HSV-1 (60%) than in those with HSV-2 (20%) infection, while AL levels were comparable in both groups (17%). BKMR revealed a nonlinear PFAS-AL association and confirmed interactions among PFAS. In summary, PFAS exposure increased the likelihood of higher AL among those with persistent HSV infections. Our study enhances the current understanding of the complex dynamics involving PFAS, persistent infections, and AL, which hold significant implications for public health and clinical intervention strategies.
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