REPRODUCTIVE IMMUNOTOXICITY OF PLASTICISER, DEHP IN RODENTS

在医疗环境中发生的邻苯二甲酸二（2-乙基己基）酯（DEHP）暴露尤其令人担忧，因为暴露量可能很大，而且那些暴露的人，如早产儿和其他新生儿或患有危及生命疾病的成年人，可能特别容易受到有毒化学品的影响。目的是确定DEHP对生殖免疫毒性的影响，并评估免疫抑制和生殖效应的潜在影响。我们发现，DEHP从PVC医疗器械管路设置中沥滤到医疗溶液中。在含有吐温80的溶液中，DEHP的平均浓度为1.2mg/L。妊娠大鼠经口给予DEHP一周后，在胎鼠、母体血浆、胎盘和羊水中均检测到DEHP及其代谢产物，仔鼠出现免疫学改变。此外，当母鼠从妊娠期到哺乳期接受DEHP处理时，在母乳和婴儿中检测到DEHP和MEHP，DEHP能够穿过胎盘屏障，影响发育中的胎儿和新生儿的免疫系统。DEHP暴露母鼠的免疫毒性证据包括F_1雌性大鼠的体液免疫反应和F_1雌性小鼠的DTH反应和螨抗原诱导的过敏反应显著降低。另一方面，DEHP预处理母鼠的F_1代成年雄性小鼠睾丸重量显著下降，细胞免疫功能显著增强，表明DEHP对下一代啮齿类动物的免疫功能有影响，且作用方式存在种属差异和性别差异。

di-(2-ethylhexyl) phthalate (DEHP) exposure occurring in the medical setting are of particular concern because the amount of exposure can be substantial and because those exposed, such as premature infants and other neonates or adults with life-threatening illnesses, may be particularly vulnerable to the effect of toxic chemicals. The objectives are to determine the impact of DEHP on reproductive immunotoxicity and evaluate potential impacts of immunosuppression and reproductive effects.We found that DEHP leached from PVC medical device tubing settings into medical solutions. DEHP has been measured in medical solutions at a mean concentration of 1.2mg/L in solutions containing Tween 80. When DEHP was administered orally for a week of gestation in pregnant rats, DEHP and its metabolite were detected in fetuses as well as in maternal plasma, placenta and amniotic fluid, and the offspring showed the immunological alterations. In addition, when DEHP was treated from gestation to lactating period in maternal rats and mice, DEHP and MEHP were measured in maternal milk and the infants.DEHP was able to cross the placental barrier and influenced the immune system of developing fetuses and neonates. Evidence of immunotoxicity in the DEHP exposed dams in rodents included a significant decrease in humoral immune responses of the female F_1 rat, and in DTH responses and mite antigens induced allergic reactions of female F_1 mice. On the other hands, a significant decrease of testis weights and the activation of cell-mediated immune responses were observed in adult F_1 male mice from the DEHP pretreated maternal mice.These results indicate that DEHP possesses the abilities to influence the immune response of the next generation in rodents, and there are species differences and sex differences in the mode of action.