文献综述

汞暴露对儿童免疫系统影响的研究进展

  • 崔欣怡 ,
  • 颜崇淮
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  • 上海交通大学医学院附属新华医院 教育部和上海市环境与儿童健康重点实验室(上海 200092)

收稿日期: 2024-12-20

  录用日期: 2025-06-13

  网络出版日期: 2025-09-29

基金资助

国家自然科学基金面上项目(81472993)

Research progress of the effects of mercury exposure on the immune system in children

  • CUI Xinyi ,
  • YAN Chonghuai
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  • MOE-Shanghai Key Laboratory of Children's Enviromental Healoh, Xinhua Hospital Affiliated To Shanghai Jiao Tong University School Of Medicine, Shanghai 200092, China

Received date: 2024-12-20

  Accepted date: 2025-06-13

  Online published: 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。

本文引用格式

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 . DOI: 10.12372/jcp.2025.24e1368

Abstract

Mercury (Hg) is a heavy metal that poses severe health risks to children. Mercury can cause irreversible damage to the nervous system, and its mechanisms have been extensively studied. However, the effects of mercury exposure on the immune system remain poorly understood. This review synthesizes the immunotoxicity of different forms of mercury and heir associated toxicological mechanisms,elucidating the multiple pathways by which mercury exposure impairs immune function, including its impact on immune cells, immunoglobulins, and cytokines. Additionally, this article examines the potential correlations between mercury exposure and childhood autoimmune diseases as well as cancer. Nutrients such as selenium and vitamin E may offer protective effects against mercury exposure. Despite these findings, the precise immunotoxicity mechanisms of mercury remain unclear, underscoring the need for further standardized research to delineate its effects and develop effective intervention strategies.

参考文献

[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.
[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.
[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.
[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.
[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.
[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.
[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.
[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.
[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.
[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] H?ggqvist B, Havarinasab S, Bj?rn 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.
[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.
[36] Bj?rklund G, Dadar M, Aaseth J. Delayed-type hypersensitivity to metals in connective tissue diseases and fibromyalgia[J]. Environ Res, 2018, 161: 573-579.
[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, I?iguez 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.
[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.
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