Serially assessed bisphenol A and phthalate exposure and association with kidney function in children with chronic kidney disease in the US and Canada: A longitudinal cohort study

连续评估美国和加拿大慢性肾病儿童双酚 A 和邻苯二甲酸酯暴露及其与肾功能的关联:一项纵向队列研究

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作者:Melanie H Jacobson, Yinxiang Wu, Mengling Liu, Teresa M Attina, Mrudula Naidu, Rajendiran Karthikraj, Kurunthachalam Kannan, Bradley A Warady, Susan Furth, Suzanne Vento, Howard Trachtman, Leonardo Trasande

Background

Exposure to environmental chemicals may be a modifiable risk factor for progression of chronic kidney disease (CKD). The

Conclusions

Although BPA and phthalate metabolites were not associated with clinical renal endpoints such as eGFR or proteinuria, there was a consistent pattern of increased tubular injury and oxidative stress over time, which have been shown to affect renal function in the long term. This raises concerns about the potential for clinically significant changes in renal function in relation to exposure to common environmental toxicants at current levels.

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