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1.
Toxicology ; 506: 153858, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38825033

RESUMO

This study aims to investigate the impact of T-2 toxin on the regulation of downstream target genes and signaling pathways through exosome-released miRNA in the development of cartilage damage in Kashin-Beck disease (KBD). Serum samples from KBD patients and supernatant from C28/I2 cells treated with T-2 toxin were collected for the purpose of comparing the differential expression of exosomal miRNA using absolute quantitative miRNA-seq. Target genes of differential exosomal miRNAs were identified using Targetscan and Miranda databases, followed by GO and KEGG enrichment analyses. Validation of key indicators of chondrocyte injury in KBD was conducted using Real-time quantitative PCR (RT-qPCR) and Immunohistochemical staining (IHC). A total of 20 exosomal miRNAs related to KBD were identified in serum, and 13 in chondrocytes (C28/I2). The identified exosomal miRNAs targeted 48,459 and 60,612 genes, primarily enriched in cell organelles and membranes, cell differentiation, and cytoskeleton in the serum, and the cytoplasm and nucleus, metal ion binding in chondrocyte (C28/I2). The results of the KEGG enrichment analysis indicated that the Ras signaling pathway may play a crucial role in the pathogenesis of KBD. Specifically, the upregulation of hsa-miR-181a-5p and hsa-miR-21-3p, along with the downregulation of hsa-miR-152-3p and hsa-miR-186-5p, were observed. Additionally, T-2 toxin intervention led to a significant downregulation of RALA, REL, and MAPK10 expression. Furthermore, the protein levels of RALA, REL, and MAPK10 were notably decreased in the superficial and middle layers of cartilage tissues from KBD. The induction of differential expression of chondrocyte exosomal miRNAs by T-2 toxin results in the collective regulation of target genes RALA, REL, and MAPK10, ultimately mediating the Ras signaling pathway and causing a disruption in chondrocyte extracellular matrix metabolism, leading to chondrocyte injury.


Assuntos
Condrócitos , Exossomos , MicroRNAs , Transdução de Sinais , Toxina T-2 , Humanos , MicroRNAs/genética , MicroRNAs/metabolismo , Condrócitos/efeitos dos fármacos , Condrócitos/metabolismo , Condrócitos/patologia , Exossomos/metabolismo , Exossomos/efeitos dos fármacos , Exossomos/genética , Transdução de Sinais/efeitos dos fármacos , Toxina T-2/toxicidade , Masculino , Doença de Kashin-Bek/induzido quimicamente , Doença de Kashin-Bek/genética , Doença de Kashin-Bek/patologia , Doença de Kashin-Bek/metabolismo , Feminino , Pessoa de Meia-Idade , Proteínas ras/metabolismo , Proteínas ras/genética , Adulto , Linhagem Celular
2.
Hum Exp Toxicol ; 42: 9603271231219480, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38059300

RESUMO

This study evaluated the effect of fibroblast growth factor receptor 3 (FGFR3) on damaged hypertrophic chondrocytes of Kashin-Beck disease (KBD). Immunohistochemical staining was used to evaluate FGFR3 expression in growth plates from KBD rat models and engineered cartilage. In vitro study, hypertrophic chondrocytes were pretreated by FGFR3 binding inhibitor (BGJ398) for 24 h before incubation at different T-2 toxin concentrations. Differentiation -related genes (Runx2, Sox9, and Col Ⅹ) and ECM degradation -related genes (MMP-13, Col Ⅱ) in the hypertrophic chondrocytes were analyzed using RT-PCR, and the corresponding proteins were analyzed using western blotting. Hypertrophic chondrocytes death was detected by the Annexin V/PI double staining assay. The integrated optical density of FGFR3 staining was increased in knee cartilage of rats and engineered cartilage treated with T-2 toxin. Both protein and mRNA levels of Runx2, Sox9, Col Ⅱ, and Col Ⅹ were decreased in a dose-dependent manner when exposed to the T-2 toxin and significantly upregulated by 1 µM BGJ398. The expression of MMP-1, MMP-9, and MMP-13 increased in a dose-dependent manner when exposed to T-2 toxin and significantly reduced by 1 µM BGJ398. 1 µM BGJ398 could prevent early apoptosis and necrosis induced by the T-2 toxin. Inhibiting the FGFR3 signal could alleviate extracellular matrix degradation, abnormal chondrocytes differentiation, and excessive cell death in T-2 toxin-induced hypertrophic chondrocytes.


Assuntos
Cartilagem Articular , Doença de Kashin-Bek , Osteoartrite , Toxina T-2 , Ratos , Animais , Toxina T-2/toxicidade , Metaloproteinase 13 da Matriz/genética , Metaloproteinase 13 da Matriz/metabolismo , Subunidade alfa 1 de Fator de Ligação ao Core/metabolismo , Subunidade alfa 1 de Fator de Ligação ao Core/farmacologia , Receptor Tipo 3 de Fator de Crescimento de Fibroblastos/genética , Receptor Tipo 3 de Fator de Crescimento de Fibroblastos/metabolismo , Receptor Tipo 3 de Fator de Crescimento de Fibroblastos/farmacologia , Osteoartrite/metabolismo , Doença de Kashin-Bek/induzido quimicamente
3.
Toxicon ; 222: 106987, 2023 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-36462649

RESUMO

T-2 toxin is one of the most toxic mycotoxins contaminating various grains. It is considered an environmental risk factor for Kashin-Beck disease (KBD), an endemic degenerative osteochondrosis. Currently, the underlying molecular mechanisms of articular cartilage damage caused by T-2 toxin have not been elucidated. Studies have shown that miR-140 is essential for cartilage formation, and extracellular matrix (EMC) synthesis and degradation. The objective of this study was to investigate the mechanism of miR-140 involvement in T-2 toxin-induced articular cartilage damage. Two treatment groups, each containing wild-type mice and miR-140 knockout mice were administered with T-2 toxin (200 ng/g BW/day) or a normal diet for 1 month, 3 months, and 6 months. Results showed that T-2 toxin caused articular cartilage and growth plate damage in mice. The expression of miR-140 decreased in articular cartilage of wild-type mice treated with T-2 toxin, and miR-140 deficiency aggravated T-2 toxin-induced knee cartilage damage. T-2 toxin-caused the reduction of miR-140 expression was consistent with collagen type II (COL2A1), aggrecan (ACAN), and SRY-box containing gene 9 (SOX9) and opposite to matrix metalloproteinase 13 (MMP13), a disintegrin and metalloproteinase with thrombospondin motif 5 (ADAMTS-5), and v-ral simian leukemia viral oncogene homolog A (RALA). In addition, we collected finger joints cartilage and knee joints cartilage from KBD patients and controls for paraffin embedding and sectioning. Results found that the expression of miR-140 in the articular cartilage of the KBD group was lower than that of the control group. The expression of COL2A1, ACAN, and SOX9 decreased, whereas ADAMTS-5, MMP13, and RALA increased in the articular cartilage of the KBD group. These results revealed that miR-140 might be involved in T-2 toxin-induced degradation of the ECM of articular cartilage. Moreover, the occurrence of KBD might be related to the decreased expression of miR-140 in articular cartilage.


Assuntos
Cartilagem Articular , Doença de Kashin-Bek , MicroRNAs , Toxina T-2 , Animais , Camundongos , Cartilagem Articular/metabolismo , Doença de Kashin-Bek/induzido quimicamente , Metaloproteinase 13 da Matriz/metabolismo , Toxina T-2/toxicidade , Toxina T-2/metabolismo
4.
Hum Exp Toxicol ; 41: 9603271221075555, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35213812

RESUMO

T-2 toxin pre-disposes individuals to osteoarthritis, Kashin-Beck disease (KBD). The major pathological change associated with KBD is the degradation of the articular cartilage matrix. Herein, we investigated the key molecules that regulate T-2 toxin-mediated cartilage degradation. Potential KBD treatments were also investigated. Sprague Dawley rats were divided into the T-2 toxin group and the control group. The T-2 toxin group received 100 ng/g BW/day, whereas the control group received a similar dose of PBS. The expression of matrix metalloproteinase-13 (MMP-13) and TGF-ß receptor I/II (TGF-ßRI/II) was analyzed using immunohistochemical staining. C28/I2 chondrocytes were exposed to TGF-ßRI/II binding inhibitor (GW788388) for 24 h before incubation in different T-2 toxin concentrations (0, 6, 12, and 24 ng/mL for 72 h). The expression of mRNA for TGF-ßRI/II, MMP-13 and proteins for MMP-13, and Smad-2 in chondrocytes were analyzed using RT-PCR and western blot, respectively. Safranin O staining revealed that T-2 toxin treatment modulated the expression of articular cartilage matrix. On the other hand, T-2 toxin treatment sharply increased the expression of MMP-13, TGF-ßRI, and TGF-ßRII in the rat cartilages. Interestingly, blocking the TGF-ßRs-smad 2 signaling pathway using GW788388 abrogated the effect of T-2 toxin on upregulating MMP-13 expression. The expression of MMP-13 in chondrocytes induced with T-2 toxin is regulated via the TGF-ßRs signaling pathway. As such, inhibiting the expression of TGF-ßRs is a potential KBD treatment.


Assuntos
Cartilagem Articular/efeitos dos fármacos , Cartilagem Articular/lesões , Doença de Kashin-Bek/induzido quimicamente , Doença de Kashin-Bek/fisiopatologia , Metaloproteinase 13 da Matriz/efeitos dos fármacos , Receptor do Fator de Crescimento Transformador beta Tipo II/efeitos dos fármacos , Toxina T-2/toxicidade , Animais , Modelos Animais de Doenças , Humanos , Masculino , Metaloproteinase 13 da Matriz/metabolismo , Ratos , Ratos Sprague-Dawley
5.
Hum Exp Toxicol ; 40(5): 869-881, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33233966

RESUMO

LncRNA myocardial infarction associated transcript (MIAT) has been shown to be involved in osteoarthritis (OA), but its role in Kashin-Beck Disease (KBD) has rarely been reported. In this study, rats were administered with low selenium and/or T-2 toxin for 4 weeks to establish a KBD animal model. The serum selenium level, TNF-α and IL-1ß contents, phosphorylated p65 (p-p65) and MIAT expression were increased in each intervention group. Next, we isolated the primary epiphyseal chondrocytes, and found that selenium treatment reversed the effects of T-2 toxin on chondrocyte injury, p-p65 and MIAT expression. In addition, MIAT overexpression or T-2 toxin treatment led to increased cell death, apoptosis, inflammation, NF-κB-p65 pathway activation and MIAT expression, which was rescued by selenium treatment or MIAT siRNA transfection. Our results suggested that lncRNA MIAT regulated by selenium and T-2 toxin increased the activation of NF-κB-p65, thus being involved in the progress of KBD.


Assuntos
Doença de Kashin-Bek/induzido quimicamente , Doença de Kashin-Bek/genética , NF-kappa B/efeitos dos fármacos , RNA Longo não Codificante/efeitos dos fármacos , Selênio/toxicidade , Toxina T-2/toxicidade , Animais , Modelos Animais de Doenças , Humanos , Interleucina-1beta/efeitos dos fármacos , Doença de Kashin-Bek/fisiopatologia , Masculino , NF-kappa B/genética , Ratos , Ratos Sprague-Dawley , Selênio/sangue , Toxina T-2/sangue , Toxina T-2/genética , Fator de Necrose Tumoral alfa/efeitos dos fármacos
6.
Glycoconj J ; 36(6): 451-459, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31478096

RESUMO

Kashin-Beck disease (KBD) is an endemic degenerative osteoarthropathy of uncertain etiology. Our study sought to identify a correlation between small proteoglycans decorin and biglycan expression and Kashin-Beck Disease. Immunohistochemistry was used to assess the decorin and biglycan levels in cartilage specimens from both child KBD patients, and rats fed with T-2 toxin under a selenium-deficient condition. Real-time PCR and Western blot were used to assess mRNA and protein levels of decorin and biglycan in rat cartilages, as well as in C28/I2 chondrocytes stimulated by T-2 toxin and selenium in vitro. The result showed that decorin was reduced in all zones of KBD articular cartilage, while the expression of biglycan was prominently increased in KBD cartilage samples. Increased expression of biglycan and reduced expression of decorin were observed at mRNA and protein levels in the cartilage of rats fed with T-2 toxin and selenium- deficiency plus T-2 toxin diet, when compared with the normal diet group. Moreover, In vitro stimulation of C28/I2 cells with T-2 toxin resulted in an upregulation of biglycan and downregulation of decorin, T-2 toxin induction of biglycan and decorin levels were partly rescued by selenium supplement. This study highlights the focal nature of the degenerative changes that occur in KBD cartilage and may suggest that the altered expression pattern of decorin and biglycan have an important role in the onset and pathogenesis of KBD.


Assuntos
Biglicano/genética , Cartilagem Articular/metabolismo , Decorina/genética , Doença de Kashin-Bek/genética , Animais , Cartilagem Articular/patologia , Criança , Condrócitos/metabolismo , Modelos Animais de Doenças , Feminino , Regulação da Expressão Gênica/genética , Humanos , Doença de Kashin-Bek/induzido quimicamente , Doença de Kashin-Bek/metabolismo , Doença de Kashin-Bek/patologia , Masculino , Ratos , Selênio/deficiência , Selênio/metabolismo , Toxina T-2/toxicidade
7.
Exp Cell Res ; 361(1): 141-148, 2017 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-29042209

RESUMO

Kashin-Beck disease (KBD), an endemic osteochondropathy, is characterized by cartilage degeneration which is caused by abnormal catabolism in the extracellular matrix (ECM). In this study, we investigated the expression of the Wnt/ß-catenin signaling pathway in KBD pathogenesis. Among the proteins involved in the Wnt/ß-catenin signaling pathway, WNT-3A, FZD1, SOX9, and ß-catenin were up-regulated, while FRZB was down-regulated in KBD cartilage. C28/I2 cells were evaluated for cell viability using the MTT assay after exposure to T-2 toxin, a suspicious environmental pathogenic factors of KBD. C28/I2 cells were treated with different intervening concentrations (0.001µg/mL,0.005µg/mL and 0.01µg/mL) of T-2 toxin for 24h. The expression of FZD1 and CTNNB1 (i.e.,ß-catenin) was significantly reduced and SOX9 expression was significantly increased in chondrocytes after treatment with different intervening concentrations of T-2 toxin. Our results indicate that alterations in the Wnt/ß-catenin signaling pathway in articular cartilage play an important role in the onset and pathogenesis of KBD.


Assuntos
Cartilagem Articular/patologia , Condrócitos/patologia , Regulação da Expressão Gênica/efeitos dos fármacos , Doença de Kashin-Bek/patologia , Toxina T-2/efeitos adversos , Proteínas Wnt/metabolismo , beta Catenina/metabolismo , Adolescente , Adulto , Cartilagem Articular/efeitos dos fármacos , Cartilagem Articular/metabolismo , Estudos de Casos e Controles , Células Cultivadas , Criança , Condrócitos/efeitos dos fármacos , Condrócitos/metabolismo , Feminino , Humanos , Doença de Kashin-Bek/induzido quimicamente , Doença de Kashin-Bek/metabolismo , Masculino , Pessoa de Meia-Idade , Proteínas Wnt/genética , beta Catenina/genética
8.
Environ Int ; 99: 282-292, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27993419

RESUMO

During the past several decades, etiological and geochemical studies tend to link the Kaschin-Beck Disease (KBD) to the deficiency of some specific trace elements (e.g., selenium and iodine) in the environment; however the link has been proven inconclusive. In this work, we have investigated the relationship between KBD and the environment in a broader scope by examining comprehensively the chemistry of the surface waters in northwestern Sichuan, China, in relation to the KBD prevalence. The surface waters in the study area were found to be near neutral to slightly alkaline (pH6.70 to 8.85 with a mean of 7.91) and mostly soft (total hardness 35.2 to 314.3mg/L, mean 118.8mg/L) with low salinity (total dissolved solids (TDS) 44.5mg/L to 376.6mg/L, mean 146.6mg/L). The waters were dominated by cations Ca2+ and Mg2+ and anion HCO3-; whereas the alkali metal ions K+ and Na+ and the anions Cl- and S042- were relatively scarce. Spatially, the hardness/salinity of the surface waters exhibited a characteristic of being lower towards the center of the study area where most severe KBD endemic has been observed. Even though it is not conclusive at this stage, a correlation between KBD prevalence and the salinity/hardness of the surface waters of an area has been demonstrated. As a postulate, the long-term consumption of such low salinity waters may lead to a deficiency of some essential elements such as Ca, Mg, Se and I in humans, which may be a factor in inducing KBD. However, other factors such as high altitude and cold climate, poor nutrition and sanitary conditions may play an important role in the disease endemic.


Assuntos
Água Potável/química , Doença de Kashin-Bek/epidemiologia , China/epidemiologia , Humanos , Doença de Kashin-Bek/induzido quimicamente , Prevalência
9.
Biol Trace Elem Res ; 169(2): 237-46, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26123163

RESUMO

The objectives of this study are to assess T-2 toxin's involvement in low selenium (Se)-induced Kashin-Beck disease (KBD) in rats and unveil the mechanisms underlying this disease. Two hundred thirty rats were randomly divided into two groups after weaning and fed normal or low-Se diets (n = 115), respectively, for a month. After low-Se model confirmation, rats in each group were subdivided into five: two subgroups (n = 20) were fed their current diets (normal or low-Se diets, respectively) for 30 and 90 days, respectively; two other subgroups (n = 25) received their current diets + low T-2 toxin (100 ng/g BW/day) for 30 and 90 days, respectively; and 25 rats were fed their current diets + high T-2 toxin (200 ng/g BW/day) for 30 days. Articular cartilage samples were extracted for hematoxylin and eosin (H&E) staining and immunohistochemistry. Western blot and reverse transcription-polymerase chain reaction (RT-PCR) were used to assess protein and mRNA levels, respectively, of collagen II, matrix metalloproteinase (MMP-1), MMP -3, MMP-13, and tissue inhibitor of metalloproteinase-1 (TIMP-1). Low Se and T-2 toxin synergistically affected animal fitness. Interestingly, low Se + T-2 toxin groups showed KBD characteristics. MMP-1, -3, and -13 mRNA and protein levels generally increased in low-Se groups, while collagen II and TIMP-1 levels showed a downward trend, compared with normal diet fed animals for the same treatment (P < 0.05). T-2 toxin's effect was dose but not time dependent. Low Se and T-2 toxin synergistically alter the expression levels of collagen II as well as its regulatory enzymes MMP-1, MMP-3, MMP-13, and TIMP-1, inducing cartilage damage. Therefore, T-2 toxin may cause KBD in low-Se conditions.


Assuntos
Colágeno Tipo II/metabolismo , Doença de Kashin-Bek/metabolismo , Metaloproteinases da Matriz/metabolismo , Selênio/deficiência , Toxina T-2/toxicidade , Inibidor Tecidual de Metaloproteinase-1/metabolismo , Animais , Western Blotting , Cartilagem/efeitos dos fármacos , Cartilagem/metabolismo , Modelos Animais de Doenças , Membro Posterior/efeitos dos fármacos , Membro Posterior/metabolismo , Imuno-Histoquímica , Doença de Kashin-Bek/induzido quimicamente , Doença de Kashin-Bek/enzimologia , Masculino , Ratos Sprague-Dawley , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Selênio/sangue , Esterno/efeitos dos fármacos , Esterno/metabolismo
10.
J Orthop Surg Res ; 9: 78, 2014 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-25138985

RESUMO

OBJECTIVE: There were no studies on the macrophage colony-stimulating factor (M-CSF), receptor activator of NF-kappaB ligand (RANKL) and osteoprotegerin (OPG) in the pathogenesis of Kashin-Beck disease (KBD). The objective of the present study was to investigate the serum M-CSF, RANKL and OPG in rats fed with KBD-affected diet. METHODS: Ninety Wistar rats were divided into five groups. The rats received standard commercial feed with or without T-2 toxin additive, low protein feed with or without or T-2 toxin additive and the KBD-affected feed. The serum bioactivity of M-CSF, RANKL and OPG was tested by enzyme-linked immunosorbent assay. RESULTS: The serum levels of M-CSF in E group rats were higher than those in the other groups in the five groups (P < 0.01). The serum levels of RANKL and OPG in E group rats were highest in the five groups and have significant difference compared to the other groups (P < 0.05). CONCLUSIONS: The molecule of M-CSF, RANKL and OPG may be involved in the regulation of epiphyseal plate injury and repair in KBD, and its participation in the pathogenesis of KBD should be studied in the future.


Assuntos
Doença de Kashin-Bek/sangue , Fator Estimulador de Colônias de Macrófagos/sangue , Ligante RANK/sangue , Animais , Ensaio de Imunoadsorção Enzimática , Feminino , Doença de Kashin-Bek/induzido quimicamente , Doença de Kashin-Bek/etiologia , Masculino , Osteoprotegerina/sangue , Ratos Wistar , Toxina T-2/administração & dosagem
11.
J Orthop Surg Res ; 9: 39, 2014 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-24885056

RESUMO

OBJECTIVE: This research aims to investigate magnetic resonance imaging (MRI) in the tibial epiphyseal growth plate development of Wistar rat. METHODS: Fifty weanling Wistar rats were divided by a computerized blocking procedure into five groups. The rats received standard commercial feed with or without T-2 toxin additive, low-protein feed with or without T-2 toxin additive, and Kashin-Beck disease (KBD)-affected feed. RESULTS: Compared with the control group rat, MRI showed localized epiphyseal plate swelling, rough appearance, and uneven signal on the tibia of rats fed with KBD-affected feed. Histology confirmed the epiphyseal plate degeneration seen by MRI, and the degenerative changes were characterized by abnormal distribution of chondrocytes with loss and clustering, cartilage fragmentation, and erosion in group E. CONCLUSIONS: The MR image of the rat epiphyseal plate is altered in the KBD model rats, and epiphyseal plate MRI appearance has been reproduced by using T-2 toxin and KBD-affected feed of epidemic district.


Assuntos
Condrócitos/patologia , Lâmina de Crescimento/patologia , Doença de Kashin-Bek/patologia , Tíbia/patologia , Animais , Desenvolvimento Ósseo , Estudos de Casos e Controles , Modelos Animais de Doenças , Epífises/patologia , Feminino , Lâmina de Crescimento/crescimento & desenvolvimento , Doença de Kashin-Bek/induzido quimicamente , Imageamento por Ressonância Magnética , Masculino , Ratos , Ratos Wistar , Toxina T-2/toxicidade
12.
Biol Trace Elem Res ; 150(1-3): 371-5, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22760643

RESUMO

It has been strongly suggested that two factors are involved in the development of Kaschin-Beck Disease (KBD), namely grains contamination with T-2 toxin and selenium deficiency. So our team undertook a survey about grains and drinking water in three rural KBD endemic villages and one non-KBD village in Qinghai Province. The level of T-2 toxin contamination in 364 grain samples was assayed using an ELISA kit. The selenium concentration in these grains and 15 drinking water samples from three KBD endemic villages were determined using the 2,3-diaminonaphthalene fluorometric assay. The results revealed that the level of T-2 toxin contamination in the samples from three KBD endemic villages was relatively high with an average level of 78.91 ng/g in wheat and 47.47 ng/g in flour. The T-2 toxin level in samples from the non-KBD village (12.23 ng/g) was significantly lower than that of local grains from the three KBD endemic villages. The average selenium content in wheat and flour from KBD areas was 0.0045 and 0.0067 µg/g, respectively. The selenium concentration in local grain samples was significantly lower than that in samples from the non-KBD village (0.0604 µg/g). In addition, the selenium concentration in drinking water from three KBD endemic villages was also low (0.156 µg/L). These results support a potential role of T-2 toxin contamination and selenium deficiency in KBD. Compared with non-KBD endemic areas, health hazards in grains and in the environment of KBD endemic areas were observed.


Assuntos
Água Potável/química , Grão Comestível/química , Contaminação de Alimentos , Doença de Kashin-Bek/epidemiologia , Selênio/análise , Toxina T-2/análise , Poluição Química da Água , China/epidemiologia , Água Potável/efeitos adversos , Grão Comestível/efeitos adversos , Grão Comestível/crescimento & desenvolvimento , Doenças Endêmicas , Monitoramento Ambiental , Características da Família , Farinha/análise , Contaminação de Alimentos/prevenção & controle , Armazenamento de Alimentos/métodos , Inquéritos Epidemiológicos , Humanos , Doença de Kashin-Bek/induzido quimicamente , Doença de Kashin-Bek/etiologia , Doença de Kashin-Bek/prevenção & controle , Vigilância da População , Prevalência , Saúde da População Rural , Selênio/intoxicação , Toxina T-2/toxicidade , Triticum/química , Triticum/crescimento & desenvolvimento , Poluição Química da Água/efeitos adversos , Abastecimento de Água/análise
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