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匿名  發表於 2010-7-26 05:11
中醫注射致死了多少人? -自己上網上查查。
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匿名  發表於 2010-7-26 05:19
轉載: 又見雙黃連注射液致死案 - 2009

  又見雙黃連注射液致死案例,全國緊急通知禁用黑龍江烏蘇里江製藥有限公司佳木斯分公司生產的雙黃連注射液(批號:0809028、0808030,規格20毫升/支)。

  回憶起來前不久也有一宗什麼注射液致死案例。中藥製劑注射液發生這種事情,說明了什麼?

  很多國家有自己的祖國醫學,但是他們隨著科技的發展,本國醫學在不斷改進,可是我們國家有一些遺老遺少們,總是鼓吹中醫是老祖宗留下來的,始終抱著過去的東西不放。

  現在科技發展,已經檢測出很多中藥有毒性,老配方是只管拿來煮葯湯喝,這樣稀里糊塗不管有用成分還是有毒成分一齊喝到肚裡,由於中藥的作用是緩慢的,即使有毒性也沒有顯現出來。但應用於注射就不同了,有毒成分可能會很快發揮作用,所以才會發生注射致死的事件。

  我始終認為中藥的製藥方法欠科學,沒有搞清楚成分以及成分含量,僅外表性描述有幾味葯,而具體的一味葯里都含有哪些成分,哪些有用,哪些沒用,甚至於那些有害,都不得而知。中藥製造過程中毫無任何手段除去有害物質,而是全部進入葯中。比如「馬兜鈴酸為腎毒素,能造成腎小管大量喪失,導致腎衰竭,是典型的「中草藥腎病」,病情嚴重者需要終身做血液透析或腎移植。馬兜鈴酸也是潛在的致癌物質,動物實驗表明,食用馬兜鈴酸會導致淋巴瘤、腎癌、肝癌、胃癌和肺癌。

  已知或懷疑含有馬兜鈴酸的藥材:馬兜鈴、關木通、天仙藤、青木香、廣防己、漢中防己、細辛、追風藤、尋骨風、淮通、硃砂蓮、三筒管、杜衡、管南香、南木香、藤香、背蛇生、假大薯、蝴蝶暗消、逼血雷、白金果欖、金耳環、烏金草等。

  可能與上述藥材混用而攙雜馬兜鈴酸的藥材:木通、苦木通、紫木通、白木通、川木通、預知子、木防己、鐵線蓮、威靈仙、香防己、白英、白毛藤、大青木香等。

  含有以上藥材的中成藥:龍膽瀉肝丸、耳聾丸、八正丸(散)、純陽正氣丸、大黃清胃丸、當歸四逆丸(湯)、導赤丸(散)、甘露消毒丹(丸)、排石顆粒、跌打丸、婦科分清丸、冠心蘇合丸、蘇合丸、辛荑丸、十香返生丸、濟生桔核丸、止嗽化痰丸、八正合劑、小兒金丹片(丸)、分清五淋丸、安陽精製膏、辛夷丸、兒童清肺丸、九味羌活丸(顆粒、口服液)、川節茶調丸(散)、小兒咳喘顆粒、小青龍合劑(顆粒)。」(摘自方舟子文章)

  再比如【雄黃】主要成分為硫化砷,導致砷中毒,損傷神經、血管,並可引起肝、腎、脾及心肌等實質器官的脂肪變性和壞死和致癌。

  含雄黃的中成藥:七珍丸、小兒化毒散、小兒至寶丸、小兒驚風散、小兒清熱片、牙痛一粒丸、牛黃至寶丸、牛黃抱龍丸、牛黃消炎片、牛黃清心丸、牛黃解毒丸(片)、牛黃鎮驚丸、六應丸、安宮牛黃丸(散)、紅靈散、醫癇丸、局方至寶散、阿魏化痞膏、純陽正氣丸、珠黃吹喉散、梅花點舌丸、紫金錠、暑症片、痧葯。

  等等,等等……

  我並不是反對中醫,我是認為老祖宗的東西不能一成不變。另外認為中藥無副作用的看法欠妥,是葯三分毒,中藥也不例外,尤其現在很多人工種植的草藥,不是一樣使用農藥化肥嗎?

  我們國家,百姓,是應該正確看待中藥的時候了。

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zjd713 發表於 2010-7-26 05:24 | 只看該作者
中醫注射致死了多少人? -自己上網上查查。
Guest from 71.0.230.x 發表於 2010-7-26 05:11



哦~~~你查到了??呵呵~~~還是在繼續編造數字??不管西醫、中醫都會有醫療事故這本身很正常,西醫立足於所謂的科學,中國立足於易理,和文化、哲學都有極深聯繫。。。雙方各有優勢,用的好壞看各自使用者的功力了。。。
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匿名  發表於 2010-7-26 05:27
這只是其中一例而已。大多中醫誤診誤醫致死是不會報道的。什麼世界上治不了的大病,都有中醫聲稱完全攻克。中醫是不分學科的也根本不可能分治療學科,每一個中醫都是治百病。

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zjd713 發表於 2010-7-26 05:33 | 只看該作者
這只是其中一例而已。大多中醫誤診誤醫致死是不會報道的。什麼世界上治不了的大病,都有中醫聲稱完全攻克。 ...
Guest from 71.0.230.x 發表於 2010-7-26 05:27


為什麼可以」治百病「,先去了解一下中醫理論依據吧。。。哎~~~~
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匿名  發表於 2010-7-26 06:00
回: 「為什麼可以」治百病「,先去了解一下中醫理論依據吧。。。哎~~~~」
中醫的理論就像巫術。

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zjd713 發表於 2010-7-26 06:02 | 只看該作者
本帖最後由 zjd713 於 2010-7-26 06:09 編輯
回: 「為什麼可以」治百病「,先去了解一下中醫理論依據吧。。。哎~~~~」
中醫的理論就像巫術。
Guest from 71.0.230.x 發表於 2010-7-26 06:00



哈哈,錯誤的輸入自然得到錯誤的輸出,這句話在你身上得到了再次驗證。。。世界萬物生生克克,不止不休。。。。


PS: 你表演的不錯,一會兒到後台去領個便當。。。。
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匿名  發表於 2010-7-26 06:09
藥販子揭露中藥飲片內幕:一副葯利潤率300%
記者: 崔曉林《中國經濟周刊》

  「你知道北京有多少中藥販子嗎?你知道他們的暴利有多大嗎?你知道北京
有多少家醫院、包括公立醫院是從這些中藥販子手中進貨嗎?」近日,北京某葯
材經銷商向記者一連串提出了這些問題。

  中藥,特別是中藥流通問題之所以忽然成為熱點和焦點話題,起因是剛剛公
布的新醫改方案——中藥被納入了國家基本藥物目錄。

  與世界衛生組織提供的基本藥物目錄只有西藥相比,中藥進入我國基本藥物
目錄,不僅被認為是中國新醫改的一大特色。中藥材市場除了產品質量問題之外,另一個更為嚴峻的問題是價格,幾元錢成本的中藥,到了患者手裡就變成了近百元,巨大的利潤空間是否符合國家標準?

其實中藥的標準和沒有一樣。
169
匿名  發表於 2010-7-26 06:18
轉載:「我國中藥安全性的評價病例報告和文獻綜述較多,科學評述和深入的流行病學研究很少,特別是比較科學的上市后臨床再評價的研究較少,缺少針對中醫藥特點的中藥不良反應研究,沒有真正符合中國國情的不良反應評價方法,未能就中藥不良反應的發生原因、發病機制、臨床表現、防治措施等作出系統的整理和研究。」 -不是不研究,而是無法科學研究。

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zjd713 發表於 2010-7-26 06:23 | 只看該作者
本帖最後由 zjd713 於 2010-7-26 06:24 編輯
藥販子揭露中藥飲片內幕:一副葯利潤率300%
記者: 崔曉林《中國經濟周刊》

  「你知道北京有多少中藥 ...
Guest from 71.0.230.x 發表於 2010-7-26 06:09



首先不知道藥販子說的真假,其次就算是真的也很正常,intel晶元的利潤,微軟windows系統的利潤差不多有1000%了,但是別忘記研發和市場等成本。。。。標準自然是需要的,但是中西藥體系不同,標準自然不同,我想對著點應該沒有意義吧,常識而已。。。。


這帖子也不是討論中西藥的地方,這種無聊的回答到此結束,NEWCN同學也不用不好意思,登陸了在發帖也是可以的嘛。。。呵呵~~反正你也是沒臉沒皮慣了的。。。呵呵~~
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匿名  發表於 2010-7-26 07:25
完達山注射液致死事件
魚腥草注射液」事件
刺五加致死事件
雙黃連注射液事件
.........
自己看吧!

致死事件報道-中藥注射劑,
雙黃連、葛根素、清開靈、復方丹參、柴胡、茵梔黃等---
172
匿名  發表於 2010-7-26 07:39
排在前五種的依次為:「刺五加註射液」「雙黃連注射液」「丹參注射液」「茵梔黃注射液」「參麥注射液」。「清開靈」也是殺人重犯。

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iamcaibird 發表於 2010-7-26 08:20 | 只看該作者
如何又轉到中醫上了?中醫不是科學還有必要論證嗎?中醫愚昧落後殺死耽誤無辜病人的例子還少嗎?有人扯中醫的哲學性,文化性,這個就是承認中醫不是科學而是文化。

又扯中醫是技術,中醫不是技術,頂多是經驗。我們一般說的科學技術是科學理論的實現,是技術。中醫連科學的邊都沾不上,你以為變成技術就明真言順了嗎?中醫不是科學,硬是要說是科學,必然是偽科學;中醫也不是技術,沒有任何的科學理論在裡面。
鳥也玩科學,順便關心一下人類的神精生活
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匿名  發表於 2010-7-27 00:01
回復 173# iamcaibird

技術一定要有科學理論指導嗎?匈奴人發明了煉鐵技術,難道他們懂得氧化-還原理論嗎?宋人發明了火炮技術,難道他們懂得彈道力學嗎。鄭和時代的造船技術已經相當成熟,難道工匠們懂得阿基米德定律嗎?

菜版,你能給「經驗」和「技術」下個準確的定義嗎?

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金寶 發表於 2010-8-1 16:55 | 只看該作者
還真是不知道「中醫注射致死了多少人「啊,要不你給個數據參考一下??
zjd713 發表於 2010-7-26 04:46


中西醫都有治死人的,西醫弄死的絕不比中醫少。只強調中醫藥會治死人是無知和偏見。

西醫「注射」致死的倒有數字,單在美國,每年約20萬人死於醫院中的醫療事故,若算上所有因西醫西藥致死的,這個數字就更有每年幾十萬人之多!不知為何,沒人為此大驚小怪。難道西醫醫死的不是人么?
見: http://www.medicalnewstoday.com/articles/11856.php
   
其實,中醫中藥對人的各種內在關係的認識比西醫要深刻得多,中華民族幾千年來經歷了多少天災人禍,之所以至今還是世界人口罪過的國家,中醫的作用不可磨滅。中醫實實在在的是俺們中華幾千年燦爛文明的瑰寶。只因現代科學力所能及的手段實在有限,無法通過研究西醫的手段來解釋中醫的精髓。因此中醫被某些崇信科學至上的「科學大牌」還有那些聲名狼藉的「打假鬥士」們冠以「不科學」帽子。這其實不是中醫的問題,而實在是科學的有限和缺陷。

以武會友 交結天下豪傑
板斧如風 專砍流氓阿飛
        邪不壓正!

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金寶 發表於 2010-8-1 16:58 | 只看該作者
如何又轉到中醫上了?中醫不是科學還有必要論證嗎?中醫愚昧落後殺死耽誤無辜病人的例子還少嗎?有人扯中醫 ...
iamcaibird 發表於 2010-7-26 08:20


這話說得忒無知了,還敢打著「科學」的旗號。真沒見過這麼沒腦子的傢伙。
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匿名  發表於 2010-8-2 09:06
關鍵是許多中醫中藥在嚴格的臨床試驗下 加統計處理后證明沒有效.

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小辣辣 發表於 2010-8-20 03:21 | 只看該作者
本帖最後由 小辣辣 於 2010-8-20 05:54 編輯
Comparison of the Effects of Three GM Corn Varieties on Mammalian Health

是發表在國際生物科學雜誌 ...
新鮮人 發表於 2010-7-24 11:50




轉基因食品可導致傳播嚴重過敏。

直言了,2010-04-04。


幾位網友先後轉告中國青年報(2010-03-31)發表的方舟子的文章《轉基因食品會引起過敏嗎》、要我說說看法。看了。直言不諱地說,那篇文章整個是弄虛作假,不但是編造謊言、且是以「科普」名義販賣偽科學。

先看那文章是怎麼說的:「所有的基因的化學成份都是一樣的,都由核酸組成。食物中的核酸都在消化道里被消化、分解成小分子才被人體吸收,是不會引起過敏反應的。……根本不用擔心轉基因食品中的那一點點外源基因有可能引起過敏。」,「目前上市的轉基因食品沒有一種被發現含有新的過敏原」,「轉基因食品在全球範圍內已被幾十億人食用了十幾年,未發現因此過敏或出現其他不良反應的案例」。

那是謊言編造。不需更多說,簡單看看事實、讓事實說話。食品作物過敏不僅僅是飲食,還包括接觸(譬如皮膚過敏)和呼吸(譬如嗅覺過敏)。美國是轉基因生產大國,就從美國說起。

早在1996年,美國紐約時報就有報道說明,科研發現轉基因作物可導致傳播過敏。詳見《Genetic Engineering of Crops Can Spread Allergies, Study Shows》,The New York Times, March 14, 1996。附后是該報道截圖和連接。

美國衛生部2006-08發表的學術報告說明,經過足夠樣本的臨床觀察可以看到,轉基因食品跟天然或傳統食品一樣可導致各種過敏;因此,必須象管理傳統食品過敏問題一樣來管理轉基因食品過敏問題。附后是該學術報告的摘要及連接(全文很長,這裡就只給摘要了)。

自「9/11」恐怖襲擊后,美國政府防疫中心、環保部門和食品管理部門等撥出巨額資金聯合贊助「生物學恐怖主義」和「生物學國防」的科研實驗項目,其中包括轉基因食品導致過敏和如何防治的課題。如果轉基因食品沒有過敏問題,這個研究豈不是多此一舉?

自2004年前後到2009年,美國政府食品管理部門和防疫中心多次頒布更新食品安全規範和消費指南,裡面有個請消費者特別注意預防過敏的「八大過敏原食品」的列單,那些食品是:牛奶、雞蛋、花生、樹堅果(如核桃,胡桃,杏仁和腰果)、魚類、貝類、大豆和小麥。

附帶說說,那過敏原食品單包括大豆,而美國大豆種植約有91%是轉基因作物。過去很長時間裡,大豆被美國社會各界看作是健康安全的最佳食品,中國豆腐在美國「主流社會」超市曾作為天然健康的「高級食品」出售,其一塊略比巴掌大的中國豆腐的價格大約為三到四美元,比同份量的其它食品都貴出許多,還是有許多人買,且不少西醫出身的營養師特意推薦中國豆腐,以至於豆腐成了中國食品文化的一個招牌。可是,自轉基因大豆商業種植數年後,大豆被列為八大過敏原食品之一、甚至是醫生和營養師建議病人和建議孕婦避免的食品之一了。結果,這些年來,美國「主流社會」超市不是沒有中國豆腐、但少了許多,即便上架銷售,多數也標明「天然大豆」製成、否則就很難賣出。

美國政府防疫中心與2008年10月和2010年01月發布報告,說:2007年,大約有三百萬18歲以下青少年患有各種過敏症,其中包括食品過敏。報告說:與1997相比,2007年,18歲以下青少年患有食品過敏症的案例增加了18%;從1997年到2006年,少兒食品過敏案例顯著增加。而1996年正是轉基因食品商業化上市開始之年。下面是該防疫中心報告的相關統計數據截圖:



事實說明,中國青年報發表的方舟子的文章所說「目前上市的轉基因食品沒有一種被發現含有新的過敏原」和「未發現因此過敏或出現其他不良反應的案例」,整個是謊言編造和欺騙讀者社會。當然,上述事實也說明,轉基因利益官員們所謂的「轉基因食品完全是安全的」神話也是對社會搞忽然欺騙。

學究了說,最近幾個月媒體宣傳的「轉基因食品是完全安全的」的說法是自打耳光。一方面,他們說,轉基因食品和傳統食品是一樣的;另一方面,他們又說轉基因食品不會導致過敏。嘿嘿,既然轉基因食品和傳統食品一樣,那麼,傳統食品有過敏問題,為什麼轉基因食品就沒有過敏問題?那不等於說轉基因食品跟傳統食品不一樣了嗎?不等於把轉基因食品說成是偽科學的神仙食品了嗎?


至於中青報文章所謂的「所有的基因的化學成份都是一樣的,都由核酸組成。食物中的核酸都在消化道里被消化、分解成小分子才被人體吸收,是不會引起過敏反應的」之說法,轉基因利益官員們也那麼說,譬如,農業部官員黃大昉說:「科學告訴我們,這種情況不會發生。因為所有生物基因的化學成分都是一樣的,都是由核酸組成的」云云,然後,就得出轉基因食品是完全安全的整體結論。那是販賣偽科學。

美國紐約時報(2007-07-01)發表題為「對基因學理論的挑戰」的述評說明,許多科研發現或證明,基因及蛋白髮揮的是「網路」式的系統整體作用,而不是一個或一個片段的基因核酸就一個單獨目標或一個孤立功能在發揮作用。可是,相關食品管理立法官員們及其背景研究人員(譬如轉基因作物方面)卻就是把注意力放到一個一個片段的基因及蛋白的單獨目標或孤立功能,忽略網路式系統整體作用。其結果,為了爭奪專利和商業利潤而把人類和自然界生命做零七八碎的分割、使人看不到整體系統作用,而且,那樣發展,難免做出錯誤結論、嚴重歪曲科學知識和阻礙科學技術發展。

在美國社會,紐約時報的述評所闡明的道理早已經是大眾科學知識,那講得很清楚:不能僅憑片段基因蛋白或核酸水平的觀察就做出食品藥物或生命活動的整體如何的結論,否則,那就是偽科學。

其實,用個反問就可看出中青報那文章說法是打著科普旗號販賣偽科學:既然「所有的基因的化學成份都是一樣的,都由核酸組成」、因而可以得出食品如何的整體結論,那麼,照那文章邏輯,需要補鐵就該去吃澳大利亞鐵礦石、需要補銅就該去寧夏江西吃銅板、需要碳元素就去山西吃煤,而不必吃肉食蔬菜水果等等了。可是,那樣鼓吹的轉基因利益官員槍手們還是要吃飯吃肉吃菜、而不是去吃元素礦石。可見,他們言行不一、說一套而做一套,整個是忽悠欺騙。

方舟子自稱博士,可是,海外學子早就指出,他連大學本科生就知道的隱馬氏模型都不懂,不知道他那博士學位到底有多少真實。隱馬氏模型是編製使用蛋白質二次資料庫、從而可以更有效觀察分析二級結構和三級結構所必備的知識。既然方舟子自稱博士卻連隱馬氏模型都不懂,那足夠說明他不懂蛋白質二次資料庫和如何觀察分析二級三級結構;如此,他能就「所有的基因的化學成份都是一樣的,都由核酸組成」而得出食品如何的整體結論的那種偽科學東西,也就不奇怪了。

然而,堂堂大國中國的農業部官員居然把那種偽科學東西當作「轉基因食品是完全安全」的結論依據,豈不是讓人大跌眼鏡?13億人口的基本生存安全,就讓那些搞偽科學的人給左右了,豈不是讓中國的國家安全和人民安全變得毫無意義了嗎?

更還有,包括中青報人民網等一些官媒完全一面倒:說是「學術討論」,卻只發表轉基因利益官員推銷他們的東西的廣告新聞,杜絕封殺妨礙他們利益的消息評論。如此做法,絕對是大大反常。誠如人民網媒體評論負責人盧新寧所說,新聞評論背後都有利益關係。如此看,那些官媒為轉基因利益官員服務而不顧及13億中國人生命食品安全的輿論做法,背後有什麼利益關係呢?更不要說,一個虎照問題不過是幾個人、且不涉及13億人口吃飯問題,那些官媒花那麼大力氣炮轟;而面臨13億人口生命和食品安全問題呢,他們不但不抨擊、反而為謊言編造和偽科學的欺騙東西大開綠燈。那不是大大反常,還能是什麼?

就此而言,本人強烈希望公檢法和中紀委介入、調查農業部搞的轉基因安全證書背後的利益關係和權錢關係,--- 若不是腐敗因素作怪,本人無論如何也不能理解諾大中國的農業部居然拿一個長期找不到工作、沒謀生正業、靠抄襲剽竊和造謠誹謗過日子而被法律懲罰的方舟子的偽科學東西當作涉及全國13億人口基本安全的決策依據,那荒唐做法鬧得也實在太出格了。

這裡再奉勸方舟子:您長期找不到工作而靠別人養著,雖然沒出息,但沒關係,您好歹還有作人尊嚴;而以「科普」名義在社會上販賣偽科學和搞作假欺騙,那您連作人的起碼尊嚴都沒了。


附圖:美國紐約時報報道:科研發現轉基因作物可導致傳播過敏。來源:紐約時報報道截圖。




附件:美國政府衛生部發表的學術報告(摘要);來源:美國衛生部。
該報告以轉基因大豆為例而說明:轉基因食品跟天然或傳統食品一樣、可導致過敏;因此,該報告建議,應該象管理天然或傳統食品的過敏問題一樣來管理轉基因食品的過敏問題。即:所謂轉基因食品完全是安全的和不會有過敏問題的神話是瞎編爛造和欺騙民眾的忽悠。

Evaluating the allergic risk of genetically modified soybean.
Yonsei Med J. 2006 Aug 31;47(4):505-12.
U.S. National Library of Medicine, National Institutes of Health
PMID: 16941740 [PubMed - indexed for MEDLINE]/PMCID: PMC2687731
連接:http://www.ncbi.nlm.nih.gov/pubmed/16941740

Abstract:
Genetically modified (GM) soybean (carrying the EPSPS transgene) is the most common GM food in Korea. In order to assess whether genetic modification increases the allergenic risk of soybeans, the allergenicity and IgE-reactive components of wild-type and GM soybean extracts were compared in allergic adults who had been sensitized to soybeans. We enrolled 1,716 adult allergy patients and 40 healthy, non-atopic controls. Skin prick tests and IgE enzyme linked immunosorbent assays (ELISAs) were performed using wild-type and GM soybean extracts, along with other common inhaled allergens. The specificities of serum IgE antibodies from allergic patients and the identities of the IgE-reactive components of the soybean extracts were compared using ELISA inhibition testing, 2-dimensional gel electrophoresis, and IgE immunoblotting. To evaluate the effects of digestive enzymes and heat treatment, the soybean extracts were heated or pre- incubated with or without simulated gastric and intestinal fluids. The IgE sensitization rates to wild-type and GM soybeans were identical (3.8% of allergic adults), and circulating IgE antibodies specific for the two extracts were comparable. The results of the ELISA inhibition test, SDS-PAGE, and IgE immunoblotting showed a similar composition of IgE-binding components within the wild-type and GM extracts, which was confirmed using two-dimensional gel electrophoresis, IgE immunoblotting, and amino acid sequencing. None of the subjects had a positive response to purified EPSPS protein in the skin prick test, ELISA, or IgE immunoblot analysis. These findings suggest that the IgE sensitization rate to GM soybean extracts is identical to that of wild-type soybean extracts in adult allergy patients. In addition, based on both in vivo and in vitro methods, the allergenicity of wild type and GM soybean extracts was identical.
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新鮮人 發表於 2010-8-20 04:36 | 只看該作者
其實轉基因食品有無危害. 也應在學術版討論. 而且本版也有這方面的帖子. 小辣辣所提美國衛生部所提論文. 將全文帖上. 供有興趣者參閱.

Journal List > Yonsei Med J > v.47(4); Aug 31, 2006 Formats:Abstract | Full Text | PDF (1.6M)
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Yonsei Med J. 2006 August 31; 47(4): 505–512.
Published online 2006 August 31. doi: 10.3349/ymj.2006.47.4.505. PMCID: PMC2687731

Copyright © 2006 The Yonsei University College of Medicine
Evaluating the Allergic Risk of Genetically Modified Soybean
Sang-Ha Kim,1* Hyun-Mi Kim,1 Young-Min Ye,1 Seung-Hyun Kim,1 Dong-Ho Nahm,1 Hae-Sim Park,1 Sang-Ryeol Ryu,2 and Bou-Oung Lee3
1Department of Allergy and Rheumatology, Ajou University School of Medicine, Suwon, Korea.
2Department of Food science and Technology, Seoul National University, Seoul, Korea.
3College of Agriculture, Chonbuk National University, Chonju, Korea.
Corresponding author.
Reprint address: requests to Dr. Hae-Sim Park, Department of Internal Medicine, Yonsei University Wonju College of Medicnie, 162 Ilsan-dong, Wonju 220-701, Korea. Tel: 82-31-219-5196, Fax: 82-31-219-5154, Email: hspark@ajou.ac.kr
*Current address: Department of Internal Medicine, Yonsei University Wonju College of Medicine, 162 Ilsan-dong, Wonju 220-701, Korea.
Received November 1, 2005; Accepted March 20, 2006.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
This article has been cited by other articles in PMC.
Other Sections▼
Abstract
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
ReferencesAbstract
Genetically modified (GM) soybean (carrying the EPSPS transgene) is the most common GM food in Korea. In order to assess whether genetic modification increases the allergenic risk of soybeans, the allergenicity and IgE-reactive components of wild-type and GM soybean extracts were compared in allergic adults who had been sensitized to soybeans. We enrolled 1,716 adult allergy patients and 40 healthy, non-atopic controls. Skin prick tests and IgE enzyme linked immunosorbent assays (ELISAs) were performed using wild-type and GM soybean extracts, along with other common inhaled allergens. The specificities of serum IgE antibodies from allergic patients and the identities of the IgE-reactive components of the soybean extracts were compared using ELISA inhibition testing, 2-dimensional gel electrophoresis, and IgE immunoblotting. To evaluate the effects of digestive enzymes and heat treatment, the soybean extracts were heated or pre- incubated with or without simulated gastric and intestinal fluids. The IgE sensitization rates to wild-type and GM soybeans were identical (3.8% of allergic adults), and circulating IgE antibodies specific for the two extracts were comparable. The results of the ELISA inhibition test, SDS-PAGE, and IgE immunoblotting showed a similar composition of IgE-binding components within the wild-type and GM extracts, which was confirmed using two-dimensional gel electrophoresis, IgE immunoblotting, and amino acid sequencing. None of the subjects had a positive response to purified EPSPS protein in the skin prick test, ELISA, or IgE immunoblot analysis. These findings suggest that the IgE sensitization rate to GM soybean extracts is identical to that of wild-type soybean extracts in adult allergy patients. In addition, based on both in vivo and in vitro methods, the allergenicity of wild type and GM soybean extracts was identical.Keywords: Soybean, genetically modified, allergic risk
Other Sections▼
Abstract
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
ReferencesINTRODUCTION
Soybeans are a commonly consumed food product in Korea, where they are also one of the most prevalent food allergens. The reported sensitization rate to soybeans ranges from 5.6-21%1 in pediatric allergy patients with atopic dermatitis and acute urticaria, compared with 1.8%2 in the general Korean population. There is concern about whether genetic manipulation of crops might augment the potential allergenicity of these foods in humans. The FAO/WHO recommends a stepwise assessment of genetically modified (GM) foods using both in vivo and in vitro methods before launching these products in commercial markets.3 Soybean has been the most widely cultivated GM crop since 1997, and the major gene that has been introduced into soybeans is an herbicide resistance gene called EPSPS (5-enolpyruvylshikimate-3-phosphate synthase). This modified type of soybean has been in use for more than 10 years in Korea, but it remains unknown whether GM soybeans are more allergenic than their non-modified counterparts. A recent study4 demonstrated that GM corn did not increase the risk of allergic reactions in patients. Another study, using an in vitro test, reported that transgenic maize and soya seemed to be safe in terms of allergenic potential.5In this study, we used skin prick testing and IgE ELISA assays to compare the allergenicity of GM and wild-type soybean extracts in a larger cohort of adult allergy patients. We also analyzed the antibody reactive components of the two extracts using 2D gel electrophoresis and IgE immunoblotting.
Other Sections▼
Abstract
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
ReferencesMATERIALS AND METHODS
Subjects
To evaluate the sensitization to GM and wild-type soybean extracts, 1,716 allergy patients (≥ 15 years old) and 40 healthy non-atopic subjects were enrolled by the Department of Allergy and Rheumatology, Ajou University School of Medicine, Suwon, Korea. The GM soybean extract was Roundup Ready&reg; (Monsanto, St. Louis, MO, USA), into which the 5-enolpyruvylshikimate-3-phosphate synthase (EPSPS) gene had been incorporated. The wild-type soybean extract, called Daewon, was provided by Daewon Co., Suwon, South Korea. Between August 2002 and July 2003, 1,716 patients who had been admitted to Ajou University Hospital for treatment of various allergic problems were skin tested for reactions to GM and wild-type soybean extracts and to common inhaled allergens, including the common dust mite Dermatophagoides pteronyssinus. Skin prick tests were performed on the backs of patients, and responses to 50 common inhalant allergens and 30 food allergens were tested simultaneously. The results were read 15 minutes later. The size of the wheal produced by each allergen and by the histamine control was expressed in terms of maximum diameter and vertical height at the midpoint of the wheal. Skin reactivity was expressed as the ratio of the allergen-induced wheal size to the histamine-induced wheal size (A/H). A/H ratios between 0.1 and 1, with an erythema diameter < 21 mm were scored as 1+. A/H ratios between 0.1 and 1, with an erythema diameter > 21 mm, were scored as 2+. A/H ratios ranging from 1 to 2 were scored as 3+, and A/H ratios ranging from 2 to 3 were scored as 4+. All A/H ratios > 3 were scored as 5+. A positive response was defined as a score greater than 2+ on the skin prick test. This study was reviewed by the institutional review board at Ajou University Medical Center, Suwon, Korea.
Preparation of wild-type and GM soybean extracts
GM soybeans were extracted with phosphate-buffered saline (PBS; pH 7.5, 1:10 w/v), and the extract was incubated at 4℃ overnight and then centrifuged at 12,000-15,000 rpm for 20 minutes. The supernatant was then dialyzed (6,000 Da molecular weight cut-off; Spectrum Medical Industries, Houston, TX, USA) against 4 L of PBS for 72 hours at 4℃ , and the resulting fluid was stored at -20℃ until tested. The protein content, as measured using the Bradford method, was 2.53 mg/mL. For skin prick tests, the protein was mixed with sterile glycerin in a ratio of 1:1. The protein contents of the wild type and GM soybean extracts were compared by sodium dodecyl polyacrylamide gel electrophoresis (SDS-PAGE) under two conditions: with or without β-mercaptoethanol treatment which showed comparable results. An antibody specific for the EPSPS antigen was detected only in the GM soybean extract (Fig. 1). EPSPS antigen and IgG anti-EPSPS antibody used in this study were derived from Monsanto Co., St. Louis, MO, USA.
Fig. 1
Ten percent SDS-PAGE (A) and IgG immunoblot analysis (B) of wild-type (W) and GM (G) soybean extracts, and EPSPS (E) protein. Samples were incubated without (1, 3) or with β-mercaptoethanol (2, 4).

IgE ELISA assays
The presence of serum IgE specific for the soybean extracts and the EPSPS protein was determined using ELISA, as described previously.6 Briefly, microtiter plates (Corning, NY, USA) were coated with 100 &micro;L/well of soybean extract (GM or wild-type, 10 &micro;g/well) and incubated overnight at 4℃ . Each well was washed three times with 0.05% phosphate-buffered saline-Tween (PBST), and the remaining binding sites were blocked by incubation with 10% fetal bovine serum (FBS)-PBS for 1 h at room temperature. Then 50 &micro;L of patient or control sera were added to wells at 1:2 dilution and incubated for 2 hours at room temperature. The wells were then washed three times with PBST, and biotin-labeled goat anti-human IgE antibody (1:1000 v/v dilution; Vector Labs, Burlin game, CA, USA) was added to each well and incubated for 1 hour. The wells were then washed and incubated with 100 &micro;L of streptavidin-peroxidase (1:1000 v/v; Sigma, St. Louis, MO, USA) for 30 minutes. The colorimetric reaction was developed with TMB (3, 3',5, 5'-tetraethylbenzidine) substrate solution for 15 minutes at room temperature. The reaction was stopped by adding 100 &micro;L of 2 N sulfuric acid and the absorbance was read at 450 nm using an automated microplate reader (Benchmark, Bio-Rad, Hercules, CA, USA). All assays were performed in duplicate. Positive values were set at three standard deviation units above the absorbance values of the controls.
ELISA inhibition test
Competitive ELISAs were performed to determine the specificity of IgE binding to the soybean extracts and to compare the allergenicity of the wild-type extracts, GM extracts, and EPSPS. The sera from four patients with high levels of soybean-specific IgE were pooled and then pre-incubated overnight (4℃) with increasing protein concentrations (1 to 100 &micro;g) of EPSPS, house dust mite, GM soybean extract, or wild-type soybean extract. The sera were then incubated for 12 hours in microtiter plates pre-coated with wild-type or GM soybean extracts. ELISAs were then developed as described above. As a control, samples were pre-incubated with PBS (pH 7.5) instead of EPSPS or soybean extracts. The percentage of inhibition was expressed as (100-[absorbance of the samples pre-incubated with allergens/absorbance of the samples pre-incubated with PBS] × 100).
SDS-PAGE and immunoblot analysis
Four to twenty percent gradient SDS-PAGE and immunoblot analysis were performed under reducing conditions according to methods described previously.6 Briefly, the soybean extracts (24 &micro;g each) were mixed with sample buffer (31 mmol/L Tris-HCl, 10% glycerol, 1% SDS, 0.0025% bromophenol blue, 2.5% β-mercaptoethanol, pH 6.8) and heated in boiling water for 5 minutes. The extracts were then loaded alongside a standard marker (4 to 250 kDa; Novex, San Diego, CA, USA) onto a 4-20% Tris-glycine gel (Novex, San Diego, CA, USA) and run at 125 V for 90 minutes. The gel was fixed and stained with Coomassie brilliant blue. For immunoblotting, the proteins were transferred onto a polyvinylidene fluoride membrane (PVDF; pore size: 0.2 &micro;m; Millipore, Bedford, MA, USA) in transfer buffer (25 mmol/L Tris base, 193 mmol/L glycine, 20% methanol) at 200 mA for 90 minutes. The blotted PVDF membrane was cut into 4-mm widths and the pieces of the membrane were incubated in 5% skim milk in Tris-buffered saline (TBS)-Tween (TBST) for 1 hour to block nonspecific binding. The membranes were then incubated overnight with either patient or control sera diluted 1:2 v/v with 3% skim milk TBST. After a washing step, the membranes were incubated with goat anti-human IgE conjugated with alkaline phosphatase (Sigma, St. Louis, MO, USA, diluted 1:1000 in 3% skim milk TBST). The membranes were developed using BCIP/NBT alkaline phosphatase substrate (Sigma, St. Louis, MO, USA).
2D gel electrophoresis
Soybean extracts (40 &micro;g) were mixed with rehydration buffer (7 mol/L urea, 2 mol/L thiourea, 2% CHAPS, 20 mmol/L DTT, 0.5% IPG buffer, pI 4-7) and applied to an Immobiline(tm) DryStrip (pI 4-7, Amersham). The gel was incubated at room temperature overnight and then run at 50 V for 30 minutes, 500 V for 30 minutes, 1,000 V for 30 minutes, and 5000 V for 90 minutes. The gel was then incubated in equilibration buffer (1.5 mol/L Tris, 2% SDS, 6 mol/L urea, 30% glycerol) for 20 minutes at room temperature, after which the samples were run on a 12% SDS-PAGE with a 4% stacking gel using the aforementioned method. 2D gel electrophoresis and transfer to PVDF membrane were performed in transfer buffer at 200 mA for 90 min. The membrane was then blocked by incubation in 5% skim milk-TBST for 1 hour and then overnight at 4℃ in pooled patient sera that had been diluted 1:2 with TBST. After a wash step, the blots were incubated with goat anti-human IgE antibody conjugated with alkaline phosphatase (diluted 1:1000 in 3% skim milk-TBST). The membrane was then developed using BCIP/NBT alkaline phosphatase substrate.
N-Terminal amino acid sequencing analysis
To confirm the major allergenic components via N-terminal sequencing, the 2D gel electrophoresed proteins were blotted onto a PVDF membrane. The membrane was stained with 0.1% Coomassie blue in 50% methanol, de-stained in 50% methanol and air-dried. The protein spots were excised and micro-sequencing was performed using a Procise 476 A protein sequencer (Applied Biosystems, Foster, CA, USA).
Other Sections▼
Abstract
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
ReferencesRESULTS
Allergy skin prick test
The skin prick testing conducted throughout the full year of the study revealed that 65 (3.8%) of the 1,716 allergy patients had an A/H score of 2+ in response to the wild-type soybean protein. Similarly, 66 patients (3.8%) had an A/H score of 2+ in response to the GM soybean protein. Only one of the allergy patients failed to respond to both the wild type and GM soybean extracts (Table 1) and none of the subjects had a positive response to EPSPS protein.
Table 1
Skin Prick Test and Specific IgE Binding to Wild Type and GM Soybean Extracts in 65 Positive Reactors among 1716 Subjects Tested

Specific IgE to soybean and EPSPS
In the subjects who had a positive skin test with an A/H score of 2+, the prevalence of serum IgE specific for wild-type and GM soybean extracts was 80 and 81%, respectively. Of those with an A/H score of 3+, 4+, or 5+, the prevalence of serum IgE specific for wild type and GM soybean proteins was 74 and 66%, 71 and 83%, and 50 and 100%, respectively. The levels of IgE specific for the GM soybean extracts tended to be slightly higher than those specific for the wild-type extracts, and the GM extracts elicited a larger wheal reaction in the skin prick tests (Fig. 2). No subjects had detectable serum IgE specific for EPSPS protein.
Fig. 2
Soybean-specific serum IgE binding to both wild-type (open circles) and GM (closed circles) extracts by ELISA according to wild-type soybean skin reactivity. Horizontal bars indicate mean values.

ELISA inhibition test
ELISA inhibition assays using pooled IgE-positive sera showed comparable dose-dependent inhibition by both the wild type and GM soybean extracts (Fig. 3). The GM soybean extract showed somewhat greater inhibition than the wild-type extracts. Minimal inhibition was observed when the sera were pre-incubated with an extract from the dust mite allergen D. pteronyssinus, as shown in Fig. 3A.
Fig. 3
IgE ELISA inhibition results for wild-type (A) and GM (B) soybean-coated wells with the serial addition of EPSPS protein, wild-type soybean extract, or GM soybean extract. Significant inhibition was noted for both wild-type and GM soybean extracts, while (more ...)

SDS-PAGE and IgE- immunoblot analysis
Fig. 4A compares IgE specific for wild type versus GM soybean extracts in the sera of 14 individuals. The control serum was pooled from ten patients who had negative responses in the skin prick test. In the wild-type extracts, 22 protein bands, which ranged in size from 8 to 119 kDa, were detected using the serum IgE. A 32~34-kDa band was the most frequently detected, being observed in ≥ 50% of the sera tested. In the GM soybean extracts, 20 bands, which also ranged in size from 8 to 119 kDa, were detected using the serum antibodies. Similar to the wild-type extracts, a 33-kDa band was the most prevalent, detected in ≥ 50% of the sera tested (Fig. 4B). Therefore, the 33-kDa protein was considered to be the major allergenic protein present in both wild type and GM soybean extracts. No bands were detected when sera were tested against EPSPS protein.
Fig. 4
IgE immunoblot analysis of EPSPS protein (E), wild-type (W) and GM (G) soybean extracts using sera from the sensitized patients (1-14), non-atopic controls (C), anti-EPSPS antibody (15), and buffer control (B). Wild-type: Daewon soybean, GM: Roundup Ready&reg; (more ...)

2D gel electrophoresis, IgE immunoblotting, and N-terminal amino acid sequencing
2D gel electrophoresis and IgE immunoblot analysis of pooled sera from patients with high levels of soybean-specific IgE showed that the major 33-kDa allergenic protein had a pI of 4.83, and verified that serum IgE recognized this protein (Fig. 5).
Fig. 5
Two-dimensional gel electrophoresis (A) and IgE immunoblot (B) of wild-type and GM soybean extracts.

N-terminal amino acid sequencing of the 33-kDa protein revealed the following sequence: Lys-Lys-Met-Lys-Lys-Glu-Gln-Tyr-Ser-Cys-Asp-His-Pro-Pro-Ala.
Other Sections▼
Abstract
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
ReferencesDISCUSSION
This study demonstrates that among allergic adults in the Korean population, the prevalence of positive responses to wild type and GM soybean extracts is equivalent. With the exception of one individual, all the subjects tested had a positive response to both extracts. Importantly, no subjects responded to GM soybean extracts but not to wild-type extracts, and no subjects responded to the EPSPS protein alone, suggesting that the protein product of the genetically introduced gene was not itself allergenic. The prevalence of serum IgE specific for soybean proteins, as determined by ELISA, increased in parallel with increasing skin reactivity. When the results from ELISA assays and skin tests were compared, soybean-specific IgE antibodies were found in 50-100% of the patients with A/H scores of 2+, with comparable antibody titers specific for wild type and GM extracts. Furthermore, no subjects had detectable EPSPS-specific IgE responses as tested by ELISA.According to the Codex Committee on Food Labeling, the most common allergenic foods worldwide that are associated with IgE-mediated reactions include peanuts, soybeans, milk, eggs, fish, crustaceans, wheat, and tree nuts.7 As a result, soybeans are considered one of the causative agents of food allergies in Korean adults. However, the results of our study suggest that the genetic manipulation of soybeans does not increase the allergenicity of soybeans, as allergic individuals were found to be equally reactive to wild type and GM soybean extracts.When the allergenicity of the wild type and GM soybeans was compared using IgE ELISA inhibition tests, the GM extract tended to give higher inhibition percentages than the wild-type extract. IgE immunoblot analysis using sera from five patients (2, 8, 9, 10, and 13) showed strong reactivity to a 33-kDa band from the GM soybean extract. Similarly, a 32~34-kDa band from the wild type extract was detected in the same five patients. 2D gel electrophoresis and IgE blotting demonstrated that these two bands were identical. There were no significant differences in soybean-specific IgE titers between patients that had antibody responses specific for the 33-kDa major allergen and those that did not. No significant changes in IgE binding patterns to another protein (47.5 kDa) were noted, suggesting that the introduction of the gene encoding the EPSPS protein did not affect the allergenicity of the soybean extract, either qualitatively or quantitatively. Consistent with this conclusion, none of the patients had detectable EPSPS-specific IgE antibodies in their serum. These findings suggest that the allergenic risk of GM soybeans is identical to that of wild-type soybeans.The gapped BLAST and PSI-BLAST programs were used to search for proteins with an amino acid sequence similar to the 33-kDa GM soybean antigen.8 The search revealed that the 33-kDa protein is identical to the P34 protein, which was previously identified as one of the major soybean allergens and is a member of the papain family of cysteine proteases.9 Food allergens commonly exhibit sufficient gastric stability to reach the intestinal mucosa, where absorption and sensitization can occur. Therefore, important food allergens may resist digestion in simulated gastric fluid. For example, soybean β-conglycinin is stable in digestive enzyme for 60 min.8 In conclusion, we evaluated the allergenicity of GM and wild-type soybeans using in vivo and in vitro methods and demonstrated that the introduction of the herbicide-resistance gene EPSPS does not increase allergenic risk in adult allergy patients. Additional studies will be needed to evaluate the allergenic risk of other GM foods in allergy patients before those foods are released to the consumer market.
Footnotes
This study was supported by KISTEP (M10124010008) and ARPC (204070-301).
Other Sections▼
Abstract
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
ReferencesReferences
1. Jung JA, Nam SY, Han YS, Park YM, Lee JS, Jeon KH, et al. The sensitization rates to egg, milk, soy bean in children with atopic dermatitis and acute urticaria. J Asthma Allergy Clin Immunol. 2001;21:610–617.
2. Kim SH, Kang HR, Kim KM, Kim TB, Kim SS, Chang YS, et al. The sensitization rates of food allergens in a Korean population: a multi-center study. J Asthma Allergy Clin Immunol. 2003;23:502–504.
3. Lack G, Chapman M, Kalsheker N, King V, Robinson C, Venables K. BSACI working party. Report on the potential allergenicity of genetically modified organisms and their products. Clin Exp Allergy. 2002;32:1131–1143. [PubMed]
4. Sutton SA, Assa'ad AH, Steinmetz C, Rothenberg ME. A negative, double-blind, placebo-controlled challenge to genetically modified corn. J Allergy Clin Immunol. 2003;112:1011–1012. [PubMed]
5. Batista R, Nunes B, Carmo M, Cardoso C, Jose HS, de Almeida AB, et al. Lack of detectable allergenicity of transgenic maize and soya samples. J Allergy Clin Immunol. 2005;116:403–410. [PubMed]
6. Kim YK, Park HS, Kim HA, Lee MH, Choi JH, Kim SS, et al. Two-spotted spider mite allergy: immunoglobulin E sensitization and characterization of allergenic components. Ann Allergy Asthma Immunol. 2002;89:517–522. [PubMed]
7. Report of a Joint FAO/WHO Expert Consultation on Allergenicity of Foods Derived from Biotechnology. 2001. Evaluation of allergenicity of genetically modified foods; pp. 1–19.
8. Altschul SF, Madden TL, Schaffer AA, Zang J, Zang Z, Miller W, et al. A new generation of protein database search programs. Nucleic Acids Res. 1997;25:3389–3402. [PMC free article] [PubMed]
9. Kalinski A, Weisemann JM, Matthews BF, Herman EM. Molecular cloning of a protein associated with soybean seed oil bodies that is similar to thiol proteases of the papain family. J Biol Chem. 1990;265:13843–13848. [PubMed]
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