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Abstract: Kashin-Beck disease (KBD) is an endemic osteoarthropathy. Its distribution region covers a long and narrow belt on the Pacific side and belongs to continental climate with short summer, long frost period, and large temperature differences between day and night. In particular, KBD patients are typically scattered in the rural areas with seasonal features such as cold winters and rainy autumns. Etiological studies have demonstrated that the carrier of pathogenic factors is the grains produced in endemic areas. Risk factors for KBD include fungal contamination of grains due to poor storage conditions associated with cold weather. The epidemiological characteristics of KBD include agricultural area, early age of onset, gender equality, family aggregation, regional differences, and annual fluctuations. A series of preventive measures have been successfully taken in the past decades. National surveillance data indicate that the annual incidence of KBD is gradually declining.
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[1] Allander E. Kashin-Beck disease. An analysis of research and public health activities based on a bibliography 1849-1992. Scand J Rheumatol Suppl, 1994; 99: 1-36. [2] Wang K, Yu J, Liu H, et al. Endemic Kashin-Beck disease: A food-sourced osteoarthropathy. Semin Arthritis Rheum, 2020; 50(2): 366-372. doi: 10.1016/j.semarthrit.2019.07.014 [3] Li S, Cao J, Caterson B, et al. Proteoglycan metabolism, cell death and Kashin-Beck disease. Glycoconj J, 2012; 29(5-6): 241-248. doi: 10.1007/s10719-012-9421-2 [4] Zhang M, Wang M, Wang H, et al. Decreased expression of heat shock protein 47 is associated with T-2 toxin and low selenium-induced matrix degradation in cartilages of Kashin-Beck disease. Biol Trace Elem Res, 2021; 199(3): 944-954. doi: 10.1007/s12011-020-02237-1 [5] Li S, Cao J, Caterson B, et al. Chondronecrosis induced in rhesus monkeys fed with grains and water of Kaschin-Beck's disease endemic area. Zhonghua Yi Xue Za Zhi, 1992; 72(6): 361-362, 383. [6] Yu F F, Zhang Y X, Zhang L H, et al. Identified molecular mechanism of interaction between environmental risk factors and differential expression genes in cartilage of Kashin-Beck disease. Medicine (Baltimore), 2016; 95(52): e5669. doi: 10.1097/MD.0000000000005669 [7] Zhang F, Guo X, Wang W, et al. Expression profile analysis of mycotoxin-related genes in cartilage with endemic osteochondropathy Kashin-Beck disease. BMC Musculoskelet Disord, 2012; 13: 130. doi: 10.1186/1471-2474-13-130 [8] Han J, Yu F F, Chang Z P, et al. Changing grains for the prevention and treatment of Kashin-Beck disease in children: a Meta-analysis. Biomed Environ Sci, 2015; 28(4): 308-311. [9] Malaisse F, Haubruge E, Mathieu F, et al. Ethno-agricultural approach to the rural environment in the prevention of Kashin-Beck disease. Int Orthop, 2001; 25(3): 170-174. doi: 10.1007/s002640000215 [10] Li D, Han J, Guo X, et al. The effects of T-2 toxin on the prevalence and development of Kashin-Beck disease in China: a meta-analysis and systematic review. Toxicol Res (Camb), 2016; 5(3): 731-751. doi: 10.1039/C5TX00377F [11] Hinsenkamp M, Mathieu F, Claus W, et al. Effects of physical environment on the evolution of Kashin-Beck disease in Tibet. Int Orthop, 2009; 33(4): 1085-1088. doi: 10.1007/s00264-009-0738-9 [12] Zha X, Gao X. Ecological analysis of Kashin-Beck osteoarthropathy risk factors in Tibet's Qamdo City, China. Sci Rep, 2019; 9(1): 2471. doi: 10.1038/s41598-019-39792-0 [13] Sun L Y, Meng F G, Li Q, et al. Effects of the consumption of rice from non-KBD areas and selenium supplementation on the prevention and treatment of paediatric Kaschin-Beck disease: an epidemiological intervention trial in the Qinghai Province. Osteoarthritis Cartilage, 2014; 22(12): 2033-2040. doi: 10.1016/j.joca.2014.09.013 [14] Guo X, Ma WJ, Zhang F, et al. Recent advances in the research of an endemic osteochondropathy in China: Kashin-Beck disease. Osteoarthritis Cartilage, 2014; 22(11): 1774-1783. doi: 10.1016/j.joca.2014.07.023 [15] Suetens C, Moreno-Reyes R, Chasseur C, et al. Epidemiological support for a multifactorial aetiology of Kashin-Beck disease in Tibet. Int Orthop, 2001; 25(3): 180-187. doi: 10.1007/s002640100247 [16] Zhou X, Yang H, Guan F, et al. T-2 Toxin alters the levels of Collagen Ⅱ and its regulatory enzymes MMPs/TIMP-1 in a low-selenium rat model of Kashin-Beck disease. Biol Trace Elem Res, 2016; 169(2): 237-246. doi: 10.1007/s12011-015-0408-2 [17] Lei R, Jiang N, Zhang Q, et al. Prevalence of selenium, T-2 toxin, and deoxynivalenol in Kashin-Beck disease Areas in Qinghai Province, Northwest China. Biol Trace Elem Res, 2016; 171(1): 34-40. doi: 10.1007/s12011-015-0495-0 [18] Wang W, Ji Y, Yang W, et al. Inhibitors of apoptosis proteins (IAPs) are associated with T-2 toxin-induced decreased collagen Ⅱ in mouse chondrocytes in vitro. Toxicon, 2020; 176: 34-43. doi: 10.1016/j.toxicon.2020.01.002
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