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Santibáñez M, Núñez-Robainas A, Barreiro E, Expósito A, Agüero J, García-Rivero JL, Abascal B, Amado CA, Ruiz-Cubillán JJ, Fernández-Sobaler C, García-Unzueta MT, Cifrián JM, Fernandez-Olmo I. Characterization of Systemic Oxidative Stress in Asthmatic Adults Compared to Healthy Controls and Its Association with the Oxidative Potential of Particulate Matter Collected Using Personal Samplers. Antioxidants (Basel) 2025; 14:385. [PMID: 40298638 PMCID: PMC12024361 DOI: 10.3390/antiox14040385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2025] [Revised: 03/13/2025] [Accepted: 03/18/2025] [Indexed: 04/30/2025] Open
Abstract
Inflammatory cell activation in asthma may lead to reactive oxygen species (ROS) overproduction with an imbalance between oxidant levels and antioxidant capacity, called oxidative stress (OS). Since particulate matter (PM) airborne exposure may also contribute to ROS generation, it is unclear whether PM contributes more to OS than inflammatory cell activation. In our ASTHMA-FENOP study, which included 44 asthma patients and 37 matched controls, we aimed to characterize OS using five serum markers: total ROS content, protein carbonyl content, oxidized low-density lipoprotein (OxLDL), 8-hydroxydeoxyguanosine, and glutathione. Volunteers wore personal samplers for 24 h, collecting fine and coarse PM fractions separately, and the oxidative potential (OP) was determined using two methods. We observed differences between asthmatic and non-asthmatic volunteers in some OS markers, such as OxLDL, with an adjusted mean difference of 50,059.8 ng/mL (p < 0.001). However, we did not find an association between higher PM-OP and increased systemic OS. This suggests that at our PM-OP exposure levels, OS generated by the inflammatory cells themselves is more relevant than that generated by airborne PM. This supports the idea that asthma is a heterogeneous disease at the molecular level, mediated by inflammatory cell activation, and that OS may have potential clinical implications.
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Affiliation(s)
- Miguel Santibáñez
- Global Health Research Group, Departamento Enfermería, Faculty of Nursing, Universidad de Cantabria-IDIVAL, Avda. Valdecilla, s/n, 39008 Santander, Spain
- Centro de Investigación en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III (ISCIII), 08003 Barcelona, Spain; (A.N.-R.); (E.B.)
| | - Adriana Núñez-Robainas
- Centro de Investigación en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III (ISCIII), 08003 Barcelona, Spain; (A.N.-R.); (E.B.)
- Pulmonology Department-Muscle Wasting and Cachexia in Chronic Respiratory Diseases and Lung Cancer, IMIM-Hospital del Mar, Department of Medicine and Life Sciences (MELIS), Universitat Pompeu Fabra (UPF), Barcelona Biomedical Research Park (PRBB), 08003 Barcelona, Spain
| | - Esther Barreiro
- Centro de Investigación en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III (ISCIII), 08003 Barcelona, Spain; (A.N.-R.); (E.B.)
- Pulmonology Department-Muscle Wasting and Cachexia in Chronic Respiratory Diseases and Lung Cancer, IMIM-Hospital del Mar, Department of Medicine and Life Sciences (MELIS), Universitat Pompeu Fabra (UPF), Barcelona Biomedical Research Park (PRBB), 08003 Barcelona, Spain
| | - Andrea Expósito
- Departamento de Ingenierías Química y Biomolecular, Universidad de Cantabria, Avda. Los Castros, s/n, 39005 Santander, Spain; (A.E.); (I.F.-O.)
| | - Juan Agüero
- Division of Pneumology, Hospital Universitario Marqués de Valdecilla, IDIVAL, 39008 Santander, Spain; (J.A.); (J.L.G.-R.); (B.A.); (C.A.A.); (J.J.R.-C.); (J.M.C.)
| | - Juan Luis García-Rivero
- Division of Pneumology, Hospital Universitario Marqués de Valdecilla, IDIVAL, 39008 Santander, Spain; (J.A.); (J.L.G.-R.); (B.A.); (C.A.A.); (J.J.R.-C.); (J.M.C.)
| | - Beatriz Abascal
- Division of Pneumology, Hospital Universitario Marqués de Valdecilla, IDIVAL, 39008 Santander, Spain; (J.A.); (J.L.G.-R.); (B.A.); (C.A.A.); (J.J.R.-C.); (J.M.C.)
| | - Carlos Antonio Amado
- Division of Pneumology, Hospital Universitario Marqués de Valdecilla, IDIVAL, 39008 Santander, Spain; (J.A.); (J.L.G.-R.); (B.A.); (C.A.A.); (J.J.R.-C.); (J.M.C.)
| | - Juan José Ruiz-Cubillán
- Division of Pneumology, Hospital Universitario Marqués de Valdecilla, IDIVAL, 39008 Santander, Spain; (J.A.); (J.L.G.-R.); (B.A.); (C.A.A.); (J.J.R.-C.); (J.M.C.)
| | - Carmen Fernández-Sobaler
- Division of Biochemistry, Hospital Universitario Marqués de Valdecilla, IDIVAL, 39008 Santander, Spain; (C.F.-S.); (M.T.G.-U.)
| | - María Teresa García-Unzueta
- Division of Biochemistry, Hospital Universitario Marqués de Valdecilla, IDIVAL, 39008 Santander, Spain; (C.F.-S.); (M.T.G.-U.)
| | - José Manuel Cifrián
- Division of Pneumology, Hospital Universitario Marqués de Valdecilla, IDIVAL, 39008 Santander, Spain; (J.A.); (J.L.G.-R.); (B.A.); (C.A.A.); (J.J.R.-C.); (J.M.C.)
| | - Ignacio Fernandez-Olmo
- Departamento de Ingenierías Química y Biomolecular, Universidad de Cantabria, Avda. Los Castros, s/n, 39005 Santander, Spain; (A.E.); (I.F.-O.)
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Sauvain JJ, Hemmendinger M, Charreau T, Jouannique V, Debatisse A, Suárez G, Hopf NB, Guseva Canu I. Metal and oxidative potential exposure through particle inhalation and oxidative stress biomarkers: a 2-week pilot prospective study among Parisian subway workers. Int Arch Occup Environ Health 2024; 97:387-400. [PMID: 38504030 PMCID: PMC10999389 DOI: 10.1007/s00420-024-02054-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Accepted: 02/05/2024] [Indexed: 03/21/2024]
Abstract
OBJECTIVE In this pilot study on subway workers, we explored the relationships between particle exposure and oxidative stress biomarkers in exhaled breath condensate (EBC) and urine to identify the most relevant biomarkers for a large-scale study in this field. METHODS We constructed a comprehensive occupational exposure assessment among subway workers in three distinct jobs over 10 working days, measuring daily concentrations of particulate matter (PM), their metal content and oxidative potential (OP). Individual pre- and post-shift EBC and urine samples were collected daily. Three oxidative stress biomarkers were measured in these matrices: malondialdehyde (MDA), 8-hydroxy-2'deoxyguanosine (8-OHdG) and 8-isoprostane. The association between each effect biomarker and exposure variables was estimated by multivariable multilevel mixed-effect models with and without lag times. RESULTS The OP was positively associated with Fe and Mn, but not associated with any effect biomarkers. Concentration changes of effect biomarkers in EBC and urine were associated with transition metals in PM (Cu and Zn) and furthermore with specific metals in EBC (Ba, Co, Cr and Mn) and in urine (Ba, Cu, Co, Mo, Ni, Ti and Zn). The direction of these associations was both metal- and time-dependent. Associations between Cu or Zn and MDAEBC generally reached statistical significance after a delayed time of 12 or 24 h after exposure. Changes in metal concentrations in EBC and urine were associated with MDA and 8-OHdG concentrations the same day. CONCLUSION Associations between MDA in both EBC and urine gave opposite response for subway particles containing Zn versus Cu. This diverting Zn and Cu pattern was also observed for 8-OHdG and urinary concentrations of these two metals. Overall, MDA and 8-OHdG responses were sensitive for same-day metal exposures in both matrices. We recommend MDA and 8-OHdG in large field studies to account for oxidative stress originating from metals in inhaled particulate matter.
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Affiliation(s)
- Jean-Jacques Sauvain
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (Unisanté), University Lausanne, Route de la Corniche 2, 1066, Epalinges, Switzerland.
| | - Maud Hemmendinger
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (Unisanté), University Lausanne, Route de la Corniche 2, 1066, Epalinges, Switzerland
| | - Thomas Charreau
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (Unisanté), University Lausanne, Route de la Corniche 2, 1066, Epalinges, Switzerland
| | - Valérie Jouannique
- Service Santé-Travail, Régie autonome des transports parisiens (RATP), 88 Boulevard Sébastopol, 75003, Paris, France
| | - Amélie Debatisse
- Service Santé-Travail, Régie autonome des transports parisiens (RATP), 88 Boulevard Sébastopol, 75003, Paris, France
| | - Guillaume Suárez
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (Unisanté), University Lausanne, Route de la Corniche 2, 1066, Epalinges, Switzerland
| | - Nancy B Hopf
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (Unisanté), University Lausanne, Route de la Corniche 2, 1066, Epalinges, Switzerland
| | - Irina Guseva Canu
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (Unisanté), University Lausanne, Route de la Corniche 2, 1066, Epalinges, Switzerland
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Khademi N, Rajabi S, Fararouei M, Rafiee A, Azhdarpoor A, Hoseini M. Environmental exposure to organophosphate pesticides and effects on cognitive functions in elementary school children in a Middle Eastern area. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:111076-111091. [PMID: 37798522 DOI: 10.1007/s11356-023-30080-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Accepted: 09/21/2023] [Indexed: 10/07/2023]
Abstract
Although the fundamental reasons for cognitive function disorders have been well documented, little is known about the impact of environmental exposures, such as pesticides, on children's cognitive function development. This study investigated the effect of exposure to organophosphate pesticides on children's cognitive function. In order to determine various factors of exposure, hair samples were collected from 114 elementary school children who lived in Boyer-Ahmad County in the province of Kohgiluyeh and Boyer-Ahmad, Iran. A detailed questionnaire was utilized to gather demographic information and exposure profile. Pesticides were detected in hair samples using a gas chromatography-mass spectrometer (GC-MS); also, cognitive function was assessed using the trail-making test (TMT), which was divided into two parts: TMT-part A and TMT-part B. Participants in the study were 10.12 ± 1.440 years old on average. Children in rural areas had higher mean total pesticide concentrations (13.612 ± 22.01 ng/g) than those who lived in the urban areas (1.801 ± 1.32). The results revealed that boys (46.44 s and 92.37 s) completed the TMT-part A and part B tests in less time than girls (54.95 s and 109.82 s), respectively, and showed better performance (2.14) on the cognitive function exam than girls (2.07). Diazinon and TMT-part B were positively correlated (p < 0.05). With the increase in pesticides, there was no discernible difference in cognitive function. Pesticide use throughout a child's development may affect certain cognitive function indicators. In order to assess causal relationships, group studies and case studies are required because the current research was cross-sectional in nature.
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Affiliation(s)
- Nahid Khademi
- Department of Environmental Health Engineering, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Saeed Rajabi
- Department of Environmental Health Engineering, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Fararouei
- Department of Epidemiology, School of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Ata Rafiee
- Department of Medicine, University of Alberta, Edmonton, AB, Canada
| | - Abooalfazl Azhdarpoor
- Research Center for Health Sciences, Institute of Health, Department of Environmental Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Hoseini
- Research Center for Health Sciences, Institute of Health, Department of Environmental Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
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Pati SG, Panda F, Samanta L, Paital B. Spatio-temporal changes in oxidative stress physiology parameters in apple snail Pila globosa as a function of soil Mg, Ca, organic carbon and aquatic physico-chemical factors. ENVIRONMENTAL GEOCHEMISTRY AND HEALTH 2023; 45:2591-2610. [PMID: 36063241 DOI: 10.1007/s10653-022-01376-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 08/22/2022] [Indexed: 06/15/2023]
Abstract
Information on the oxidative stress physiology parameters (OSPP) in general and as a function of the fluctuation of Mg, Ca and organic carbon present in soil and aquatic physico-chemical factors such as pH, temperature and salinity in particular are scanty in the amphibious snail Pila globosa. A spatio-temporal analysis of redox metabolism (as OSPP) followed by discriminant function analysis of the obtained data were performed in P. globosa sampled from the east-coasts of Odisha state, India (mostly along the Bay of Bengal) for environmental health assessment purposes. Results revealed that the OSPP are susceptible to seasonal synergistic variation of soil and physico-chemical factors. Overall, lipid peroxidation, total antioxidant capacity, activities of catalase, glutathione reductase had positive correlation whereas ascorbic acid, the reduced glutathione and the activity of superoxide dismutase had non-significant correlation with the soil Mg, Ca, organic carbon, and pH, temperature and salinity of water. In the summer season, the snails had a marked 51.83% and 26.41% higher lipid peroxidation level and total antioxidative activity as compared to the other seasons. Spatial variation of OSPP indicates that snails residing away from the Bay of Bengal coast had at least 4.4% lower antioxidant level in winter and 30% higher lipid peroxide levels in summer as compared to the rest of the sampling sites. Results on OSPP in P. globosa may be useful for monitoring the ecotoxic effects of environment using molluscs in general and P. globosa in particular.
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Affiliation(s)
- Samar Gourav Pati
- Redox Regulation Laboratory, Department of Zoology, College of Basic Science and Humanities, Odisha University of Agriculture and Technology, Bhubaneswar, 751003, India
- Department of Zoology, School of Life Sciences, Ravenshaw University, Cuttack, 753003, India
| | - Falguni Panda
- Redox Regulation Laboratory, Department of Zoology, College of Basic Science and Humanities, Odisha University of Agriculture and Technology, Bhubaneswar, 751003, India
- Department of Zoology, School of Life Sciences, Ravenshaw University, Cuttack, 753003, India
| | - Luna Samanta
- Department of Zoology, School of Life Sciences, Ravenshaw University, Cuttack, 753003, India
| | - Biswaranjan Paital
- Redox Regulation Laboratory, Department of Zoology, College of Basic Science and Humanities, Odisha University of Agriculture and Technology, Bhubaneswar, 751003, India.
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Ruiz-Lara K, García-Medina S, Galar-Martínez M, Parra-Ortega I, Morales-Balcázar I, Hernández-Rosas NA, Moreno-Vázquez SE, Hernández-Díaz M, Cano-Viveros S, Olvera-Roldán EO, Gómez-Oliván LM, Gasca-Pérez E, García-Medina AL. The evaluation of liver dysfunction and oxidative stress due to urban environmental pollution in Mexican population related to Madin Dam, State of Mexico: a pilot study. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:6950-6964. [PMID: 36018407 PMCID: PMC9411834 DOI: 10.1007/s11356-022-22724-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Accepted: 08/22/2022] [Indexed: 06/15/2023]
Abstract
One of the most important causes of disease and premature death in the world is environmental pollution. The presence of pollutants in both water and air contributes to the deterioration of the health of human populations. The Mexico City Metropolitan Area is one of the most populous and affected by air pollution worldwide; in addition, in recent years there has been a growing demand for water, so urban reservoirs such as the Madin dam are vital to meet the demand. However, this reservoir is highly polluted due to the urban settlements around it. Therefore, the aim of the present study was to evaluate oxidative stress in clinically healthy subjects by means of the degree of lipoperoxidation, as well as the modification of serum enzyme levels, such as alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase and lactate dehydrogenase associated with air and drinking water pollutants from three zones of the Mexico City Metropolitan Area, two of them related to Madin Dam. This descriptive cross-sectional study was conducted between March 2019 and September 2021 in 142 healthy participants (age range 18-65 years). Healthy subjects were confirmed by their medical history. The results showed that chronic exposure to air (SO2) and water pollutants (Al and Fe) was significantly associated with elevated levels of lipoperoxidation. There was evidence that contamination from the Madín dam can generate oxidative stress and affect the health status of people who receive water from this reservoir or who consume fish that inhabit it.
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Affiliation(s)
- Karina Ruiz-Lara
- Laboratorio de Toxicología Acuática, Sección de Graduados E Investigación, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Plan de Ayala Y Carpio S/N, 11340, Mexico City, México
| | - Sandra García-Medina
- Laboratorio de Toxicología Acuática, Sección de Graduados E Investigación, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Plan de Ayala Y Carpio S/N, 11340, Mexico City, México.
| | - Marcela Galar-Martínez
- Laboratorio de Toxicología Acuática, Sección de Graduados E Investigación, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Plan de Ayala Y Carpio S/N, 11340, Mexico City, México
| | - Israel Parra-Ortega
- Laboratorio Clínico, Hospital Infantil de México "Federico Gómez", Doctor Márquez 162, Delegación Doctores, Cuauhtémoc, 06720, México City, México
| | - Israel Morales-Balcázar
- Laboratorio Clínico, Hospital Infantil de México "Federico Gómez", Doctor Márquez 162, Delegación Doctores, Cuauhtémoc, 06720, México City, México
| | - Nancy Aline Hernández-Rosas
- Universidad Tecnológica de México, S. C. Avenida Central 375, Ejidos Tulpetlac, 55107, Ecatepec de Morelos, México
| | - Sergio Esteban Moreno-Vázquez
- Laboratorio de Productos Naturales, Sección de Graduados E Investigación, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Plan de Ayala Y Carpio S/N, 11340, Mexico City, México
| | - Misael Hernández-Díaz
- Laboratorio de Toxicología Acuática, Sección de Graduados E Investigación, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Plan de Ayala Y Carpio S/N, 11340, Mexico City, México
| | - Selene Cano-Viveros
- Laboratorio de Toxicología Acuática, Sección de Graduados E Investigación, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Plan de Ayala Y Carpio S/N, 11340, Mexico City, México
| | - Eduardo Osel Olvera-Roldán
- Laboratorio de Toxicología Acuática, Sección de Graduados E Investigación, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Plan de Ayala Y Carpio S/N, 11340, Mexico City, México
| | - Leobardo Manuel Gómez-Oliván
- Laboratorio de Toxicología Ambiental, Facultad de Química, Universidad Autónoma del Estado de México, Paseo Colón Intersección Paseo Tollocan S/N. Col. Residencial Colón, 50120, Toluca, Mexico City, México
| | - Eloy Gasca-Pérez
- Laboratorio de Toxicología Acuática, Sección de Graduados E Investigación, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Plan de Ayala Y Carpio S/N, 11340, Mexico City, México
| | - Alba Lucero García-Medina
- Laboratorio de Toxicología Acuática, Sección de Graduados E Investigación, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Plan de Ayala Y Carpio S/N, 11340, Mexico City, México
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Essential Trace Elements in Scalp Hair of Residents across the Caspian Oil and Gas Region of Kazakhstan. TOXICS 2022; 10:toxics10070364. [PMID: 35878268 PMCID: PMC9317645 DOI: 10.3390/toxics10070364] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Revised: 06/23/2022] [Accepted: 06/28/2022] [Indexed: 02/04/2023]
Abstract
Most of the country’s oil and gas fields are situated in West Kazakhstan, mainly on the Caspian Sea coast, causing significant damage to the local environment and contributing to an imbalance in the trace element composition of the human body. The study is aimed to evaluate the relationship between the concentration of essential trace elements in scalp hair of the western Kazakhstan adult population and the remoteness of their residence from oil and gas fields. The concentration of essential trace elements (Co, Cu, Fe, I, Mn, Se, Zn) in the hair of 850 individuals aged 18−60 years was determined by inductively coupled plasma mass spectrometry. In residents of settlements located at a distance of >110 km from oil and gas fields, the concentration of Cu and I in hair was significantly higher than in those closer to 110 km (p < 0.001). The content of Cu and I were associated with the distance to oil and gas fields (0.072 (95% CI: 0.050; 0.094)) and (0.121 (95% CI: 0.058; 0.185)), respectively. We detected a significant imbalance in the distribution of some essential trace elements in residents’ scalp hair from the Caspian region of western Kazakhstan, living near oil and gas fields. The concentrations of Cu and I were significantly interrelated with the distance to oil and gas fields. The level of copper in the hair of both inhabitants of the area most remote from oil and gas facilities and the entire population of western Kazakhstan as a whole remains significantly low. The data obtained provide evidence of the possible impact of pollutants generated by the oil and gas facilities on a shortage of essential trace elements and associated subsequent health risks.
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Rafiee A, Delgado-Saborit JM, Sly PD, Amiri H, Mosalaei S, Hoseini M. Health consequences of disinfection against SARS-CoV-2: Exploring oxidative stress damage using a biomonitoring approach. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 814:152832. [PMID: 34986424 PMCID: PMC8720300 DOI: 10.1016/j.scitotenv.2021.152832] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Revised: 12/13/2021] [Accepted: 12/28/2021] [Indexed: 05/13/2023]
Abstract
Individuals who get involved in the disinfection of public settings using sodium hypochlorite might suffer adverse health effects. However, scarce information is available on the potential oxidative stress damage caused at low concentrations typically used for disinfection. We aimed to assess whether exposure to sodium hypochlorite during the COVID-19 pandemic causes oxidative stress damage in workers engaged in disinfection tasks. 75 operators engaged in the disinfection of public places were recruited as the case group, and 60 individuals who were not exposed to disinfectant were chosen as the control group. Spot urine samples were collected before (BE) and after exposure (AE) to disinfectants in the case group. Likewise, controls provided two spot urine samples in the same way as the case group. Urinary malondialdehyde (MDA) levels were quantified by forming thiobarbituric acid reactive substances in the urine. In addition, the concentration of 8-hydroxy-2'-deoxyguanosine (8-OHdG) in the urine was determined using an ELISA kit. Results showed significant differences in the urinary levels of oxidative stress markers, where median 8-OHdG (AE case: 3.84 ± 2.89 μg/g creatinine vs AE control 2.54 ± 1.21 μg/g creatinine) and MDA (AE case: 169 ± 89 μg/g creatinine vs AE control 121 ± 47 μg/g creatinine) levels in case group AE samples were 1.55 and 1.35-times higher than the control group AE samples (P < 0.05), respectively. Besides, urinary levels of oxidative stress markers in AE samples of the case group were significantly higher than in BE samples (8-OHdG BE 3.40 ± 1.95 μg/g creatinine, MDA BE 136 ± 51.3 μg/g creatinine, P < 0.05). Our results indicated that exposure to even low levels of sodium hypochlorite used in disinfection practices might cause oxidative stress related damage. With this in mind, implementing robust protective measures, such as specific respirators, is crucial to reduce the health burdens of exposure to disinfectants.
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Affiliation(s)
- Ata Rafiee
- Department of Medicine, University of Alberta, Edmonton, AB, Canada.
| | - Juana Maria Delgado-Saborit
- Universitat Jaume I, Perinatal Epidemiology, Environmental Health and Clinical Research, School of Medicine, Castellon, Spain; ISGlobal Barcelona Institute for Global Health, Barcelona Biomedical Research Park, Barcelona, Spain; Environmental Research Group, MRC Centre for Environment and Health, Imperial College London, United Kingdom; Division of Environmental Health & Risk Management, School of Geography, Earth & Environmental Sciences, University of Birmingham, Birmingham, United Kingdom
| | - Peter D Sly
- Children's Health and Environment Program, Child Health Research Center, The University of Queensland, South Brisbane, Australia
| | - Hoda Amiri
- Environmental Health Engineering Research Center, Kerman University of Medical Sciences, Kerman, Iran; Department of Environmental Health Engineering, Faculty of Public Health, Kerman University of Medical Sciences, Kerman, Iran.
| | - Shamim Mosalaei
- Department of Environmental Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Hoseini
- Research Center for Health Sciences, Institute of Health, Department of Environmental Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
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