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Figueiredo D, Vicente ED, Gonçalves C, Lopes I, Alves CA, Oliveira H. PM 10 exposure in beauty salons: impact on A549 cell viability, cell cycle, oxidative stress, and mutagenicity. ENVIRONMENTAL TOXICOLOGY AND PHARMACOLOGY 2025; 116:104683. [PMID: 40158786 DOI: 10.1016/j.etap.2025.104683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/13/2024] [Revised: 03/24/2025] [Accepted: 03/25/2025] [Indexed: 04/02/2025]
Abstract
Beauty salons are unique indoor environments where elevated PM10 levels may arise from frequent use of personal care and cosmetic products, potentially exposing salon workers and clients to harmful chemicals. This study aimed to assess the biological effects of PM10 collected indoors and outdoors of a beauty salon, as well as the mutagenic potential of PM10-bound polycyclic aromatic hydrocarbons (PAHs). Using the MTT test, a dose-dependent decrease in cell viability was observed in human alveolar adenocarcinoma cells (A549) exposed to PM10, with indoor samples causing more pronounced effects than outdoor and background air. Indoor PM10 exposure also increased intracellular reactive oxygen species (ROS) and caused an arrest in the G1 phase of cell cycle. These biological responses were correlated with the concentrations of various compounds, including organic carbon (OC), aliphatic carboxylic acids, dicarboxylic acids, and alkyl esters of fatty acids. No mutagenic effects were observed for all PAH samples tested using the Salmonella typhimurium strain TA98. The findings suggest that beauty salons might have elevated levels of PM10, capable of inducing cytotoxic and oxidative stress-related effects and cell cycle disruption. Although no mutagenic activity was detected, the presence of harmful chemicals highlights potential health risks for workers and clients.
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Affiliation(s)
- Daniela Figueiredo
- Department of Biology, Centre for Environmental and Marine Studies, University of Aveiro, Aveiro 3810-193, Portugal; Department of Environment and Planning, Centre for Environmental and Marine Studies, University of Aveiro, Aveiro 3810-193, Portugal.
| | - Estela D Vicente
- Department of Environment and Planning, Centre for Environmental and Marine Studies, University of Aveiro, Aveiro 3810-193, Portugal
| | - Cátia Gonçalves
- Department of Environment and Planning, Centre for Environmental and Marine Studies, University of Aveiro, Aveiro 3810-193, Portugal
| | - Isabel Lopes
- Department of Biology, Centre for Environmental and Marine Studies, University of Aveiro, Aveiro 3810-193, Portugal
| | - Célia A Alves
- Department of Environment and Planning, Centre for Environmental and Marine Studies, University of Aveiro, Aveiro 3810-193, Portugal
| | - Helena Oliveira
- Department of Biology, Centre for Environmental and Marine Studies, University of Aveiro, Aveiro 3810-193, Portugal
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Liao Q, Huang L, Cai F, Luo W, Li M, Yang J, Tang B, Xiao X, Yan X, Zheng J. Metabolomics perspectives into the co-exposure effect of polycyclic aromatic hydrocarbons and metals on renal function: A meet-in-the-middle approach. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 921:170975. [PMID: 38360308 DOI: 10.1016/j.scitotenv.2024.170975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 01/01/2024] [Accepted: 02/12/2024] [Indexed: 02/17/2024]
Abstract
Studies on the dose effects of kidney impairment and metabolomes in co-exposure to polycyclic aromatic hydrocarbons (PAHs) and metals are limited. We aimed to identify overall associations and metabolic perturbations in 130 participants (53 petrochemical workers and 77 controls) exposed to a PAHs-metals mixture in Southern China. The urinary 7 hydroxylated PAHs and 15 metal(loid)s were determined, and serum creatinine, beta-2 microglobulin, and estimated glomerular filtration rate were health outcomes. The liquid chromatography-mass spectrometry-based method was applied to serum metabolomics. Generalized weighted quantile sum (gWQS) regressions were used to estimate the overall dose-response relationships, and pathway analysis, "meet-in-the-middle" approach, and mediation effect analyses were conducted to identify potential metabolites and biological mechanisms linking exposure with nephrotoxic effects. Our results indicated that renal function reduction was associated with a PAHs-metals mixture in a dose-dependent manner, and 1-hydroxynaphthalene and copper were the most predominant contributors among the two families of pollutants. Furthermore, the metabolic disruptions associated with the early onset of kidney impairment induced by the combination of PAHs and metals encompassed pathways such as phenylalanine-tyrosine-tryptophan biosynthesis, phenylalanine metabolism, and alpha-linolenic acid metabolism. In addition, the specifically identified metabolites demonstrated excellent potential as bridging biomarkers connecting the reduction in renal function with the mixture of PAHs and metals. These findings shed light on understanding the overall associations and metabolic mechanism of nephrotoxic effects of co-exposure to PAHs and metals.
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Affiliation(s)
- Qilong Liao
- State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou 510655, PR China; Guangdong-Hong Kong-Macao Joint Laboratory for Environmental Pollution and Control, Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, Guangzhou 510640, PR China
| | - Lulu Huang
- State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou 510655, PR China; The Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, School of Public Health, Guizhou Medical University, Guiyang 550025, PR China
| | - Fengshan Cai
- State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou 510655, PR China; State Key Laboratory of Organic Geochemistry, Guangdong Key Laboratory of Environmental Resources Utilization and Protection, Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, Guangzhou 510640, PR China
| | - Weikeng Luo
- State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou 510655, PR China.
| | - Min Li
- State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou 510655, PR China
| | - Juanjuan Yang
- State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou 510655, PR China; The Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, School of Public Health, Guizhou Medical University, Guiyang 550025, PR China
| | - Bin Tang
- State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou 510655, PR China; State Key Laboratory of Organic Geochemistry, Guangdong Key Laboratory of Environmental Resources Utilization and Protection, Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, Guangzhou 510640, PR China
| | - Xinyi Xiao
- State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou 510655, PR China; Department of Environmental and Occupational Health, School of Public Health, China Medical University, Shenyang 110122, PR China
| | - Xiao Yan
- State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou 510655, PR China.
| | - Jing Zheng
- State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou 510655, PR China; The Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, School of Public Health, Guizhou Medical University, Guiyang 550025, PR China
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Vieira GDF, Barbosa Segundo ID, Souza DFS, Gondim AD, Cavalcanti LN, Dos Santos EV, Martínez-Huitle CA. Sulphate-based electrochemical processes as an alternative for the remediation of a beauty salon effluent ‡. CHEMOSPHERE 2024; 349:140834. [PMID: 38042421 DOI: 10.1016/j.chemosphere.2023.140834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 11/20/2023] [Accepted: 11/26/2023] [Indexed: 12/04/2023]
Abstract
Beauty salons (BS) are places that deal with a wide range of cosmetics with potentially hazardous chemicals, and their effluent should be properly treated before going to the sewage system, once it represents characteristics of industrial wastewater. This work provides an extensive characterization of a BS effluent and its respective electrochemical treatment by comparing NaCl, Na2SO4, and Na2S2O8 as supporting electrolytes with a boron-doped diamond (BDD) as anode, applying 10 or 30 mA cm-2 of current density (j). The inclusion of UVC irradiation was also performed but the improvements achieved in removing the organic matter were null or lower. The analysis of chemical oxygen demand (COD) removal, energy consumption, and total current efficiency (TCE) was required to prove the efficacy of the processes and the comparative study of the performance of different technologies. Precipitate analysis was also done due to the high turbidity of the raw effluent and the appearance of a precipitate before and during the electrolysis, mainly with Na2S2O8. The precipitate confirmed the presence of silicates and small amounts of heavy metals. The results clearly showed that 6 h of treatment with Na2SO4 achieved 58% of COD removal with an energy consumption of about 0.52 kWh m-3, being the best electrolyte option for treating BS effluent by applying 10 mA cm-2. Under these experimental conditions, the final wastewater can be directly discharged into the sewage system with a lower amount of visible precipitate, and with 73% less turbidity. The treatment here proposed can be used as an alternative to decision-makers and governments once it can be a step further in the implementation of better and advanced politics of water sanitation.
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Affiliation(s)
- Gleilson de França Vieira
- Renewable Energies and Environmental Sustainability Research Group, Institute of Chemistry, Federal University of Rio Grande do Norte, Campus Universitário, Av. Salgado Filho 3000, Lagoa Nova, CEP, 59078-970, Natal, Rio Grande do Norte, Brazil
| | - Inalmar D Barbosa Segundo
- Renewable Energies and Environmental Sustainability Research Group, Institute of Chemistry, Federal University of Rio Grande do Norte, Campus Universitário, Av. Salgado Filho 3000, Lagoa Nova, CEP, 59078-970, Natal, Rio Grande do Norte, Brazil.
| | - Domingos F S Souza
- Chemical Engineering Department, Federal University of Rio Grande do Norte, Campus Universitário, Av. Salgado Filho 3000, Lagoa Nova, CEP, 59078-970, Natal, Rio Grande do Norte, Brazil
| | - Amanda D Gondim
- Renewable Energies and Environmental Sustainability Research Group, Institute of Chemistry, Federal University of Rio Grande do Norte, Campus Universitário, Av. Salgado Filho 3000, Lagoa Nova, CEP, 59078-970, Natal, Rio Grande do Norte, Brazil
| | - Lívia N Cavalcanti
- Renewable Energies and Environmental Sustainability Research Group, Institute of Chemistry, Federal University of Rio Grande do Norte, Campus Universitário, Av. Salgado Filho 3000, Lagoa Nova, CEP, 59078-970, Natal, Rio Grande do Norte, Brazil
| | - Elisama V Dos Santos
- Renewable Energies and Environmental Sustainability Research Group, Institute of Chemistry, Federal University of Rio Grande do Norte, Campus Universitário, Av. Salgado Filho 3000, Lagoa Nova, CEP, 59078-970, Natal, Rio Grande do Norte, Brazil; National Institute for Alternative Technologies of Detection, Toxicological Evaluation and Removal of Micropollutants and Radioactives (INCT-DATREM), Institute of Chemistry, UNESP, P.O. Box 355, 14800 900 Araraquara, SP, Brazil
| | - Carlos A Martínez-Huitle
- Renewable Energies and Environmental Sustainability Research Group, Institute of Chemistry, Federal University of Rio Grande do Norte, Campus Universitário, Av. Salgado Filho 3000, Lagoa Nova, CEP, 59078-970, Natal, Rio Grande do Norte, Brazil; National Institute for Alternative Technologies of Detection, Toxicological Evaluation and Removal of Micropollutants and Radioactives (INCT-DATREM), Institute of Chemistry, UNESP, P.O. Box 355, 14800 900 Araraquara, SP, Brazil.
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Murcia-Morales M, Tzanetou EN, García-Gallego G, Kasiotis KM, Vejsnaes F, Brodschneider R, Hatjina F, Machera K, Van der Steen JJ. Environmental assessment of PAHs through honey bee colonies - A matrix selection study. Heliyon 2024; 10:e23564. [PMID: 38187233 PMCID: PMC10770451 DOI: 10.1016/j.heliyon.2023.e23564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 11/12/2023] [Accepted: 12/06/2023] [Indexed: 01/09/2024] Open
Abstract
The steady conditions of temperature, humidity and air flux within beehives make them a valuable location for conducting environmental monitoring of pollutants such as PAHs. In this context, the selection of an appropriate apicultural matrix plays a key role in these monitoring studies, as it maximizes the information that will be obtained in the analyses while minimizing the inaccurate results. In the present study, three apicultural matrices (honey bees, pollen and propolis) and two passive samplers (APIStrips and silicone wristbands) are compared in terms of the number and total load of PAHs detected in them. Samplings took place in a total of 11 apiaries scattered in Austria, Denmark, and Greece, with analyses performed by GC-MS/MS. Up to 14 different PAHs were identified in silicone wristbands and pollen, whereas the remaining matrices contained a maximum of five contaminants. Naphthalene, 1-methylnaphthalene, 2-methylnaphthalene, and pyrene were found to be the most prevalent substances in the environment. Recovery studies were also performed; these suggested that the chemical structure of APIStrips is likely to produce very strong interactions with PAHs, thus hindering the adequate desorption of these substances from their surface. Overall, silicone wristbands placed inside the beehives proved the most suitable matrix for PAH monitoring through honey bee colonies.
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Affiliation(s)
- María Murcia-Morales
- Chemistry and Physics Department, University of Almeria, Agrifood Campus of International Excellence (ceiA3), 04120 Almería, Spain
| | - Evangelia N. Tzanetou
- Laboratory of Chemical Control of Pesticides, Department of Pesticides Control and Phytopharmacy, Benaki Phytopathological Institute, 145 61 Kifissia, Greece
| | - Guillermo García-Gallego
- Chemistry and Physics Department, University of Almeria, Agrifood Campus of International Excellence (ceiA3), 04120 Almería, Spain
| | - Konstantinos M. Kasiotis
- Laboratory of Pesticides' Toxicology, Department of Pesticides Control and Phytopharmacy, Benaki Phytopathological Institute, 145 61 Kifissia, Greece
| | | | - Robert Brodschneider
- Institute of Biology, University of Graz, Universitätsplatz 2, 8010 Graz, Austria
| | - Fani Hatjina
- Department of Apiculture, Institute of Animal Science, Ellinikos Georgikos Organismos ‘DIMITRA’, Nea Moudania GR-63200, Greece
| | - Kyriaki Machera
- Laboratory of Pesticides' Toxicology, Department of Pesticides Control and Phytopharmacy, Benaki Phytopathological Institute, 145 61 Kifissia, Greece
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Onyango PO. The cost of beauty: Perspectives of salon workers in Kisumu City, Kenya. PLOS GLOBAL PUBLIC HEALTH 2023; 3:e0002503. [PMID: 37930951 PMCID: PMC10627437 DOI: 10.1371/journal.pgph.0002503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 09/26/2023] [Indexed: 11/08/2023]
Abstract
Despite occupational exposure to hazardous chemicals in cosmetics and personal care products (PCPs), salon workers receive minimal formal protections. Consequently, most salon workers rely on personal safeguards. However, the nature of such individual-level safeguards remains unknown. Knowledge of risks associated with occupational use of cosmetics and PCPs and information needs of salon workers were investigated in Kisumu City, Kenya. Responses from 302 respondents showed that 84% were women and 30% had post-secondary education. Seventy percent reported knowing that ingestion, inhalation, dermal absorption, and injection are the pathways through which harmful products in cosmetics and PCPs may enter the body. Salon workers who had been employed for more than 5 years were at least twice more likely to report that it is not the case that cosmetics and PCPs only cause harm to children (5-10 years vs 1 year: OR = 2.440, 95% CI, 1.160-5.239; >10 years vs 1 year: OR = 8.857, 95% CI, 3.163-29.377); they were about three times more likely to either agree with the statement that cosmetics and PCPs only cause harm under prolonged exposure or to say that they did not know compared to their counterparts who had worked in the industry for 1 year (5-10 years vs 1 year: OR = 2.750, 95% CI, 1.144-7.179; >10 years vs 1 year: 3.179, 95% CI, 1.173-9.096). Over 50% of the respondents reported that they need information on how to protect themselves and others; on available protective measures; and on cosmetic products and PCPs that are safe. Sixty percent reported that they would prefer to get such information from the Ministry of Health at the county or national level and on product inserts. Overall, salon workers in Kisumu City are knowledgeable about the risks associated with their occupation but also appreciate gaps in their knowledge, which can be filled by government-mandated interventions.
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Jiang G, Song X, Xie J, Shi T, Yang Q. Polycyclic aromatic hydrocarbons (PAHs) in ambient air of Guangzhou city: Exposure levels, health effects and cytotoxicity. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2023; 262:115308. [PMID: 37544068 DOI: 10.1016/j.ecoenv.2023.115308] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Revised: 07/10/2023] [Accepted: 07/24/2023] [Indexed: 08/08/2023]
Abstract
Polycyclic aromatic hydrocarbons (PAHs) in PM2.5 pose potentially serious threats to human health. In this study, the distribution characteristics of 16 priority controlled, fine PM (PM2.5)-bound PAHs in the ambient air of Guangzhou city were analysed from 2016 to 2019. Four high-molecular-weight PAHs with the highest annual average concentrations were benzo[ghi]perylene (BghiP; 0.757 ng/m3), indeno(1,2,3-cd)pyrene (IcdP; 0.627 ng/m3), benzo[b]fluoranthene (BbF, 0.519 ng/m3) and 3,4-benzopyrene (BaP; 0.426 ng/m3). Increasing concentrations of BghiP, IcdP, BbF and BaP were associated with increasing numbers of outpatient visits for respiratory diseases, indicating that exposure to these PAHs potentially causes acute respiratory injury in residents. Acute exposure of the human bronchial epithelial cell line BEAS-2B cells to BghiP, IcdP, BbF and BaP in vitro resulted in acute inflammation, DNA damage and apoptosis. Further bioinformatic analysis indicated that nuclear receptor subfamily 1 group D member 1 (NR1D1) may be a key target gene involved in mediating the toxic effects of BghiP. Collectively, our results suggest that BghiP and the other PAHs represented by it can damage the respiratory system and induce lung cancer. This study provides valuable evidence regarding the potential health risks posed by local ambient PAHs pollution.
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Affiliation(s)
- Guanqing Jiang
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou 511436, PR China
| | - Xu Song
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou 511436, PR China
| | - Jiaying Xie
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou 511436, PR China
| | - Tongxing Shi
- Guangzhou Center for Disease Control and Prevention, No. 1 Qide Road, Baiyun District, Guangzhou 510440, PR China
| | - Qiaoyuan Yang
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou 511436, PR China.
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Mahmoodi M, Arfaeinia H, Fazlzadeh M, Soleimani F, Samaei MR, Arfaeinia L, Hosseini SF, Omidvar M, Baghmollaie MM. Urinary levels of potentially toxic elements (PTEs) in female beauticians and their association with urinary biomarkers of oxidative stress/inflammation and kidney injury. THE SCIENCE OF THE TOTAL ENVIRONMENT 2023; 878:163099. [PMID: 36996979 DOI: 10.1016/j.scitotenv.2023.163099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 03/21/2023] [Accepted: 03/23/2023] [Indexed: 05/13/2023]
Abstract
The present research was aimed to assess the urinary levels of potentially toxic elements (PTEs) in female beauticians and its correlation with oxidative stress/inflammation and kidney injury. To this end, the urine samples were collected from 50 female beauticians from beauty salons (exposed group) and 35 housewives (control group), and then, the level of PTEs was determined. The mean levels of the sum of urinary PTEs (∑PTEs) biomarkers in before and after exposure and control group were 83.55, 114.27 and 13.61 μg/L, respectively. Results also showed that the urinary level of PTEs biomarkers is significantly higher in women occupationally exposed to cosmetics compared to control group. The urinary levels of arsenic (As), cadmium (Cd), lead (Pb), and chromium (Cr) biomarkers have high correlation coefficients with early oxidative stress effects such as 8-Hydroxyguanosine (8-OHdG), 8-isoprostane and Malondialdehyde (MDA). Moreover, As and Cd biomarker levels were positively and significantly associated with kidney damages such as urinary kidney injury molecule-1 (uKIM-1) and tissue inhibitor matrix metalloproteinase 1 (uTIMP-1) (P < 0.01). Therefore, women who working in beauty salons can probably be categorized as high - exposure and high-risk workers in terms of DNA oxidative and kidney damages.
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Affiliation(s)
- Marzieh Mahmoodi
- Department of Biostatistics and Epidemiology, School of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Hossein Arfaeinia
- Department of Environmental Health Engineering, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran.
| | - Mehdi Fazlzadeh
- Department of Environmental Health Engineering, Faculty of Health, Ardabil University of Medical Sciences, Ardabil, Iran.
| | - Farshid Soleimani
- Department of Environmental Health Engineering, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran; Department of Environmental Health Engineering, Faculty of Health, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Mohammad Reza Samaei
- Research Center for Health Sciences, Institute of Health, Department of Environmental Health Engineering, School of Health, Shiraz University of Medical Science, Shiraz, Iran
| | - Leila Arfaeinia
- Department of Natural Resources, Faculty of Engineering, Islamic Azad University-Bushehr Branch, Bushehr, Iran
| | - Seyedeh Fatemeh Hosseini
- Health and treatment network of Dashtestan City, Vice-Chancellery of Health, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Mohsen Omidvar
- Department of Health, Safety, and Environment (HSE), Faculty of HSEEM, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Masoud Mohamadi Baghmollaie
- Department of Public Health, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran
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