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Ladeira C, Møller P, Giovannelli L, Gajski G, Haveric A, Bankoglu EE, Azqueta A, Gerić M, Stopper H, Cabêda J, Tonin FS, Collins A. The Comet Assay as a Tool in Human Biomonitoring Studies of Environmental and Occupational Exposure to Chemicals-A Systematic Scoping Review. TOXICS 2024; 12:270. [PMID: 38668493 PMCID: PMC11054096 DOI: 10.3390/toxics12040270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2024] [Revised: 03/31/2024] [Accepted: 04/02/2024] [Indexed: 04/29/2024]
Abstract
Biomonitoring of human populations exposed to chemical substances that can act as potential mutagens or carcinogens, may enable the detection of damage and early disease prevention. In recent years, the comet assay has become an important tool for assessing DNA damage, both in environmental and occupational exposure contexts. To evidence the role of the comet assay in human biomonitoring, we have analysed original research studies of environmental or occupational exposure that used the comet assay in their assessments, following the PRISMA-ScR method (preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews). Groups of chemicals were designated according to a broad classification, and the results obtained from over 300 original studies (n = 123 on air pollutants, n = 14 on anaesthetics, n = 18 on antineoplastic drugs, n = 57 on heavy metals, n = 59 on pesticides, and n = 49 on solvents) showed overall higher values of DNA strand breaks in the exposed subjects in comparison with the unexposed. In summary, our systematic scoping review strengthens the relevance of the use of the comet assay in assessing DNA damage in human biomonitoring studies.
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Affiliation(s)
- Carina Ladeira
- H&TRC-Health & Technology Research Center, ESTeSL-Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa, 1990-096 Lisbon, Portugal
- NOVA National School of Public Health, Public Health Research Centre, Universidade NOVA de Lisboa, 1600-560 Lisbon, Portugal
| | - Peter Møller
- Department of Public Health, Section of Environmental Health, University of Copenhagen, 1172 Copenhagen, Denmark;
| | - Lisa Giovannelli
- Department NEUROFARBA, Section Pharmacology and Toxicology, University of Florence, 50121 Florence, Italy;
| | - Goran Gajski
- Division of Toxicology, Institute for Medical Research and Occupational Health, 10000 Zagreb, Croatia; (G.G.); (M.G.)
| | - Anja Haveric
- Institute for Genetic Engineering and Biotechnology, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina;
| | - Ezgi Eyluel Bankoglu
- Institute of Pharmacology and Toxicology, University of Würzburg, 97078 Würzburg, Germany; (E.E.B.); (H.S.)
| | - Amaya Azqueta
- Department of Pharmaceutical Sciences, School of Pharmacy and Nutrition, University of Navarra, 31009 Pamplona, Spain;
| | - Marko Gerić
- Division of Toxicology, Institute for Medical Research and Occupational Health, 10000 Zagreb, Croatia; (G.G.); (M.G.)
| | - Helga Stopper
- Institute of Pharmacology and Toxicology, University of Würzburg, 97078 Würzburg, Germany; (E.E.B.); (H.S.)
| | - José Cabêda
- Guarda Nacional Republicana, Destacamento Territorial de Vila Franca de Xira, Núcleo de Proteção Ambiental, 1500-124 Lisbon, Portugal;
| | - Fernanda S. Tonin
- Pharmaceutical Care Research Group, Universidad de Granada, 18012 Granada, Spain;
| | - Andrew Collins
- Department of Nutrition, University of Oslo, 0316 Oslo, Norway;
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Ahmed GY, Osman AA, Mukhtar A. Acetylcholinesterase enzyme among cancer patients a potential diagnostic and prognostic indicator a multicenter case-control study. Sci Rep 2024; 14:5127. [PMID: 38429330 PMCID: PMC10907625 DOI: 10.1038/s41598-024-55604-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Accepted: 02/26/2024] [Indexed: 03/03/2024] Open
Abstract
Acetylcholinesterase enzyme (AChE) activity is impaired by a variety of inhibitors including organophosphorus pesticides, leading to the accumulation of acetylcholine. In this study, we aimed to determine the association between cancer and the blood level of the (AChE). This is a multicenter hospital-based case-control study conducted in the Radiation and Isotopes Center Khartoum, and Institute of Nuclear Medicine and Molecular Biology and Oncology Gezira. One hundred and fifty participants, half of them cancer patients and half cancer free were recruited. All participants were screened for demographic, environmental, occupational, and clinical characteristics. Blood for the (AChE) activity test was drawn from participants in the two groups. The mean age of the participants was 40.6 ± 14.8 years. Geographical distribution showed the Central Region of Sudan had the highest rate of cancer, followed by North State, Khartoum State, West State, and East State. The most common tumor subtype was breast cancer, followed by leukemia, colon, esophageal, and prostate cancer. Inferential analysis revealed significantly impaired (AChE) activity among cancer patients compared to controls (53.4 ± 20.3% vs. 93.8 ± 8.8, p-value 0.001). There was a significant statistical association between impaired (AChE) activity and cancer. (AChE) activity might be applied in the future as a diagnostic biomarker and therapeutic target. Further large sample and molecular studies are recommended.
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Affiliation(s)
- Gasmelseed Y Ahmed
- Columbia University Hospital, New York, NY, USA
- Faculty of Medicine, and Health Sciences, Managil University for Sciences & Technology, Managil, Sudan
| | | | - Ahlam Mukhtar
- Stack Laboratory, Federal Ministry of Health, Khartoum, Sudan
- Radiation and Isotopes Center Khartoum, Federal Ministry of Health, Khartoum, Sudan
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Nascimento FDA, Silva DDME, Pedroso TMA, Ramos JSA, Parise MR. Farmers exposed to pesticides have almost five times more DNA damage: a meta-analysis study. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:805-816. [PMID: 34342827 DOI: 10.1007/s11356-021-15573-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 07/15/2021] [Indexed: 06/13/2023]
Abstract
We carried out a meta-analytical review of possible DNA damage resulting from occupational exposure to pesticides in farmers in the scientific literature. After the search, screening, and eligibility criteria steps, we included 42 studies to analyze random effect calculation. DNA damage in farmers occupationally exposed to pesticides represents an effect of SMD 4.63 [CI 95% 3.94-5.32; p <0.001]. We observed a high heterogeneity rate between the studies and an asymmetry of the bias analysis results. We performed a meta-regression on the parameters. The Olive Tail Moment (OTM) was the most effective comet assay parameter in the evaluated studies. The Damage Index (DI) was more conservative and highlighted the variability between studies caused by distinct methodologies that showed more significant effects and greater deviations. An analysis of confounding factors demonstrated a slight DNA damage in smokers who were occupationally exposed to pesticides compared to nonsmokers, indicating genotoxicity but smaller than the pesticide effect. The present study shows the greater risk that occupationally exposed rural workers have of developing related diseases due to pesticides' genotoxic effect.
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Affiliation(s)
- Felipe de Araújo Nascimento
- Mutagenesis Laboratory, Department of Genetics, Institute of Biological Sciences, Postgraduate Program in Genetics and Molecular Biology, Federal University of Goiás, ICB I-Room 218/228, Campus Universitário, CEP, Goiânia, GO, 74690-900, Brazil.
| | - Daniela de Melo E Silva
- Mutagenesis Laboratory, Department of Genetics, Institute of Biological Sciences, Postgraduate Program in Genetics and Molecular Biology, Federal University of Goiás, ICB I-Room 218/228, Campus Universitário, CEP, Goiânia, GO, 74690-900, Brazil
| | - Thays Millena Alves Pedroso
- Mutagenesis Laboratory, Department of Genetics, Institute of Biological Sciences, Postgraduate Program in Genetics and Molecular Biology, Federal University of Goiás, ICB I-Room 218/228, Campus Universitário, CEP, Goiânia, GO, 74690-900, Brazil
| | - Jheneffer Sonara Aguiar Ramos
- Mutagenesis Laboratory, Department of Genetics, Institute of Biological Sciences, Postgraduate Program in Genetics and Molecular Biology, Federal University of Goiás, ICB I-Room 218/228, Campus Universitário, CEP, Goiânia, GO, 74690-900, Brazil
| | - Michelle Rocha Parise
- Mutagenesis Laboratory, Department of Genetics, Institute of Biological Sciences, Postgraduate Program in Genetics and Molecular Biology, Federal University of Goiás, ICB I-Room 218/228, Campus Universitário, CEP, Goiânia, GO, 74690-900, Brazil
- Department of Pharmacology, Graduate Program in Genetics and Molecular Biology, Federal University of Jataí, Jataí, GO, Brazil
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Kapeleka JA, Sauli E, Ndakidemi PA. Pesticide exposure and genotoxic effects as measured by DNA damage and human monitoring biomarkers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2021; 31:805-822. [PMID: 31736325 DOI: 10.1080/09603123.2019.1690132] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Accepted: 11/04/2019] [Indexed: 06/10/2023]
Abstract
Occupational pesticides exposure rises health concern due to genotoxicity and accumulation of pesticides in human biological matrices. Continuous and sublethal exposure to pesticides had been associated with oxidative stress, mutagenic and cell death. Exposure to pesticides exhibits increased level of DNA damage even if no detectable amounts of pesticides are seen in biological matrices by binding specific areas in the DNA. This interferes normal body systems and mutation in gene encoding specific activities which may lead to a wide range of cancer. Presence of pesticides compounds in human biological matrices had been evident from various studies. However, detection methods are complex and inconsistent, making it difficult to compare and generalize findings. This article provides insight into genotoxic effects, presence of pesticides and their metabolites in human biological matrices and the resultant health effects as measured by DNA damage, acetylcholinesterase (AChE) activity inhibition and other biomarkers of pesticides exposure.
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Affiliation(s)
- Jones A Kapeleka
- The Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania
- Tropical Pesticides Research Institute (TPRI)
| | - Elingarami Sauli
- The Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania
| | - Patrick A Ndakidemi
- The Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania
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Stanic B, Petrovic J, Basica B, Kaisarevic S, Schirmer K, Andric N. Characterization of the ERK1/2 phosphorylation profile in human and fish liver cells upon exposure to chemicals of environmental concern. ENVIRONMENTAL TOXICOLOGY AND PHARMACOLOGY 2021; 88:103749. [PMID: 34547448 DOI: 10.1016/j.etap.2021.103749] [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: 07/27/2021] [Revised: 09/13/2021] [Accepted: 09/16/2021] [Indexed: 06/13/2023]
Abstract
We developed phospho-ERK1/2 ELISA for human and rainbow trout liver cells, employing HepG2 and RTL-W1 cell lines as models. The assay was applied to detect changes in ERK1/2 activity for nine chemicals, added over a wide concentration range and time points. Cell viability was measured to separate ERK1/2 regulation from cytotoxicity. Perfluorooctane sulfonate and carbendazim did not change ERK1/2 activity; influence on ERK1/2 due to cytotoxicity was indicated for tributyltin and cypermethrin. Mancozeb, benzo[a]pyrene, and bisphenol A stimulated ERK1/2 up to ∼2- (HepG2) and 1.5 (RTL-W1)-fold, though the kinetics differed between chemicals and cell lines. Bisphenol A and benzo[a]pyrene were the most potent concentration-wise, altering ERK1/2 activity in pM (HepG2) to nM (RTL-W1) range. While atrazine and ibuprofen increased ERK1/2 activity by ∼2-fold in HepG2, they did not initiate an appreciable response in RTL-W1. This assay proved to be a sensitive, medium- to high-throughput tool for detecting unrecognized ERK1/2-disrupting chemicals.
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Affiliation(s)
- Bojana Stanic
- University of Novi Sad, Faculty of Sciences, Department of Biology and Ecology, Serbia
| | - Jelena Petrovic
- University of Novi Sad, Faculty of Sciences, Department of Biology and Ecology, Serbia
| | - Branka Basica
- University of Novi Sad, Faculty of Sciences, Department of Biology and Ecology, Serbia
| | - Sonja Kaisarevic
- University of Novi Sad, Faculty of Sciences, Department of Biology and Ecology, Serbia
| | - Kristin Schirmer
- Eawag, Swiss Federal Institute of Aquatic Science and Technology, Dübendorf, Switzerland; ETH Zürich, Institute of Biogeochemistry and Pollutant Dynamics, 8092 Zürich, Switzerland; EPF Lausanne, School of Architecture, Civil and Environmental Engineering, 1015 Lausanne, Switzerland
| | - Nebojsa Andric
- University of Novi Sad, Faculty of Sciences, Department of Biology and Ecology, Serbia.
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Migheli M. Income, wealth and use of personal protection equipment in the Mekong Delta. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2021; 28:39920-39937. [PMID: 33768455 PMCID: PMC8310476 DOI: 10.1007/s11356-021-13449-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Accepted: 03/10/2021] [Indexed: 05/09/2023]
Abstract
Both in developing and developed countries, farmers often do not protect themselves adequately, especially when applying agrochemicals that are dangerous for their health. The issue is relevant because insufficient protection is between the causes leading to intoxication of farmers and workers who handle these products. The literature suggests that both lack of training and information and low income may explain why, especially in developing countries, protective equipment is under-used. Using data from the Mekong Delta, this study addresses the issue of whether income and household wealth may help explaining the use of incomplete protections against pesticides. The results suggest that income, more than wealth, is a reason why Vietnamese farmers operating in the Mekong Delta fail in using adequate protections. In particular, the data suggest that they may prefer to divert resources to increasing the production of their fields or to buying goods that may be used both as protection and as everyday garments. This behaviour leads to underinvestment in some important protective goods. Possible public interventions to mitigate the problem are suggested; in particular, the promotion of integrated pest management techniques could be useful.
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Affiliation(s)
- Matteo Migheli
- Department of Economics and Statistics "Cognetti de Martiis", University of Torino, Lungo Dora Siena 100, I-10153, Torino, Italy.
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Kasiotis KM, Baira E, Manea-Karga E, Nikolopoulou D, Ganas K, Machera K. Investigating a human pesticide intoxication incident: The importance of robust analytical approaches. OPEN CHEM 2021. [DOI: 10.1515/chem-2021-0193] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
A human intoxication incident attributed to pesticide abuse was investigated using cutting-edge analytical methodologies. An LC-ESI-MS/MS method, based on a hybrid solid-phase extraction protocol (hybrid-SPE), was applied for the detection and quantification of several pesticides and metabolites in human biological fluids. Concomitantly, an UHPLC-HRMS method was applied to investigate potential metabolites, assisted by a complementary GC-MS method to elucidate the presence of plausible pesticides co-formulants. The LC-ESI-MS/MS method exhibited acceptable mean recoveries at the lower limit of quantification (LLOQ) and three additional levels, varying from 85 to 106% for all analytes and matrices. In serum, urine, and gastric fluid samples, the suspect compounds, namely chlorpyrifos and myclobutanil, predominated. Gastric fluid samples contained the highest concentrations of chlorpyrifos (39,800 ng/mL) and myclobutanil (18,800 ng/mL), while the neonicotinoid imidacloprid was also quantified, below 30 ng/mL. Notwithstanding, the UHPLC-HRMS analysis unveiled several metabolites of chlorpyrifos and myclobutanil. In parallel, GC-MS analysis, corroborated the presence of several co-formulants in gastric fluid samples, exemplified by m- and o-xylene, and cyclohexanone. Overall, three analytical methods were implemented to elucidate the chemical causality of a human intoxication incident. The presence of suspected active substances, one additional, and several metabolites and co-formulants were documented.
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Affiliation(s)
- Konstantinos M. Kasiotis
- Benaki Phytopathological Institute, Department of Pesticides Control and Phytopharmacy, Laboratory of Pesticides’ Toxicology , 8 St. Delta Street , Athens , Kifissia, 14561 , Greece
| | - Eirini Baira
- Benaki Phytopathological Institute, Department of Pesticides Control and Phytopharmacy, Laboratory of Pesticides’ Toxicology , 8 St. Delta Street , Athens , Kifissia, 14561 , Greece
| | - Electra Manea-Karga
- Benaki Phytopathological Institute, Department of Pesticides Control and Phytopharmacy, Laboratory of Pesticides’ Toxicology , 8 St. Delta Street , Athens , Kifissia, 14561 , Greece
| | - Dimitra Nikolopoulou
- Benaki Phytopathological Institute, Department of Pesticides Control and Phytopharmacy, Laboratory of Pesticides’ Toxicology , 8 St. Delta Street , Athens , Kifissia, 14561 , Greece
| | | | - Kyriaki Machera
- Benaki Phytopathological Institute, Department of Pesticides Control and Phytopharmacy, Laboratory of Pesticides’ Toxicology , 8 St. Delta Street , Athens , Kifissia, 14561 , Greece
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Moshou H, Karakitsou A, Yfanti F, Hela D, Vlastos D, Paschalidou AK, Kassomenos P, Petrou I. Assessment of genetic effects and pesticide exposure of farmers in NW Greece. ENVIRONMENTAL RESEARCH 2020; 186:109558. [PMID: 32361259 DOI: 10.1016/j.envres.2020.109558] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Revised: 04/10/2020] [Accepted: 04/18/2020] [Indexed: 06/11/2023]
Abstract
The present study aims at evaluating potential genotoxic and cytotoxic effects caused by the occupational exposure of farmers to pesticide mixtures in the Aitoloakarnania Prefecture (Greece). The aforementioned assessment was conducted through in vivo Cytokinesis Block Micronucleus assay (CBMN assay) in peripheral blood lymphocytes, in relation to chemical analysis of pesticide residues in blood samples. The exposure of the farmers' population studied to different combinations of pesticides induced significant differences in the frequencies of micronuclei (MN) compared to those of the control group. Furthermore, our results indicated a possible clastogenic and aneugenic effect of pesticides on the genetic material of the farmers exposed. Five pesticides (trifluralin, chlorpyriphos methyl, metolachlor, fenthion and dimethoate) and three metabolites (fenthion sulfone, fenthion sulfoxide and 4,4' DDE) were detected in the 62.5% of blood samples, with mean concentrations ranging from 0.4 ng/ml to 48 ng/ml. Since the farmers studied probably exhibit detectable levels of systematic exposure to the pesticides applied, continuous educational programs focused on the rational and safe use of pesticides, together with implementation of risk communication strategies among farmers are highly recommended.
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Affiliation(s)
- H Moshou
- Department of Environmental and Natural Resources Management, University of Patras, GR-30100, Agrinion, Greece
| | - A Karakitsou
- Department of Business Administration of Agricultural and Food Enterprise, University of Patras, GR-30100, Agrinion, Greece
| | - F Yfanti
- Department of Business Administration of Agricultural and Food Enterprise, University of Patras, GR-30100, Agrinion, Greece
| | - D Hela
- Department of Chemistry, University of Ioannina, GR-45110, Ioannina, Greece.
| | - D Vlastos
- Department of Environmental Engineering, University of Patras, GR-30100, Agrinion, Greece.
| | - A K Paschalidou
- Department of Forestry and Management of the Environment and Natural Resources, Democritus University of Thrace, GR-68200, Orestiada, Greece
| | - P Kassomenos
- Department of Physics, University of Ioannina, GR-45110, Ioannina, Greece
| | - I Petrou
- Department of Physics, University of Ioannina, GR-45110, Ioannina, Greece
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Kapeleka JA, Sauli E, Sadik O, Ndakidemi PA. Biomonitoring of Acetylcholinesterase (AChE) Activity among Smallholder Horticultural Farmers Occupationally Exposed to Mixtures of Pesticides in Tanzania. JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH 2019; 2019:3084501. [PMID: 31611921 PMCID: PMC6755286 DOI: 10.1155/2019/3084501] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/26/2019] [Revised: 05/27/2019] [Accepted: 08/11/2019] [Indexed: 11/17/2022]
Abstract
Biomonitoring of pesticides exposure has currently become a matter of great public concern due to the potential health effects of pesticides. This study assessed levels of acetylcholinesterase (AChE) inhibition and associated health effects in uncontrolled smallholder farming systems in rural Tanzania. A cross-sectional study was conducted of 90 exposed farmers and 61 nonexposed controls from horticultural zones. A structured questionnaire was administered, and a capillary blood sample of 10 μl was used to measure AChE activity using an Erythrocyte Acetylcholinesterase Test Mate Photometric Analyzer kit (Model 400). A multiple logistic regression model was used to investigate determinants of pesticide exposure. The study revealed that smallholder farmers are occupationally exposed to pesticides. Exposed farmers had significantly lower AChE levels. The use of personal protective equipment (PPE) did not significantly reduce the likelihood of AChE inhibition. Women, younger and older farmers, and underweight, overweight, and obese farmers were at increased risk of AChE inhibition. Increase in age (10 years) increased likelihood of AChE inhibition by 6.7%, while decrease in BMI increased likelihood of AChE inhibition by 86.7% while increased pesticides contact hours increased risk of having lower AChE at about 3 times. The number of exposure symptoms (14.10 ± 7.70) was higher in exposed farmers than unexposed. Self-reported symptoms are confirmed to correlate to lower AChE. Prevalence of tiredness (71.6% against 15.5%), fatigue (64.8% against 27.6%), soreness in joints (59.1% against 20.7%), thirst (52.3% against 12.1%), skin irritation (52.1% against 17.2%), salivation and abdominal pain (50% against 8.6% and 31.0%, respectively), muscle weakness (47.7% against 24.1%), and memory loss (47.7% against and 29.3%) differed significantly between exposed and control. This study provides useful information regarding the level of occupational and environmental exposure to pesticides in smallholder horticultural production systems. Pesticides use needs to be controlled at farm level by developing pesticides monitoring and surveillance systems.
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Affiliation(s)
- Jones A. Kapeleka
- The Nelson Mandela African Institution of Science and Technology (NM-AIST), P.O. Box 447, Arusha, Tanzania
- Tropical Pesticides Research Institute (TPRI), P.O. Box 3024, Arusha, Tanzania
| | - Elingarami Sauli
- The Nelson Mandela African Institution of Science and Technology (NM-AIST), P.O. Box 447, Arusha, Tanzania
| | - Omowunmi Sadik
- Binghamton University-State University of New York, Binghamton, NY 13902, USA
| | - Patrick A. Ndakidemi
- The Nelson Mandela African Institution of Science and Technology (NM-AIST), P.O. Box 447, Arusha, Tanzania
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Sapbamrer R, Khacha-Ananda S, Sittitoon N, Wunnapuk K, Seesen M, Sidthilaw S, Chittrakul J, Suwannakul B. A longitudinal follow-up study of oxidative stress and DNA damage among farmers exposed to pesticide mixtures. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2019; 26:13185-13194. [PMID: 30900128 DOI: 10.1007/s11356-019-04650-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2018] [Accepted: 02/19/2019] [Indexed: 06/09/2023]
Abstract
Exposure to pesticides may have increased risk of oxidative stress and genetic damage and hence of development of chronic diseases. The aim of this longitudinal follow-up study is to compare oxidative stress and DNA damage between the pre- and post-pesticide application seasons among 56 male farmers. The study also investigated the factors associated with changes in oxidative stress, DNA damage, and health symptoms during the pesticide application season. The eligibility criteria for the subjects were men aged between 25 and 55 years, applied pesticide mixtures during May and June 2018, and healthy without current illness. Ten milliliters of venous blood samples was collected twice from each subject in the pre- and post-pesticide application seasons for determination of superoxide dismutase (SOD), 8-hydroxy-2'-deoxyguanosine (8-OHdG), comet tail length, and comet tail moment. The remarkable findings included a statistically significant increase in SOD activity during the pesticide application season (P < 0.001). However, there were no statistical differences in 8-OHdG, comet tail length, and comet tail moment. When we analyzed the factors associated with changes in SOD activity during the pesticide application season by using linear regression analysis, working hours on the farm (B ± SE. = 0.790 ± 0.341, P = 0.025) and planting activities (B ± SE. = 1.217 ± 0.504, P = 0.020) were associated with increase in SOD activity. Therefore, increase in SOD may be a consequence of oxidative damage induced by pesticide exposure and this marker may be used as an early warning for pesticide-induced acute and chronic toxicities.
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Affiliation(s)
- Ratana Sapbamrer
- Department of Community Medicine, Faculty of Medicine, Chiang Mai University, 110 Inthavaroros Road, Sri Phum Subdistrict, Maung District, Chiang Mai, 50200, Thailand.
| | - Supakit Khacha-Ananda
- Toxicology Unit, Department of Forensic Medicine, Faculty of Medicine, Chiang Mai University, 110 Inthavaroros Road, Sri Phum Subdistrict, Maung District, Chiang Mai, 50200, Thailand
| | - Nalin Sittitoon
- School of Environmental Health, Institute of Public Health, Suranaree University of Technology, 111 University Avenue, Muang District, Nakhon Ratchasima, 30000, Thailand
| | - Klintean Wunnapuk
- Toxicology Unit, Department of Forensic Medicine, Faculty of Medicine, Chiang Mai University, 110 Inthavaroros Road, Sri Phum Subdistrict, Maung District, Chiang Mai, 50200, Thailand
| | - Mathuramat Seesen
- Department of Community Medicine, Faculty of Medicine, Chiang Mai University, 110 Inthavaroros Road, Sri Phum Subdistrict, Maung District, Chiang Mai, 50200, Thailand
| | | | - Jiraporn Chittrakul
- Department of Community Medicine, Faculty of Medicine, Chiang Mai University, 110 Inthavaroros Road, Sri Phum Subdistrict, Maung District, Chiang Mai, 50200, Thailand
| | - Boonsita Suwannakul
- School of Allied Health Science, University of Phayao, 19 Moo 2, Mae Ka Subdistrict, Muang District, Phayao Province, 56000, Thailand
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Assessment of genotoxicity and cholinesterase activity among women workers occupationally exposed to pesticides in tea garden. MUTATION RESEARCH-GENETIC TOXICOLOGY AND ENVIRONMENTAL MUTAGENESIS 2019; 841:1-7. [DOI: 10.1016/j.mrgentox.2019.03.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2018] [Revised: 02/26/2019] [Accepted: 03/04/2019] [Indexed: 11/18/2022]
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Intranuovo G, Schiavulli N, Cavone D, Birtolo F, Cocco P, Vimercati L, Macinagrossa L, Giordano A, Perrone T, Ingravallo G, Mazza P, Strusi M, Spinosa C, Specchia G, Ferri GM. Assessment of DNA damages in lymphocytes of agricultural workers exposed to pesticides by comet assay in a cross-sectional study. Biomarkers 2018; 23:462-473. [PMID: 29493297 DOI: 10.1080/1354750x.2018.1443513] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
PURPOSE To assess the predictive power of the comet assay in the context of occupational exposure to pesticides. MATERIALS AND METHODS The recruited subjects completed a structured questionnaire and gave a blood sample. Exposure to pesticides was measured by means of an algorithm based on Dosemeci's work (Agricultural Health Study). Approximately 50 images were analyzed for each sample via fluorescence microscopy. The extent of DNA damage was estimated by tail moment (TM) and is the product of tail DNA (%) and tail Length. RESULTS Crude significant risks (odds ratios, ORs) for values higher than the 75th percentile of TM were observed among the exposed subjects (score > 1). The frequency of some confounding factors (sex, age and smoking) was significantly higher among the exposed workers. A significant dose-effect relationship was observed between TM and exposure score. Significant high-risk estimates (ORs), adjusted by the studied confounding factors, among exposure to pesticides and TM, % tail DNA and tail length were confirmed using unconditional logistic regression models. CONCLUSIONS The adjusted associations (ORs) between the comet parameters and exposure to pesticides were significant. The sensitivity of the comet test was low (41%), the specificity (89%) and the predictive positive value (0.77) were found acceptable.
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Affiliation(s)
- Graziana Intranuovo
- a Interdisciplinary Department of Medicine (DIM), Section "B. Ramazzini" , University Hospital "Policlinico", Unit of Occupational Medicine, School of Medicine, University of Bari , Bari , Italy
| | - Nunzia Schiavulli
- a Interdisciplinary Department of Medicine (DIM), Section "B. Ramazzini" , University Hospital "Policlinico", Unit of Occupational Medicine, School of Medicine, University of Bari , Bari , Italy
| | - Domenica Cavone
- a Interdisciplinary Department of Medicine (DIM), Section "B. Ramazzini" , University Hospital "Policlinico", Unit of Occupational Medicine, School of Medicine, University of Bari , Bari , Italy
| | - Francesco Birtolo
- a Interdisciplinary Department of Medicine (DIM), Section "B. Ramazzini" , University Hospital "Policlinico", Unit of Occupational Medicine, School of Medicine, University of Bari , Bari , Italy
| | - Pierluigi Cocco
- b Department of Public Health , Clinic and Molecular Medicine, Section of Occupational Medicine, Regional University Hospital, School of Medicine, University of Cagliari , Monserrato (Cagliari) , Italy
| | - Luigi Vimercati
- a Interdisciplinary Department of Medicine (DIM), Section "B. Ramazzini" , University Hospital "Policlinico", Unit of Occupational Medicine, School of Medicine, University of Bari , Bari , Italy
| | - Linda Macinagrossa
- a Interdisciplinary Department of Medicine (DIM), Section "B. Ramazzini" , University Hospital "Policlinico", Unit of Occupational Medicine, School of Medicine, University of Bari , Bari , Italy
| | - Annamaria Giordano
- c Department of Haematology and Organ Transplantation (DETO) , University Hospital "Policlinico", Unit of Haematology, School of Medicine, University of Bari , Bari , Italy
| | - Tommasina Perrone
- c Department of Haematology and Organ Transplantation (DETO) , University Hospital "Policlinico", Unit of Haematology, School of Medicine, University of Bari , Bari , Italy
| | - Giuseppe Ingravallo
- c Department of Haematology and Organ Transplantation (DETO) , University Hospital "Policlinico", Unit of Haematology, School of Medicine, University of Bari , Bari , Italy
| | - Patrizio Mazza
- d ASL of Taranto, Moscati Hospital, Unit of Haematology , Taranto , Italy
| | - Michela Strusi
- d ASL of Taranto, Moscati Hospital, Unit of Haematology , Taranto , Italy
| | - Caterina Spinosa
- d ASL of Taranto, Moscati Hospital, Unit of Haematology , Taranto , Italy
| | - Giorgina Specchia
- c Department of Haematology and Organ Transplantation (DETO) , University Hospital "Policlinico", Unit of Haematology, School of Medicine, University of Bari , Bari , Italy
| | - Giovanni M Ferri
- a Interdisciplinary Department of Medicine (DIM), Section "B. Ramazzini" , University Hospital "Policlinico", Unit of Occupational Medicine, School of Medicine, University of Bari , Bari , Italy
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Abstract
Pyrethroids are commonly used around the home and in agricultural production to control insects. Human contact to one or more pyrethroid insecticides is likely. Numerous epidemiology studies have evaluated the association between health outcomes in humans and pyrethroid exposure. The purpose of this review was to identify and evaluate the quality of pyrethroid-related epidemiology studies that addressed chronic health effects, and compare findings with animal toxicology studies. We evaluated the quality of 61 studies published between 2000 and 2016 by using elements of outcome, exposure metric, exposure level, and study design. None of the 61 publications demonstrated strong quality for all elements. A few of the outcome measures were strong, particularly those relying upon medical diagnoses. Most of the pyrethroid epidemiology studies used a poor exposure metric, relying upon a single sample of pyrethroid urinary metabolites, which is subject to misclassification of past exposures. In addition, many studies were a cross-sectional design, preventing an evaluation of the temporality of the exposure-disease association. Furthermore, none of the effects observed in the epidemiological literature was concordant with toxicological effects noted in extensive testing of pyrethroids in animals. In order to provide more robust data on potential health outcomes from low dose exposure to pyrethroid insecticides, future epidemiological studies should fully characterize an adverse outcome, include exposure validation components, and quantify exposure over time.
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Affiliation(s)
- Carol J Burns
- a Burns Epidemiology Consulting, LLC , Sanford , MI , USA
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Zeljezic D, Vinkovic B, Kasuba V, Kopjar N, Milic M, Mladinic M. The effect of insecticides chlorpyrifos, α-cypermethrin and imidacloprid on primary DNA damage, TP 53 and c-Myc structural integrity by comet-FISH assay. CHEMOSPHERE 2017; 182:332-338. [PMID: 28505574 DOI: 10.1016/j.chemosphere.2017.05.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2017] [Revised: 04/28/2017] [Accepted: 05/01/2017] [Indexed: 05/25/2023]
Abstract
In parallel with the continuous use of conventional insecticides, introduction of more environmentally friendly substances continues to grow in modern agriculture. In the present study, we evaluated chlorpyrifos, and imidacloprid and α-cypermethrin as two representatives of green insecticides for their genotoxic activity. We conducted a 14-day treatment in extended human lymphocytes cultures using real life exposure relevant concentrations. An alkaline comet assay was used to detect primary DNA damage. Simultaneously, the effect on the specific action towards the TP 53 and c-Myc genes in terms of fragmentation and copy number were determined. Both genes are responsible for cell cycle regulation; thus playing an active role in carcinogenesis. Contrary to what was expected, imidacloprid showed the highest genotoxicity potential, irrespective of the fact that none of the insecticides induced a significant level of primary DNA damage at all tested concentrations. Similar, no significant effect towards the TP 53 and c-Myc gene was recorded. The present study indicates that low level use of chlorpyrifos as a conventional insecticide and imidacloprid and α-cypermethrin as green insecticides does not pose a risk to DNA in general, nor to the TP 53 and c-Myc gene structural integrity.
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Affiliation(s)
- Davor Zeljezic
- Institute for Medical Research and Occupational Health, Ksaverska 2, Zagreb, Croatia.
| | - Benjamin Vinkovic
- Faculty of Pharmacy and Biochemistry, University of Zagreb, A. Kovacica 1, Zagreb, Croatia
| | - Vilena Kasuba
- Institute for Medical Research and Occupational Health, Ksaverska 2, Zagreb, Croatia
| | - Nevenka Kopjar
- Institute for Medical Research and Occupational Health, Ksaverska 2, Zagreb, Croatia
| | - Mirta Milic
- Institute for Medical Research and Occupational Health, Ksaverska 2, Zagreb, Croatia
| | - Marin Mladinic
- Institute for Medical Research and Occupational Health, Ksaverska 2, Zagreb, Croatia
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15
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Chatterjee N, Walker GC. Mechanisms of DNA damage, repair, and mutagenesis. ENVIRONMENTAL AND MOLECULAR MUTAGENESIS 2017; 58:235-263. [PMID: 28485537 PMCID: PMC5474181 DOI: 10.1002/em.22087] [Citation(s) in RCA: 1169] [Impact Index Per Article: 146.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Accepted: 03/16/2017] [Indexed: 05/08/2023]
Abstract
Living organisms are continuously exposed to a myriad of DNA damaging agents that can impact health and modulate disease-states. However, robust DNA repair and damage-bypass mechanisms faithfully protect the DNA by either removing or tolerating the damage to ensure an overall survival. Deviations in this fine-tuning are known to destabilize cellular metabolic homeostasis, as exemplified in diverse cancers where disruption or deregulation of DNA repair pathways results in genome instability. Because routinely used biological, physical and chemical agents impact human health, testing their genotoxicity and regulating their use have become important. In this introductory review, we will delineate mechanisms of DNA damage and the counteracting repair/tolerance pathways to provide insights into the molecular basis of genotoxicity in cells that lays the foundation for subsequent articles in this issue. Environ. Mol. Mutagen. 58:235-263, 2017. © 2017 Wiley Periodicals, Inc.
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16
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Bevan R, Brown T, Matthies F, Sams C, Jones K, Hanlon J, La Vedrine M. Human biomonitoring data collection from occupational exposure to pesticides. ACTA ACUST UNITED AC 2017. [DOI: 10.2903/sp.efsa.2017.en-1185] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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17
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Wang Y, Qiu J, Zhu W, Wang X, Zhang P, Wang D, Zhou Z. Enantioselective Metabolism and Interference on Tryptophan Metabolism of Myclobutanil in Rat Hepatocytes. Chirality 2015; 27:643-9. [PMID: 26115377 DOI: 10.1002/chir.22479] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2015] [Revised: 04/21/2015] [Accepted: 04/24/2015] [Indexed: 11/09/2022]
Abstract
Myclobutanil, (RS)-2-(4-chlorophenyl)-2-(1H-1, 2, 4-triazol-1-ylmethyl) hexanenitrile is a widely used triazole fungicide. In this study, enantioselective metabolism and cytotoxicity were investigated in rat hepatocytes by chiral HPLC-MS/MS and the methyl tetrazolium (MTT) assay, respectively. Furthermore, tryptophan metabolism disturbance in rat hepatocytes after myclobutanil exposure was also evaluated by target metabolomics method. The half-life (t1/2) of (+)-myclobutanil was 10.66 h, whereas that for (-)-myclobutanil was 15.07 h. Such results indicated that the metabolic process of myclobutanil in rat hepatocytes was enantioselective with an enrichment of (-)-myclobutanil. For the cytotoxicity research, the calculated EC50 (12 h) values for rac-myclobutanil, (+)- and (-)-myclobutanil were 123.65, 150.65 and 152.60 µM, respectively. The results of tryptophan metabolites profiling showed that the levels of kynurenine (KYN) and XA were both up-regulated compared to the control, suggesting the activation effect of the KYN pathway by myclobutanil and its enantiomers which may provide an important insight into its toxicity mechanism. The data presented here could be useful for the environmental hazard assessment of myclobutanil.
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Affiliation(s)
- Yao Wang
- Department of Applied Chemistry, China Agricultural University, Beijing, PR China
| | - Jing Qiu
- Institute of Quality Standards & Testing Technology for Agro-Products, Key Laboratory of Agro-Product Quality and Safety, Chinese Academy of Agricultural Sciences, Beijing, PR China
| | - Wentao Zhu
- Department of Applied Chemistry, China Agricultural University, Beijing, PR China
| | - Xinru Wang
- Department of Applied Chemistry, China Agricultural University, Beijing, PR China
| | - Ping Zhang
- Department of Applied Chemistry, China Agricultural University, Beijing, PR China
| | - Dezhen Wang
- Department of Applied Chemistry, China Agricultural University, Beijing, PR China
| | - Zhiqiang Zhou
- Department of Applied Chemistry, China Agricultural University, Beijing, PR China
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18
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Ghisari M, Long M, Tabbo A, Bonefeld-Jørgensen EC. Effects of currently used pesticides and their mixtures on the function of thyroid hormone and aryl hydrocarbon receptor in cell culture. Toxicol Appl Pharmacol 2015; 284:292-303. [PMID: 25684042 DOI: 10.1016/j.taap.2015.02.004] [Citation(s) in RCA: 59] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2014] [Revised: 01/27/2015] [Accepted: 02/04/2015] [Indexed: 10/24/2022]
Abstract
Evidence suggest that exposure to pesticides can interfere with the endocrine system by multiple mechanisms. The endocrine disrupting potential of currently used pesticides in Denmark was analyzed as single compounds and in an equimolar mixture of 5 selected pesticides. The pesticides were previously analyzed for effects on the function of estrogen and androgen receptors, the aromatase enzyme and steroidogenesis in vitro. In this study, the effect on thyroid hormone (TH) function and aryl hydrocarbon receptor (AhR) transactivity was assessed using GH3 cell proliferation assay (T-screen) and AhR responsive luciferase reporter gene bioassay, respectively. Thirteen pesticides were analyzed as follows: 2-methyl-4-chlorophenoxyacetic acid, terbuthylazine, iodosulfuron-methyl-sodium, mesosulfuron-methyl, metsulfuron-methyl, chlormequat chloride, bitertanol, propiconazole, prothioconazole, mancozeb and its metabolite ethylene thiourea, cypermethrin, tau-fluvalinate, and malathion (currently banned in DK). In the T-screen, prothioconazole, malathion, tau-fluvalinate, cypermethrin, terbuthylazine and mancozeb significantly stimulated and bitertanol and propiconazole slightly reduced the GH3 cell proliferation. In the presence of triiodothyronine (T3), prothioconazole, tau-fluvalinate, propiconazole, cypermethrin and bitertanol significantly antagonized the T3-induced GH3 cell proliferation. Eleven of the tested pesticides agonized the AhR function, and bitertanol and prothioconazole inhibited the basal AhR activity. Bitertanol, propiconazole, prothioconazole and cypermethrin antagonized the TCDD-induced AhR transactivation at the highest tested concentration. The 5-component mixture had inducing effect but the combined effect could not be predicted due to the presence of bitertanol eliciting inhibitory effect. Upon removal of bitertanol from the mixture, the remaining four pesticides acted additively. In conclusion, our data suggest that pesticides currently used in Denmark can interfere with TH signaling and AhR function in vitro and might have the potential to cause endocrine disruption.
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Affiliation(s)
- Mandana Ghisari
- Centre for Arctic Health & Unit of Cellular and Molecular Toxicology, Department of Public Health, Aarhus University, Aarhus, Denmark
| | - Manhai Long
- Centre for Arctic Health & Unit of Cellular and Molecular Toxicology, Department of Public Health, Aarhus University, Aarhus, Denmark
| | - Agnese Tabbo
- Centre for Arctic Health & Unit of Cellular and Molecular Toxicology, Department of Public Health, Aarhus University, Aarhus, Denmark
| | - Eva Cecilie Bonefeld-Jørgensen
- Centre for Arctic Health & Unit of Cellular and Molecular Toxicology, Department of Public Health, Aarhus University, Aarhus, Denmark.
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19
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The comet assay as a tool for human biomonitoring studies: The ComNet Project. MUTATION RESEARCH-REVIEWS IN MUTATION RESEARCH 2014; 759:27-39. [DOI: 10.1016/j.mrrev.2013.10.001] [Citation(s) in RCA: 153] [Impact Index Per Article: 13.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2013] [Revised: 10/17/2013] [Accepted: 10/23/2013] [Indexed: 02/07/2023]
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20
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Benedetti D, Nunes E, Sarmento M, Porto C, Dos Santos CEI, Dias JF, da Silva J. Genetic damage in soybean workers exposed to pesticides: evaluation with the comet and buccal micronucleus cytome assays. Mutat Res 2013; 752:28-33. [PMID: 23347873 DOI: 10.1016/j.mrgentox.2013.01.001] [Citation(s) in RCA: 82] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2012] [Revised: 12/28/2012] [Accepted: 01/03/2013] [Indexed: 11/21/2022]
Abstract
Soybean cultivation is widespread in the State of Rio Grande do Sul (RS, Brazil), especially in the city of Espumoso. Soybean workers in this region are increasingly exposed to a wide combination of chemical agents present in formulations of fungicides, herbicides, and insecticides. In the present study, the comet assay in peripheral leukocytes and the buccal micronucleus (MN) cytome assay (BMCyt) in exfoliated buccal cells were used to assess the effects of exposures to pesticides in soybean farm workers from Espumoso. A total of 127 individuals, 81 exposed and 46 non-exposed controls, were evaluated. Comet assay and BMCyt (micronuclei and nuclear buds) data revealed DNA damage in soybean workers. Cell death was also observed (condensed chromatin, karyorhectic, and karyolitic cells). Inhibition of non-specific choline esterase (BchE) was not observed in the workers. The trace element contents of buccal samples were analyzed by Particle-Induced X-ray Emission (PIXE). Higher concentrations of Mg, Al, Si, P, S, and Cl were observed in cells from workers. No associations with use of personal protective equipment, gender, or mode of application of pesticides were observed. Our findings indicate the advisability of monitoring genetic toxicity in soybean farm workers exposed to pesticides.
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Affiliation(s)
- Danieli Benedetti
- Laboratory of Genetic Toxicology, Postgraduate Program in Cell and Molecular Biology Applied to Health (PPGBioSaude), Lutheran University of Brazil (ULBRA), Canoas-RS, Brazil
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21
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Alavanja MCR, Ross MK, Bonner MR. Increased cancer burden among pesticide applicators and others due to pesticide exposure. CA Cancer J Clin 2013; 63:120-42. [PMID: 23322675 DOI: 10.3322/caac.21170] [Citation(s) in RCA: 191] [Impact Index Per Article: 15.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
A growing number of well-designed epidemiological and molecular studies provide substantial evidence that the pesticides used in agricultural, commercial, and home and garden applications are associated with excess cancer risk. This risk is associated both with those applying the pesticide and, under some conditions, those who are simply bystanders to the application. In this article, the epidemiological, molecular biology, and toxicological evidence emerging from recent literature assessing the link between specific pesticides and several cancers including prostate cancer, non-Hodgkin lymphoma, leukemia, multiple myeloma, and breast cancer are integrated. Although the review is not exhaustive in its scope or depth, the literature does strongly suggest that the public health problem is real. If we are to avoid the introduction of harmful chemicals into the environment in the future, the integrated efforts of molecular biology, pesticide toxicology, and epidemiology are needed to help identify the human carcinogens and thereby improve our understanding of human carcinogenicity and reduce cancer risk.
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Affiliation(s)
- Michael C R Alavanja
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, North Bethesda, MD 20892, USA.
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