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Luukkonen J, Roivainen P, Nieminen V, Naarala J, Mustafa E, Juutilainen J. Carcinogenicity of extremely low-frequency magnetic fields: A systematic review of animal studies. ENVIRONMENTAL RESEARCH 2025; 279:121819. [PMID: 40373993 DOI: 10.1016/j.envres.2025.121819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2025] [Revised: 04/28/2025] [Accepted: 05/08/2025] [Indexed: 05/17/2025]
Abstract
Possible carcinogenicity of extremely low frequency (ELF) magnetic fields (MFs), associated with the use and transmission of electricity, has been under scientific and public debate for decades. This review aims to provide an update on studies testing carcinogenicity of ELF MFs in experimental animals. Emphasis was placed on identifying possible connections between study characteristics and the results obtained. This review followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement, and the methodological quality of the studies was evaluated using the Risk of Bias Rating Tool for Human and Animal Studies developed by the National Toxicology Program's Office of Health Assessment and Translation (OHAT). Publication bias was assessed using the caliper test. Fifty-four eligible studies were identified. Despite poor ratings in certain aspects of the risk of bias evaluation, the quality of the studies was generally relatively good, with only four studies receiving the weakest rating. Overall, there was very little evidence that ELF MFs alone are carcinogenic. Evidence of co-carcinogenicity, from studies that have used ELF MFs in combination with other agents, remains inconclusive. A clear indication of publication bias was observed, though it is unlikely that this bias alone explains all reported MF-modified effects. Based on the current literature, future studies on co-carcinogenicity of ELF MFs should employ approaches other than classical initiation-promotion models. Additionally, well-designed studies to better understand the reported effects of ELF MFs and the underlying mechanisms are warmly welcomed.
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Affiliation(s)
- Jukka Luukkonen
- University of Eastern Finland, Department of Environmental and Biological Sciences, Kuopio, Finland.
| | - Päivi Roivainen
- University of Eastern Finland, Department of Environmental and Biological Sciences, Kuopio, Finland
| | - Valtteri Nieminen
- University of Eastern Finland, Department of Environmental and Biological Sciences, Kuopio, Finland
| | - Jonne Naarala
- University of Eastern Finland, Department of Environmental and Biological Sciences, Kuopio, Finland
| | - Ehab Mustafa
- DHI - Environment and Toxicology, Hørsholm, Denmark
| | - Jukka Juutilainen
- University of Eastern Finland, Department of Environmental and Biological Sciences, Kuopio, Finland
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Lazzarini R, Eléxpuru-Zabaleta M, Piva F, Giulietti M, Fulgenzi G, Tartaglione MF, Zingaretti L, Tagliabracci A, Valentino M, Santarelli L, Bracci M. Effects of extremely low-frequency magnetic fields on human MDA-MB-231 breast cancer cells: proteomic characterization. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2023; 253:114650. [PMID: 36805133 DOI: 10.1016/j.ecoenv.2023.114650] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 01/29/2023] [Accepted: 02/11/2023] [Indexed: 06/18/2023]
Abstract
Extremely low-frequency electromagnetic fields (ELF-MF) can modify the cell viability and regulatory processes of some cell types, including breast cancer cells. Breast cancer is a multifactorial disease where a role for ELF-MF cannot be excluded. ELF-MF may influence the biological properties of breast cells through molecular mechanisms and signaling pathways that are still unclear. This study analyzed the changes in the cell viability, cellular morphology, oxidative stress response and alteration of proteomic profile in breast cancer cells (MDA-MB-231) exposed to ELF-MF (50 Hz, 1 mT for 4 h). Non-tumorigenic human breast cells (MCF-10A) were used as control cells. Exposed MDA-MB-231 breast cancer cells increased their viability and live cell number and showed a higher density and length of filopodia compared with the unexposed cells. In addition, ELF-MF induced an increase of the mitochondrial ROS levels and an alteration of mitochondrial morphology. Proteomic data analysis showed that ELF-MF altered the expression of 328 proteins in MDA-MB-231 cells and of 242 proteins in MCF-10A cells. Gene Ontology term enrichment analysis demonstrated that in both cell lines ELF-MF exposure up-regulated the genes enriched in "focal adhesion" and "mitochondrion". The ELF-MF exposure decreased the adhesive properties of MDA-MB-231 cells and increased the migration and invasion cell abilities. At the same time, proteomic analysis, confirmed by Real Time PCR, revealed that transcription factors associated with cellular reprogramming were upregulated in MDA-MB-231 cells and downregulated in MCF-10A cells after ELF-MF exposure. MDA-MB-231 breast cancer cells exposed to 1 mT 50 Hz ELF-MF showed modifications in proteomic profile together with changes in cell viability, cellular morphology, oxidative stress response, adhesion, migration and invasion cell abilities. The main signaling pathways involved were relative to focal adhesion, mitochondrion and cellular reprogramming.
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Affiliation(s)
- Raffaella Lazzarini
- Occupational Medicine, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, 60126 Ancona, Italy.
| | - Maria Eléxpuru-Zabaleta
- Research Group on Foods, Nutritional Biochemistry and Health, Universidad Europea del Atlántico, 39011 Santander, Spain.
| | - Francesco Piva
- Department of Specialistic Clinical and Odontostomatological Sciences, Polytechnic University of Marche, 60131 Ancona, Italy.
| | - Matteo Giulietti
- Department of Specialistic Clinical and Odontostomatological Sciences, Polytechnic University of Marche, 60131 Ancona, Italy.
| | - Gianluca Fulgenzi
- Experimental Pathology, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, 60126 Ancona, Italy.
| | - Maria Fiorella Tartaglione
- Occupational Medicine, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, 60126 Ancona, Italy.
| | - Laura Zingaretti
- Occupational Medicine Unit, Marche University Hospital, 60126 Ancona, Italy.
| | - Adriano Tagliabracci
- Department of Excellence of Biomedical Sciences and Public Health, Polytechnic University of Marche, Ancona, Italy.
| | - Matteo Valentino
- Occupational Medicine, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, 60126 Ancona, Italy.
| | - Lory Santarelli
- Occupational Medicine, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, 60126 Ancona, Italy.
| | - Massimo Bracci
- Occupational Medicine, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, 60126 Ancona, Italy.
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Souques M, Magne I, Plante M, Point S. Letter to editor regarding "residential proximity to power lines and risk of brain tumor in the general population" by carles C. and coll. Environ Res. 2020;185:109473. Doi: 10.1016/j.envres. 2020.109473. ENVIRONMENTAL RESEARCH 2020; 191:109904. [PMID: 33167166 DOI: 10.1016/j.envres.2020.109904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Accepted: 07/01/2020] [Indexed: 06/11/2023]
Affiliation(s)
- M Souques
- Service des Etudes Médicales, EDF, 4 Rue Floréal, 75017, Paris, France.
| | - I Magne
- Service des Etudes Médicales, EDF, 4 Rue Floréal, 75017, Paris, France
| | - M Plante
- Direction Santé et Sécurité, Hydro-Québec, 75, Boulevard René-Lévesque Ouest, Montreal, Quebec, H2Z 1A4, Canada
| | - S Point
- Emergency Lighting Design and Qualification Department, Cooper Sécurité SAS, Rue Beethoven, BP 10184, 63204, Riom Cedex, France
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Gaps in Knowledge Relevant to the "Guidelines for Limiting Exposure to Time-Varying Electric and Magnetic Fields (1 Hz-100 kHz)". HEALTH PHYSICS 2020; 118:533-542. [PMID: 32251081 DOI: 10.1097/hp.0000000000001261] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Sources of low-frequency fields are widely found in modern society. All wires or devices carrying or using electricity generate extremely low frequency (ELF) electric fields (EFs) and magnetic fields (MFs), but they decline rapidly with distance to the source. High magnetic flux densities are usually found in the vicinity of power lines and close to equipment using strong electrical currents, but can also be found in buildings with unbalanced return currents, or indoor transformer stations. For decades, epidemiological as well as experimental studies have addressed possible health effects of exposure to ELF-MFs. The main goal of ICNIRP is to protect people and the environment from detrimental exposure to all forms of non-ionizing radiation (NIR). To this end, ICNIRP provides advice and guidance by developing and disseminating exposure guidelines based on the available scientific research. Research in the low-frequency range began more than 40 years ago, and there is now a large body of literature available on which ICNIRP set its protection guidelines. A review of the literature has been carried out to identify possible relevant knowledge gaps, and the aim of this statement is to describe data gaps in research that would, if addressed, assist ICNIRP in further developing guidelines and setting revised recommendations on limiting exposure to electric and magnetic fields. It is articulated in two parts: the main document, which reviews the science related to LF data gaps, and the annex, which explains the methodology used to identify the data gaps.
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Diab KA. The Impact of the Low Frequency of the Electromagnetic Field on Human. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2019; 1237:135-149. [PMID: 31376139 DOI: 10.1007/5584_2019_420] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Recently, there has been attention and controversial debate topic about the effect of low-frequency electromagnetic fields (EMFs) on human beings. The catalyst for public awareness initiated from the first epidemiological study in 1979 that reported an association between residential EMFs exposure and the incidence of childhood leukemia. For over 40 years, many epidemiological and laboratory investigations were conducted to identify the possible biological effects of low-frequency EMF. Several studies conducted at frequencies 50/60 Hz, which related to generating of electricity from electrical appliances. Experimental studies on low-frequency EMF have provided conflicting data under specific "in vivo" and "in vitro" environments. Some original papers have reported the damaging effect on DNA molecule in EMF-exposed cells. Other studies have suggested no such damage in EMF-exposed cells. Also, the conclusions from other studies were inconclusive. These conflicting findings may attribute to the differences in the apparatus used to generate electromagnetic fields, experimental design, exposure time, genetic endpoints, and biological materials such as cell lines and animal species, strain, and age. As DNA damage is frequently a prerequisite for cancer disease, this review provided an experimental body of evidence on the effect of EMF on genetic material.
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Affiliation(s)
- Kawthar A Diab
- Genetics and Cytology Department, Genetic Engineering and Biotechnology Division, National Research Centre (NRC), Cairo, Egypt.
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Fiocchi S, Liorni I, Parazzini M, Ravazzani P. Assessment of foetal exposure to the homogeneous magnetic field harmonic spectrum generated by electricity transmission and distribution networks. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2015; 12:3667-90. [PMID: 25837346 PMCID: PMC4410209 DOI: 10.3390/ijerph120403667] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/06/2015] [Revised: 03/23/2015] [Accepted: 03/27/2015] [Indexed: 11/16/2022]
Abstract
During the last decades studies addressing the effects of exposure to Extremely Low Frequency Electromagnetic Fields (ELF-EMF) have pointed out a possible link between those fields emitted by power lines and childhood leukaemia. They have also stressed the importance of also including in the assessment the contribution of frequency components, namely harmonics, other than the fundamental one. Based on the spectrum of supply voltage networks allowed by the European standard for electricity quality assessment, in this study the exposure of high-resolution three-dimensional models of foetuses to the whole harmonic content of a uniform magnetic field with a fundamental frequency of 50 Hz, was assessed. The results show that the main contribution in terms of induced electric fields to the foetal exposure is given by the fundamental frequency component. The harmonic components add some contributions to the overall level of electric fields, however, due to the extremely low permitted amplitude of the harmonic components with respect to the fundamental, their amplitudes are low. The level of the induced electric field is also much lower than the limits suggested by the guidelines for general public exposure, when the amplitude of the incident magnetic field is set at the maximum permitted level.
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Affiliation(s)
- Serena Fiocchi
- Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni IEIIT, CNR Consiglio Nazionale delle Ricerche, Piazza Leonardo da Vinci 32, Milan 20133, Italy.
| | - Ilaria Liorni
- Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni IEIIT, CNR Consiglio Nazionale delle Ricerche, Piazza Leonardo da Vinci 32, Milan 20133, Italy.
- Dipartimento di Elettronica, Informazione e Bioingegneria DEIB, Politecnico di Milano, Piazza Leonardo da Vinci 32, Milan 20133, Italy.
| | - Marta Parazzini
- Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni IEIIT, CNR Consiglio Nazionale delle Ricerche, Piazza Leonardo da Vinci 32, Milan 20133, Italy.
| | - Paolo Ravazzani
- Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni IEIIT, CNR Consiglio Nazionale delle Ricerche, Piazza Leonardo da Vinci 32, Milan 20133, Italy.
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van Rongen E. Rapporteur's report on Session 3: Biology and mechanisms. PROGRESS IN BIOPHYSICS AND MOLECULAR BIOLOGY 2011; 107:408-411. [PMID: 21964523 DOI: 10.1016/j.pbiomolbio.2011.09.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/22/2011] [Accepted: 09/15/2011] [Indexed: 05/31/2023]
Affiliation(s)
- Eric van Rongen
- Health Council of the Netherlands, The Hague, The Netherlands.
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Lagroye I, Percherancier Y, Juutilainen J, De Gannes FP, Veyret B. ELF magnetic fields: animal studies, mechanisms of action. PROGRESS IN BIOPHYSICS AND MOLECULAR BIOLOGY 2011; 107:369-73. [PMID: 21914452 DOI: 10.1016/j.pbiomolbio.2011.09.003] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2011] [Accepted: 09/01/2011] [Indexed: 12/15/2022]
Abstract
Animal studies can contribute to addressing the issue of possible greater health risk for children exposed to 50-60 Hz extremely low frequency (ELF) magnetic fields (MFs), mostly in terms of teratological effects and cancer. Teratology has been extensively studied in animals exposed to ELF MFs but experiments have not established adverse developmental effects. Childhood leukaemia has been the only cancer consistently reported in epidemiological studies as associated with exposure to ELF MFs. This association has been the basis for the classification as "possibly carcinogenic to humans" by the International Agency for Research on Cancer in 2002. Animal experiments have provided only limited support for these epidemiological findings. However, none but one study used an animal model for acute lymphoblastic leukaemia (ALL), the main form of childhood leukaemia, and exposures to ELF MFs were not carried out over the whole pregnancy period, when the first hit of ALL is assumed to occur. Moreover, there are no generally accepted biophysical mechanisms that could explain carcinogenic effects of low-level MFs. The radical pair mechanism and related cryptochromes (CRY) molecules have recently been identified in birds and other non-mammalian species, as a sensor of the geomagnetic field, involved in navigation. The hypothesis has to be tested in mammalian models. CRY, which is part of the molecular circadian clock machinery, is a ubiquitous protein likely to be involved in cancer cell growth and DNA repair. In summary, we now have some clues to test for a better characterization of the interaction between ALL and ELF MFs exposure.
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Affiliation(s)
- Isabelle Lagroye
- Bioelectromagnetics Laboratory, Ecole Pratique des Hautes Etudes, ENSCBP, Pessac, France.
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Basile A, Zeppa R, Pasquino N, Arra C, Ammirante M, Festa M, Barbieri A, Giudice A, Pascale M, Turco MC, Rosati A. Exposure to 50 Hz electromagnetic field raises the levels of the anti-apoptotic protein BAG3 in melanoma cells. J Cell Physiol 2011; 226:2901-7. [DOI: 10.1002/jcp.22641] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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