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Boniardi L, Campo L, Olgiati L, Longhi F, Scuffi C, Fustinoni S. Biological monitoring and personal exposure to traffic-related air pollutants of elementary school-age children living in a metropolitan area. THE SCIENCE OF THE TOTAL ENVIRONMENT 2023; 857:159654. [PMID: 36280056 DOI: 10.1016/j.scitotenv.2022.159654] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Revised: 10/18/2022] [Accepted: 10/19/2022] [Indexed: 06/16/2023]
Abstract
An ever-growing burden of scientific evidence links air pollution to different aspects of human health even at very low concentrations; the impact increases for those living in urban environments, especially the youngest and the elderly. This study investigated the exposure to air pollution of urban school children of Milan, Italy, by personal and biological monitoring, in the frame of the MAPS-MI project. A total of 128 primary school children (7-11 years) were involved in a two-season monitoring campaign during spring 2018 and winter 2019. Personal exposure to airborne VOCs and eBC, and biological monitoring of urinary benzene (BEN-U) and methyl-tert-butyl ether (MTBE-U) were performed. Time-activity patterns, environmental tobacco smoke (ETS), spatial, and meteorological information were evaluated as determinants in mixed effects regression analysis. Children personal exposure was mostly quantifiable with median (5th-95th percentile) levels 1.9 (0.8-7.5) μg/m3 for eBC, and 1.1 (<0.6-3.4) and 0.8 (0.3-1.8) μg/m3 for benzene and MTBE, respectively; with values 2-3-fold higher in winter than in spring. In urine, median (5th-95th) BEN-U and MTBE-U levels were 44.9 (25.7-98.6) and 11.5 (5.0-35.5) ng/L, respectively. Mixed effect regression models explained from 72 to 93 % of the total variability for air pollutants, and from 58 to 61 % for biomarkers. Major contributors of personal exposure were season, wind speed, mobility- or traffic-related variables; biomarkers were mostly predicted by airborne exposure and ETS. Our results suggest that traffic-mitigation actions, together with parents' educational interventions on ETS and commuting mode, should be undertaken to lower children exposure to air pollution.
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Affiliation(s)
- Luca Boniardi
- EPIGET - Epidemiology, Epigenetics, and Toxicology Lab, Department of Clinical Sciences and Community Health, University of Milan, Italy
| | - Laura Campo
- EPIGET - Epidemiology, Epigenetics, and Toxicology Lab, Department of Clinical Sciences and Community Health, University of Milan, Italy.
| | - Luca Olgiati
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Environmental and Industrial Toxicology Unit, Milan, Italy
| | - Francesca Longhi
- EPIGET - Epidemiology, Epigenetics, and Toxicology Lab, Department of Clinical Sciences and Community Health, University of Milan, Italy
| | - Chiara Scuffi
- EPIGET - Epidemiology, Epigenetics, and Toxicology Lab, Department of Clinical Sciences and Community Health, University of Milan, Italy
| | - Silvia Fustinoni
- EPIGET - Epidemiology, Epigenetics, and Toxicology Lab, Department of Clinical Sciences and Community Health, University of Milan, Italy; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Environmental and Industrial Toxicology Unit, Milan, Italy
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Cattaneo A, Campo L, Iodice S, Spinazzè A, Olgiati L, Borghi F, Polledri E, Angelici L, Cavallo DM, Fustinoni S, Bollati V. Environmental and biological monitoring of personal exposure to air pollutants of adult people living in a metropolitan area. THE SCIENCE OF THE TOTAL ENVIRONMENT 2021; 767:144916. [PMID: 33636771 DOI: 10.1016/j.scitotenv.2020.144916] [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: 09/25/2020] [Revised: 12/04/2020] [Accepted: 12/27/2020] [Indexed: 06/12/2023]
Abstract
BACKGROUND Human exposure to air pollutants, and specifically to particulate matter (PM) and volatile organic compounds (VOCs), may pose a relevant risk on human health. AIM To evaluate the personal exposure of adults living and working in Milan (Italy) by environmental and biological monitoring. METHODS Personal exposure of 51 volunteer adults to PM2.5, PM2.5-10 and selected VOCs, including benzene, toluene, ethylbenzene, o-xylene, m + p-xylene, methyl tert-butyl ether, naphthalene, hexane, cyclohexane, heptane, and limonene was assessed along a 24-h period via personal cascade impactors and radial diffusive samplers. Urine spot samples were collected to investigate the corresponding urinary biomarkers. Time-activity patterns were filled in by participants to explore the performed activities. Multiple regression models were applied to investigate the association between personal exposure, biomarker levels, and tobacco smoke, traffic exposure, commuting mode, cooking activities, and personal characteristics. RESULTS Median personal exposure to PM2.5, PM2.5-10, benzene, toluene, ethylbenzene o-xylene, m + p-xylene, methyl tert-butyl ether, naphthalene, hexane, cyclohexane, heptane, and limonene were 36.1, 7.8, 2.3, 7.8, 2.1, 1.8, 4.7, 0.8, 0.3, 1.4, 2.5, 1.6, and 59.9 μg/m3, respectively. Median levels of urinary benzene, toluene, ethylbenzene o-xylene, m + p-xylene, naphthalene, hexane, and heptane were 78.0, 88.1, 21.5, 15.2, 43.9, 21.0, 11.0, and 22.5 ng/L, respectively. For personal exposure, multiple regression models explained up to 67% (PM2.5) and 61% (benzene) of variability, with major contribution from commuting mode and environmental exposure. For biological monitoring, multiple regression analysis explained up to 74% of urinary benzene, with a major contribution given by creatinine, and secondary contributions by commuting mode, personal exposure to airborne benzene and smoking. CONCLUSIONS Personal exposure to air pollutants was lower than that measured in the past in Milan. Personal exposure was mainly driven by traffic variables, while internal dose was mainly driven by personal characteristics and smoking habit.
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Affiliation(s)
- Andrea Cattaneo
- Department of Science and High Technology, Università degli Studi dell'Insubria, 22100 Como, Italy
| | - Laura Campo
- Environmental and Industrial Toxicology Unit Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
| | - Simona Iodice
- EPIGET Laboratory, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, 20122 Milan, Italy
| | - Andrea Spinazzè
- Department of Science and High Technology, Università degli Studi dell'Insubria, 22100 Como, Italy
| | - Luca Olgiati
- Environmental and Industrial Toxicology Unit Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Francesca Borghi
- Department of Science and High Technology, Università degli Studi dell'Insubria, 22100 Como, Italy
| | - Elisa Polledri
- Environmental and Industrial Toxicology Unit Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Laura Angelici
- EPIGET Laboratory, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, 20122 Milan, Italy; Department of Epidemiology, Lazio Regional Health Service, ASL Roma 1, Roma, Italy
| | - Domenico Maria Cavallo
- Department of Science and High Technology, Università degli Studi dell'Insubria, 22100 Como, Italy
| | - Silvia Fustinoni
- Environmental and Industrial Toxicology Unit Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; EPIGET Laboratory, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, 20122 Milan, Italy
| | - Valentina Bollati
- EPIGET Laboratory, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, 20122 Milan, Italy
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Biomarkers of Low-Level Environmental Exposure to Benzene and Oxidative DNA Damage in Primary School Children in Sardinia, Italy. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18094644. [PMID: 33925535 PMCID: PMC8123794 DOI: 10.3390/ijerph18094644] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Revised: 04/09/2021] [Accepted: 04/23/2021] [Indexed: 12/23/2022]
Abstract
Background: The main anthropic sources of exposure to airborne benzene include vehicular traffic, cigarette smoke, and industrial emissions. Methods: To detect early genotoxic effects of environmental exposure to benzene, we monitored environmental, personal, and indoor airborne benzene in children living in an urban area and an area near a petrochemical plant. We also used urinary benzene and S-phenylmercapturic acid (S-PMA) as biomarkers of benzene exposure and urinary 8-hydroxydeoxyguanosine (8-OHdG) as a biomarker of early genotoxic effects. Results: Although always below the European Union limit of 5 μg/m3, airborne benzene levels were more elevated in the indoor, outdoor, and personal samples from the industrial surroundings compared to the urban area (p = 0.026, p = 0.005, and p = 0.001, respectively). Children living in the surroundings of the petrochemical plant had urinary benzene values significantly higher than those from the urban area in both the morning and evening samples (p = 0.01 and p = 0.02, respectively). Results of multiple regression modelling showed that age was a significant predictor of 8-OHdG excretion, independent of the sampling hour. Moreover, at the low exposure level experienced by the children participating in this study, neither personal or indoor airborne benzene level, nor personal monitoring data, affected 8-OHdG excretion. Conclusions: Our results suggest the importance of biological monitoring of low-level environmental exposure and its relation to risk of genotoxic effects among children.
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Kim U, Karthikraj R. Solid‐phase microextraction for the human biomonitoring of environmental chemicals: Current applications and future perspectives. J Sep Sci 2020; 44:247-273. [DOI: 10.1002/jssc.202000830] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 10/18/2020] [Accepted: 11/13/2020] [Indexed: 01/09/2023]
Affiliation(s)
- Un‐Jung Kim
- Department of Earth & Environmental Sciences University of Texas at Arlington Arlington Texas USA
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Barros N, Carvalho M, Silva C, Fontes T, Prata JC, Sousa A, Manso MC. Environmental and biological monitoring of benzene, toluene, ethylbenzene and xylene (BTEX) exposure in residents living near gas stations. JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH. PART A 2019; 82:550-563. [PMID: 31266404 DOI: 10.1080/15287394.2019.1634380] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
The volatile organic compounds benzene, toluene, ethylbenzene, and xylene (BTEX) are emitted into the atmosphere at gas stations (GS) leading to chronic exposure of nearby residents, which raises public health concerns. This study aimes at determining the contribution of GS emissions to BTEX exposure in nearby residents. Three Control and Exposed areas to BTEX emissions from GS were defined in a medium-sized European city (Porto, Portugal). BTEX atmospheric levels were determined in Control and Exposed areas using passive samplers deployed outdoors (n = 48) and indoors (n = 36), and human exposure was estimated for 119 non-smoking residents using the first urine of the day. Results showed that median BTEX outdoor and indoor concentrations were significantly higher for Exposed than Control areas, with exception of ethylbenzene and xylene indoor concentrations, where no marked differences were found. Comparison of urinary concentrations between Exposed and Control residents demonstrated no significant differences for benzene and ethylbenzene, whereas levels of toluene and xylene were significantly higher in Exposed residents. No marked correlation was obtained between atmospheric BTEX concentrations and urinary concentrations. Data indicate the potential impact on air quality of BTEX emissions from GS, which confirms the importance of these findings in urban planning in order to minimize the impact on health and well-being of surrounding populations.
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Affiliation(s)
- Nelson Barros
- a FP-ENAS - UFP Energy, Environment and Health Research Unit, University Fernando Pessoa , Porto , Portugal
- b Science and Technology Faculty, University Fernando Pessoa , Porto , Portugal
| | - Márcia Carvalho
- a FP-ENAS - UFP Energy, Environment and Health Research Unit, University Fernando Pessoa , Porto , Portugal
- c UCIBIO, REQUIMTE, Laboratory of Toxicology, Faculty of Pharmacy, University of Porto , Porto , Portugal
- d Health Sciences Faculty, University Fernando Pessoa , Porto , Portugal
| | - Cláudia Silva
- a FP-ENAS - UFP Energy, Environment and Health Research Unit, University Fernando Pessoa , Porto , Portugal
- d Health Sciences Faculty, University Fernando Pessoa , Porto , Portugal
| | - Tânia Fontes
- e INESC TEC - INESC Technology and Science , Porto , Portugal
| | - Joana C Prata
- a FP-ENAS - UFP Energy, Environment and Health Research Unit, University Fernando Pessoa , Porto , Portugal
- f Centre for Environmental and Marine Studies (CESAM) and Department of Chemistry, University of Aveiro , Aveiro , Portugal
| | - André Sousa
- a FP-ENAS - UFP Energy, Environment and Health Research Unit, University Fernando Pessoa , Porto , Portugal
| | - M Conceição Manso
- a FP-ENAS - UFP Energy, Environment and Health Research Unit, University Fernando Pessoa , Porto , Portugal
- d Health Sciences Faculty, University Fernando Pessoa , Porto , Portugal
- g LAQV-REQUIMTE, University of Porto , Porto , Portugal
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Magnani C, Ranucci A, Badaloni C, Cesaroni G, Ferrante D, Miligi L, Mattioli S, Rondelli R, Bisanti L, Zambon P, Cannizzaro S, Michelozzi P, Cocco P, Celentano E, Assennato G, Merlo DF, Mosciatti P, Minelli L, Cuttini M, Torregrossa MV, Lagorio S, Haupt R, Forastiere F. Road Traffic Pollution and Childhood Leukemia: A Nationwide Case-control Study in Italy. Arch Med Res 2017; 47:694-705. [PMID: 28476197 DOI: 10.1016/j.arcmed.2017.02.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2017] [Accepted: 02/23/2017] [Indexed: 02/06/2023]
Abstract
BACKGROUND The association of childhood leukemia with traffic pollution was considered in a number of studies from 1989 onwards, with results not entirely consistent and little information regarding subtypes. AIM OF THE STUDY We used the data of the Italian SETIL case-control on childhood leukemia to explore the risk by leukemia subtypes associated to exposure to vehicular traffic. METHODS We included in the analyses 648 cases of childhood leukemia (565 Acute lymphoblastic-ALL and 80 Acute non lymphoblastic-AnLL) and 980 controls. Information on traffic exposure was collected from questionnaire interviews and from the geocoding of house addresses, for all periods of life of the children. RESULTS We observed an increase in risk for AnLL, and at a lower extent for ALL, with indicators of exposure to traffic pollutants. In particular, the risk was associated to the report of closeness of the house to traffic lights and to the passage of trucks (OR: 1.76; 95% CI 1.03-3.01 for ALL and 6.35; 95% CI 2.59-15.6 for AnLL). The association was shown also in the analyses limited to AML and in the stratified analyses and in respect to the house in different period of life. CONCLUSIONS Results from the SETIL study provide some support to the association of traffic related exposure and risk for AnLL, but at a lesser extent for ALL. Our conclusion highlights the need for leukemia type specific analyses in future studies. Results support the need of controlling exposure from traffic pollution, even if knowledge is not complete.
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Affiliation(s)
- Corrado Magnani
- Cancer Epidemiology Unit, Department of Translational Medicine, CPO Piedmont and University of Eastern Piedmont, Novara, Italy.
| | - Alessandra Ranucci
- Cancer Epidemiology Unit, Department of Translational Medicine, CPO Piedmont and University of Eastern Piedmont, Novara, Italy
| | - Chiara Badaloni
- Department of Epidemiology, Lazio Regional Health Service, Roma, Italy
| | - Giulia Cesaroni
- Department of Epidemiology, Lazio Regional Health Service, Roma, Italy
| | - Daniela Ferrante
- Cancer Epidemiology Unit, Department of Translational Medicine, CPO Piedmont and University of Eastern Piedmont, Novara, Italy
| | - Lucia Miligi
- Occupational and Environmental Epidemiology Unit, ISPO Cancer Prevention and Research Institute, Florence, Italy
| | - Stefano Mattioli
- Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
| | - Roberto Rondelli
- Paediatric Oncology-Haematology Lalla Seràgnoli, Policlinico S.Orsola-Malpighi, Bologna, Italy
| | | | | | - Santina Cannizzaro
- Lega Italiana per la Lotta contro i Tumori Onlus Sez. Provinciale di Ragusa, Ragusa Ibla, Italy
| | - Paola Michelozzi
- Department of Epidemiology, Lazio Regional Health Service, Roma, Italy
| | - Pierluigi Cocco
- Department of Medical Sciences and Public Health, Occupational Health Section, University of Cagliari, Cagliari, Italy
| | - Egidio Celentano
- Istituto Nazionale per lo Studio e la Cura dei Tumori, Fondazione G.Pascale, IRCCS, Napoli, Italy
| | | | - Domenico Franco Merlo
- Clinical Epidemiology, IRCCS Azienda Ospedaliera Universitaria San Martino-IST Istituto Nazionale per la Ricerca sul Cancro, Genova, Italy
| | - Paola Mosciatti
- Università di Camerino, Dipartimento di Medicina Sperimentale e di Sanità Pubblica, Camerino, Italy
| | - Liliana Minelli
- Dipartimento di Medicina Sperimentale-Sezione di Sanità Pubblica, Università degli Studi di Perugia, Perugia, Italy
| | - Marina Cuttini
- Unità di Ricerca di Epidemiologia Perinatale, Ospedale Pediatrico Bambino Gesù, Roma, Italy
| | - Maria Valeria Torregrossa
- Dipartimento di Scienze per la Promozione della Salute Sez.Igiene, Università degli Studi di Palermo, Palermo, Italy
| | - Susanna Lagorio
- National Centre for Epidemiology, Surveillance and Health Promotion, National Institute of Health, Roma, Italy
| | - Riccardo Haupt
- Epidemiology and Biostatistics Unit, Istituto Giannina Gaslini, Genova, Italy
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Andreoli R, Spatari G, Pigini D, Poli D, Banda I, Goldoni M, Riccelli MG, Petyx M, Protano C, Vitali M, Barbaro M, Mutti A. Urinary biomarkers of exposure and of oxidative damage in children exposed to low airborne concentrations of benzene. ENVIRONMENTAL RESEARCH 2015; 142:264-272. [PMID: 26186134 DOI: 10.1016/j.envres.2015.07.003] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2015] [Revised: 06/23/2015] [Accepted: 07/07/2015] [Indexed: 06/04/2023]
Abstract
The aim of this work was to evaluate the oxidative damage to nucleic acids in children (5-11 years) associated with exposure to environmental pollutants and tobacco smoke (ETS). For each subject, urinary sampling was done twice (evening and next morning) to measure by tandem LC-MS-MS such oxidated products of nucleic acids as 8-oxo-7,8-dihydro-2'-deoxyguanosine (8-oxodGuo), 8-oxo-7,8-dihydroguanosine (8-oxoGuo), and 8-oxo-7,8-dihydroguanine (8-oxoGua). Methyl tert-butyl ether (U-MTBE), benzene (U-Benz), and its metabolites (t,t-muconic and S-phenylmercapturic acids, t,t-MA and S-PMA, respectively) were determined as biomarkers of exposure to air pollution, and cotinine as a biomarker of exposure to ETS. Biomarkers of exposure (S-PMA and U-MTBE) and of DNA oxidation (8-oxodGuo) were dependent on the urbanization and industrialization levels and increased in the evening sample as compared to next morning (p<0.05). In both evening and next morning samples, 8-oxodGuo and 8-oxoGuo correlated with each other (r=0.596 and r=0.537, respectively, p<0.01) and with biomarkers of benzene exposure, particularly S-PMA (r=0.59 and r=0.45 for 8-oxodGuo and r=0.411 and r=0.383 for 8-oxoGuo, p<0.01). No such correlations were observed for U-MTBE and cotinine. Multiple linear regression analyses showed that 8-oxodGuo was positively associated with S-PMA at both sampling times (β=0.18 and β=0.14 for evening and next morning sampling, respectively; p<0.02) and weakly with U-MTBE (β=0.07, p=0.020) only in the evening urines. These results suggest that the selected biomarkers of exposure to benzene, particularly S-PMA, are good tracers of exposure to complex mixtures of oxidative pollutants and that the associated oxidative damage to nucleic acids is detectable even at very low levels of exposure.
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Affiliation(s)
- R Andreoli
- Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy.
| | - G Spatari
- Department of Environmental Science, Security, Territory, Food and Health, University of Messina, Messina, Italy
| | - D Pigini
- CERT, INAIL Research Center at the University of Parma, Parma, Italy
| | - D Poli
- CERT, INAIL Research Center at the University of Parma, Parma, Italy
| | - I Banda
- Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy
| | - M Goldoni
- Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy
| | - M G Riccelli
- Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy
| | - M Petyx
- INAIL, DMLEL, Monteporzio Catone, Rome, Italy
| | - C Protano
- Department of Public Health and Infectious Diseases, La Sapienza University, Rome, Italy
| | - M Vitali
- Department of Public Health and Infectious Diseases, La Sapienza University, Rome, Italy
| | - M Barbaro
- Department of Environmental Science, Security, Territory, Food and Health, University of Messina, Messina, Italy
| | - A Mutti
- Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy
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Barata-Silva C, Mitri S, Pavesi T, Saggioro E, Moreira JC. Benzeno: reflexos sobre a saúde pública, presença ambiental e indicadores biológicos utilizados para a determinação da exposição. ACTA ACUST UNITED AC 2014. [DOI: 10.1590/1414-462x201400040006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
O uso indiscriminado de um número cada vez maior de substâncias químicas vem aumentando e a contaminação ambiental associada tem trazido sérias consequências para o sistema público de saúde devido à elevação de danos para a saúde humana. Uma das substâncias que desperta grande interesse devido à contaminação contemporânea é o benzeno, composto aromático classificado pela International Agency for Research on Cancer como reconhecidamente carcinogênico para humanos. O objetivo do presente estudo foi elaborar e discutir um panorama sobre a contaminação por benzeno, seu metabolismo, consequências para a saúde e sua determinação ambiental e biológica a partir de informações existentes na literatura científica. O levantamento de dados possibilitou o acesso a mais de 200 artigos científicos tanto de âmbito nacional quanto internacional, demonstrando a atualidade do tema e a necessidade de minimização da exposição humana a essa substância. A maioria preocupa-se em explorar o metabolismo e investigar indicadores de exposição, muitos já amplamente estudados e com sérias limitações. Contudo, um crescente número de pesquisadores estão empenhados em elucidar fatores relacionados à suscetibilidade e à interferência da exposição no material genético e proteico. Indicadores de exposição inovadores têm sido propostos com o objetivo de complementar as lacunas de informações anteriormente obtidas, contribuindo para o delineamento da estrutura da biologia de sistemas orgânicos frente à exposição ao benzeno.
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