Joint effects of trihalomethanes and trichloroacetic acid on semen quality: A population-based cross-sectional study in China

Associations between urinary biomarkers of exposure to disinfection byproducts and semen parameters: A repeated measures analysis

Toxicological studies have demonstrated that disinfection byproducts (DBPs), particularly haloacetic acids, cause testicular toxicity. However, evidence from human studies is sparse and inconclusive. This study included 1230 reproductive-aged men from the Tongji Reproductive and Environmental (TREE) cohort to investigate the associations between repeated measures of DBP exposures and semen parameters. Urinary dichloroacetic acid (DCAA) and trichloroacetic acid (TCAA) as biomarkers of DBP exposures and semen parameters in up to three samples from each man were assessed. The linear mixed effect models were applied to explore the associations between urinary biomarkers of DBP exposures and semen parameters. We found inverse associations of urinary DCAA with sperm count, progressive motility, and total motility (e.g., -14.86%; 95% CI: -19.33%, -10.15% in sperm total motility for the highest vs. lowest quartiles; all P for trends < 0.05). Moreover, urinary TCAA modeled as a continuous variable was negatively associated with sperm progressive motility and total motility, while the inverse associations across increasing urinary TCAA quartiles were seen among leaner men (BMI < 25 kg/m2). Exposure to DBPs reflected by urinary DCAA and TCAA was inversely associated with sperm motility and such effects were more evident among leaner men.

Impacts of disinfection byproduct exposures on male reproductive health: Current evidence, possible mechanisms and future needs

Disinfection byproducts (DBPs) are a class of ubiquitous chemicals in drinking water and inevitably result in widespread human exposures. Potentially adverse health effects of DBP exposures, including reproductive and developmental outcomes, have been increasing public concerns. Several reviews have focused on the adverse pregnancy outcomes of DBPs. This review summarized current evidence on male reproduction health upon exposure to DBPs from toxicological and epidemiological literature. Based on existing experimental studies, there are sufficient evidence showing that haloacetic acids (HAAs) are male reproductive toxicants, including reduced epididymal weight, decreased semen parameters and sperm protein 22, and declined testosterone levels. However, epidemiological evidence remains insufficient to support a link of DBP exposures with adverse male reproductive outcomes, despite that blood and urinary DBP biomarkers are associated with decreased semen quality. Eight potential mechanisms, including germ/somatic cell dysfunction, oxidative stress, genotoxicity, inflammation, endocrine hormones, folate metabolism, epigenetic alterations, and gut microbiota, are likely involved in male reproductive toxicity of DBPs. We also identified knowledge gaps in toxicological and epidemiological studies to enhance future needs.

Probabilistic approach for health hazard assessment of trihalomethanes through successive showering events

Trihalomethanes (THMs) are common disinfection by-products in chlorinated tap waters. They can cause various cancers and non-cancer health hazards. Ingestion, dermal contact, and inhalation are the three exposure routes considered in the THM hazard or risk assessments. Among these, inhalation hazard is generally calculated by assuming the initial concentration as zero. This assumption fails to address the case of continuous or successive showers that can happen in shared showering facilities such as student hostels or gymnasiums. In the present study, the leftover THM concentration from the previous bath was considered to assess the chronic daily intakes (CDI) and hazard index (HI) for successive showers. For this, tap water of a university campus was analyzed to understand the extent of THM exposure at consumer points and the result obtained was used for the hazard assessment. Total THM concentrations varied from 0.51 to 68.9 µg L^-1. To address the variability of the model input parameters, 50,000 iterations of Monte Carlo simulation were carried out. Maximum HI values of 7.94E - 02 ± 3.63E - 02, and 6.69E - 02 ± 3.08E-02 were observed for the 1^st shower for females and males, respectively. This value increased exponentially up to the 5^th shower and thereafter, the value was constant. The methodology followed in the present study successfully determines the risk and hazard of THMs through successive showers.

Formation of emerging iodinated disinfection by-products during ballast water treatment based on ozonation processes

Disinfection by-products (DBPs) generated by ballast water treatment pose a potential threat to marine environment which aroused widespread concern. In recent years, emerging iodinated DBPs have attracted widespread attention because of their stronger cytotoxicity and genotoxicity than brominated/chlorinated DBPs. In this study, the effects of different natural organic matter species, total residual oxidant (TRO) concentrations, storage time, temperature, pH, bromide and iodide concentrations on the generation of iodinated trihalomethanes (I-THMs) during ozonation process of ballast water were investigated. The results showed that bromochloroiodomethane and diiodochloromethane (DICM) were not detected under all conditions during ozonation of humaic acid (HA). Different kinds of precursors had a significantly effect on the formation of I-THMs. For algal cells as precursor, DICM were detected (1.22 μg/L), while DICM were not detected from oxidation of 1,3-etonedicarboxylic acid, fulvic acid (FA), phenol, resorcinol, hydroquinone and HA as precursors. The yields of I-THMs from oxidation of algal cells, FA and phenol were higher than other precursors. Linear relationships were observed between the formation of I-THMs and TRO concentrations. The yields of I-THMs reached a peak at 48 h (180 μg/L) after ozonation treatment of ballast water, and then decreased with storage time extension. An increase in temperature enhanced the formation of dibromoiodomethane and bromodiiodomethane, while wakened the formation of iodoform and dichloroiodomethane. The formation of I-THMs was complicatedly affected by different pH values in the range from 4 to 9. The more bromide concentrations, the more brominated I-THMs were formed. The concentrations of I-THMs increased with increasing iodide concentrations, and low concentrations of iodide had greater effect on the production of I-THMs than high concentrations of iodide.

Endocrine Disruptors in Water and Their Effects on the Reproductive System

Anthropogenic contaminants in water can impose risks to reproductive health. Most of these compounds are known to be endocrine disrupting chemicals (EDCs). EDCs can impact the endocrine system and subsequently impair the development and fertility of non-human animals and humans. The source of chemical contamination in water is diverse, originating from byproducts formed during water disinfection processes, release from industry and livestock activity, or therapeutic drugs released into sewage. This review discusses the occurrence of EDCs in water such as disinfection byproducts, fluorinated compounds, bisphenol A, phthalates, pesticides, and estrogens, and it outlines their adverse reproductive effects in non-human animals and humans.

Use of multiple regression models for predicting the formation of bromoform and dibromochloromethane during ballast water treatment based on an advanced oxidation process

Disinfection byproducts (DBPs) generated by ballast water treatment have become a concern worldwide because of their potential threat to the marine environment. Predicting the relative DBP concentrations after disinfection could enable better control of DBP formation. However, there is no appropriate method of evaluating DBP formation in a full-scale ballast water treatment system (BWTS). In this study, multiple regression models were developed for predicting the dibromochloromethane (DBCM) and bromoform (TBM) concentrations produced by an emergency BWTS using field experimental data from ballast water treatments conducted at Dalian Port, China. Six combinations of independent variables [including several water parameters and/or the total residual oxidant (TRO) concentration] were evaluated to construct mathematical prediction formulas based on a polynomial linear model and logarithmic regression model. Further, statistical analyses were performed to verify and determine the appropriate mathematical models for DBCM and TBM formation, which were ultimately validated using additional field experimental data. The polynomial linear model with four variables (temperature, salinity, chlorophyll, and TRO) and the logarithmic regression model with seven variables (temperature, salinity, dissolved oxygen, pH, turbidity, chlorophyll, and TRO) exhibited good reproducibility and could be used to predict the DBCM and TBM concentrations, respectively. The validation results indicated that the developed models could accurately predict DBP concentrations, with no significant statistical difference from the measured values. The results of this work could provide a theoretical basis and data reference for ballast water treatment control in engineering applications of emergency BWTSs.

Urinary trichloroacetic acid and high blood pressure: A cross-sectional study of general adults in Shijiazhuang, China

Exposure to trichloroacetic acid (TCAA) and its parent chemicals potentially linked to cardiovascular disease. However, the association between TCAA and blood pressure (BP) has not been studied to date. The purpose of this study was to examine the potential association between urinary TCAA levels and BP in a Chinese population. We measured BP parameters (including systolic BP, diastolic BP and pulse pressure) and TCAA concentrations in the urine of 569 adults from a primary health care clinic in Shijiazhuang, China. Logistic and linear regressions were used to investigate the relationships between the urinary TCAA levels and BP parameters. To evaluate the robustness of the results, we conducted sensitivity analyses by re-analysing data after excluding urine samples with extreme specific creatinine values. We found that urine TCAA levels were positively associated with systolic BP and pulse pressure based on trend tests after adjusting for potential confounders (both p for trend < 0.05). Finally, only the association of TCAA with systolic BP remained significant in the sensitivity analyses (p < 0.05). Our results suggested that TCAA exposure was associated with increased BP in adults. Because urinary TCAA has been proposed as a valid biomarker of disinfection by-product (DBP) ingestion through disinfected drinking water, our results further suggest that exposure to drinking water DBPs may contribute to high BP in humans. Additional research is needed to confirm these findings and to evaluate opportunities for intervention.

First-trimester blood concentrations of drinking water trihalomethanes and neonatal neurobehavioral development in a Chinese birth cohort

Toxicological evidence indicates that exposure to drinking water trihalomethanes (THMs) can impair neural development. However, no epidemiologic study to date has evaluated the relation of trihalomethanes exposure with neonatal neurobehavioral development. Here we aimed to evaluate if prenatal exposure to THMs during early pregnancy is associated with neonatal neurobehavioral development in 451 Chinese mother-child pairs. First trimester blood THMs [chloroform (TCM), bromodichloromethane (BDCM), dibromochloromethane (DBCM), and bromoform (TBM)] were determined by solid phase micro-extraction gas chramatography. Neonatal neurobehavioral development was assessed using neonatal behavioral neurological assessment (NBNA) on the third day after birth. Multivariable linear regression models and restricted cubic spline models were constructed to evaluate the associations between blood THMs and neonatal neurological development scores. Blood concentrations of BDCM, whether modeled as continuous or categorical variables, were inversely associated with total NBNA score of newborns based on the multivariable linear regression. The association was further confirmed in the cubic spline model, and a linear dose-response relationship was observed. Stratified analysis showed that the inverse association between blood BDCM and total NBNA score was more evident in male infants than females. Our findings suggest that exposure to THMs during early pregnancy may be associated with impaired neonatal neurobehavioral development.

Rejection of haloacetic acids in water by multi-stage reverse osmosis: Efficiency, mechanisms, and influencing factors

Among available technologies to ensure drinking water security, reverse osmosis (RO) has become the gold-standard for purification due to its maturity and reliability. However, high energy consumption and low water recovery are the major impediments for extensive adoption of RO. Multi-stage RO process is an innovative system design that can offer a more effective way to improve energy efficiency and water recovery, but it is rarely employed for disinfection by-product (DBP) treatment in drinking water. Thus, this study applied multi-stage RO to treat water containing haloacetic acids (HAAs), a prevalent class of DBPs with widespread occurrence and high toxicity, under a variety of environmental and operational conditions. Overall, we found that >75% HAAs were rejected and 87% of water was recovered with a five-stage RO process. For compounds with identical number of halogen substitutions, iodinated, brominated, and chlorinated HAAs were almost equally removed; however, highly halogenated species were easier to be rejected than lowly halogenated HAAs. By developing quantitative structure-activity relationship models, the importance of size exclusion, charge repulsion, and hydrophobic interaction effects on multi-stage RO removal was revealed. Environmental and operational variables like pH, operating pressure, water matrix, and membrane age also played important roles in this process. Increasing pH from 6.5 to 8.5 and membrane age apparently enhanced HAA rejections. In contrast, HAA rejection increased only slightly from an operating pressure of 4-6 bars but decreased markedly from 6 to 8 bars. Compared to ultrapure water, equal or higher removal efficiency was observed for HAAs spiked to tap water. Considering the need to balance water quality and quantity, a four-stage RO was preferred under this study's condition.

Impact of chloroform exposures on reproductive and developmental outcomes: A systematic review of the scientific literature

AIMS

We assessed the animal and epidemiological data to determine if chloroform exposure causes developmental and/or reproductive toxicity.

RESULTS AND DISCUSSION

Initial scoping identified developmental toxicity as the primary area of concern. At levels producing maternal toxicity in rats and mice, chloroform caused decrements in fetal weights and associated delays in ossification. In a single mouse inhalation study, exposure to a high concentration of chloroform was associated with small fetuses and increased cleft palate. However, oral exposure of mice to chloroform at a dose 4 times higher was negative for cleft palate; multiple inhalation studies in rats were also negative. Epidemiologic data on low birth weight and small for gestational age were generally equivocal, preventing conclusions from being drawn for humans. The animal data also show evidence of very early (peri-implantation) total litter losses at very high exposure levels. This effect is likely maternally mediated rather than a direct effect on the offspring. Finally, the epidemiologic data indicate a possible association of higher chloroform exposure with lower risk of preterm birth (<37 weeks gestation).

CONCLUSIONS

The available animal data suggest that exposures lower than those causing maternal toxicity should be without developmental effects in the offspring. Also, most studies in humans rely on group-level geographic exposure data, providing only weak epidemiologic evidence for an association with development outcomes and fail to establish a causal role for chloroform in the induction of adverse developmental outcomes at environmentally relevant concentrations.