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Crossin R, Lawrence AJ, Andrews ZB, Churilov L, Duncan JR. Growth changes after inhalant abuse and toluene exposure: A systematic review and meta-analysis of human and animal studies. Hum Exp Toxicol 2018; 38:157-172. [PMID: 30062923 DOI: 10.1177/0960327118792064] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Inhalant abuse is a significant public health issue, particularly for adolescents, the predominant group of inhalant users. Adolescence is a critical growth period, and inhalant abuse has been associated with growth impairments, including reduced body weight and height. However, the extent to which inhalant abuse affects growth remains unquantified, and potential moderators remain unknown. To address this knowledge gap, a systematic review and meta-analysis of clinical human and preclinical animal studies utilizing toluene exposure (the primary solvent in abused products) was conducted. Five-hundred and sixty-nine studies were screened; 31 met inclusion criteria, yielding 64 toluene-control comparisons for body weight and 6 comparisons for height. Toluene exposure was negatively associated with body weight ( d = -0.73) and height ( d = -0.69). Concentration of inhaled toluene, but not duration, moderated the effect of toluene exposure on body weight, with more severe impairments at higher concentrations. Differences in effect size for body weight were observed for study characteristic subgroups including sex, age at first exposure, administration route and species. However, these findings should be interpreted cautiously due to low study numbers. Growth impairments, particularly during adolescence, can cause long-term health consequences. These effects on growth are therefore an important clinical outcome for individuals with a history of inhalant abuse.
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Affiliation(s)
- R Crossin
- 1 Addiction Neuroscience, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, Melbourne, Victoria, Australia.,2 Eastern Health Clinical School, Monash University, Clayton, Victoria, Australia
| | - A J Lawrence
- 1 Addiction Neuroscience, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, Melbourne, Victoria, Australia.,3 Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, Melbourne, Victoria, Australia
| | - Z B Andrews
- 4 Department of Physiology, Monash University, Clayton, Victoria, Australia
| | - L Churilov
- 3 Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, Melbourne, Victoria, Australia
| | - J R Duncan
- 1 Addiction Neuroscience, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, Melbourne, Victoria, Australia.,5 School of Medicine, University of Adelaide, Adelaide, South Australia, Australia
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Crossin R, Andrews ZB, Sims NA, Pang T, Mathai M, Gooi JH, Stefanidis A, Oldfield BJ, Lawrence AJ, Duncan JR. Adolescent Inhalant Abuse Results in Adrenal Dysfunction and a Hypermetabolic Phenotype with Persistent Growth Impairments. Neuroendocrinology 2018; 107:340-354. [PMID: 30208370 DOI: 10.1159/000493686] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Accepted: 09/12/2018] [Indexed: 11/19/2022]
Abstract
BACKGROUND/AIMS Abuse of toluene products (e.g., glue-sniffing) primarily occurs during adolescence and has been associated with appetite suppression and weight impairments. However, the metabolic phenotype arising from adolescent inhalant abuse has never been fully characterised, and its persistence during abstinence and underlying mechanisms remain unknown. METHODS Adolescent male Wistar rats (post-natal day 27) were exposed to inhaled toluene (10,000 ppm) (n = 32) or air (n = 48) for 1 h/day, 3 days/week for 4 weeks, followed by 4 weeks of abstinence. Twenty air rats were pair-fed to the toluene group, to differentiate the direct effects of toluene from under-nutrition. Food intake, weight, and growth were monitored. Metabolic hormones were measured after exposure and abstinence periods. Energy expenditure was measured using indirect calorimetry. Adrenal function was assessed using adrenal histology and hormone testing. RESULTS Inhalant abuse suppressed appetite and increased energy expenditure. Reduced weight gain and growth were observed in both the toluene and pair-fed groups. Compared to the pair-fed group, and despite normalisation of food intake, the suppression of weight and growth for toluene-exposed rats persisted during abstinence. After exposure, toluene-exposed rats had low fasting blood glucose and insulin compared to the air and pair-fed groups. Consistent with adrenal insufficiency, adrenal hypertrophy and increased basal adrenocorticotropic hormone were observed in the toluene-exposed rats, despite normal basal corticosterone levels. CONCLUSIONS Inhalant abuse results in negative energy balance, persistent growth impairment, and endocrine changes suggestive of adrenal insufficiency. We conclude that adrenal insufficiency contributes to the negative energy balance phenotype, potentially presenting a significant additional health risk for inhalant users.
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Affiliation(s)
- Rose Crossin
- Addiction Neuroscience, Florey Institute of Neuroscience and Mental Health, Melbourne, Victoria,
- Eastern Health Clinical School, Monash University, Box Hill, Victoria,
| | - Zane B Andrews
- Monash Biomedicine Discovery Institute, Department of Physiology, Monash University, Clayton, Victoria, Australia
| | - Natalie A Sims
- St Vincent's Institute of Medical Research and Department of Medicine at St. Vincent's Hospital, The University of Melbourne, Melbourne, Victoria, Australia
| | - Terence Pang
- Addiction Neuroscience, Florey Institute of Neuroscience and Mental Health, Melbourne, Victoria, Australia
| | | | - Jonathan H Gooi
- Department of Medicine at St. Vincent's Hospital, The University of Melbourne, Fitzroy, Victoria, Australia
| | - Aneta Stefanidis
- Monash Biomedicine Discovery Institute, Department of Physiology, Monash University, Clayton, Victoria, Australia
| | - Brian J Oldfield
- Monash Biomedicine Discovery Institute, Department of Physiology, Monash University, Clayton, Victoria, Australia
| | - Andrew J Lawrence
- Addiction Neuroscience, Florey Institute of Neuroscience and Mental Health, Melbourne, Victoria, Australia
- Florey Department of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Victoria, Australia
| | - Jhodie R Duncan
- Addiction Neuroscience, Florey Institute of Neuroscience and Mental Health, Melbourne, Victoria, Australia
- School of Medicine, University of Adelaide, Adelaide, South Australia, Australia
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Yoon JH, Seo HS, Lee J, Moon C, Lee K. Acute high-level toluene exposure decreases hippocampal neurogenesis in rats. Toxicol Ind Health 2016; 32:1910-1920. [DOI: 10.1177/0748233715599087] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Toluene is an organic solvent that is used in various industrial applications. Despite its usefulness, toluene has toxic effects on the brain and is a substance that is commonly abused. Toluene causes behavioral and functional abnormalities such as decreased memory capacity, cognitive impairment, and depression-like symptoms. However, the target sites and toxic mechanisms of inhaled toluene in the brain are poorly understood. In this study, we subjected Sprague-Dawley (SD) rats to acute high-level toluene exposure (7000 ppm) to investigate its neuronal toxicity, and in particular, its effect on neurogenesis in the hippocampus. In order to assay the effects of inhaled toluene on hippocampal neurogenesis, we measured the levels of neurogenesis markers Ki-67 and doublecortin (DCX) in the hippocampus 1, 2, 5, and 8 days after cessation of toluene exposure. In addition to assaying clinical signs, body weight, and bronchoalveolar lavage fluid, the liver, lungs, and kidneys were subjected to histopathological examination to investigate the toxic effects of high-level toluene exposure. Although abnormal neurological signs were observed after toluene exposure, these disappeared within 24 h and no toluene-related toxicological effects were observed in the liver, lungs, or kidneys. The animals exposed to toluene showed significantly decreased hippocampal neurogenesis, which persisted until the 8th and final day of measurement. Thus, acute high-level toluene exposure inhibited hippocampal neurogenesis and produced transient abnormal neurological signs, but did not produce toxicity in the other organs studied.
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Affiliation(s)
- Jin-ha Yoon
- The Institute for Occupational Health, Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Heung-Sik Seo
- Inhalation Toxicology Research Center, Korea Institute of Toxicology, Jeonbuk, Korea
- Toxicity Evaluation Team, Healthcare Research Institute, Korea Testing & Research Institute, Hwasun, Korea
| | - Jinsoo Lee
- Inhalation Toxicology Research Center, Korea Institute of Toxicology, Jeonbuk, Korea
| | - Changjong Moon
- Department of Veterinary Anatomy, Chonnam National University, Gwangju, Korea
| | - Kyuhong Lee
- Inhalation Toxicology Research Center, Korea Institute of Toxicology, Jeonbuk, Korea
- Human and Environment Toxicology, University of Science and Technology, Daejeon, Korea
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Yeni D, Fidan AF, Ciğerci IH, Konuk M, Avdatek F, Gündoğan M. Effect of α-lipoic acid on sperm quality, reproductive tract measures in thinner exposed rats. Andrologia 2011; 44 Suppl 1:74-80. [DOI: 10.1111/j.1439-0272.2010.01140.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Kanter M. Thymoquinone reestablishes spermatogenesis after testicular injury caused by chronic toluene exposure in rats. Toxicol Ind Health 2010; 27:155-66. [DOI: 10.1177/0748233710382541] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The aim of this study was designed to evaluate the possible protective effects of thymoquinone (TQ) on the spermatogenesis after testicular injury caused by chronic toluene exposure in rats. The rats were randomly allotted into one of three experimental groups: control, toluene-treated and toluene treated with TQ; each group contained 10 animals. Control group received 1 mL serum physiologic and toluene treatment was performed by inhalation of 3000 ppm toluene, in an 8-hour/day and 6-day/week order for 12 weeks. The rats in TQ-treated group was given TQ (50 mg/kg body weight) once a day orally for 12 weeks starting just after toluene exposure. Tissue samples were obtained for histopathological investigation. To date, no histopathological changes of testis in rats after chronic toluene exposure by TQ treatment have been reported. Spermatogenesis and mean seminiferous tubule diameter (MSTD) were significantly decreased in toluene treated groups when compared to the control group. Furthermore, the TQ-treated animals showed an improved histological appearance in toluene-treated group. Our data indicate a significant reduction in the activity of in situ identification of apoptosis using terminal dUTP nick end-labeling (TUNEL), endothelial nitric oxide synthase (eNOS), inducible nitric oxide synthase (iNOS) and there was a rise in the expression of proliferating cell nuclear antigen (PCNA) in testis tissues of the toluene-treated group with TQ therapy. Electron microscopy of the testes of the rats demonstrated that pretreatment with TQ was particularly effective in preventing the mitochondrial degeneration, dilatation of smooth endoplasmic reticulum (SER) and enlarged intercellular spaces in both Sertoli and spermatid cells in the toluene-treated animals. We believe that further preclinical research into the utility of TQ may indicate its usefulness as a potential treatment on the spermatogenesis after testicular injury caused by chronic toluene exposure in rats.
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Affiliation(s)
- Mehmet Kanter
- Department of Histology and Embryology, Faculty of Medicine, Trakya University, Edirne, Turkey,
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Chaari N, Kacem M, Marchaoui I, Kochtali I, Akrout M. Troubles de la fonction sexuelle et hormonale liés à l’exposition professionnelle aux solvants. ARCH MAL PROF ENVIRO 2009. [DOI: 10.1016/j.admp.2009.04.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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D'Andrea M, Lawrence D, Nagele R, Wang C, Damiano B. PCNA indexing as a preclinical immunohistochemical biomarker for testicular toxicity. Biotech Histochem 2009; 83:211-20. [DOI: 10.1080/10520290802521804] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Yilmaz B, Canpolat S, Sandal S, Akpolat N, Kutlu S, Ilhan N, Kelestimur H. Paint thinner exposure inhibits testosterone synthesis and secretion in a reversible manner in the rat. Reprod Toxicol 2006; 22:791-6. [PMID: 16978833 DOI: 10.1016/j.reprotox.2006.08.002] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2006] [Revised: 07/26/2006] [Accepted: 08/03/2006] [Indexed: 10/24/2022]
Abstract
Occupational exposure and sniffing of toluene-based organic solvents is an important public health problem. In this study, we have investigated the effects of paint thinner inhalation on testosterone synthesis and secretion in the male rat. A control group inhaled normal air ventilation. The remaining animals were divided into three groups and exposed to paint thinner in a glassy cage for 15 and 30 days (2 h/day). A group of rats was allowed to recover for 15 days after 30 days of exposure. Toluene concentration (the largest constituent in thinner, 66%) was set at 1500 ppm in the inhaled air. At the end, all animals were decapitated and blood samples obtained. Testes and seminal vesicles were removed and weighed out. Serum total testosterone levels were determined by chemiluminescence enzyme immunoassay. Testicular tissue specimens were processed for semi-quantitative evaluation of immunohistochemical testosterone staining and light microscopy. Intensity of immunostaining was evaluated on a scale between 0 (no staining), 1 (minimal), 2 (mild), 3 (moderate) and 4 (strong staining). Serum testosterone levels (ng/ml) were decreased by 15-day (3.31+/-0.61) and 30-day (1.17+/-0.54, p<0.02) thinner exposure compared to the controls (3.91+/-1.03). Another group of rats exposed to thinner for 30 days and then allowed to recover for a period of 15 days had significantly elevated levels of testosterone values (3.77+/-1.1; p<0.05). Immunohistochemical testosterone staining of the cytoplasm of Leydig cells was moderate (3+) and mild (2+) in 15 and 30 days thinner inhalation groups, respectively. Strong staining (4+) was restored following the recovery period. Testicular weight was significantly reduced in all test groups compared to the control values (p<0.01). Diameters of seminiferous tubules were significantly decreased in the solvent exposed groups with enlarged connective tissue. The present findings suggest that paint thinner inhalation inhibits testosterone synthesis and secretion by a direct action on the Leydig cells in a reversible manner.
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Affiliation(s)
- Bayram Yilmaz
- Firat University, Faculty of Medicine, Department of Physiology, Elazig, Turkey.
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