A multi-day environmental study of polycyclic aromatic hydrocarbon exposure in a high-risk region for esophageal cancer in China

Benzo[a]pyrene-Environmental Occurrence, Human Exposure, and Mechanisms of Toxicity

Benzo[a]pyrene (B[a]P) is the main representative of polycyclic aromatic hydrocarbons (PAHs), and has been repeatedly found in the air, surface water, soil, and sediments. It is present in cigarette smoke as well as in food products, especially when smoked and grilled. Human exposure to B[a]P is therefore common. Research shows growing evidence concerning toxic effects induced by this substance. This xenobiotic is metabolized by cytochrome P450 (CYP P450) to carcinogenic metabolite: 7β,8α-dihydroxy-9α,10α-epoxy-7,8,9,10-tetrahydrobenzo[a]pyrene (BPDE), which creates DNA adducts, causing mutations and malignant transformations. Moreover, B[a]P is epigenotoxic, neurotoxic, and teratogenic, and exhibits pro-oxidative potential and causes impairment of animals' fertility. CYP P450 is strongly involved in B[a]P metabolism, and it is simultaneously expressed as a result of the association of B[a]P with aromatic hydrocarbon receptor (AhR), playing an essential role in the cancerogenic potential of various xenobiotics. In turn, polymorphism of CYP P450 genes determines the sensitivity of the organism to B[a]P. It was also observed that B[a]P facilitates the multiplication of viruses, which may be an additional problem with the widespread COVID-19 pandemic. Based on publications mainly from 2017 to 2022, this paper presents the occurrence of B[a]P in various environmental compartments and human surroundings, shows the exposure of humans to this substance, and describes the mechanisms of its toxicity.

The lag effect of exposure to PM2.5 on esophageal cancer in urban-rural areas across China

Exposure to PM2.5 pollution is a significant health concern and increases risks for cancers in China. However, the studies regarding the effect of PM2.5 and esophageal cancer incidence (ECI) among urban-rural areas are limited. In this study, we examined the sex- and area-specific association between exposure to PM2.5 and ECI, as well as explored the corresponding lag effects on ECI using a geographical weighted Poisson regression. We found significantly positive effect on ECI for males and females in different models, with the greatest increase of 1.44% (95% CI: 1.30%, 1.59%) and 2.42% (95% CI: 2.17%, 2.66%) in per 10 ug/m3 increase of PM2.5 for males and females at single year lag7 and lag4 after all covariates controlled, respectively. We also found that the long-term effect of PM2.5 on ECI was relatively stable at all moving average year lags. Moreover, rural areas had higher ECI risks for males (0.17%) and females (0.64%) with longer lag period than urban areas. In addition, higher risks for both sexes appeared in north, northwestern, and east China. The findings indicated that long-term exposure to PM2.5 was significantly associated with increased risks for ECI, which reinforce a comprehensive understanding for ECI related to PM2.5.

A preliminary study on household air pollution exposure and health-related factors among rural housewives in Gansu province, northwest China

This study monitored the indoor air PAHs and PM2.5 exposure and their seasonal variations, so as to explore the potential health effects of household air pollution (HAP) on rural women's health in northwest China. It was detected that the average indoor PM2.5 and PAHs concentrations in the heating season were both significantly higher than those in the non-heating season (P<0.01). And they were positively correlated with the urinary 1-OHP levels respectively. Then the PAHs and 1-OHP were both significantly correlated with the urinary 8-OHdG levels (P<0.05). By statistical models, household PM2.5 and PAHs were closely related to urinary 1-OHP levels. Similarly, PM2.5, PAHs and 1-OHP all have significant effects with urinary 8-OHdG (P<0.05). Therefore, housewives in rural northwest China were exposed to higher HAP, and it could improve the risk for oxidative damage.

Risk factors for esophageal cancer in a high-incidence area of Malawi

PURPOSE

To explore associations of nutritional, infectious, and lifestyle factors with esophageal cancer (EC) occurrence in a high-risk area of Malawi.

METHODS

This case-control study was performed with 227 patients undergoing endoscopy for dysphagia or other upper gastrointestinal complaints. Data on clinicopathological characteristics and risk factors were collected using a questionnaire developed for this study specifically. Ninety-eight blood samples were collected and the prevalence of antibodies against human immunodeficiency virus, herpes simplex virus, cytomegalovirus, Epstein-Barr virus, varicella-zoster virus, and Helicobacter pylori were determined serologically.

RESULTS

The tumor and control groups comprised 157 (69.2%) and 70 (31.8%) patients, respectively. Patients with tumors were significantly older than controls (55.5 vs. 43.5 years, p < 0.001). The male/female ratio did not differ between groups (59% and 54% male, respectively; p = 0.469). EC was associated with smoking (p < 0.001), and alcohol consumption (p = 0.020), but 43% of patients with tumors did not smoke or drink. EC was associated with the consumption of hot food and tea (p = 0.003) and smoked fish (p = 0.011). EC was not associated with any serologically investigated infectious agents. In an age adjusted binary logistic regression analysis of all nutritive factors, only locally made alcohol was significant [odds ratio (OR), 9.252; 95% confidence interval (CI), 1.455-58.822; p = 0.018].

CONCLUSIONS

Apart from alcohol consumption and smoking, the consumption of hot food or tea and smoked fish are associated with EC. Locally distilled alcohol consumption increases the EC risk in Malawi.

Polycyclic Aromatic Hydrocarbons in Indoor Dust Collected during the COVID-19 Pandemic Lockdown in Saudi Arabia: Status, Sources and Human Health Risks

To control the spread of coronavirus disease (COVID-19), Saudi Arabia's government imposed a strict lockdown during March-July 2020. As a result, the public was confined to indoors, and most of their daily activities were happening in their indoor places, which might have resulted in lower indoor environment quality. Polycyclic aromatic hydrocarbons (PAHs) were analyzed in household dust (n = 40) collected from different residential districts of Jeddah, Saudi Arabia, during the lockdown period. PAHs' levels were two folds higher than the previously reported PAHs in indoor dust from this region. We detected low molecular weight (LMW) with two to four aromatic ring PAHs in all the samples with a significant contribution from Phenanthrene (Phe), present at an average concentration of 1590 ng/g of dust. Although high molecular weight (HMW) (5-6 aromatic ring) PAHs were detected at lower concentrations than LMW PAHs, however, they contributed >90% in the carcinogenic index of PAHs. The estimated daily intake (EDI) of specific PAHs was above the reference dose (RfD) for young children in high-end exposure and the calculated Incremental Lifetime Cancer Risk (ILCR) was >1.00 × 10-4 for both Saudi adults and young children. The study highlighted that indoor pollution has increased significantly during lockdown due to the increased indoor activities and inversely affect human health. This study also warrants to conduct more studies involving different chemicals to understand the indoor environment quality during strict lockdown conditions.

DNA-SIP identification of phenanthrene-degrading bacteria undergoing bioaugmentation and natural attenuation in petroleum-contaminated soil

DNA-stable isotope probing (SIP) with ¹³C labeled phenanthrene (PHE) as substrate was used to identify specific bacterial degraders during natural attenuation (NA) and bioaugmentation (BA) in petroleum contaminated soil. BA, with the addition of a bacterial suspension mixture named GZ, played a significant role in PHE degradation with a higher PHE removal rate (∼90%) than that of NA (∼80%) during the first 3 days, and remarkably altered microbial communities. Of the five strains introduced in BA, only two genera, particularly, Ochrobactrum, Rhodococcus were extensively responsible for PHE-degradation. Six (Bacillus sp., Acinetobacter sp., Xanthomonas sp., Conexibacter sp., Acinetobacter sp. and Staphylococcus sp.) and seven (Ochrobactrum sp., Rhodococcus sp., Alkanindiges sp., Williamsia sp., Sphingobium sp., Gillisia sp. and Massilia sp.) bacteria responsible for PHE degradation were identified in NA and BA treatments, respectively. This study reports for the first time the association of Xanthomonas sp., Williamsia sp., and Gillisia sp. to PHE degradation.

Atmospheric degradation of chrysene initiated by OH radical: A quantum chemical investigation

Chrysene, a four-ring polycyclic aromatic hydrocarbon (PAH), is recalcitrant to biodegradation and persistent in the environment due to its low water solubility. Here, we investigated the atmospheric degradation process of chrysene initiated by OH radical in the presence of O₂ and NO_X using quantum chemical calculations. The reaction mechanisms were elucidated by density functional theory (DFT) at M06-2X/6-311++G(3df,2p)//M06-2X/6-311+G(d,p) level, and the kinetics calculations were conducted with Rice-Ramsperger-Kassel-Marcus (RRKM) theory. The results show that the oxidation products of atmospheric chrysene are oxygenated PAHs (OPAHs) and nitro-PAHs (NPAHs), including nitro-chrysene, hydroxychrysene, hydroxychrysenone, 11-benzo[a]fluorenone and dialdehydes. Most of the products have deleterious effects on the environment and human beings due to their acute toxicity, carcinogenicity and mutagenicity. The overall rate constant for the reaction of chrysene with OH radical is 4.48 × 10^-11 cm³ molecule^-1 s^-1 and the atmospheric lifetime of chrysene determined by OH radical is 6.4 h. The present work provided a comprehensive understanding on the degradation mechanisms and kinetics of chrysene, which could help to clarify its atmospheric fate and environmental risks.

Health risks associated with the polycyclic aromatic hydrocarbons in indoor dust collected from houses in Kuwait

Polycyclic aromatic hydrocarbons (PAHs) are a byproduct of combustion processes. They are common pollutants in oil-producing countries because fossil fuel processing generates PAHs that associate with dust. Airborne particles containing PAHs are transported into houses during dust storms, which are common in the arid oil-producing countries, and consequently the children and adults in the household are exposed to PAHs in indoor house dust. The goal of this study was to present a systematic survey of PAHs in indoor house dust in Kuwait. The PAHs concentrations and composition of indoor house dust was determined, along with their probable source and the potential carcinogenic risks. Total PAHs concentrations (ƩPAH) were, on average (±standard deviation) 1112 ± 347 μg/kg and ranged from 450 to 2242 μg/kg. Heavier congeners (4-6 ring PAHs) represented 61% of the ƩPAH. Petroleum combustion and traffic emissions were the major source of PAHs, based on the isomeric ratios of PAHs in indoor house dust. The incremental lifetime cancer risks (ILCRs) of exposure to PAHs in indoor house dust was 2.23 × 10^-3 (95% CI: 1.99 × 10^-3 - 2.48 × 10^-3) for children and 2.15 × 10^-3 (95% CI: 1.94 × 10^-3 - 2.37 × 10^-3) for adults, exceeding the US EPA safe limit of 1 × 10^-6. Therefore, exposure to PAHs present in indoor house dust increases the cancer risk for children and adults in Kuwait.

Polycyclic aromatic hydrocarbons (PAHs) and esophageal carcinoma in Handan-Xingtai district, North China: a preliminary study based on cancer risk assessment

Extremely high risk of esophageal carcinoma (EC) occurs in Handan-Xingtai district of North China. In spite of various preventive measures and epidemiological investigations that have been conducted for years, incidence and mortality of EC are still in the highest level of China. The etiology of EC remains unclear in the region. Previous studies of our research group proposed that polycyclic aromatic hydrocarbons (PAHs) that derived from numerous coal gangue dumps and atmospheric particulates were major contaminants in these regions. In consideration of mutagenic, teratogenic, and carcinogenic characteristics of PAHs, the authors hypothesized that severe exposure to PAHs could preform as a causative factor for EC. Therefore, four data sets documented in our previous studies were employed in this paper. To quantitatively evaluate the carcinogenic risk imposed by sixteen priority PAHs, incremental lifetime cancer risks (ILCRs) via three exposure pathways were calculated. The results showed that total ILCRs for adult group ranged from 2.08E-05 to 8.63E-02, with an average of 2.00E-02. Total ILCRs for childhood group ranged from 1.09E-05 to 4.48E-02, with an average of 1.04E-02. Total ILCR value of 94% samples exceeded 10^-4, indicating a particularly high carcinogenic risk to local residents. Furthermore, ingestion and dermal contact conducted as principal pathways of exposing to PAHs for each population group, rather than inhalation. It can be speculated that severely exposing to PAHs may be a pathogenesis of EC in Handan-Xingtai district. The rigorous supervise and governance are imperative to avoid severe exposure to PAHs that derived from coal gangue dumps.

Characteristics and health risk assessment of polycyclic aromatic hydrocarbons associated with dust in household evaporative coolers

This study reports a characterization of indoor polycyclic aromatic hydrocarbons (PAHs) associated with dust (dust-PAHs) in household evaporative coolers and their associated health effects. Extensive analysis showed that the indoor dust-PAHs stemmed mostly from pyrogenic sources (vehicular emissions) with mean total concentrations limited between 131 and 429 ng g^-1. The distribution pattern of PAHs based on number of rings exhibited the following order of decreasing relative abundance: 4 > 3 > 5 > 6 > 2 rings. Results indicate that the mutagenicity of dust-PAHs exceeded their carcinogenicity, but that the potential carcinogenic effects are still significant. The mean lifetime cancer risk for different age groups for three pathways based on Model 2 (dermal (1.39 × 10^-1 to 1.91 × 10^-2), ingestion (2.13 × 10^-3 to 8.08 × 10^-3) and inhalation (1.62 × 10^-7 to 4.06 × 10^-7)) was 7.4-146 times higher than values predicted by Model 1 (dermal (5.13 × 10^-5 to 3.03 × 10^-3), ingestion (9.34 × 10^-5 to 1.31 × 10^-3) and inhalation (7.13 × 10^-20 to 1.68 × 10^-20)). Hence, exposure to dust-PAHs in household evaporative coolers lead to high risk, especially for children (less than 11 years) (HQ = 2.71 × 10^-20 to 54.8 and LTCRs = 7.13 × 10^-20 to 1.39 × 10^-1). Strategies should be considered to eliminate such pollutants to protect people, especially children, from the non-carcinogenic and carcinogenic effects by changing household evaporative coolers with other cooling systems.

Polycyclic aromatic hydrocarbons (PAHs) in indoor air and dust samples of different Saudi microenvironments; health and carcinogenic risk assessment for the general population

In this study, the presence of polycyclic aromatic hydrocarbons (PAHs) was studied in indoor air (PM10) and settled dust collected from different indoor microenvironments of Saudi Arabia. Limited data is available on the indoor quality of Saudi Arabia and to the best of our knowledge, this is the first study reporting PAHs in indoor air from Saudi Arabia. The main objectives were to study the levels and profile of selected PAHs in indoor dust and PM10 samples from different microenvironments of Saudi Arabia and to estimate health risk assessment to the local population via inhalation, dust ingestion and dermal contact. To study PAHs, indoor dust and PM10 samples were collected from different households, offices and hotel roomsPM10.Pyrene, benz(a)anthracene, chrysene, and phenanthrene were the major PAHs in both settled dust and PM10 samples. Profile of PAHs in dust samples was dominated by 3 and 4 ring PAHs while in PM10 sample 5-6 aromatic ring PAHs also contributed significantly. PM10 collected from kitchens and AC filter dust samples were the most contaminated with PAHs. PM10Health risk assessment was made for adults and young based on benzo(a)pyrene equivalent carcinogenic power (BaPE) and incremental lifetime cancer risk (ILCR). BaPE revealed major toxicity threat associated with PAHs is all microenvironments samples (dust and PM10) is from 5 and 6 aromatic rings PAHs. ILRC calculated using ingestion, inhalation and dermal contact was within the limits set by USEPA and although using max concentration it was up to 8.0E-05, which can have significant impact long term if other exposure pathways such as food and outdoor exposure, etc. are considered.

Human papillomavirus type 18 oncoproteins exert their oncogenicity in esophageal and tongue squamous cell carcinoma cell lines distinctly

Background

Increasing evidence indicates an etiological role of human papillomavirus (HPV) in head and neck cancers, particularly oropharyngeal squamous cell carcinoma (OPSCC). However, the association between HPV and other cancers, including esophageal and tongue remains unclear. This study delineated the molecular characteristics of HPV18 E6 and E7 in esophageal (EC109 and EC9706) and tongue (Tca83) cancer cell lines with reference to cervical cancer (HeLa).

Methods

We analysed the HPV transcription profiles of esophageal and tongue cancer cells through Next-generation RNA sequencing, and the role of HPV18 E6 and E7 in these cells was assessed via siRNA approach, Western blotting and immunofluorescence assays.

Results

Overall, the HPV transcription profiles of esophageal and tongue cancer cells mimicked that of cervical cancer cells, with notable disruption of E2, and expression of E6, spliced E6 (E6^*), E7, E1 and L1 transcripts. As with cervical cancer cells, p53 and its downstream transactivation target, p21, were found to be the major targets of E6 in esophageal and tongue cancer cell lines. Intriguingly, E7 preferentially targeted p130 in the two esophageal cancer cell lines, instead of pRb as in cervical cancer. Tca83 exhibited an E7 to E6 transcript ratio comparable to HeLa (cervix), targeted the ERK1/2 and MMP2 pathways, and was dependent on E6 and E7 to survive and proliferate. In contrast, both the esophageal cancer cell lines were distinct from HeLa in these aspects.

Conclusions

This is the first study that delineates transcript expression and protein interaction of HPV18 E6 and E7 in esophageal and tongue cancer cell lines, suggesting that HPV plays a role in inducing these cancers, albeit via distinct pathways than those observed in cervical cancer.

Biomass fuel as a risk factor for esophageal squamous cell carcinoma: a systematic review and meta-analysis

BACKGROUND

The link between use of solid biomass fuel (wood, charcoal, coal, dung, and crop residues) for cooking and/or heating and esophageal squamous cell carcinoma (ESCC) is inconclusive.

OBJECTIVE

We systematically reviewed the literature and performed a meta-analysis to determine whether cooking fuel type influences esophageal squamous cell carcinoma.

METHODS

We searched MEDLINE, EMBASE, Web of Knowledge and Cochrane Database of Systematic Reviews for studies investigating cooking fuel and ESCC from 2000 until March 2019. We performed random effects meta-analysis stratified by the continent, World Bank's country income classifications and fuel type and calculated pooled odds ratios and 95% CIs for the risk of esophageal squamous cell carcinoma in biomass fuel users compared with non-users.

RESULTS

Our analysis included 16 studies (all case-control) with 16,189 participants (5233 cases and 10,956 controls) that compared risk of ESCC among those using nonsolid fuels and biomass fuels. We found use of biomass fuel was associated with Esophageal squamous cell carcinoma with a pooled odds ratio (OR) 3.02 (95% CI 2.22, 4.11, heterogeneity (I2) = 79%). In sub-group analyses by continent, Africa (OR 3.35, 95%CI 2.34, 4.80, I2 = 73.4%) and Asia (OR 3.08, 95%CI 1.27, 7.43, I2 = 81.7%) had the highest odds of ESCC. Use of wood as fuel had the highest odds of 3.90, 95% CI 2.25, 6.77, I2 = 63.5%). No significant publication bias was detected.

CONCLUSIONS

Biomass fuel is associated with increased risk of Esophageal squamous cell carcinoma. Biomass fuel status should be considered in the risk assessment for Esophageal squamous cell carcinoma.

Polycyclic aromatic hydrocarbons in house dust and surface soil in major urban regions of Nepal: Implication on source apportionment and toxicological effect

Urban centers have turned to be the provincial store for resource consumptions and source releases of different types of semi-volatile organic compounds (SVOCs) including polycyclic aromatic hydrocarbons (PAHs), bringing about boundless environmental pollutions, among different issues. Human prosperity inside urban communities is unambiguously dependent on the status of urban soils and house dusts. However, environmental occurrence and sources of release of these SVOCs are challenging in Nepalese cities, as exceptionally very limited data are accessible. This motivated us to explore the environmental fate, their source/sink susceptibilities and health risk associated with PAHs. In this study, we investigated the contamination level, environmental fate and sources/sink of 16 EPA's priority pollutants in surface soil and house dusts from four major cities of Nepal. Additionally, the toxicological effect of individual PAH was studied to assess the health risk of PAHs. Generally, the concentrations of ∑₁₆PAHs in surface soil were 1.5 times higher than house dust, and ranged 767-6770ng/g dry weight (dw) (median 1810ng/g dw), and 747-4910 dw (median 1320ng/g dw), respectively. High molecular weight-PAHs both in soil and dust were more abundant than low molecular weight-PAHs, suggesting the dominance of pyrogenic source. Moderate to weak correlation of TOC and BC with PAHs in soil and dust suggested little or no role of soil organic carbon in sorption of PAHs. Source diagnostic ratio and principal component analysis indicated fossil fuel combustion, traffic/vehicular emissions and combustion of biomass are the principal sources of PAHs contamination in Nepalese urban environment. The high average TEQ value of PAHs in soil than dust suggested high risk of soil carcinogenicity compared to dust.

Epidemiology of Esophageal Squamous Cell Carcinoma

Esophageal squamous cell carcinoma (ESCC) accounts for about 90% of the 456,000 incident esophageal cancers each year. Regions of high incidence include Eastern to Central Asia, along the Rift Valley in East Africa, and into South Africa. There are many causes of ESCC, which vary among regions. Early studies in France associated smoking cigarettes and heavy alcohol consumption with high rates of ESCC, but these factors cannot explain the high incidence in other regions. We discuss other risk factors for ESCC, including polycyclic aromatic hydrocarbons from a variety of sources, high-temperature foods, diet, and oral health and the microbiome-all require further research. A growing list of defined genomic regions affects susceptibility, but large genome-wide association studies have been conducted with ethnic Chinese subjects only; more studies are called for in the rest of Asia and Africa. ESCC has been understudied, but growing infrastructure in more high-incidence countries will allow rapid progress in our understanding.

Predictors of polycyclic aromatic hydrocarbon exposure and internal dose in inner city Baltimore children

Polycyclic aromatic hydrocarbons (PAHs), the by-products of incomplete combustion of organic materials, are commonly found on particulate matter (PM) and have been associated with the development of asthma and asthma exacerbation in urban populations. We examined time spent in the home and outdoors as predictors of exposures to airborne PAHs and measured urinary 1-hydroxypyrene-glucuronide (1-OHPG) as internal dose of PAHs in 118 children aged 5-12 years from Baltimore, MD. During weeklong periods (Saturday-Saturday) in each of four seasons: daily activities were assessed using questionnaires, indoor air nicotine and PM concentrations were monitored, and urine specimens were collected on Tuesday (day 3) and Saturday (day 7) for measurement of 1-OHPG. Time spent in non-smoking homes was associated with significantly decreased 1-OHPG concentration in urine (β=-0.045, 95% CI (-0.076, -0.013)), and secondhand smoke (SHS) exposures modified these associations, with higher urinary 1-OHPG concentrations in children spending time in smoking homes than non-smoking homes (P-value for interaction=0.012). Time spent outdoors was associated with increased urinary 1-OHPG concentrations (β=0.097, 95% CI (0.037, 0.157)) in boys only. Our results suggest that SHS and ambient (outdoor) air pollution contribute to internal dose of PAHs in inner city children.

Informing etiologic research priorities for squamous cell esophageal cancer in Africa: A review of setting-specific exposures to known and putative risk factors

Esophageal squamous cell carcinoma (ESCC) is one of the most common cancers in most Eastern and Southern African countries, but its etiology has been understudied to date. To inform its research agenda, we undertook a review to identify, of the ESCC risk factors which have been established or strongly suggested worldwide, those with a high prevalence or high exposure levels in any ESCC-affected African setting and the sources thereof. We found that for almost all ESCC risk factors known to date, including tobacco, alcohol, hot beverage consumption, nitrosamines and both inhaled and ingested PAHs, there is evidence of population groups with raised exposures, the sources of which vary greatly between cultures across the ESCC corridor. Research encompassing these risk factors is warranted and is likely to identify primary prevention strategies.

Polycyclic aromatic hydrocarbons (PAHs) in indoor dust samples from Cities of Jeddah and Kuwait: Levels, sources and non-dietary human exposure

This study reports levels and profiles of polycyclic aromatic hydrocarbons (PAHs) in dust samples collected from three different microenvironments (cars, air conditioner (AC) filters and household floor dust) of Jeddah, Saudi Arabia (KSA) and Kuwait. To the best of our knowledge, this is first study reporting PAHs in indoor microenvironments of KSA, which makes these findings important. Benzo(b)fluoranthene (BbF), benzo(a)pyrene (BaP), phenanthrene (Phe), and pyrene (Pyr) were found to be the major chemicals in dust samples from all selected microenvironments. ΣPAHs occurred at median concentrations (ng/g) of 3450, 2200, and 2650 in Saudi AC filter, car and household floor dust, respectively. The median levels (ng/g) of ΣPAHs in Kuwaiti car (950) and household floor (1675) dust samples were lower than Saudi dust. The PAHs profile in Saudi dust was dominated by high molecular weight (HMW) (4-5 ring) PAHs while in Kuwaiti dust 3 ring PAHs have marked contribution. BaP equivalent, a marker for carcinogenic PAHs, was high in Saudi household floor and AC filter dust with median levels (ng/g) of 370 and 455, respectively. Different exposure scenarios, using 5th percentile, median, mean, and 95th percentile levels, were estimated for adults and toddlers. For Saudi and Kuwaiti toddlers worst exposure scenario of ΣPAHs was calculated at 175 and 85ng/kg body weight/day (ng/kgbw/d), respectively. For Saudi toddlers, the calculated worst exposure scenarios for carcinogenic BaP (27.7) and BbF (29.3ng/kgbw/d) was 2-4 times higher than Kuwaiti toddlers. This study is based on small number of samples which necessitate more detailed studies for better understanding of dynamics of PAHs in the indoor environments of this region. Nevertheless, our finding supports the ongoing exposure of organic pollutants to population that accumulates indoor.

Human dietary exposure to polycyclic aromatic hydrocarbons: A review of the scientific literature

Polycyclic aromatic hydrocarbons (PAHs) are a group of over 200 different organic compounds that are mainly formed as the result of pyrolytic processes. For the general population, a number of studies have shown that, as for other environmental organic contaminants, the major route of exposure to PAHs is through food consumption. In this paper, the scientific literature concerning the concentrations of PAHs in food and the human dietary intake of these compounds, is reviewed. Unexpectedly, we have detected a considerable lack of scientific papers for countries such as Australia, Canada, Germany, or Japan, among many others, which seems rather unusual given the important scientific and social interest on the knowledge of the health risks of human exposure to environmental pollutants. The data from countries for which the human dietary intake of PAHs is available, show important differences among them, which would be explained by a number of factors, being probably the most important, the different methodologies used in the respective surveys. Regarding the influence of cooking on the levels of PAHs in foodstuffs, and the consequent intake, we conclude that it depends, not only on the particular cooking process, but even more on the specific characteristics of the respective food items.

Family history of cancer and the risk of squamous cell carcinoma of oesophagus: a case-control study in Kashmir, India

Background:

Only a few studies have examined the association between family history of cancer (FHC) and the risk of oesophageal squamous cell carcinoma (ESCC) in high incidence areas of ESCC. We conducted a case–control study to evaluate the relationship between FHC and ESCC risk in Kashmir, India, with analysis of detailed epidemiological data and information on multiple gene polymorphisms.

Methods:

We collected detailed information on FHC and a number of socio-demographic and lifestyle factors, and also obtained blood samples for genetic analysis from 703 histopathologically confirmed ESCC cases and 1664 individually matched controls. Conditional logistic regression models were used to calculate odds ratios (ORs) and 95% confidence intervals (95% CIs).

Results:

Participants who had FHC showed a strong association with ESCC risk, and the risk was stronger when first-degree relatives (FDRs) had FHC (OR=6.8; 95% CI=4.6–9.9). Having a sibling with a cancer showed the strongest association (OR=10.8; 95% CI=6.0–19.3), but having a child with a cancer was not associated with ESCC risk. A history of any cancer in the spouse was also associated with ESCC risk (OR=4.1; 95% CI=1.6–10.2). Those with two or more relatives with FHC were at a higher risk of ESCC. After restricting FHC to familial ESCC only, the above associations were strengthened, except when spouses were affected with ESCC (OR=2.5; 95% CI=0.7–8.9). When we examined the associations between several single-nucleotide polymorphisms and ESCC in those with and without FHC, the associations of variant genotypes in cytochrome P450 (CYP) 2C19 and CYP2D6 and the wild genotype of CYP2E1 with ESCC were much stronger in those with FHC. The FHC had an additive interaction with several risk factors of ESCC in this population.

Conclusion:

Our results showed that FHC was strongly associated with ESCC risk in Kashmir. It seems both genetic factors and shared environment are involved in this association.

Polycyclic aromatic hydrocarbon exposure in household air pollution from solid fuel combustion among the female population of Xuanwei and Fuyuan counties, China

Exposure to polycyclic aromatic hydrocarbons (PAHs) from burning "smoky" (bituminous) coal has been implicated as a cause of the high lung cancer incidence in the counties of Xuanwei and Fuyuan, China. Little is known about variations in PAH exposure from throughout the region nor how fuel source and stove design affects exposure. Indoor and personal PAH exposure resulting from solid fuel combustion in Xuanwei and Fuyuan was investigated using repeated 24 h particle bound and gas-phase PAH measurements, which were collected from 163 female residents of Xuanwei and Fuyuan. 549 particle bound (283 indoor and 266 personal) and 193 gas phase (all personal) PAH measurements were collected. Mixed effect models indicated that PAH exposure was up to 6 times higher when burning smoky coal than smokeless coal and varied by up to a factor of 3 between different smoky coal geographic sources. PAH measurements from unventilated firepits were up to 5 times that of ventilated stoves. Exposure also varied between different room sizes and season of measurement. These findings indicate that PAH exposure is modulated by a variety of factors, including fuel type, coal source, and stove design. These findings may provide valuable insight into potential causes of lung cancer in the area.

Polycyclic aromatic hydrocarbons in residential dust and risk of childhood acute lymphoblastic leukemia

Several polycyclic aromatic hydrocarbons (PAHs) are known or probable human carcinogens. We evaluated the relationship between PAH exposure and risk of childhood acute lymphoblastic leukemia (ALL) using concentrations in residential dust as an exposure indicator. We conducted a population-based case-control study (251 ALL cases, 306 birth-certificate controls) in Northern and Central California from 2001 to 2007. We collected residential dust using a high volume small surface sampler (HVS3) (n=185 cases, 212 controls) or by sampling from participants' household vacuum cleaners (n=66 cases, 94 controls). We evaluated log-transformed concentrations of 9 individual PAHs, the summed PAHs, and the summed PAHs weighted by their carcinogenic potency (the toxic equivalence). We calculated odds ratios (ORs) and 95% confidence intervals (CI) using logistic regression adjusting for demographic characteristics and duration between diagnosis/reference date and dust collection. Among participants with HVS3 dust, risk of ALL was not associated with increasing concentration of any PAHs based on OR perln(ng/g). Among participants with vacuum dust, we observed positive associations between ALL risk and increasing concentrations of benzo[a]pyrene (OR perln[ng/g]=1.42, 95% CI=0.95, 2.12), dibenzo[a,h]anthracene (OR=1.98, 95% CI=1.11, 3.55), benzo[k]fluoranthene (OR=1.71, 95% CI=0.91, 3.22), indeno[1,2,3-cd]pyrene (OR=1.81, 95% CI=1.04, 3.16), and the toxic equivalence (OR=2.35, 95% CI=1.18, 4.69). The increased ALL risk among participants with vacuum dust suggests that PAH exposure may increase the risk of childhood ALL; however, reasons for the different results based on HVS3 dust samples deserve further study.