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Leszczynski D. Review of the scientific evidence on the individual sensitivity to electromagnetic fields (EHS). REVIEWS ON ENVIRONMENTAL HEALTH 2022; 37:423-450. [PMID: 34229366 DOI: 10.1515/reveh-2021-0038] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2021] [Accepted: 06/11/2021] [Indexed: 06/13/2023]
Abstract
Part of the population considers themselves as sensitive to the man-made electromagnetic radiation (EMF) emitted by powerlines, electric wiring, electric home appliance and the wireless communication devices and networks. Sensitivity is characterized by a broad variety of non-specific symptoms that the sensitive people claim to experience when exposed to EMF. While the experienced symptoms are currently considered as a real life impairment, the factor causing these symptoms remains unclear. So far, scientists were unable to find causality link between symptoms experienced by sensitive persons and the exposures to EMF. However, as presented in this review, the executed to-date scientific studies, examining sensitivity to EMF, are of poor quality to find the link between EMF exposures and sensitivity symptoms of some people. It is logical to consider that the sensitivity to EMF exists but the scientific methodology used to find it is of insufficient quality. It is time to drop out psychology driven provocation studies that ask about feelings-based non-specific symptoms experienced by volunteers under EMF exposure. Such research approach produces only subjective and therefore highly unreliable data that is insufficient to prove, or to disprove, causality link between EHS and EMF. There is a need for a new direction in studying sensitivity to EMF. The basis for it is the notion of a commonly known phenomenon of individual sensitivity, where individuals' responses to EMF depend on the genetic and epigenetic properties of the individual. It is proposed here that new studies, combining provocation approach, where volunteers are exposed to EMF, and high-throughput technologies of transcriptomics and proteomics are used to generate objective data, detecting molecular level biochemical responses of human body to EMF.
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Affiliation(s)
- Dariusz Leszczynski
- Adjunct Professor of Biochemistry, University of Helsinki, Helsinki, Finland
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Rosado MM, Simkó M, Mattsson MO, Pioli C. Immune-Modulating Perspectives for Low Frequency Electromagnetic Fields in Innate Immunity. Front Public Health 2018; 6:85. [PMID: 29632855 PMCID: PMC5879099 DOI: 10.3389/fpubh.2018.00085] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2017] [Accepted: 03/05/2018] [Indexed: 12/21/2022] Open
Abstract
In recent years, the effects of electromagnetic fields (EMFs) on the immune system have received a considerable interest, not only to investigate possible negative health impact but also to explore the possibility to favorably modulate immune responses. To generate beneficial responses, the immune system should eradicate pathogens while “respecting” the organism and tolerating irrelevant antigens. According to the current view, damage-associated molecules released by infected or injured cells, or secreted by innate immune cells generate danger signals activating an immune response. These signals are also relevant to the subsequent activation of homeostatic mechanisms that control the immune response in pro- or anti-inflammatory reactions, a feature that allows modulation by therapeutic treatments. In the present review, we describe and discuss the effects of extremely low frequency (ELF)-EMF and pulsed EMF on cell signals and factors relevant to the activation of danger signals and innate immunity cells. By discussing the EMF modulating effects on cell functions, we envisage the use of EMF as a therapeutic agent to regulate immune responses associated with wound healing.
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Affiliation(s)
| | | | - Mats-Olof Mattsson
- AIT Austrian Institute of Technology, Center for Energy, Environmental Resources and Technologies, Tulln, Austria
| | - Claudio Pioli
- Laboratory of Biomedical Technologies, Division of Health Protection Technologies, ENEA, Rome, Italy
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Masoudian N, Riazi GH, Afrasiabi A, Modaresi SMS, Dadras A, Rafiei S, Yazdankhah M, Lyaghi A, Jarah M, Ahmadian S, Seidkhani H. Variations of glutamate concentration within synaptic cleft in the presence of electromagnetic fields: an artificial neural networks study. Neurochem Res 2015; 40:629-42. [PMID: 25577979 DOI: 10.1007/s11064-014-1509-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2014] [Revised: 12/20/2014] [Accepted: 12/26/2014] [Indexed: 12/31/2022]
Abstract
Glutamate is an excitatory neurotransmitter that is released by the majority of central nervous system synapses and is involved in developmental processes, cognitive functions, learning and memory. Excessive elevated concentrations of Glu in synaptic cleft results in neural cell apoptosis which is called excitotoxicity causing neurodegenerative diseases. Hence, we investigated the possibility of extremely low frequency electromagnetic fields (ELF-EMF) as a risk factor which is able to change Glu concentration in synaptic clef. Synaptosomes as a model of nervous terminal were exposed to ELF-EMF for 15-55 min in flux intensity range from 0.1 to 2 mT and frequency range from 50 to 230 Hz. Finally, all raw data by INForm v4.02 software as an artificial neural network program was analyzed to predict the effect of whole mentioned range spectra. The results showed the tolerance of all effects between the ranges from -35 to +40 % compared to normal state when glutamatergic systems exposed to ELF-EMF. It indicates that glutamatergic system attempts to compensate environmental changes though release or reuptake in order to keep the system safe. Regarding to the wide range of ELF-EMF acquired in this study, the obtained outcomes have potential for developing treatments based on ELF-EMF for some neurological diseases; however, in vivo experiments on the cross linking responses between glutamatergic and cholinergic systems in the presence of ELF-EMF would be needed.
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Affiliation(s)
- Neda Masoudian
- Institute of Biochemistry and Biophysics (I.B.B.), University of Tehran, Tehran, Iran
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Fazzo L, Tancioni V, Polichetti A, Iavarone I, Vanacore N, Papini P, Farchi S, Bruno C, Pasetto R, Borgia P, Comba P. Morbidity Experience in Populations Residentially Exposed to 50 Hz Magnetic Fields: Methodology and Preliminary Findings of a Cohort Study. INTERNATIONAL JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH 2013; 15:133-42. [DOI: 10.1179/oeh.2009.15.2.133] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Pedata P, Garzillo EM, Miranda R, Antonucci A, Feola D, Miraglia N, Sannolo N, Lamberti M. Functional changes in human peripheral neutrophils in workers with different exposure to noxious agents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2012; 22:458-467. [PMID: 22369506 DOI: 10.1080/09603123.2011.654329] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Peripheral neutrophils (PMN) are a useful model to study cell activation and to evaluate the multiple stressors' interference with signalling pathways. This study aimed to evaluate the effects of different exposure to noxious agents on PMN activity by chemiluminescence assays. Two groups of office workers were recruited: peripheral whole blood cells and isolated PMNs were analyzed, performing intra- and extra-cellular chemiluminescence evaluation to study compartmental release of radical species. The exposed group shows a higher emission in resting whole blood chemiluminescence than in controls; the intracellular chemiluminescence emission in urban employees was increased, whereas the extracellular was not affected. After stimulation, the extracellular chemiluminescence was decreased in urban employees, whereas the intracellular emission did not show differences. We hypothesize that once stimulated, exposed subjects' PMNs respond to stimuli less than unexposed: PMNs could be considered indicators of chronic exposure to noxious agents.
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Affiliation(s)
- Paola Pedata
- Occupational Medicine, Hygiene and Industrial Toxicology Section, Department of Experimental Medicine, Second University of Naples, Via L. De Crecchio, 7, Naples, 80138, Italy
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Çam ST, Fırlarer A, Özden S, Canseven AG, Seyhan N. Occupational exposure to magnetic fields from transformer stations and electric enclosures in Turkey. Electromagn Biol Med 2011; 30:74-9. [DOI: 10.3109/15368378.2011.566772] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Mechanisms of geomagnetic field influence on gene expression using influenza as a model system: basics of physical epidemiology. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2010; 7:938-65. [PMID: 20617011 PMCID: PMC2872305 DOI: 10.3390/ijerph7030938] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2009] [Revised: 01/14/2010] [Accepted: 02/22/2010] [Indexed: 11/16/2022]
Abstract
Recent studies demonstrate distinct changes in gene expression in cells exposed to a weak magnetic field (MF). Mechanisms of this phenomenon are not understood yet. We propose that proteins of the Cryptochrome family (CRY) are "epigenetic sensors" of the MF fluctuations, i.e., magnetic field-sensitive part of the epigenetic controlling mechanism. It was shown that CRY represses activity of the major circadian transcriptional complex CLOCK/BMAL1. At the same time, function of CRY, is apparently highly responsive to weak MF because of radical pairs that periodically arise in the functionally active site of CRY and mediate the radical pair mechanism of magnetoreception. It is known that the circadian complex influences function of every organ and tissue, including modulation of both NF-kappaB- and glucocorticoids- dependent signaling pathways. Thus, MFs and solar cycles-dependent geomagnetic field fluctuations are capable of altering expression of genes related to function of NF-kappaB, hormones and other biological regulators. Notably, NF-kappaB, along with its significant role in immune response, also participates in differential regulation of influenza virus RNA synthesis. Presented data suggests that in the case of global application (example-geomagnetic field), MF-mediated regulation may have epidemiological and other consequences.
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Gobba F, Bargellini A, Bravo G, Scaringi M, Cauteruccio L, Borella P. Natural Killer Cell Activity Decreases in Workers Occupationally Exposed to Extremely Low Frequency Magnetic Fields Exceeding 1 μt. Int J Immunopathol Pharmacol 2009; 22:1059-66. [DOI: 10.1177/039463200902200422] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
In a preliminary study a reduction in Natural Killer (NK) cell activity in peripheral blood lymphocytes (PBL) was observed in a group of workers exposed to levels of Extremely Low Frequency-Magnetic Fields (ELF-MF) exceeding 1 μT. This study was performed to confirm the results. In 121 workers engaged in various occupational activities, individual ELF-MF exposure was monitored for 2 work shifts. Exposure levels were calculated as Time-Weighted Average (TWA). Subjects were classified as Low exposure (TWA ≤ 0.2 μT), Medium exposure (TWA 0.21–0.99 μT), or Higher exposure (TWA ≥1 μT). In higher exposure workers NK activity proved significantly reduced compared to low exposure, (p<0.01). In medium exposure a reduction was also observed, but the difference was not significant. Multivariate analysis also confirmed the relation between exposure and NK activity. It has been suggested that ELF might affect tumour progression by inducing changes in the immune system: due to the role played by NK activity in host defence against cancer, the interference with the NK cell activity observed in this study is in agreement with this hypothesis. Furthermore, an increased risk for some neurodegenerative disorders has been reported in some epidemiological studies in ELF-MF-exposed workers: changes in NK function were also described in these diseases. Our results, showing the effect on NK activity of exposure exceeding 1 μT, suggest a possible mechanism for ELF-MF effects. This could open new horizons regarding the adverse long-term effects of these fields.
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Affiliation(s)
- F. Gobba
- Department of Public Health Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - A. Bargellini
- Department of Public Health Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - G. Bravo
- Department of Public Health Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - M. Scaringi
- Department of Public Health Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - L. Cauteruccio
- Department of Public Health Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - P. Borella
- Department of Public Health Sciences, University of Modena and Reggio Emilia, Modena, Italy
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Szabó J, Jánossy G, Thuróczy G. Survey of residential 50 Hz EMF exposure from transformer stations. Bioelectromagnetics 2006; 28:48-52. [PMID: 16988992 DOI: 10.1002/bem.20264] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
In Hungary it is typical that 10/04 kV transformer stations are being installed in multistory residential and office buildings. Magnetic fields (MFs) up to several tens of microT have been measured in apartments close to transformers. The aim of the present study was to provide systematic assessment of MF exposure of residents living above transformer stations. Out of 41 addresses provided by the electricity supplier, current load of 21 transformers and MF in 21 apartments was measured. Spot MFs at 1 m height and time weighted average 24 h MF exposure at bed height was measured. All-day personal MF exposure was measured at waist and HOME exposure was calculated. BED exposure was measured at bed height. Participants kept a time-activity diary. The time-weighted average 24 h MF exposure (3.03 microT) exceeded the usual residential exposure (<0.2 microT). The mean HOME and BED personal exposure above transformers was 0.825 and 1.033 microT, respectively. Our study provides exposure assessment of a cohort with a wider exposure range, compared to power-line epidemiological studies.
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Affiliation(s)
- Judit Szabó
- National Research Institute for Radiobiology and Radiohygiene, Budapest, Hungary.
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Bonhomme-Faivre L, Slama C, Tanguy ML, Santini R, Bezie Y, Marion S, Bottius L, Pham NL, Orbach-Arbouys S. Hematologic and Cortisol Alterations Observed in Young Mice Placed in Front of a Color Television Screen. Electromagn Biol Med 2004. [DOI: 10.1081/jbc-120037864] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Ichinose TY, Burch JB, Noonan CW, Yost MG, Keefe TJ, Bachand A, Mandeville R, Reif JS. Immune Markers and Ornithine Decarboxylase Activity Among Electric Utility Workers. J Occup Environ Med 2004; 46:104-12. [PMID: 14767213 DOI: 10.1097/01.jom.0000111963.64211.3b] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
The effects of a 60-Hz magnetic field (MF) exposure on white blood cell ornithine decarboxylase (ODC) activity, natural killer (NK) cell activity, lymphocyte phenotypes, and differential cell counts were studied among 60 electric utility workers. Personal MF exposure monitoring over 3 consecutive workdays was followed by collection of a peripheral blood sample. There were no MF-related changes in NK activity or the number of circulating neutrophils, eosinophils, basophils, or T-lymphocytes (CD4, CD8, CD4:CD8 ratio). MF exposure intensity was associated with decreased ODC activity (P<0.01) and lower NK cell counts (P=0.04). Melatonin production, which stimulates the immune system, was quantified on the night preceding immune marker determinations. Exposure-related reductions in ODC activity, NK and B cells, and monocytes were strongest among workers with reduced melatonin production. The biological significance or long-term health consequences associated with these changes are not known.
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Affiliation(s)
- Travers Y Ichinose
- Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO 80523, USA
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Bonhomme-Faivre L, Marion S, Forestier F, Santini R, Auclair H. Effects of Electromagnetic Fields on the Immune Systems of Occupationally Exposed Humans and Mice. ACTA ACUST UNITED AC 2003; 58:712-7. [PMID: 15702897 DOI: 10.3200/aeoh.58.11.712-717] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The authors examined immunological disorders in 6 individuals who had been exposed occupationally to environmental electromagnetic fields. Comparable effects on mice exposed in a similar environment were also investigated. The human subjects had worked 8 hr/day for 5 yr in a laboratory located above electrical transformers and high-tension cables, and in which there were low-frequency electromagnetic fields of 0.2-6.6 microtesla (microT). The 6 control subjects (matched for socioeconomic parameters, sex, and age) had worked away from the immediate vicinity of transformers and high-tension cables. The authors found statistically significantly lower total lymphocyte, CD4, and CD3 counts, and significantly increased natural killer (NK) cells, in exposed subjects vs. controls. Six months after exposure had ceased, total lymphocyte counts had increased, as had CD4, CD3, and CD19 counts (+13%, +28%, +22%, and +17%, respectively), and NK cell counts were decreased by 26% (not significant) in the same human subjects. In the second part of this study, 12 Swiss male mice housed in cages were exposed in the same room in which the human subjects had been exposed (i.e., 5-microT, 50-Hz magnetic field) for 109 days; 12 additional mice were used as unexposed controls. The total lymphocyte, leukocyte, polymorphonuclear neutrophil, CD4, and NK counts of the exposed mice at 109 days were significantly lower than those of controls. In addition, plasma glucose levels (at 30 days) and amylase activity (at 109 days) were significantly lower, whereas plasma sodium and chloride levels were significantly elevated at 109 days. Results from this study suggest that chronic exposure to a 0.2-6.6-microT magnetic field can lead to decreased immunological parameters (total lymphocytes and CD4 counts) in both humans and mice. The increase in some values once exposure was terminated suggests a causal relationship with exposure to electromagnetic fields, as do the changes in mice, particularly the changes in total lymphocyte and CD4 counts.
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Santini R, Santini P, Danze JM, Le Ruz P, Seigne M. [Symptoms experienced by people in vicinity of base stations: II/ Incidences of age, duration of exposure, location of subjects in relation to the antennas and other electromagnetic factors]. PATHOLOGIE-BIOLOGIE 2003; 51:412-5. [PMID: 12948762 DOI: 10.1016/s0369-8114(03)00020-8] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
This is the 2nd part of a survey study conducted on 530 people (270 men, 260 women) living or not in vicinity of cellular phone base stations. Comparison of complaints frequencies for 16 Non Specific Health Symptoms was done with the CHI-Square test with Yates correction. Our results show significant increase (p < 0.05) in relation with age of subjects (elder subjects are more sensitive) and also, that the facing location is the worst position for some symptoms studied, especially for distances till 100 m from base stations. No significant difference is observed in the frequency of symptoms related to the duration of exposure (from < 1 year to > 5 years), excepted for irritability significantly increased after > 5 years. Other electromagnetic factors (electrical transformers, radio-television transmitters,...) have effects on the frequency of some symptoms reported by the subjects.
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Affiliation(s)
- R Santini
- Institut national des sciences appliquées, laboratoire de biochimie-pharmacologie, bâtiment Louis-Pasteur, 69621 cedex, Villeurbanne, France.
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Varani K, Gessi S, Merighi S, Iannotta V, Cattabriga E, Spisani S, Cadossi R, Borea PA. Effect of low frequency electromagnetic fields on A2A adenosine receptors in human neutrophils. Br J Pharmacol 2002; 136:57-66. [PMID: 11976268 PMCID: PMC1762120 DOI: 10.1038/sj.bjp.0704695] [Citation(s) in RCA: 103] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
The present study describes the effect of low frequency, low energy, pulsing electromagnetic fields (PEMFs) on A2A adenosine receptors in human neutrophils. Saturation experiments performed using a high affinity adenosine antagonist [3H]-ZM 241385 revealed a single class of binding sites in control and in PEMF-treated human neutrophils with similar affinity (KD=1.05+/-0.10 and 1.08+/-0.12 nM, respectively). Furthermore, after 1 h of exposure to PEMFs the receptor density was statistically increased (P<0.01) (Bmax =126+/-10 and 215+/-15 fmol mg-1 protein, respectively). The effect of PEMFs was specific to the A2A adenosine receptors. This effect was also intensity, time and temperature dependent. In the adenylyl cyclase assays the A2A receptor agonists, HE-NECA and NECA, increased cyclic AMP accumulation in untreated human neutrophils with an EC50 value of 43 (40 - 47) and 255 (228 - 284) nM, respectively. The capability of HE-NECA and NECA to stimulate cyclic AMP levels in human neutrophils was increased (P<0.01) after exposure to PEMFs with an EC50 value of 10(8 - 13) and 61(52 - 71) nM, respectively. In the superoxide anion (O2-) production assays HE-NECA and NECA inhibited the generation of O2- in untreated human neutrophils, with an EC50 value of 3.6(3.1 - 4.2) and of 23(20 - 27) nM, respectively. Moreover, in PEMF-treated human neutrophils, the same compounds show an EC50 value of 1.6(1.2 - 2.1) and of 6.0(4.7 - 7.5) nM respectively. These results indicate the presence of significant alterations in the expression and in the functionality of adenosine A2A receptors in human neutrophils treated with PEMFs.
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MESH Headings
- Binding, Competitive
- Cyclic AMP/biosynthesis
- Electromagnetic Fields
- Humans
- In Vitro Techniques
- Kinetics
- Neutrophils/metabolism
- Neutrophils/radiation effects
- Purinergic P1 Receptor Agonists
- Radioligand Assay
- Receptor, Adenosine A2A
- Receptors, Adrenergic, alpha-2/metabolism
- Receptors, Adrenergic, beta-2/metabolism
- Receptors, Opioid, kappa/metabolism
- Receptors, Opioid, mu/metabolism
- Receptors, Purinergic P1/metabolism
- Superoxides/metabolism
- Temperature
- Time Factors
- Up-Regulation
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Affiliation(s)
- Katia Varani
- Department of Clinical and Experimental Medicine, Pharmacology Unit, University of Ferrara, Ferrara, Italy
| | - Stefania Gessi
- Department of Clinical and Experimental Medicine, Pharmacology Unit, University of Ferrara, Ferrara, Italy
| | - Stefania Merighi
- Department of Clinical and Experimental Medicine, Pharmacology Unit, University of Ferrara, Ferrara, Italy
| | - Valeria Iannotta
- Department of Clinical and Experimental Medicine, Pharmacology Unit, University of Ferrara, Ferrara, Italy
| | - Elena Cattabriga
- Department of Clinical and Experimental Medicine, Pharmacology Unit, University of Ferrara, Ferrara, Italy
| | - Susanna Spisani
- Department of Biochemistry and Molecular Biology, University of Ferrara, Ferrara, Italy
| | | | - Pier Andrea Borea
- Department of Clinical and Experimental Medicine, Pharmacology Unit, University of Ferrara, Ferrara, Italy
- Author for correspondence:
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James WH. Evidence that non-ionizing radiation alters men's hormone levels. J Occup Environ Med 2002; 44:305-7; author reply 307. [PMID: 11977413 DOI: 10.1097/00043764-200204000-00004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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van Wijngaarden E, Savitz DA, Kleckner RC, Cai J, Loomis D. Exposure to electromagnetic fields and suicide among electric utility workers: a nested case-control study. West J Med 2000; 173:94-100. [PMID: 10924428 PMCID: PMC1071010 DOI: 10.1136/ewjm.173.2.94] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVE To examine mortality from suicide in relation to estimated exposure to extremely low-frequency electromagnetic fields in a cohort of 138,905 male electric utility workers. METHODS Case-control sampling, which included 536 deaths from suicide and 5, 348 eligible controls. Exposure was classified based on work in the most common jobs with increased exposure to magnetic fields and indices of cumulative exposure to magnetic fields based on a measurement survey. RESULTS Suicide mortality was increased relative to work in exposed jobs and with indices of exposure to magnetic fields. Increased odds ratios (ORs) were found for years of employment as an electrician (OR, 2.18; 95% confidence interval [CI], 1.25-3.80) or line worker (OR, 1.59; 95% CI, 1.18-2.14), whereas a decreased OR was found for power plant operators (OR, 0.67; 95% CI, 0.33-1.40). A dose-response gradient with exposure to magnetic fields was found for exposure in the previous year, with a mortality OR of 1.70 (95% CI, 1.00-2.90) in the highest exposure category. Stronger associations, with ORs in the range of 2.12 to 3.62, were found for men younger than 50 years. CONCLUSIONS These data provide evidence for an association between occupational electromagnetic fields and suicide that warrants further evaluation. A plausible mechanism related to melatonin and depression provides a direction for additional laboratory research and epidemiologic evaluation.
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Affiliation(s)
- E van Wijngaarden
- Department of Epidemiology, University of North Carolina, School of Public Health CB 7400, Chapel Hill, NC 27599-7400, USA
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van Wijngaarden E, Savitz DA, Kleckner RC, Cai J, Loomis D. Exposure to electromagnetic fields and suicide among electric utility workers: a nested case-control study. Occup Environ Med 2000; 57:258-63. [PMID: 10810112 PMCID: PMC1739931 DOI: 10.1136/oem.57.4.258] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES This nested case-control study examines mortality from suicide in relation to estimated exposure to extremely low frequency electromagnetic fields (EMFs) in a cohort of 138,905 male electric utility workers. METHODS Case-control sampling included 536 deaths from suicide and 5348 eligible controls. Exposure was classified based on work in the most common jobs with increased exposure to magnetic fields and indices of cumulative exposure to magnetic fields based on a measurement survey. RESULTS Suicide mortality was increased relative to work in exposed jobs and with indices of exposure to magnetic fields. Increased odds ratios (ORs) were found for years of employment as an electrician (OR 2.18; 95% confidence interval (95% CI) 1.25 to 3.80) or lineman (OR 1.59; 95% CI 1.18 to 2.14), whereas a decreased OR was found for power plant operators (OR 0.67; 95% CI 0.33 to 1.40). A dose response gradient with exposure to magnetic fields was found for exposure in the previous year, with a mortality OR of 1.70 (95% CI 1.00 to 2.90) in the highest exposure category. Stronger associations, with ORs in the range of 2.12-3.62, were found for men <50 years of age. CONCLUSION These data provide evidence for an association between occupational electromagnetic fields and suicide that warrants further evaluation. A plausible mechanism related to melatonin and depression provides a direction for additional laboratory research as well as epidemiological evaluation.
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Affiliation(s)
- E van Wijngaarden
- Department of Epidemiology, School of Public Health, The University of North Carolina, Chapel Hill, NC, USA
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