Evaluation of biological effects, dosimetric models, and exposure assessment related to ELF electric- and magnetic-field guidelines

Progress in the Knowledge, Application and Influence of Extremely Low Frequency Signals

This paper describes the characteristics of contributions made by researchers worldwide in the field of ELF (extremely low frequency) waves from 1957 to 2019. The data were collected through the Scopus database and processed with analytical and bibliometric techniques. The selection of the keywords is an essential step, because ELF has a very different meaning in some areas of medicine, where it is associated with a gene. A total of 12,436 documents were worked on in 12 thematic communities according to their collaborative relationships between authors and documents. Studies included authors publishing in the different thematic areas and the country where the USA stands first with more researchers in this theme than China and Japan. Documents were analyzed from the temporal perspective, their overall contribution, means of publication, and the language of the publication. Research requires extra effort and multidisciplinary collaboration to improve the knowledge, the application, and influence of these fields.

The effects of 50 Hz magnetic field exposure on DNA damage and cellular functions in various neurogenic cells

Epidemiological studies have indicated a possible association between extremely low-frequency magnetic field (ELF-MF) exposure and the risk of nervous system diseases. However, laboratory studies have not provided consistent results for clarifying this association, despite many years of studies. In this study, we have systematically investigated the effects of 50 Hz MF exposure on DNA damage and cellular functions in both neurogenic tumor cell lines (U251, A172, SH-SY5Y) and primary cultured neurogenic cells from rats (astrocytes, microglia, cortical neurons). The results showed that exposure to a 50 Hz MF at 2.0 mT for up to 24 h did not influence γH2AX foci formation (an early marker of DNA double-strand breaks) in any of six different neurogenic cells. Exposure to a 50 Hz MF did not affect cell cycle progression, cell proliferation or cell viability in neurogenic tumor U251, A172 or SH-SY5Y cells. Furthermore, the MF exposure for 24 h did not significantly affect the secretion of cytokines (TNF-α, IL-6 or IL-1β) in astrocytes or microglia, or the phagocytic activity of microglia. In addition, MF exposure for 1 h per day did not significantly influence expression levels of microtubule-associated protein tau, microtubule-associated protein 2, postsynaptic density 95 or gephyrin in cortical neurons, indicating an absence of effects of MF exposure on the development of cortical neurons. In conclusion, our data suggest that exposure to a 50 Hz MF at 2.0 mT did not elicit DNA damage effects or abnormal cellular functions in the neurogenic cells studied.

Computation of Pacemakers Immunity to 50 Hz Electric Field: Induced Voltages 10 Times Greater in Unipolar Than in Bipolar Detection Mode

Thisstudy aims to compute 50 Hz electric field interferences on pacemakers for diverse lead configurations and implantation positions. Induced phenomena in a surface-based virtual human model (standing male grounded with arms closed, 2 mm resolution) are computed for vertical exposure using CST EM^® 3D software, with and without an implanted pacemaker. Induced interference voltages occurring on the pacemaker during exposure are computed and the results are discussed. The bipolar mode covers 99% of the implanted pacing leads in the USA and Europe, according to statistics. The tip-to-ring distance of a lead may influence up to 46% of the induced voltage. In bipolar sensing mode, right ventricle implantation has a 41% higher induced voltage than right atrium implantation. The induced voltage is in average 10 times greater in unipolar mode than in bipolar mode, when implanted in the right atrium or right ventricle. The electric field threshold of interference for a bipolar sensing mode in the worst case setting is 7.24 kV·m⁻¹, and 10 times higher for nominal settings. These calculations will be completed by an in vitro study.

Electric field induced in the human body by uniform 50 Hz electric or magnetic fields: bibliography analysis and method for conservatively deriving measurable limits

Health guidelines for electric and magnetic fields in the low frequency range define exposure limits for electric and magnetic fields in terms of induced electric field in the human body, which is not directly measurable, requiring use of dosimetry. However many parameters, such as human models, calculation codes and post-processing methods influence the calculation results. Based upon many published papers and therefore covering a wide range of these influence parameters, this paper proposes a method for conservatively deriving measurable levels of electric and magnetic fields equivalent to the basic restrictions. Following this method, we found that, regarding exposure to uniform fields, the ICNIRP 2010 occupational basic restrictions are equivalent to a 2 mT and 7 mT magnetic field and to a 35 kV m^-1 and 35 kV m^-1 electric field at 50 Hz when applied respectively to the central and peripheral nervous system.

Possible Influences of Spark Discharges on Cardiac Pacemakers

Exposure to spark discharges may occur beneath high voltage transmission lines when contact is initiated with a conductive object (such as a motor vehicle) with the spark discharge mediated by the ambient electric field from the line. The objective of this study was to assess whether such exposures could interfere with the normal functioning of implanted cardiac pacemakers (PMs). The experiment consisted of PMs implanted in a human-sized phantom and then exposed to spark discharge through an upper extremity. A circuit was designed that produced spark discharges between two spherical electrodes fed to the phantom's left hand. The circuit was set to deliver a single discharge per half cycle (every 10 ms) about 10 μs in duration with a peak current of 1.2-1.3 A, thus simulating conditions under a 400-kV power line operating at 50 Hz. Of 29 PMs acquired, all were tested in unipolar configuration and 20 in bipolar configuration with exposure consisting of 2 min of continuous exposure (one unit was exposed for 1 min). No interference was observed in bipolar configuration. One unit in unipolar configuration incorrectly identified ventricular extra systoles (more than 400 beats min(-1)) for 2 s. The use of unipolar configuration in new implants is extremely rare, thus further minimizing the risk of interference with the passage of time. Replication of this study and, if safety for human subjects can be assured, future testing of human subjects is also advisable.

Assessment of the neurotoxic potential of exposure to 50Hz extremely low frequency electromagnetic fields (ELF-EMF) in naïve and chemically stressed PC12 cells

Increasing exposure to extremely low frequency electromagnetic fields (ELF-EMF), generated by power lines and electric appliances, raises concern about potential adverse health effects of ELF-EMF. The central nervous system is expected to be particularly vulnerable to ELF-EMF as its function strongly depends on electrical excitability. We therefore investigated effects of acute (30min) and sub-chronic (48h) exposure to 50Hz ELF-EMF on naïve and chemically stressed pheochromocytoma (PC12) cells. The latter have higher levels of iron and/or reactive oxygen species (ROS) and display increased vulnerability to environmental insults. Effects of ELF-EMF on Ca(2+)-homeostasis, ROS production and membrane integrity were assessed using Fura-2 single cell fluorescence microscopy, H2-DCFDA and CFDA assays, respectively. Our data demonstrate that acute exposure of naïve PC12 cells to 50Hz ELF-EMF up to 1000μT fails to affect basal or depolarization-evoked [Ca(2+)]i. Moreover, sub-chronic ELF-EMF exposure up to 1000μT has no consistent effects on Ca(2+)-homeostasis in naïve PC12 cells and does not affect ROS production and membrane integrity. Notably, in chemically stressed PC12 cells both acute and sub-chronic ELF-EMF exposure also failed to exert consistent effects on Ca(2+)-homeostasis, ROS production and membrane integrity. Our combined findings thus indicate that exposure to 50Hz ELF-EMF up to 1000μT, i.e. 10,000 times above background exposure, does not induce neurotoxic effects in vitro, neither in naïve nor in chemically stressed PC12 cells. Though our data require confirmation, e.g. in developing neuronal cells in vitro or (developing) animals, it appears that the neurotoxic risk of ELF-EMF exposure is limited.

Electromagnetic fields induce neural differentiation of human bone marrow derived mesenchymal stem cells via ROS mediated EGFR activation

Even though the inducing effect of electromagnetic fields (EMF) on the neural differentiation of human bone marrow mesenchymal stem cells (hBM-MSCs) is a distinctive, the underlying mechanism of differentiation remains unclear. To find out the signaling pathways involved in the neural differentiation of BM-MSCs by EMF, we examined the CREB phosphorylation and Akt or ERK activation as an upstream of CREB. In hBM-MSCs treated with ELF-EMF (50 Hz, 1 mT), the expression of neural markers such as NF-L, MAP2, and NeuroD1 increased at 6 days and phosphorylation of Akt and CREB but not ERK increased at 90 min in BM-MSCs. Moreover, EMF increased phosphorylation of epidermal growth factor receptor (EGFR) as an upstream receptor tyrosine kinase of PI3K/Akt at 90 min. It has been well documented that ELF-MF exposure may alter cellular processes by increasing intracellular reactive oxygen species (ROS) concentrations. Thus, we examined EMF-induced ROS production in BM-MSCs. Moreover, pretreatment with a ROS scavenger, N-acetylcystein, and an EGFR inhibitor, AG-1478, prevented the phosphorylation of EGFR and downstream molecules. These results suggest that EMF induce neural differentiation through activation of EGFR signaling and mild generation of ROS.

The relationship between anatomically correct electric and magnetic field dosimetry and publishe delectric and magnetic field exposure limits

Electric and magnetic field exposure limits published by International Commission for Non-Ionizing Radiation Protection and Institute of Electrical and Electronics Engineers are aimed at protection against adverse electrostimulation, which may occur by direct coupling to excitable tissue and, in the case of electric fields, through indirect means associated with surface charge effects (e.g. hair vibration, skin sensations), spark discharge and contact current. For direct coupling, the basic restriction (BR) specifies the not-to-be-exceeded induced electric field. The key results of anatomically based electric and magnetic field dosimetry studies and the relevant characteristics of excitable tissue were first identified. This permitted us to assess the electric and magnetic field exposure levels that induce dose in tissue equal to the basic restrictions, and the relationships of those exposure levels to the limits now in effect. We identify scenarios in which direct coupling of electric fields to peripheral nerve could be a determining factor for electric field limits.

The relationship between residential magnetic fields and contact voltage: a pooled analysis

It has been suggested that residential exposure to contact currents may be more directly associated with the potential for an increased risk of leukemia in childhood than magnetic fields. Contact current exposure occurs when a child contacts a bathtub's water fixtures, which are usually contiguous with a residence's electrical ground, and when the drainpipe is conductive. The Northern California Childhood Leukemia Study (NCCLS) is the only epidemiological study known to address whether contact current may confound the reported association between residential magnetic fields and childhood leukemia. The study contributed contact voltage and magnetic-field data for over 500 residences of leukemia cases and control children. We combined these data with the results of previous measurement studies of contact voltage in other communities to conduct an analysis of the relationship of magnetic fields with contact voltage for a total sample of 702 residences. The Spearman correlation of magnetic field with contact voltage was 0.29 (Spearman, P < 0.0001). Magnetic-field and contact voltage data were both divided into tertiles, with an upper magnetic-field cutpoint of 0.3 μT suggested by values used in epidemiological results and an upper contact voltage cutpoint of 60 mV based on dosimetric considerations. Expressed as an exposure odds ratios (EOR), we report an association of contact voltage with magnetic fields of 15.1 (95% CI 3.6-61) as well as a statistically significant positive trend across magnetic-field strata (EOR of 4.2 per stratum with 95% CI 2.4-7.4). The associations appear to be large enough to support the possibility that contact current could be responsible for the association of childhood leukemia with magnetic fields.

Biological stress responses to radio frequency electromagnetic radiation: are mobile phones really so (heat) shocking?

Cells phenotypically adapt to alterations in their intra- and extracellular environment via organised alterations to gene and protein expression. Many chemical and physical stimuli are known to drive such responses, including the induction of oxidative stress and heat shock. Increasing use of mobile telephones in our society, has brought focus on the potential for radio frequency (microwave) electromagnetic radiation to elicit biological stress responses, in association with potentially detrimental effects of this to human health. Here we review evidence suggesting altered gene and protein expression in response to such emissions, with particular focus on heat shock proteins. Non-thermal induction of heat shock proteins has been claimed by a number of investigations in in vitro cellular systems, and appears pleiotropic for many other regulatory events. However, many of these studies are flawed by inconsistencies in exposure models, cell types used and the independent reproducibility of the findings. Further, the paucity of evidence from in vivo experimentation is largely contradictory. Therefore, the validity of these effects in human health risk assessment remain unsubstantiated. Where possible, suggestions for further experimental clarification have been provided.

Association of residential magnetic fields with contact voltage

The US National Electrical Code's (NEC) requirement to ground a home's electrical service to the residential water line results in a voltage between the water line and earth, V W-E. The voltage may result from ground return current that flows into the earth via the water line or from inductive effects from other sources of magnetic fields, such as transmission lines. This voltage can, in turn, serve as a source for Vbath, the voltage between the water fixtures and conductive drain pipes sunk into the earth beneath a residence. Vbath can be a source of contact current exposure to a child touching a water fixture while bathing. Previous research has suggested that exposure to these currents could be the basis for the association between power-frequency magnetic fields and childhood leukemia. In this study, we assessed the association between measured Vbath and VW-E with the average spot-measured magnetic field, Bavg, in a sample of 191 single-family residences in the Denver metropolitan area. This area was the source of cases and controls for previous studies of electric and magnetic field (EMF) and childhood cancer. The association of both Vbath and VW-E with Bavg had upward trends across magnetic field strata (<0.1 microT (reference); 0.1-<0.3 microT; and > or = 0.3 microT). In addition, VW-E was associated with Vbath. Without further study, these results cannot be applied to multi-dwelling residences or to electrical systems prevalent in other nations. Nonetheless, when combined with the finding that contact current is a far more plausible candidate than the residential magnetic field for mediating biological effects on the basis of comparative dose to bone marrow, these associations indicate that contact current exposure deserves further study.

Human body exposure to power lines: relation of induced quantities to external magnetic fields

Induced electric field and corresponding current density values in various organs of the human body can be computed numerically using a heterogeneous, anatomically representative voxel model. Such computations are available for uniform magnetic fields of various directions with respect to the body. The highest exposure levels occur for non-uniform fields, most often in occupational settings. Various organ induced dosimetric measures of the induced quantities can also be computed, although the associated computational complexity and effort are greater than for uniform fields. A simplified method of estimation of the induced measures is described and validated. The method is based on evaluation of the external (exposure) magnetic flux density in locations corresponding to those occupied by various organs and dosimetry for the uniform fields. Computations of the external fields are relatively simple even for very complex geometries of current-carrying conductors. Computational methods are available for external fields. The external magnetic fields can also be measured. Detailed organ dosimetry is already published. In this contribution, the proposed simplified dosimetry is verified using accurate, numerically computed dosimetry for four non-uniform field exposure scenarios. For most dosimetric measures and organs, the proposed method gives conservative estimates. Only in rare cases when a large organ is in a weak exposure field compared to the whole-body average exposure, the induced dosimetric measures may be underestimated by up to 10%. Another exception is the maximum induced electric field in spatially distributed tissues such as bone marrow, muscle, or skin when a part of the limb is in a very strong magnetic field close to the conductor. However, both of these situations are easily recognizable from the mutual configuration of the human body and the current-carrying conductors. Thus, additional corrections can be applied to the estimates.

Exposure guidelines for low-frequency electric and magnetic fields: report from the Brussels workshop

The EMF Exposure Guidelines Science Workshop was held to evaluate the information base for guidelines for electric and magnetic field exposures at extremely low frequencies, to identify research needs, and to discuss how best to apply scientific knowledge in developing exposure recommendations. Although the existing guideline values are based on electrostimulation of nerve and muscle tissues, guidelines must also consider controversial studies of potential health effects from chronic exposures at environmental levels that are far too weak to cause electrostimulation. The size of the safety factor applied in specifying exposure limits reflects a variety of factors that introduce uncertainties. These include confidence in existing dose-effect relationships, population diversity, the reliability and precision of techniques to control over-exposure, and completeness of the information base, particularly regarding long-term effects. Specific research questions that can change the level of uncertainty meaningfully were identified in these areas: biophysical mechanisms of electrostimulation; the range of thresholds throughout exposed populations; cancer causation in children and adults, including a possible role for contact currents; cognitive, behavioral, and physiological effects on the central nervous system; improved dosimetry; and better understanding of electromagnetic interference with implanted biomedical devices such as pacemakers, defibrillators, and physiological monitors. This report introduces ten papers from the workshop that address these and related topics in detail.

Candidate sites of action for microdosimetry associated with exposure to extremely-low-frequency magnetic fields, electric fields and contact currents

Recent advances enable one to apply numerical techniques to anatomically-correct human models to compute current densities and electric fields in tissue due to exposure to electric fields, magnetic fields, or contact currents. These methods have proved to be informative in estimating exceedance of basic restrictions prescribed by exposure guideline organizations. To date, the analyses have been conducted with a resolution on the order of millimeters. However, these techniques have future roles to play at higher levels of resolution at those sites in target tissues suspected of transducing local electric fields into biological responses. Two specific cases in which high resolution "microdosimetry" would yield value involve (a) residential settings and childhood leukemia and (b) worker exposure and cardiovascular disease. Recent research suggests that residential contact currents on the order of microamperes can produce biologically significant dose (expressed as the local electric field) to the bone marrow of a child. Microdosimetry would focus on pluripotent progenitor cells resident in the marrow compartment, as well as anatomic features that distinguish a child's from an adult's marrow. Laboratory and epidemiologic research has suggested that magnetic field exposure may affect heart rate variability, a measure reflective of autonomic nervous system control of cardiac activity. Given the physical attributes of the central nervous system and the sites that could serve as substrates for field interactions, future microdosimetry addressing heart rate variability effects may be well-advised to focus on the electrically excitable dendritic arborizations of neurons. In both cases, microdosimetry will help shed light on primary interactions in tissue.

Assessing compliance with power-frequency magnetic-field guidelines

Several organizations have established guidelines for occupational exposure to power-frequency magnetic fields. At 60 hertz, exposure limits are 1.0 millitesla (mT) for the American Conference of Governmental Industrial Hygienists, 0.42 mT for the International Committee on Non-ionizing Radiation Protection, and 1.6 mT for the National Radiation Protection Board guidelines. Adoption of the current guidelines as mandatory standards could dramatically affect electric-utility work practices. Two large personal-exposure monitoring projects have characterized exposures of overhead lineworkers and cable splicers while they perform various tasks near energized conductors. Personal exposure measurements indicate that these two groups are very likely the most highly exposed among utility workers and often experience fields above guideline levels. In addition, survey measurements in utility environments have identified locations where other workers may experience exposures at guideline levels. The nature of high-field exposure scenarios in the utility industry suggests a simple practical method for determining compliance with basic restrictions on internal induced current density [< 10 milliamperes per square meter (mA m(-2))] in the presence of fields that exceed limits to magnetic fields external to the body.

Contact voltage measured in residences: implications to the association between magnetic fields and childhood leukemia

We measured magnetic fields and two sources of contact current in 36 homes in Pittsfield, MA. The first source, V(P-W), is the voltage due to current in the grounding wire, which extends from the service panel neutral to the water service line. This voltage can cause contact current to flow upon simultaneous contact with a metallic part of the water system, such as the faucet, and the frame of an appliance, which is connected to the panel neutral through the equipment-grounding conductor. The second is V(W-E), the voltage between the water pipe and earth, attributable to ground currents in the water system and magnetic induction from nearby power lines. In homes with conductive water systems and drains, V(W-E) can produce a voltage between the faucet and drain, which may produce contact current into an individual contacting the faucet while immersed in a bathtub. V(P-W) was not strongly correlated to the magnetic field (both log transformed) (r = 0.28; P < 0.1). On the other hand, V(W-E) was correlated to the residential magnetic field (both log transformed) (r = 0.54; P < 0.001), with the highest voltages occurring in homes near high voltage transmission lines, most likely due to magnetic induction on the grounding system. This correlation, combined with both frequent exposure opportunity for bathing children and substantial dose to bone marrow resulting from contact, lead us to suggest that contact current due to V(W-E) could explain the association between high residential magnetic fields and childhood leukemia.

Electric fields in the human body resulting from 60-Hz contact currents

Contact currents occur when a person touches conductive surfaces at different potentials and completes a path for current flow through the body. Such currents provide an additional coupling mechanism to that, due to the direct field effect between the human body and low-frequency external fields. The scalar potential finite difference method, with minor modifications, is applied to assess current density and electric field within excitable tissue and bone marrow due to contact current. An anatomically correct adult model is used, as well as a proportionally downsized child model. Three pathways of contact current are modeled: hand to opposite hand and both feet, hand to hand only, and hand to both feet. Because of its larger size relative to the child, the adult model has lower electric field and current-density values in tissues/unit of contact current. For a contact current of 1 mA [the occupational reference level set by the International Commission on Non-ionizing Protection (ICNIRP)], the current density in brain does not exceed the basic restriction of 10 mA/m2. The restriction is exceeded slightly in the spine, and by a factor of more than 2 in the heart. For a contact current of 0.5 mA (ICNIRP general public reference level), the basic restriction of 2 mA/m2 is exceeded several-fold in the spine and heart. Several microamperes of contact current produces tens of mV/m within the child's lower arm bone marrow.

Dosimetry in models of child and adult for low-frequency electric field

Induced electric field and current density in a child's body exposed to a 60-Hz electric field are calculated and compared with those for an adult's body. Because of the different proportions of the child body relative to those of the adult body, differences in the induced electric field and current density values in various organs are observed. These results are interpreted in terms of international guideline limits, and hypotheses regarding plausible interactions.