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Mehta SS, Elizabeth Hodgson M, Lunn RM, Ashley CE, Arroyave WD, Sandler DP, White AJ. Indoor wood-burning from stoves and fireplaces and incident lung cancer among Sister Study participants. ENVIRONMENT INTERNATIONAL 2023; 178:108128. [PMID: 37542784 PMCID: PMC10530432 DOI: 10.1016/j.envint.2023.108128] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 06/21/2023] [Accepted: 07/31/2023] [Indexed: 08/07/2023]
Abstract
BACKGROUND AND AIM Epidemiological studies conducted mostly in low- and middle-income countries have found a positive association between household combustion of wood and lung cancer. However, most studies have been retrospective, and few have been conducted in the United States where indoor wood-burning usage patterns differ. We examined the association of exposure to indoor wood smoke from fireplaces and stoves with incident lung cancer in a U.S.-wide cohort of women. METHODS We included 50,226 women without prior lung cancer participating in the U.S.-based prospective Sister Study. At enrollment (2003-2009), women reported frequency of use of wood-burning stoves and/or fireplaces in their longest-lived adult residence. Cox regression was used to estimate adjusted hazard ratios (HRadj) and 95 % confidence intervals (CI) for the association between indoor wood-burning fireplace/stove use and incident lung cancer. Lung cancer was self-reported and confirmed with medical records. RESULTS During an average 11.3 years of follow-up, 347 medically confirmed lung cancer cases accrued. Overall, 62.3 % of the study population reported the presence of an indoor wood-burning fireplace/stove at their longest-lived adult residence and 20.6 % reported annual usage of ≥30 days/year. Compared to those without a wood-burning fireplace/stove, women who used their wood-burning fireplace/stove ≥30 days/year had an elevated rate of lung cancer (HRadj = 1.68; 95 % CI = 1.27, 2.20). In never smokers, positive associations were seen for use 1-29 days/year (HRadj = 1.64; 95 % CI = 0.87, 3.10) and ≥30 days/year (HRadj = 1.99; 95 % CI = 1.02, 3.89). Associations were also elevated across all income groups, in Northeastern, Western or Midwestern U.S. regions, and among those who lived in urban or rural/small town settings. CONCLUSIONS Our prospective analysis of a cohort of U.S. women found that increasing frequency of wood-burning indoor fireplace/stove usage was associated with incident lung cancer, even among never smokers.
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Affiliation(s)
- Suril S Mehta
- Integrative Health Assessments Branch, Division of Translational Toxicology, National Institute of Environmental Health Sciences, Research Triangle Park, NC, United States.
| | - M Elizabeth Hodgson
- Integrated Laboratory Systems, LLC an Inotiv Company, Morrisville, NC, United States
| | - Ruth M Lunn
- Integrative Health Assessments Branch, Division of Translational Toxicology, National Institute of Environmental Health Sciences, Research Triangle Park, NC, United States
| | - Claire E Ashley
- Gillings School of Global Public Health, University of North Carolina-Chapel Hill, Chapel Hill, NC, United States
| | - Whitney D Arroyave
- Integrated Laboratory Systems, LLC an Inotiv Company, Morrisville, NC, United States
| | - Dale P Sandler
- Epidemiology Branch, Division of Intramural Research, National Institute of Environmental Health Sciences, Research Triangle Park, NC, United States
| | - Alexandra J White
- Epidemiology Branch, Division of Intramural Research, National Institute of Environmental Health Sciences, Research Triangle Park, NC, United States
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Zhang S, Chen H, Wang A, Liu Y, Hou H, Hu Q. Genotoxicity evaluation of carbon monoxide and 1,3-butadiene using a new joint technology: the in vitro γH2AX HCS assay combined with air–liquid interface system. Toxicol Mech Methods 2018; 29:1-7. [DOI: 10.1080/15376516.2018.1477897] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Affiliation(s)
- Sen Zhang
- China National Tobacco Quality Supervision and Test Center, Zhengzhou, P.R. China
- Institute of Applied Technology, Hefei Institutes of Physical Science, Chinese Academy of Sciences, Hefei, P.R. China
- University of Science and Technology of China, Hefei, P.R. China
| | - Huan Chen
- China National Tobacco Quality Supervision and Test Center, Zhengzhou, P.R. China
| | - An Wang
- Institute of Applied Technology, Hefei Institutes of Physical Science, Chinese Academy of Sciences, Hefei, P.R. China
| | - Yong Liu
- Institute of Applied Technology, Hefei Institutes of Physical Science, Chinese Academy of Sciences, Hefei, P.R. China
| | - Hongwei Hou
- China National Tobacco Quality Supervision and Test Center, Zhengzhou, P.R. China
| | - Qingyuan Hu
- China National Tobacco Quality Supervision and Test Center, Zhengzhou, P.R. China
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Veronesi A, Pecoraro V, Zauli S, Ottone M, Leonardi G, Lauriola P, Trenti T. Use of carboxyhemoglobin as a biomarker of environmental CO exposure: critical evaluation of the literature. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2017; 24:25798-25809. [PMID: 29027621 DOI: 10.1007/s11356-017-0270-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2017] [Accepted: 09/19/2017] [Indexed: 06/07/2023]
Abstract
Carbon monoxide (CO) poisoning is the primary cause for access to emergency department (ED) services for more than 50,000 persons in Europe and the USA every year. CO poisoning diagnosis is based on multiple factors and is usually confirmed by high carboxyhemoglobin (COHb) levels in the blood. We conducted a systematic evaluation of literature to investigate the usefulness of COHb as a biomarker of environmental CO exposure. We conducted an electronic search in Medline, Embase, and the Cochrane Library databases. We selected studies reporting high or low environmental CO concentrations, as well as COHb levels in exposed subjects presenting in ED or staying at home. We included 19 studies, but only 7 studies reported environmental CO concentration and proved a correlation between COHb and CO exposure in healthy and non-smoker subjects only. However, confounding factors were often incompletely assessed. The main symptoms reported were headache, nausea, vertigo and vomiting. COHb data stored in healthcare databases were used in six studies and provided useful information about symptoms, CO sources and patient characteristics. Most studies were classified at risk of bias. This review indicates that COHb is the most commonly used biomarker to assess CO exposure and seems to be useful. Further studies are needed to establish the reliability of COHb as a biomarker and/or explore other possible biomarkers. Surveillance systems of the general population, correlated with geographical locations and other confounding factors, could be important for CO exposure monitoring and the development of focused prevention programs.
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Affiliation(s)
- Agnese Veronesi
- Department of Laboratory Medicine-Laboratory of Toxicology, Clinical Pathology and Advanced Diagnostic, Ospedale Civile Sant'Agostino Estense, Via Giardini 1355, 41126, Modena, Italy.
| | - Valentina Pecoraro
- Department of Laboratory Medicine-Laboratory of Toxicology, Clinical Pathology and Advanced Diagnostic, Ospedale Civile Sant'Agostino Estense, Via Giardini 1355, 41126, Modena, Italy
| | - Stefano Zauli
- Regional Centre for Environment and Health, Arpae Emilia-Romagna, Modena, Italy
| | - Marta Ottone
- Regional Centre for Environment and Health, Arpae Emilia-Romagna, Modena, Italy
| | - Giovanni Leonardi
- Centre for Radiation, Chemical and Environmental Hazards, Public Health England, Chilton, Didcot, Oxfordshire, OX11 0RQ, UK
| | - Paolo Lauriola
- Regional Centre for Environment and Health, Arpae Emilia-Romagna, Modena, Italy
| | - Tommaso Trenti
- Department of Laboratory Medicine-Laboratory of Toxicology, Clinical Pathology and Advanced Diagnostic, Ospedale Civile Sant'Agostino Estense, Via Giardini 1355, 41126, Modena, Italy
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Salgaonkar NA, Thakare PM, Junnarkar MV, Kapadnis BP, Mandal A, Eriksson C, Nawani NN. Use of N,N’-diacetylchitobiose in decreasing toxic effects of indoor air pollution by preventing oxidative DNA damage. Biologia (Bratisl) 2016. [DOI: 10.1515/biolog-2016-0075] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Jumpponen M, Rönkkömäki H, Pasanen P, Laitinen J. Occupational exposure to gases, polycyclic aromatic hydrocarbons and volatile organic compounds in biomass-fired power plants. CHEMOSPHERE 2013; 90:1289-1293. [PMID: 23123113 DOI: 10.1016/j.chemosphere.2012.10.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2012] [Revised: 09/26/2012] [Accepted: 10/04/2012] [Indexed: 06/01/2023]
Abstract
The combustion of fuels produces air pollutants in the form of gases, organic compounds, and particulate matter. However, although the environmental aspect of these agents has been examined, workers' exposure to them is still a neglected issue. The purpose of this study was to measure maintenance and ash removal workers' multiple exposures to gases, volatile organic compounds (VOCs) and polycyclic aromatic hydrocarbons (PAHs) during their work tasks in biomass-fired power plants. Our hygienic measurements revealed that carbon monoxide, nitric oxide, ammonia and sulfur dioxide were the most common gases that the workers were exposed to during their tasks. Their average concentrations were 0.45 ppm, 0.06 ppm, 0.11 ppm and 0.42 ppm, respectively. Phenanthrene and naphthalene were the most prominent PAHs. At the same sampling points, the most commonly found VOCs were aromatic and aliphatic hydrocarbons and turpentines. The calculated total PAH concentrations were less than 7% of benzo[a]pyrene's eight-hour occupational exposure limit, and the total VOC concentrations were below the Finnish reference value for the normal industrial level in all measured work tasks. The most evident health effect caused by multiple exposures to gases was upper respiratory track irritation, followed by the disruption of oxygen transport, and finally central nervous system disorders. We recommend powered air respirators with ABEK+P3 cartridges and carbon monoxide gas detectors as the minimum requirement for those working inside biomass-fired power plant boilers, and compressed air breathing apparatus as the best form of protection.
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Affiliation(s)
- M Jumpponen
- Finnish Institute of Occupational Health, Neulaniementie 4, FI-70101 Kuopio, Finland.
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Tarik O, Zeynep O, Hasan D, Mustafa U, Ahmet Y, Mevlit I, Şahin A. Relationship between carbon monoxide intoxication and sister chromatid exchange in lymphocytes. Toxicol Ind Health 2012; 30:896-900. [DOI: 10.1177/0748233712466131] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Aim: Carbon monoxide (CO) intoxication can be serious and is reported to be the cause of more than half of all fatal intoxications. In this study, we aimed to identify its genotoxic effects based on sister chromatid exchange (SCE). Materials and methods: CO-poisoned patients presented to the emergency services department were identified. Their demographic characteristics, vital findings, laboratory markers, source of CO gas, risk factors, and smoking habits were recorded. The genotoxic effect was assessed using the SCE method. Results: A total of 38 patients were recruited. Their ages ranged from 16–64 years (mean: 29.79 ± 10.92 years). In all the cases, the source of CO gas was a flash heater. The mean carboxyhemoglobin (COHb) level was 25.05 ± 7.15%. Of all the patients, 12 (31.6%) had a the Glasgow Coma Scale (GCS) scores of less than 15, and an important negative correlation was found between the GCS and COHb level ( r = −0.825; p < 0.001). Genotoxicity investigations revealed a significantly higher SCE frequency among patients with high COHb levels compared with that of control subjects with physiological COHb levels ( p < 0.001). However, no correlation between increased SCE frequency and COHb level was found ( r = 0.16; p = 0.34). Conclusion: CO poisoning was shown to result in genotoxicity via an increase in the frequency of SCE. This study is the first to demonstrate a genotoxic effect of CO independent of other chemicals.
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Affiliation(s)
- Ocak Tarik
- Department of Emergency, School of Medicine, Atatürk University, Erzurum, Turkey
| | - Ocak Zeynep
- Department of Emergency, School of Medicine, Atatürk University, Erzurum, Turkey
| | - Dogan Hasan
- Department of Medical Genetics, School of Medicine, Atatürk University, Erzurum, Turkey
| | - Uzkeser Mustafa
- Department of Emergency, School of Medicine, Atatürk University, Erzurum, Turkey
| | - Yesilyurt Ahmet
- Department of Medical Genetics, School of Medicine, Atatürk University, Erzurum, Turkey
| | - Ikbal Mevlit
- Department of Medical Genetics, School of Medicine, Atatürk University, Erzurum, Turkey
| | - Aslan Şahin
- Department of Emergency, School of Medicine, Atatürk University, Erzurum, Turkey
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Susceptibility to the cytogenetic effects of dichloromethane is related to the glutathione S-transferase theta phenotype. Toxicol Lett 2010; 199:218-24. [DOI: 10.1016/j.toxlet.2010.09.002] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2010] [Revised: 09/01/2010] [Accepted: 09/02/2010] [Indexed: 11/22/2022]
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Celik M, Donbak L, Unal F, Yüzbasioglu D, Aksoy H, Yilmaz S. Cytogenetic damage in workers from a coal-fired power plant. MUTATION RESEARCH-GENETIC TOXICOLOGY AND ENVIRONMENTAL MUTAGENESIS 2007; 627:158-63. [PMID: 17178253 DOI: 10.1016/j.mrgentox.2006.11.003] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2006] [Revised: 10/21/2006] [Accepted: 11/10/2006] [Indexed: 11/20/2022]
Abstract
The aim of this study was to investigate the genotoxic risk to workers occupationally exposed to coal combustion products in Afsin-Elbistan A power plant, located in south-eastern Turkey. We analysed chromosomal aberrations (CAs), polyploidy, sister-chromatid exchanges (SCEs), and micronuclei (MN) in 48 male workers without a history of smoking, tobacco chewing, or alcohol consumption. The results were compared with a control group of 30 healthy male individuals without exposure to any known genotoxic agents. The mean frequencies of CA, polyploidy, SCEs (P<0.01), and MN (P<0.05) were significantly higher in workers than in the control group, by the Mann-Whitney U-test. Spearman's rho correlation analysis revealed a significant increase in the frequency of CA and MN with increasing years of exposure (P<0.05). However, there was no significant effect of age on the cytogenetic markers analysed in both groups (P>0.05). The data obtained from this study clearly showed chromosomal hazard in the peripheral lymphocytes of workers exposed to coal combustion products in Afsin-Elbistan A power plant for several years. This cytogenetic damage might be attributed to the cumulative effects of several substances due to chemical complexity of the coal ash and gaseous emissions rather than a specific substance.
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Affiliation(s)
- Mustafa Celik
- University of Kahramanmaras Sütcü Imam, Science and Arts Faculty, Department of Biology, Kahramanmaras, Turkey
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