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Wahlang B, Gao H, Rai SN, Keith RJ, McClain CJ, Srivastava S, Cave MC, Bhatnagar A. Associations between residential volatile organic compound exposures and liver injury markers: The role of biological sex and race. ENVIRONMENTAL RESEARCH 2023; 221:115228. [PMID: 36610539 PMCID: PMC9957966 DOI: 10.1016/j.envres.2023.115228] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Revised: 12/27/2022] [Accepted: 01/03/2023] [Indexed: 05/28/2023]
Abstract
While occupational exposures to volatile organic compounds (VOCs) have been linked to steatohepatitis and liver cancer in industrial workers, recent findings have also positively correlated low-dose, residential VOC exposures with liver injury markers. VOC sources are numerous; factors including biological make up (sex), socio-cultural constructs (gender, race) and lifestyle (smoking) can influence both VOC exposure levels and disease outcomes. Therefore, the current study's objective is to investigate how sex and race influence associations between residential VOC exposures and liver injury markers particularly in smokers vs. nonsmokers. Subjects (n = 663) were recruited from residential neighborhoods; informed consent was obtained. Exposure biomarkers included 16 urinary VOC metabolites. Serological disease biomarkers included liver enzymes, direct bilirubin, and hepatocyte death markers (cytokeratin K18). Pearson correlations and generalized linear models were conducted. Models were adjusted for common liver-related confounders and interaction terms. The study population constituted approximately 60% females (n = 401) and 40% males (n = 262), and a higher percent of males were smokers and/or frequent drinkers. Both sexes had a higher percent of White (75% females, 82% males) vs. Black individuals. Positive associations were identified for metabolites of acrolein, acrylamide, acrylonitrile, butadiene, crotonaldehyde, and styrene with alkaline phosphatase (ALP), a biomarker for cholestatic injury; and for the benzene metabolite with bilirubin; only in females. These associations were retained in female smokers. Similar associations were also observed between these metabolites and ALP only in White individuals (n = 514). In Black individuals (n = 114), the styrene metabolite was positively associated with aspartate transaminase. Interaction models indicated that positive associations for acrylamide/crotonaldehyde metabolites with ALP in females were dose-dependent. Most VOC associations with K18 markers were negative in this residential population. Overall, the findings demonstrated that biological sex, race, and smoking status influence VOC effects on liver injury and underscored the role of biological-social-lifestyle factor(s) interactions when addressing air pollution-related health disparities.
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Affiliation(s)
- Banrida Wahlang
- Superfund Research Center, University of Louisville, Louisville, KY, 40202, USA; Division of Gastroenterology, Hepatology & Nutrition, Department of Medicine, School of Medicine, University of Louisville, Louisville, KY, 40202, USA; The Center for Integrative Environmental Health Sciences, University of Louisville, Louisville, KY, 40202, USA; The Hepatobiology and Toxicology Center, University of Louisville, Louisville, KY, 40202, USA.
| | - Hong Gao
- Superfund Research Center, University of Louisville, Louisville, KY, 40202, USA; Envirome Institute, University of Louisville, Louisville, KY, 40202, USA; Division of Environmental Medicine, Department of Medicine, School of Medicine, University of Louisville, Louisville, KY, 40202, USA
| | - Shesh N Rai
- Division of Biostatistics and Bioinformatics, Department of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, OH, 45267, USA; Cancer Data Science Center, Biostatistics and Informatics Shared Resource, College of Medicine, University of Cincinnati, Cincinnati, OH, 45267, USA
| | - Rachel J Keith
- Superfund Research Center, University of Louisville, Louisville, KY, 40202, USA; Envirome Institute, University of Louisville, Louisville, KY, 40202, USA; Division of Environmental Medicine, Department of Medicine, School of Medicine, University of Louisville, Louisville, KY, 40202, USA
| | - Craig J McClain
- Superfund Research Center, University of Louisville, Louisville, KY, 40202, USA; Division of Gastroenterology, Hepatology & Nutrition, Department of Medicine, School of Medicine, University of Louisville, Louisville, KY, 40202, USA; The Center for Integrative Environmental Health Sciences, University of Louisville, Louisville, KY, 40202, USA; Department of Pharmacology & Toxicology, School of Medicine, University of Louisville, Louisville, KY, 40202, USA; The Hepatobiology and Toxicology Center, University of Louisville, Louisville, KY, 40202, USA; Alcohol Research Center, University of Louisville, Louisville, KY, 40202, USA
| | - Sanjay Srivastava
- Superfund Research Center, University of Louisville, Louisville, KY, 40202, USA; Envirome Institute, University of Louisville, Louisville, KY, 40202, USA; Division of Environmental Medicine, Department of Medicine, School of Medicine, University of Louisville, Louisville, KY, 40202, USA; Department of Pharmacology & Toxicology, School of Medicine, University of Louisville, Louisville, KY, 40202, USA; Department of Biochemistry and Molecular Genetics, School of Medicine, University of Louisville, Louisville, KY, 40202, USA
| | - Mathew C Cave
- Superfund Research Center, University of Louisville, Louisville, KY, 40202, USA; Division of Gastroenterology, Hepatology & Nutrition, Department of Medicine, School of Medicine, University of Louisville, Louisville, KY, 40202, USA; The Center for Integrative Environmental Health Sciences, University of Louisville, Louisville, KY, 40202, USA; Department of Pharmacology & Toxicology, School of Medicine, University of Louisville, Louisville, KY, 40202, USA; The Hepatobiology and Toxicology Center, University of Louisville, Louisville, KY, 40202, USA; Alcohol Research Center, University of Louisville, Louisville, KY, 40202, USA; Department of Biochemistry and Molecular Genetics, School of Medicine, University of Louisville, Louisville, KY, 40202, USA
| | - Aruni Bhatnagar
- Superfund Research Center, University of Louisville, Louisville, KY, 40202, USA; The Center for Integrative Environmental Health Sciences, University of Louisville, Louisville, KY, 40202, USA; Envirome Institute, University of Louisville, Louisville, KY, 40202, USA; Division of Environmental Medicine, Department of Medicine, School of Medicine, University of Louisville, Louisville, KY, 40202, USA; Department of Pharmacology & Toxicology, School of Medicine, University of Louisville, Louisville, KY, 40202, USA; Department of Biochemistry and Molecular Genetics, School of Medicine, University of Louisville, Louisville, KY, 40202, USA
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Justo Alonso M, Moazami TN, Liu P, Jørgensen RB, Mathisen HM. Assessing the indoor air quality and their predictor variable in 21 home offices during the Covid-19 pandemic in Norway. BUILDING AND ENVIRONMENT 2022; 225:109580. [PMID: 36097587 PMCID: PMC9452402 DOI: 10.1016/j.buildenv.2022.109580] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 08/04/2022] [Accepted: 09/02/2022] [Indexed: 05/19/2023]
Abstract
In this study, concentrations of pollutants: formaldehyde, carbon dioxide (CO2), and total volatile organic compounds (TVOC) and parameters: indoor room temperature and relative humidity (RH) were measured in 21 home offices for at least one week in winter in Trondheim, Norway. Eleven of these were measured again for the same duration in summer. Potentially explanatory variables of these parameters were collected, including building and renovation year, house type, building location, trickle vent status, occupancy, wood stove, floor material, pets, RH, and air temperature. The association between indoor air pollutants and their potential predictor variables was analyzed using generalized estimation equations to determine the significant parameters to control pollutants. Significantly seasonal differences in concentrations were observed for CO2 and formaldehyde, while no significant seasonal difference was observed for TVOC. For TVOC and formaldehyde, trickle vent, RH, and air temperature were among the most important predictor variables. Although higher concentrations of CO2 were measured in cases where the trickle vent was closed, the most important predictor variables for CO2 were season, RH, and indoor air temperature. The formaldehyde concentrations were higher outside working hours but mostly below health thresholds recommendations; for CO2, 11 of the measured cases had indoor concentrations exceeding 1000 ppm in 10% of the measured time. For TVOC, the concentrations were above the recommended values by WHO in 73% of the cases. RH was generally low in winter. The temperature was generally kept over the recommended level of 22-24 °C during working hours.
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Affiliation(s)
- M Justo Alonso
- Department of Energy and Process Engineering, NTNU, Kolbjørn Hejes v 1B, Trondheim, Norway
| | - T N Moazami
- Department of Industrial Economics and Technology Management, NTNU, Sem Sælands vei 5, Trondheim, Norway
| | - P Liu
- Department: Architecture, Materials and Structures SINTEF Community, Høgskoleringen 13, Trondheim, Norway
| | - R B Jørgensen
- Department of Industrial Economics and Technology Management, NTNU, Sem Sælands vei 5, Trondheim, Norway
| | - H M Mathisen
- Department of Energy and Process Engineering, NTNU, Kolbjørn Hejes v 1B, Trondheim, Norway
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Colas A, Baudet A, Le Cann P, Blanchard O, Gangneux JP, Baurès E, Florentin A. Quantitative Health Risk Assessment of the Chronic Inhalation of Chemical Compounds in Healthcare and Elderly Care Facilities. TOXICS 2022; 10:toxics10030141. [PMID: 35324766 PMCID: PMC8954219 DOI: 10.3390/toxics10030141] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Revised: 03/11/2022] [Accepted: 03/14/2022] [Indexed: 12/14/2022]
Abstract
Previous studies have described the chemical pollution in indoor air of healthcare and care facilities. From these studies, the main objective of this work was to conduct a quantitative health risk assessment of the chronic inhalation of chemical compounds by workers in healthcare and elderly care facilities (hospitals, dental and general practitioner offices, pharmacies and nursing homes). The molecules of interest were 36 volatile and 13 semi-volatile organic compounds. Several professional exposure scenarios were developed in these facilities. The likelihood and severity of side effects that could occur were assessed by calculating the hazard quotient for deterministic effects, and the excess lifetime cancer risk for stochastic effects. No hazard quotient was greater than 1. Three compounds had a hazard quotient above 0.1: 2-ethyl-1-hexanol in dental and general practitioner offices, ethylbenzene and acetone in dental offices. Only formaldehyde presented an excess lifetime cancer risk greater than 1 × 10−5 in dental and general practitioner offices (maximum value of 3.8 × 10−5 for general practitioners). The health risk for chronic inhalation of most compounds investigated did not appear to be of concern. Some values tend to approach the acceptability thresholds justifying a reflection on the implementation of corrective actions such as the installation of ventilation systems.
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Affiliation(s)
- Anaïs Colas
- Faculté de Médecine, Université de Lorraine, F-54505 Vandoeuvre-les-Nancy, France;
- CHRU-Nancy, F-54505 Vandoeuvre-les-Nancy, France;
- Correspondence:
| | - Alexandre Baudet
- CHRU-Nancy, F-54505 Vandoeuvre-les-Nancy, France;
- Faculté D’odontologie, Université de Lorraine, F-54505 Vandoeuvre-les-Nancy, France
- APEMAC, Université de Lorraine, F-54505 Vandoeuvre-les-Nancy, France
| | - Pierre Le Cann
- EHESP School of Public Health, Inserm, IRSET (Institut de Recherche en Santé, Environnement et Travail)—UMR_S 1085, Université de Rennes, F-35000 Rennes, France; (P.L.C.); (O.B.); (J.-P.G.); (E.B.)
| | - Olivier Blanchard
- EHESP School of Public Health, Inserm, IRSET (Institut de Recherche en Santé, Environnement et Travail)—UMR_S 1085, Université de Rennes, F-35000 Rennes, France; (P.L.C.); (O.B.); (J.-P.G.); (E.B.)
| | - Jean-Pierre Gangneux
- EHESP School of Public Health, Inserm, IRSET (Institut de Recherche en Santé, Environnement et Travail)—UMR_S 1085, Université de Rennes, F-35000 Rennes, France; (P.L.C.); (O.B.); (J.-P.G.); (E.B.)
- Laboratoire de Parasitologie-Mycologie, CHU-Rennes, F-35000 Rennes, France
| | - Estelle Baurès
- EHESP School of Public Health, Inserm, IRSET (Institut de Recherche en Santé, Environnement et Travail)—UMR_S 1085, Université de Rennes, F-35000 Rennes, France; (P.L.C.); (O.B.); (J.-P.G.); (E.B.)
| | - Arnaud Florentin
- Faculté de Médecine, Université de Lorraine, F-54505 Vandoeuvre-les-Nancy, France;
- CHRU-Nancy, F-54505 Vandoeuvre-les-Nancy, France;
- APEMAC, Université de Lorraine, F-54505 Vandoeuvre-les-Nancy, France
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