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Huang F, Long Q, Liu S, Chen Y, Wang Y, Wang H, Dong R, Guo J, Chen B. Urinary Excretion of Cyanuric Acid in Association with Urolithiasis: A Matched Case-Control Study in Shanghai Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19148726. [PMID: 35886578 PMCID: PMC9317901 DOI: 10.3390/ijerph19148726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Revised: 07/07/2022] [Accepted: 07/12/2022] [Indexed: 12/04/2022]
Abstract
Melamine (MEL) has raised human concern since the 2008 milk scandal. Co-exposure to MEL and one of its analogues, cyanuric acid (CYA), has been reported to have a synergistic effect on promoting urolithiasis. However, few epidemiological studies have reported urolithiasis in association with exposure to CYA based on our knowledge. We therefore conducted a case-control study to investigate whether cases of urolithiasis had higher excretion of urinary CYA than the controls. Spot urine samples from 70 adult cases and first-morning urine samples from 70 controls (matched by age and sex) were collected for the measurement of MEL, CYA, and other two analogues in urine. The case group also had 2.81-fold higher concentration of urinary CYA than the control group (34.87 versus 12.43 ng/mL, p-value < 0.001). Multivariate conditional logistic regression models adjusting potential confounders of personal characteristics identified the risk factor of urinary CYA as a continuous variable with odds ratio (OR) (95% confidence interval, 95%CI) of 1.11 (1.02−1.21) (p-value = 0.021) and having meals at restaurants with OR of 5.71 (1.01−32.31) (p-value = 0.049). Compared to the participants having the lowest quartile of CYA concentration in urine, participants at the second, third, and fourth quartile groups had ORs of 13.94, 83.69, and 118.65 with p-values of 0.004, <0.001, and <0.001, respectively. The high excretion of urinary CYA in urolithiasis cases might be the sign of stones in patients consisting of CYA, then proving the attribution of CYA exposure in the etiology of urolithiasis. These findings are important since CYA is a degraded by-product of chlorinated isocyanuric acid disinfectants, which are widely used in daily life not only in swimming pool water but also in other scenarios, such as serving as anti-pandemic disinfectants. Risk assessment of CYA serving as a by-product of disinfectants needs to be conducted in future studies.
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Affiliation(s)
- Feifei Huang
- Key Lab of Public Health Safety of the Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China; (F.H.); (S.L.); (Y.W.); (H.W.); (R.D.)
| | - Qilai Long
- Department of Urology, Zhongshan Hospital, Fudan University, Shanghai 200032, China; (Q.L.); (Y.C.)
| | - Shaojie Liu
- Key Lab of Public Health Safety of the Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China; (F.H.); (S.L.); (Y.W.); (H.W.); (R.D.)
| | - Yanyun Chen
- Department of Urology, Zhongshan Hospital, Fudan University, Shanghai 200032, China; (Q.L.); (Y.C.)
| | - Yifei Wang
- Key Lab of Public Health Safety of the Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China; (F.H.); (S.L.); (Y.W.); (H.W.); (R.D.)
| | - Hangwei Wang
- Key Lab of Public Health Safety of the Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China; (F.H.); (S.L.); (Y.W.); (H.W.); (R.D.)
| | - Ruihua Dong
- Key Lab of Public Health Safety of the Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China; (F.H.); (S.L.); (Y.W.); (H.W.); (R.D.)
| | - Jianming Guo
- Department of Urology, Zhongshan Hospital, Fudan University, Shanghai 200032, China; (Q.L.); (Y.C.)
- Correspondence: (J.G.); (B.C.)
| | - Bo Chen
- Key Lab of Public Health Safety of the Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China; (F.H.); (S.L.); (Y.W.); (H.W.); (R.D.)
- Correspondence: (J.G.); (B.C.)
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Xu N, Fu Y, Chen F, Liu Y, Dong J, Yang Y, Zhou S, Yang Q, Ai X. Sulfadiazine pharmacokinetics in grass carp (Ctenopharyngodon idellus) receiving oral and intravenous administrations. J Vet Pharmacol Ther 2020; 44:86-92. [PMID: 33051869 DOI: 10.1111/jvp.12918] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2020] [Revised: 09/21/2020] [Accepted: 09/21/2020] [Indexed: 11/30/2022]
Abstract
This study aimed to examine the bioavailability (BA) and pharmacokinetic (PK) characteristics of sulfadiazine (SDZ) in grass carp (Ctenopharyngodon idellus) after oral and intravenous administrations. Blood samples were collected at predetermined time points of 0.083, 0.17, 0.5, 1, 2, 4, 8, 16, 24, 48, 72, and 96 hr (n = 6). The samples were extracted and purified by organic reagents and determined by the ultra-performance liquid chromatography. The software named 3P97 was used to calculate relevant PK parameters. The results demonstrated that the concentration-time profile of SDZ was best described by a one-compartmental open model with first-order absorption after a single oral dose. The main PK parameters of the absorption rate constant (Kα ), the absorption half-life (t1/2 Kα ), the elimination rate constant (Ke ), the elimination half-life (t1/2Ke ), and the area under concentration-time profile (AUC0-∞ ) were 0.3 1/h, 2.29 hr, 0.039 1/h, 17.64 hr, and 855.78 mg.h/L, respectively. Following intravenous administration, the concentration-time curve fitted to a two-compartmental open model without absorption. The primary PK parameters of the distribution rate constant (α), the elimination rate constant (β), the distribution half-life (t1/2α ), the elimination half-life (t1/2β ), the apparent distribution volume (VSS ), the total clearance (CL), and AUC0-∞ were 9.62 1/hr, 0.039 1/hr, 0.072 hr, 17.71 hr, 0.33 L/kg, 0.013 L h-1 kg-1 , and 386.23 mg.h/L, respectively. Finally, the BA was calculated to be 22.16%. Overall, this study will provide some fundamental information on PK properties in the development of a new formulation SDZ in the future and is partially beneficial for the appropriate usage of SDZ in aquaculture.
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Affiliation(s)
- Ning Xu
- Yangtze River Fisheries Research Institute, Chinese Academy of Fishery Sciences, Wuhan, China.,Key Laboratory of Control of Quality and Safety for Aquatic Products, Ministry of Agriculture, Beijing, China.,Hu Bei Province Engineering and Technology Research Center of Aquatic Product Quality and Safety, Wuhan, China
| | - Yu Fu
- Hunan University of Arts and Science, Changde, China
| | - Fang Chen
- Hunan University of Arts and Science, Changde, China
| | - Yongtao Liu
- Yangtze River Fisheries Research Institute, Chinese Academy of Fishery Sciences, Wuhan, China.,Key Laboratory of Control of Quality and Safety for Aquatic Products, Ministry of Agriculture, Beijing, China.,Hu Bei Province Engineering and Technology Research Center of Aquatic Product Quality and Safety, Wuhan, China
| | - Jing Dong
- Yangtze River Fisheries Research Institute, Chinese Academy of Fishery Sciences, Wuhan, China.,Key Laboratory of Control of Quality and Safety for Aquatic Products, Ministry of Agriculture, Beijing, China.,Hu Bei Province Engineering and Technology Research Center of Aquatic Product Quality and Safety, Wuhan, China
| | - Yibin Yang
- Yangtze River Fisheries Research Institute, Chinese Academy of Fishery Sciences, Wuhan, China.,Key Laboratory of Control of Quality and Safety for Aquatic Products, Ministry of Agriculture, Beijing, China.,Hu Bei Province Engineering and Technology Research Center of Aquatic Product Quality and Safety, Wuhan, China
| | - Shun Zhou
- Yangtze River Fisheries Research Institute, Chinese Academy of Fishery Sciences, Wuhan, China.,Key Laboratory of Control of Quality and Safety for Aquatic Products, Ministry of Agriculture, Beijing, China.,Hu Bei Province Engineering and Technology Research Center of Aquatic Product Quality and Safety, Wuhan, China
| | - Qiuhong Yang
- Yangtze River Fisheries Research Institute, Chinese Academy of Fishery Sciences, Wuhan, China.,Key Laboratory of Control of Quality and Safety for Aquatic Products, Ministry of Agriculture, Beijing, China.,Hu Bei Province Engineering and Technology Research Center of Aquatic Product Quality and Safety, Wuhan, China
| | - Xiaohui Ai
- Yangtze River Fisheries Research Institute, Chinese Academy of Fishery Sciences, Wuhan, China.,Key Laboratory of Control of Quality and Safety for Aquatic Products, Ministry of Agriculture, Beijing, China.,Hu Bei Province Engineering and Technology Research Center of Aquatic Product Quality and Safety, Wuhan, China
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Tebby C, Brochot C, Dorne JL, Beaudouin R. Investigating the interaction between melamine and cyanuric acid using a Physiologically-Based Toxicokinetic model in rainbow trout. Toxicol Appl Pharmacol 2019; 370:184-195. [PMID: 30922832 DOI: 10.1016/j.taap.2019.03.021] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Revised: 03/18/2019] [Accepted: 03/23/2019] [Indexed: 10/27/2022]
Abstract
Following outbreaks of feed and food adulterations with a melamine and cyanuric acid mixture in 2007 and melamine in 2008 respectively, the kinetics and toxicodynamics of the mixture have been investigated particularly in sensitive species such as the rainbow trout. Tissue concentrations and intensity of the adverse effect, melamine-cyanurate crystal formation in kidney, were reported in similar experimental conditions. Here, a recent PBTK model for rainbow trout has been applied to model the kinetics of both single compounds based on residue levels in tissues. Both PBTK models for the single compounds were combined and a model of crystal formation for the mixture melamine-cyanuric acid was also added to predict the intensity of crystal formation under the assumptions that crystals formed either in urine or in kidney tissue. Modelling the kinetics of melamine and cyanuric acid provided a better understanding and prediction of intensity of crystal formation in case of sequential exposures with varying intensity or co-exposure. This study demonstrates, for the first time, how fish PBTK models can play a key role in the understanding and prediction of toxicokinetics and toxicodynamics of mixtures. This study also illustrates how adverse effects may potentially occur even when the compounds are not administered together as a mixture.
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Affiliation(s)
- Cleo Tebby
- Institut National de l'Environnement Industriel et des Risques (INERIS), Models for Ecotoxicology and Toxicology Unit, Parc ALATA, BP2, 60550 Verneuil-en-Halatte, France
| | - Céline Brochot
- Institut National de l'Environnement Industriel et des Risques (INERIS), Models for Ecotoxicology and Toxicology Unit, Parc ALATA, BP2, 60550 Verneuil-en-Halatte, France
| | - Jean-Lou Dorne
- European Food Safety Authority (EFSA), Scientific Committee and Emerging Risks Unit, Via Carlo Magno 1A, 43126 Parma, Italy
| | - Rémy Beaudouin
- Institut National de l'Environnement Industriel et des Risques (INERIS), Models for Ecotoxicology and Toxicology Unit, Parc ALATA, BP2, 60550 Verneuil-en-Halatte, France; Institut National de l'Environnement Industriel et des Risques (INERIS), UMR-I 02 SEBIO, Parc ALATA, BP2, 60550 Verneuil-en-Halatte, France.
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Pacini N, Dörr AJM, Elia AC, Scoparo M, Abete MC, Prearo M. Melamine-cyanurate complexes and oxidative stress markers in trout kidney following melamine and cyanuric acid long-term co-exposure and withdrawal. FISH PHYSIOLOGY AND BIOCHEMISTRY 2014; 40:1609-1619. [PMID: 24952615 DOI: 10.1007/s10695-014-9952-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2014] [Accepted: 06/09/2014] [Indexed: 06/03/2023]
Abstract
In 2007, renal failure and death in pets were linked to pet food containing both melamine (MEL) and cyanuric acid (CYA). In mammals and fish, the co-administration of MEL and CYA causes renal crystal formation. Moreover, little is known about the process of crystal removal in fish. The aim of this study was to evaluate the formation of MEL-cyanurate crystals in kidney of rainbow trout (Oncorhynchus mykiss) fed combined MEL and CYA diets for 10 weeks at 250, 500 and 1,000 mg/kg in feed (equivalent to 2.5, 5, 10 mg/kg body weight of trout fed 1 % body weight per day). During the exposure trial and throughout a withdrawal period, prooxidant effects of MEL and CYA were evaluated on oxidative stress markers such as catalase, glutathione S-transferase and malondialdehyde. Crystal formation was dose and time dependent, and after six withdrawal weeks, crystals persisted in kidney of trout treated the highest triazine dose. Catalase and glutathione S-transferase activity in kidney of trout exposed to both triazines for 10 weeks indicated that MEL (with or without CYA) can exert a higher prooxidant effect than CYA dispensed singly. Although the enzymes activity increase appears to be reverted after two MEL withdrawal weeks, persistence of crystals may lead to severe damage in renal cells of fish.
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Affiliation(s)
- Nicole Pacini
- Department of Chemistry, Biology and Biotechnology, University of Perugia, 06123, Perugia, Italy
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