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Ma J, Liu Z, Zhou S, Chen M, Gao L, Zuo X, Zhang X, Zhang J, Zhu Q. Renal tubular in TCE-sensitization-induced immune kidney injury: Role of mitochondrial DNA in activating the cGAS-STING signaling pathway. Int Immunopharmacol 2022; 113:109432. [DOI: 10.1016/j.intimp.2022.109432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 10/25/2022] [Accepted: 11/03/2022] [Indexed: 11/13/2022]
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2
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Wang H, Nakajima T, Ito Y, Naito H, Zhao N, Li H, Qiu X, Xia L, Chen J, Wu Q, Li L, Huang H, Yanagiba Y, Qu H, Yatsuya H, Kamijima M. Increased risk of occupational trichloroethylene hypersensitivity syndrome at exposure levels higher than 15 mg/L of urinary trichloroacetic acid, regardless of whether the patients had the HLA-B*13:01 allele. ENVIRONMENTAL RESEARCH 2020; 191:109972. [PMID: 32758551 DOI: 10.1016/j.envres.2020.109972] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Revised: 06/18/2020] [Accepted: 07/17/2020] [Indexed: 06/11/2023]
Abstract
Occupational trichloroethylene (TCE) exposure can cause hypersensitivity syndrome (TCE-HS). The human leukocyte antigen (HLA)-B*13:01 is reportedly an important allele involved in TCE-HS onset. However, the threshold exposure level causing TCE-HS in relation to HLA-B*13:01 remains unknown. We conducted a case-control study comprising 37 TCE-HS patients and 97 age- and sex-matched TCE-tolerant controls from the Han Chinese population. Urine and blood of patients were collected on the first day of hospitalization, and those of controls were collected at the end of their shifts. Urinary trichloroacetic acid (TCA) was measured as an exposure marker, and end-of-shift levels in the patients were estimated using the biological half-life of 83.7 h. HLA-B genotype was identified using DNA from blood. Crude odds ratios (ORs) for TCE-HS in the groups with urinary TCA concentration >15 mg/L to ≤50 mg/L and of >50 mg/L were 21.9 [95% confidence interval (CI) 4.2-114.1] and 27.6 (6.1-125.8), respectively, when the group with urinary TCA ≤15 mg/L was used as a reference. The frequency of HLA-B*13:01, the most common allele in the patients, was 62.2% (23/37), which was significantly higher than 17.5% (17/97) in the TCE-tolerant controls, with a crude OR of 8.4 (3.1-22.6). The mutually-adjusted ORs for urinary TCA >15 to ≤50 mg/L, >50 mg/L, and for HLA-B*13:01 were 33.4 (4.1-270.8), 34.0 (5.3-217.1), and 11.0 (2.4-50.7), respectively. In conclusion, reduction of TCE exposure to ≤15 mg/L is required for TCE-HS prevention because urinary TCA concentration >15 mg/L showed increased risk of TCE-HS, regardless of whether the patients had the HLA-B*13:01 allele.
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Affiliation(s)
- Hailan Wang
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, 510300, Guangzhou, PR China.
| | - Tamie Nakajima
- Department of Life and Health Sciences, Chubu University, 487-8501, Kasugai, Japan.
| | - Yuki Ito
- Department of Occupational and Environmental Health, Nagoya City University Graduate School of Medical Sciences, 467-8601, Nagoya, Japan.
| | - Hisao Naito
- Department of Public Health, Fujita Health University School of Medicine, 470-1192, Toyoake, Japan.
| | - Na Zhao
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, 510300, Guangzhou, PR China.
| | - Hongling Li
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, 510300, Guangzhou, PR China.
| | - Xinxiang Qiu
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, 510300, Guangzhou, PR China.
| | - Lihua Xia
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, 510300, Guangzhou, PR China.
| | - Jiabin Chen
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, 510300, Guangzhou, PR China.
| | - Qifeng Wu
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, 510300, Guangzhou, PR China.
| | - Laiyu Li
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, 510300, Guangzhou, PR China.
| | - Hanlin Huang
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, 510300, Guangzhou, PR China.
| | - Yukie Yanagiba
- National Institute of Occupational Safety and Health, 214-8585, Kawasaki, Japan.
| | - Hongyung Qu
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, 510300, Guangzhou, PR China.
| | - Hiroshi Yatsuya
- Department of Public Health, Fujita Health University School of Medicine, 470-1192, Toyoake, Japan.
| | - Michihiro Kamijima
- Department of Occupational and Environmental Health, Nagoya City University Graduate School of Medical Sciences, 467-8601, Nagoya, Japan.
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Zhao N, Song X, Naito H, Li H, Huang Y, Liu L, Lu F, Cai T, Ito Y, Kamijima M, Huang H, Nakajima T, Wang H. Trichloroethylene and trichloroethanol induce skin sensitization with focal hepatic necrosis in guinea pigs. J Occup Health 2020; 62:e12142. [PMID: 32799435 PMCID: PMC7428806 DOI: 10.1002/1348-9585.12142] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2019] [Revised: 05/18/2020] [Accepted: 06/09/2020] [Indexed: 11/07/2022] Open
Abstract
OBJECTIVES Occupational exposure to trichloroethylene (TCE) induces trichloroethylene hypersensitivity syndrome (TCEHS), which causes hypersensitivity dermatitis and hepatitis. However, whether TCE itself or its two metabolites, trichloroethanol (TCEOH) and trichloroacetic acid (TCA), are involved in TCEHS remains unclear. Therefore, in this study we explored the allergens causing TCEHS and characterized TCEHS-related liver injury in guinea pigs. METHOD The guinea pig maximization test was performed using TCE, TCEOH, and TCA as candidate allergens. Skin inflammation was scored, and liver function and histopathological changes were evaluated by biochemical tests and hematoxylin and eosin staining, respectively. RESULTS The sensitization rates for TCE, TCEOH, and TCA were 90.0%, 50.0%, and 0.0%, respectively. In the TCE and TCEOH experimental groups, the skin showed varying degrees of erythema with eosinophil granulocyte infiltration in the dermis. Additionally, serum alanine aminotransferase and γ-glutamyl transpeptidase levels increased significantly, and histological analysis revealed focal hepatocellular necrosis with inflammatory cell infiltration in the liver. CONCLUSIONS TCE is the main cause of allergy and TCEOH is a secondary factor for allergy in guinea pigs. TCE and TCEOH can cause immune-mediated skin sensitization complicated by focal hepatic necrosis.
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Affiliation(s)
- Na Zhao
- Department of clinical laboratoryGuangdong Province Hospital for Occupational Disease Prevention and TreatmentGuangzhouChina
- Guangdong Provincial Key Laboratory of Occupational Disease Prevention and TreatmentGuangdong Province Hospital for Occupational Disease Prevention and TreatmentGuangzhouChina
| | - Xiangrong Song
- Institute of ToxicologyGuangdong Province Hospital for Occupational Disease Prevention and TreatmentGuangzhouChina
| | - Hisao Naito
- Department of Public HealthFujita Health University School of MedicineToyoakeJapan
| | - Hongling Li
- Institute of ToxicologyGuangdong Province Hospital for Occupational Disease Prevention and TreatmentGuangzhouChina
| | - Yongshun Huang
- Department of clinical laboratoryGuangdong Province Hospital for Occupational Disease Prevention and TreatmentGuangzhouChina
- Guangdong Provincial Key Laboratory of Occupational Disease Prevention and TreatmentGuangdong Province Hospital for Occupational Disease Prevention and TreatmentGuangzhouChina
| | - Lili Liu
- Guangdong Provincial Key Laboratory of Occupational Disease Prevention and TreatmentGuangdong Province Hospital for Occupational Disease Prevention and TreatmentGuangzhouChina
| | - Fengrong Lu
- Institute of ToxicologyGuangdong Province Hospital for Occupational Disease Prevention and TreatmentGuangzhouChina
| | - Tingfeng Cai
- Institute of ToxicologyGuangdong Province Hospital for Occupational Disease Prevention and TreatmentGuangzhouChina
| | - Yuki Ito
- Department of Occupational and Environmental HealthNagoya City University Graduate School of Medical SciencesNagoyaJapan
| | - Michihiro Kamijima
- Department of Occupational and Environmental HealthNagoya City University Graduate School of Medical SciencesNagoyaJapan
| | - Hanlin Huang
- Guangdong Provincial Key Laboratory of Occupational Disease Prevention and TreatmentGuangdong Province Hospital for Occupational Disease Prevention and TreatmentGuangzhouChina
- Department of Scientific EducationGuangdong Provincial Maternal and Child Health HospitalGuangzhouChina
| | - Tamie Nakajima
- Department of Life and Health SciencesChubu UniversityKasugaiJapan
| | - Hailan Wang
- Institute of ToxicologyGuangdong Province Hospital for Occupational Disease Prevention and TreatmentGuangzhouChina
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Sato H, Ito Y, Inoue M, Nakahira Y, Hashimoto S, Nakajima T, Kamijima M. Simple method to detect triclofos and its metabolites in plasma of children by combined use of liquid chromatography tandem-mass spectrometry and gas chromatography-mass spectrometry. Sci Rep 2019; 9:9294. [PMID: 31243319 PMCID: PMC6594997 DOI: 10.1038/s41598-019-45790-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2019] [Accepted: 06/14/2019] [Indexed: 11/10/2022] Open
Abstract
Triclofos sodium (TCS) and chloral hydrate (CH) are widely used as sedatives for children, but no analytical method to simultaneously monitor concentrations of blood TCS, CH and their metabolites, trichloroacetic acid (TCA) and trichloroethanol (TCEOH), has been reported. The present study aimed to develop a simple analytical method for TCS and its metabolites (TCA, TCEOH and CH) in small-volume plasma from children. After acidification of specimens, TCS formic acid adduct or the metabolites derivatized using water/sulfuric acid/methanol (6:5:1, v/v) were measured by combined use of liquid chromatography tandem-mass spectrometry and gas chromatography mass-spectrometry. The limits of detection and quantification levels (µg/ml) were 0.10 and 0.29 for TCS, 0.24 and 0.72 for TCA, 0.10 and 0.31 for TCEOH, and 0.25 and 0.76 for CH, respectively. The mean recoveries were 82.8-107% for TCS, 85.4-101% for TCA, 91.6-107% for TCEOH, and 88.9-109% for CH. Within-run and between-run precision (percent of relative standard deviation, %RSD) using this method ranged from 1.1 to 15.7% and 3.6 to 13.5%, respectively, for TCS and all of its metabolites. The calibration curves were obtained with standard spiked plasma, and all of the coefficients of determination were more than 0.975. Subsequently, we applied the present method to plasma taken from five children after sedation induced by CH and TCS. In addition to TCS and CH, elevated TCA and TCEOH concentrations were detected. This new method can be applied for the pharmacokinetic analysis of TCS and its metabolites and the determination of the optimal TCS dosage in children.
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Affiliation(s)
- Hirotaka Sato
- Department of Occupational and Environmental Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, 467-8601, Japan
| | - Yuki Ito
- Department of Occupational and Environmental Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, 467-8601, Japan
| | - Miho Inoue
- Department of Anesthesiology and Intensive Care Medicine, Kyoto Prefectural University of Medicine, Kyoto, 602-8566, Japan
| | - Yuki Nakahira
- Department of Occupational and Environmental Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, 467-8601, Japan
| | - Satoru Hashimoto
- Department of Anesthesiology and Intensive Care Medicine, Kyoto Prefectural University of Medicine, Kyoto, 602-8566, Japan
| | - Tamie Nakajima
- College of Life and Health Sciences, Chubu University, Kasugai, 487-8501, Japan
| | - Michihiro Kamijima
- Department of Occupational and Environmental Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, 467-8601, Japan.
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Li W, Liu X, Yang X, Chen Y, Pang Y, Qi G, Chen L, Zhuang Z. Effect of trichloroacetaldehyde on the activation of CD4 +T cells in occupational medicamentosa-like dermatitis: An in vivo and in vitro study. Toxicology 2019; 423:95-104. [PMID: 31150805 DOI: 10.1016/j.tox.2019.05.014] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2019] [Revised: 05/16/2019] [Accepted: 05/27/2019] [Indexed: 01/21/2023]
Abstract
Occupational medicamentosa-like dermatitis induced by trichloroethylene (OMLDT) is a hypersensitivity disease with autoimmune liver injury, which has increasingly become a serious occupational health problem in China. However, the pathogenesis of OMLDT remained undefined. In this study, 30 TCE-induced OMLDT patients, 58 exposure controls, and 40 non-exposure controls were recruited. We showed that the ratio of activated CD4+ T cells (downregulation of CD62 L) was dramatically increased in OMLDT patients compared to exposure and non-exposure control, suggesting that CD4+ T cells activation was a key cellular event in the development of OMLDT. In parallel, the expression of cytokine including IL-2, IFN-γ, TNF-α and IL-17A were increased obviously and IL-4 decreased in CD4+ T cells from OMLDT patients. in vitro assay, we found that trichloroethylene metabolites trichloroacetaldehyde (TCAH), not trichloroacetic acid (TCA) or Trichloroethanol (TCOH) could activate the naïve CD4+ T cells characterized by a rise in intracellular calcium, down-regulated CD62 L and subsequently trigger the secretion of IL-2, IFN-γ and TNF-α. Notably, the phosphorylation status of NF-κB and p38MAPK were elevated in OMLDT patients. Moreover, TCAH also could activate the p38MAPK and NF-κB, suggesting the role of p38MAPK and NF-κB pathways in the activation of CD4+ T cells. In addition, we found that the inhibition of Schiff base formation decreased the ability of TCAH to induce the activation of naïve CD4+ T cells and p38MAPK and NF-κB pathway. In conclusion, we revealed that the CD4+ T activation and increased the cytokines including IL-2, IFN-γ and TNF-α but decreased IL-4 in CD4+ T cells were associated with OMLDT. TCAH could activate naïve CD4+ T cells through NF-κB and p38MAPK activation induced by Schiff base formation, which might contribute to the development of OMLDT. These findings provide a new insight into the pathogenesis of OMLDT.
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Affiliation(s)
- Wenxue Li
- Department of Toxicology, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, China; Department of Toxicology, Guangzhou Center for Disease Control and Prevention, Guangzhou, 510440, China.
| | - Xiaoling Liu
- Department of Toxicology, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, China
| | - Xueqin Yang
- Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, 518020, China
| | - Yaping Chen
- School of Pharmaceutical Sciences and Yunnan Provincial Key Laboratory of Pharmacology for Natural Products, Kunming Medical University, Kunming, 650500, China
| | - Yaqin Pang
- Faculty of Toxicology, School of Public Health, Youjiang Medical College for Nationalities, Guangxi, China
| | - Guangzi Qi
- Faculty of Toxicology, School of Public Health, Youjiang Medical College for Nationalities, Guangxi, China
| | - Liping Chen
- Department of Toxicology, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, China.
| | - Zhixiong Zhuang
- Shenzhen Center for Disease Control and Prevention, Shenzhen, 518055, China.
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NAKAJIMA T, WANG H, ITO Y, NAITO H, WANG D, ZHAO N, LI H, QIU X, XIA L, CHEN J, WU Q, LI L, HUANG H, KAMIJIMA M. Exposure reconstruction of trichloroethylene among patients with occupational trichloroethylene hypersensitivity syndrome. INDUSTRIAL HEALTH 2018; 56:300-307. [PMID: 29503390 PMCID: PMC6066440 DOI: 10.2486/indhealth.2017-0202] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Accepted: 02/21/2018] [Indexed: 06/08/2023]
Abstract
Occupational trichloroethylene (TCE) exposure can induce life-threatening generalized dermatitis accompanied by hepatitis: TCE hypersensitivity syndrome (HS). Since the patients' exposure levels have not been fully clarified, this study estimated end-of-shift urinary concentrations of trichloroacetic acid (TCA) and their lower limit below which the disease occurrence was rare. TCA concentration was measured in 78 TCE HS patients whose urine was collected at admission between 2nd and 14th d after their last shift. Then a linear regression model was used to calculate the mean TCA concentration with 95% confidence interval (95% CI) and 95% prediction interval (95% PI) in the end-of-shift urine. The estimated mean concentration was 83 (95% CI, 49-140) mg/l with 95% PI 9.6-720 mg/l. TCA concentrations were also measured in the end-of-shift urine of 38 healthy workers involved in the same job as were the patients. The geometric mean and its 95% CI were 127 mg/l and 16-984 mg/l, respectively. The exposure levels in HS patients might have thus overlapped with those in workers without HS. Accordingly, it was suggested that HS occurred in the environment where the workers were exposed to the TCE concentration corresponding to the urinary TCA concentration as low as 10 mg/l.
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Affiliation(s)
- Tamie NAKAJIMA
- Department of Life and Health Sciences, Chubu University,
Japan
| | - Hailan WANG
- Guangdong Province Hospital for Occupational Disease
Prevention and Treatment, China
| | - Yuki ITO
- Department of Occupational and Environmental Health, Nagoya
City University Graduate School of Medical Sciences, Japan
| | - Hisao NAITO
- Department of Public Health, Fujita Health University School
of Medicine, Japan
| | - Dong WANG
- Department of Occupational and Environmental Health, Nagoya
University Graduate School of Medicine, Japan
| | - Na ZHAO
- Guangdong Province Hospital for Occupational Disease
Prevention and Treatment, China
| | - Hongling LI
- Guangdong Province Hospital for Occupational Disease
Prevention and Treatment, China
| | - Xinxiang QIU
- Guangdong Province Hospital for Occupational Disease
Prevention and Treatment, China
| | - Lihua XIA
- Guangdong Province Hospital for Occupational Disease
Prevention and Treatment, China
| | - Jiabin CHEN
- Guangdong Province Hospital for Occupational Disease
Prevention and Treatment, China
| | - Qifeng WU
- Guangdong Province Hospital for Occupational Disease
Prevention and Treatment, China
| | - Laiyu LI
- Guangdong Province Hospital for Occupational Disease
Prevention and Treatment, China
| | - Hanlin HUANG
- Guangdong Province Hospital for Occupational Disease
Prevention and Treatment, China
| | - Michihiro KAMIJIMA
- Department of Occupational and Environmental Health, Nagoya
City University Graduate School of Medical Sciences, Japan
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Zhang JX, Li N, Wang H, Shen T, Zhu QX. The immune response in trichloroethylene hypersensitivity syndrome: A review. Toxicol Ind Health 2017; 33:876-883. [PMID: 29020883 DOI: 10.1177/0748233717731213] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Trichloroethylene (TCE) has been used for a variety of industrial and consumer cleaning purposes because of its ability to dissolve organic substances. The multisystem injuries include those of skin, liver, and kidney, which are defined as TCE hypersensitivity syndrome (THS). THS is a serious occupational health issue. However, the mechanism of immune dysfunction leading to organ injury is poorly understood. Many studies reveal that skin lesions and organ injury caused by TCE are consistent with type IV hypersensitivity, also called delayed hypersensitivity, mediated by T cells. However, many researchers found T cell-mediated type IV hypersensitivity could not account for the pathogenesis of THS fully. Humoral immunity, including immunoglobulins and complement activation, may also play a possible role in THS pathogenesis. This review will describe the history, current understanding, and future research directions of the mechanism of THS.
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Affiliation(s)
- Jia-Xiang Zhang
- 1 Institute of Dermatology, Anhui Medical University, Anhui, China.,2 Department of Occupational Health and Environment Health, School of Public Health, Anhui Medical University, Anhui, China
| | - Na Li
- 2 Department of Occupational Health and Environment Health, School of Public Health, Anhui Medical University, Anhui, China
| | - Hui Wang
- 3 Department of Nutrition, Chaohu Hospital of Anhui Medical University, Anhui, China
| | - Tong Shen
- 2 Department of Occupational Health and Environment Health, School of Public Health, Anhui Medical University, Anhui, China
| | - Qi-Xing Zhu
- 1 Institute of Dermatology, Anhui Medical University, Anhui, China
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8
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Three common pathways of nephrotoxicity induced by halogenated alkenes. Cell Biol Toxicol 2015; 31:1-13. [DOI: 10.1007/s10565-015-9293-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2014] [Accepted: 01/29/2015] [Indexed: 12/13/2022]
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