Kunt Halil, Şentürk İhsan, Gönül Yücel, Korkmaz Mehmet, Ahsen Ahmet, Hazman Ömer, Bal Ahmet, Genç Abdurrahman, Songur Ahmet
Department of Science Education, Faculty of Education, Dumlupınar University, Kütahya, Turkey.
Department of Orthopedics and Traumatology, Afyonkarahisar, Turkey.
Onco Targets Ther. 2016 Feb 12;9:745-54. doi: 10.2147/OTT.S94374. eCollection 2016.
In the literature, some articles report that the incidence of numerous diseases increases among the individuals who live around high-voltage electric transmission lines (HVETL) or are exposed vocationally. However, it was not investigated whether HVETL affect bone metabolism, oxidative stress, and the prevalence of thyroid nodule.
Dual-energy X-ray absorptiometry (DEXA) bone density measurements, serum free triiodothyronine (FT3), free thyroxine (FT4), RANK, RANKL, osteoprotegerin (OPG), alkaline phosphatase (ALP), phosphor, total antioxidant status (TAS), total oxidant status (TOS), and oxidative stress index (OSI) levels were analyzed to investigate this effect.
Bone mineral density levels of L1-L4 vertebrae and femur were observed significantly lower in the electrical workers. ALP, phosphor, RANK, RANKL, TOS, OSI, and anteroposterior diameter of the left thyroid lobe levels were significantly higher, and OPG, TAS, and FT4 levels were detected significantly lower in the study group when compared with the control group.
Consequently, it was observed that the balance between construction and destruction in the bone metabolism of the electrical workers who were employed in HVETL replaced toward destruction and led to a decrease in OPG levels and an increase in RANK and RANKL levels. In line with the previous studies, long-term exposure to an electromagnetic field causes disorders in many organs and systems. Thus, it is considered that long-term exposure to an electromagnetic field affects bone and thyroid metabolism and also increases OSI by increasing the TOS and decreasing the antioxidant status.
在文献中,一些文章报道,居住在高压输电线路(HVETL)附近或职业暴露的个体中,多种疾病的发病率会增加。然而,尚未研究HVETL是否会影响骨代谢、氧化应激和甲状腺结节的患病率。
分析双能X线吸收法(DEXA)骨密度测量值、血清游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、核因子κB受体活化因子(RANK)、核因子κB受体活化因子配体(RANKL)、骨保护素(OPG)、碱性磷酸酶(ALP)、磷、总抗氧化状态(TAS)、总氧化状态(TOS)和氧化应激指数(OSI)水平,以研究这种影响。
与对照组相比,电气工人的L1-L4椎体和股骨的骨矿物质密度水平显著降低。研究组的ALP、磷、RANK、RANKL、TOS、OSI和左甲状腺叶前后径水平显著升高,而OPG、TAS和FT4水平显著降低。
因此,观察到从事HVETL工作的电气工人的骨代谢中构建与破坏之间的平衡向破坏方向转变,导致OPG水平降低,RANK和RANKL水平升高。与先前的研究一致,长期暴露于电磁场会导致许多器官和系统紊乱。因此,认为长期暴露于电磁场会影响骨骼和甲状腺代谢,并通过增加TOS和降低抗氧化状态来增加OSI。