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对暴露于泰国某石化综合体化学品排放环境中的人群进行健康风险评估。

Health risk evaluation in a population exposed to chemical releases from a petrochemical complex in Thailand.

机构信息

Laboratory of Environmental Toxicology, Chulabhorn Research Institute, Lak Si, Bangkok, Thailand.

Laboratory of Environmental Toxicology, Chulabhorn Research Institute, Lak Si, Bangkok, Thailand; Chulabhorn Graduate Institute, Lak Si, Bangkok, Thailand; Center of Excellence on Environmental Health and Toxicology, CHE, Ministry of Education, Thailand.

出版信息

Environ Res. 2017 Jan;152:207-213. doi: 10.1016/j.envres.2016.10.004. Epub 2016 Oct 26.

Abstract

Emissions from petrochemical industries may contain toxic and carcinogenic compounds that can pose health risk to human populations. The scenario may be worse in developing countries where management of such exposure-health problems is typically not well-implemented and the public may not be well-informed about such health risk. In Thailand, increasing incidences of respiratory diseases and cancers have been reported for the population around a major petrochemical complex, the Map Ta Phut Industrial Estate (MTPIE). This study aimed to systematically investigate an exposure-health risk among these populations. One-hundred and twelve healthy residents living nearby MTPIE and 50 controls located approximately 40km from MTPIE were recruited. Both external and internal exposure doses to benzene and 1,3-butadiene, known to be associated with the types of cancer that are of concern, were measured because they represent exposure to industrial and/or traffic-related emissions. Health risk was assessed using the biomarkers of early biological effects for cancer and inflammatory responses, as well as biomarkers of exposure for benzene and 1,3-butadiene. The exposure levels of benzene and 1,3-butadiene were similar for both the exposed and control groups. This was confirmed by a non-significant difference in the levels of specific urinary metabolites for benzene (trans,trans-muconic acid, t,t-MA) and 1,3-butadiene (monohydroxy-butyl mercapturic acid, MHBMA). Levels of 8-hydroxydeoxyguanosine (8-OHdG) and DNA strand breaks between the two groups were not statistically significantly different. However, functional biomarkers, interleukin-8 (IL-8) expression was significantly higher (p<0.01) and DNA repair capacity was lower (p<0.05) in the exposed residents compared to the control subjects. This suggests that the exposed residents may have a higher risk for development of diseases such as cancer compared to controls. However, the increased expression of IL-8 and lower DNA repair capacity were not associated with recent and excessive exposure to benzene and 1,3-butadiene, which were at the similar levels as those in the controls. The data would indicate that previous exposure to the two chemicals together with exposure to other toxic chemicals from the MTPIE may be responsible for the elevated functional biomarkers and health risk. Further studies are required to determine which other pollutants from the industrial complex could be causing these functional abnormalities.

摘要

石化工业排放的污染物可能含有有毒和致癌化合物,会对人类健康构成威胁。在发展中国家,这种情况可能更糟,因为这些国家通常无法很好地管理此类接触-健康问题,公众也可能对这些健康风险了解甚少。在泰国,一个主要的石化综合体——玛塔府工业区(MTPIE)周围的人群中,不断有呼吸道疾病和癌症的发病率报告。本研究旨在系统地调查这些人群的暴露-健康风险。我们招募了 112 名居住在 MTPIE 附近的健康居民和 50 名居住在距离 MTPIE 约 40 公里处的对照者。因为它们代表了工业和/或交通相关排放的暴露,所以测量了苯和 1,3-丁二烯的内、外暴露剂量,这两种物质与所关注的癌症类型有关。使用癌症和炎症反应的早期生物学效应的生物标志物以及苯和 1,3-丁二烯的暴露生物标志物来评估健康风险。苯和 1,3-丁二烯的暴露水平在暴露组和对照组之间相似。这一点从苯(反式,反式-粘康酸,t,t-MA)和 1,3-丁二烯(单羟基丁基硫代尿酸,MHBMA)的特异性尿液代谢物水平的无显著性差异得到了证实。两组之间 8-羟基脱氧鸟苷(8-OHdG)和 DNA 链断裂的水平没有统计学上的显著差异。然而,功能生物标志物白细胞介素-8(IL-8)的表达在暴露组中明显更高(p<0.01),而 DNA 修复能力则更低(p<0.05)与对照组相比,这表明与对照组相比,暴露组居民患癌症等疾病的风险可能更高。然而,IL-8 的表达增加和 DNA 修复能力降低与苯和 1,3-丁二烯的近期和过度暴露无关,这两种物质的暴露水平与对照组相似。数据表明,以前接触这两种化学物质以及接触 MTPIE 中的其他有毒化学物质可能是导致这些功能异常的原因。需要进一步研究确定来自工业综合体的其他污染物可能导致这些功能异常。

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