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高浓度麻醉(异氟醚)室内污染与遗传不稳定性、细胞毒性以及在兽医医院工作的专业人员的增殖改变有关。

High anesthetic (isoflurane) indoor pollution is associated with genetic instability, cytotoxicity, and proliferative alterations in professionals working in a veterinary hospital.

机构信息

GENOTOX Laboratory, Botucatu Medical School, São Paulo State University - UNESP, Prof. Mario Rubens G. Montenegro Av., Botucatu, 18618-687, Brazil.

Institute of Biosciences, São Paulo State University - UNESP, 250, Prof. Dr. Antônio Celso Wagner Zanin, Botucatu, 18618-689, Brazil.

出版信息

Environ Sci Pollut Res Int. 2022 Oct;29(47):71774-71784. doi: 10.1007/s11356-022-20444-2. Epub 2022 May 23.

DOI:10.1007/s11356-022-20444-2
PMID:35606583
Abstract

This is the first study to monitor anesthetic pollution in veterinary operating rooms (VOR) and assess the toxicological impact of the inhalational anesthetic isoflurane (exposed group) compared to matched volunteers (control group). DNA damage was evaluated in mononuclear cells by the comet assay while genetic instability (including micronucleus-MN), cell proliferation, and cell death markers were assessed by the buccal MN cytome assay. Residual isoflurane concentrations in VOR (air monitoring) lacking the scavenging system were assessed by infrared spectrophotometry; the mean concentration was 11 ppm (≥ 5 times above the international recommended threshold). Comet assay results did not differ between groups; however, both younger exposed professionals (with higher week workload) compared to older individuals exposed for the same period and older professionals with greater time of exposure (years) compared to those in the same age group with fewer years of exposure presented higher DNA damage. The exposed group had a higher frequency of MN, nuclear buds, binucleated cells, karyorrhexis, and karyolysis and a lower frequency of basal cells than the control group. Exposed women were more vulnerable to genetic instability and proliferative index; exposed men presented more cytotoxicity. High WAG exposure has deleterious effects on exposed professionals.

摘要

这是第一项监测兽医手术室(VOR)中麻醉污染并评估吸入麻醉药异氟烷(暴露组)与匹配志愿者(对照组)的毒理学影响的研究。通过彗星试验评估单核细胞中的 DNA 损伤,而通过口腔 MN 细胞微核试验评估遗传不稳定性(包括微核-MN)、细胞增殖和细胞死亡标志物。通过红外分光光度法评估缺乏清除系统的 VOR(空气监测)中的异氟烷残留浓度;平均浓度为 11 ppm(高于国际推荐阈值的 5 倍以上)。彗星试验结果在两组之间没有差异;然而,与暴露相同时间的年龄较大的个体相比,年轻的暴露专业人员(每周工作量较高)和暴露时间较长(年)的年龄较大的专业人员与暴露时间相同但暴露年限较少的同年龄组相比,DNA 损伤更高。与对照组相比,暴露组的 MN、核芽、双核细胞、核碎裂和核溶解的频率更高,基底细胞的频率更低。暴露于 WAG 的女性更容易出现遗传不稳定性和增殖指数;暴露于 WAG 的男性表现出更多的细胞毒性。高 WAG 暴露对暴露于 WAG 的专业人员有不良影响。

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