Kogut N N
National Institute of Health, Kiev, Ukraine.
Mutat Res. 1993 Oct;289(2):145-55. doi: 10.1016/0027-5107(93)90064-m.
For 3 years genetic monitoring of congenital anomalies (CA) has been carried out in three Ukrainian towns essentially different in the level of air pollution: the most polluted, Mariupol (M.); medium polluted, Zaporozhye (Z.); and relatively clean, Simpheropol (S.). In this work we present the results of this study. Eighteen CAs being used in the International Clearinghouse program were registered during the first year of life. For each case of CA an individual questionnaire was filled in. It included practically all known causes of malformations. Similar questionnaires were filled in for cases of normal birth outcome. The estimation of newborns of control groups was made according to a score of 9-10 on the Apgar scale. The questionnaires were completed by physicians in all maternity hospitals and children's clinics and based on the information obtained from mothers. Multiple malformations, dominant and X-linked CA in M. were 2.6-3.1 times more frequent than in S. The frequency of new mutations was 0.45-0.95 and 0.17-0.47 per 10(3) births respectively. No differences in multifactorial and recessive CA were noted. The mathematical method (so-called statusmetrical analysis) was used to indirectly determine the part of CAs of unknown etiology (probably of mutation origin) in the total number of CAs. Their quota in Z. and M. was 1.2-1.5 times more than in S. The advantage of statusmetrical analysis lies in the absence of any restrictions connected with a large number of parameters which describe the object's status. It makes it possible to analyze tens, even hundreds of factors (along with the increased number of parameters the reliability of the conclusions increases) and range them in accordance with their validity. Genetic consequences of chemical pollution were estimated in biological equivalents Röntgen (BER). In M. they were equal to the effect of irradiation at doses of 180-300 BER (230 BER, central estimate) over 30 years. In the polluted towns (M. and Z.) the relation between average annual general emission of atmospheric pollutants (M./Z.) was 2.21, the frequency of dominant and X-linked CA 2.20 and of new skeleton mutations 2.24. The difference of mutation rate in the towns studied was due to the dynamics of demographic processes.
三年来,在乌克兰三个空气污染程度截然不同的城市开展了先天性异常(CA)的基因监测工作:污染最严重的马里乌波尔(M.);污染程度中等的扎波罗热(Z.);以及相对清洁的辛菲罗波尔(S.)。在这项工作中,我们展示了该研究的结果。在生命的第一年,登记了国际信息交换所项目中使用的18种先天性异常情况。对于每一例先天性异常,都填写了一份个人问卷。问卷几乎涵盖了所有已知的致畸原因。对于正常出生结局的情况,也填写了类似的问卷。对照组新生儿根据阿氏评分9 - 10分进行评估。问卷由所有妇产医院和儿童诊所的医生根据从母亲那里获得的信息填写。在M.中,多发畸形、显性和X连锁先天性异常的发生率比在S.中高2.6 - 3.1倍。新突变的频率分别为每10³次出生0.45 - 0.95次和0.17 - 0.47次。在多因素和隐性先天性异常方面未发现差异。采用数学方法(所谓的状态对称分析)间接确定病因不明(可能源于突变)的先天性异常在先天性异常总数中的比例。它们在Z.和M.中的占比是S.中的1.2 - 1.5倍。状态对称分析的优点在于不存在与描述对象状态的大量参数相关的任何限制。这使得可以分析数十个甚至数百个因素(随着参数数量的增加,结论的可靠性也会提高),并根据其有效性对它们进行排列。化学污染的遗传后果以生物等效伦琴(BER)来估算。在M.中,它们相当于30年中180 - 300 BER剂量(中心估计值为230 BER)的辐射效应。在污染城市(M.和Z.)中,大气污染物年均总排放量之间的关系(M./Z.)为2.21,显性和X连锁先天性异常的频率为2.20,新的骨骼突变频率为2.24。所研究城市中突变率的差异归因于人口动态过程。