polycyclic aromatic hydrocarbons

多环芳烃
  • 文章类型: Journal Article
    丙烯酰胺(AA)的水平,四种多环芳烃(PAH4),和184种油炸农产品中的杂环芳香胺(HAAs),渔业,使用GC-MS和UPLC-MS/MS测量动物产品。在测试样本中,海藻表现出最高水平的PAH4和8种特定的HAAs(HAA8),而根茎和块茎作物的AA含量最高。农业和渔业产品的这三种污染物含量都较高,而畜产品与PAH4和HAA8呈负相关。然而,对于所有PAH4和HAA8样本,韩国人群的暴露幅度被认为是“不太可能的担忧”,对于谷物中的AA,蔬菜,根茎和块茎作物被认为“可能是一个问题”,所有年龄组的价值都<10,000。这些发现表明,有必要评估某些食物类别中的膳食AA暴露,并进一步研究以最大程度地减少空气油炸过程中AA的形成。

    在线版本包含补充材料,可在10.1007/s10068-024-01639-4获得。
    The levels of acrylamide (AA), four polycyclic aromatic hydrocarbons (PAH4), and heterocyclic aromatic amines (HAAs) in 184 air-fried agricultural, fishery, and animal products were measured using GC-MS and UPLC-MS/MS. Among the tested samples, sea algae exhibited the highest levels of PAH4 and eight specific HAAs (HAA8), while root and tuber crops had the greatest amount of AA. Agricultural and fisheries products had higher levels of all three contaminants, while livestock products had an inverse correlation between PAH4 and HAA8. The margin of exposure in the Korean population is considered \"unlikely a concern\" for all samples for PAH4 and HAA8, however, that for AA in cereal, vegetable, and root and tuber crops is deemed \"may be a concern\", with a value < 10,000 in all age groups. These findings suggest a need to evaluate dietary AA exposure in certain food categories and further research to minimize AA formation during air frying.
    UNASSIGNED:
    UNASSIGNED: The online version contains supplementary material available at 10.1007/s10068-024-01639-4.
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  • 文章类型: Journal Article
    背景:多环芳烃(PAHs)与据报道由氧化应激引起的不良分娩结局有关,但迄今为止,很少有流行病学研究评估妊娠期尿PAH代谢产物与氧化应激生物标志物之间的关联,并确定了这些结局和妊娠期PAH暴露的关键时期.
    方法:2016-2019年,从加利福尼亚大学洛杉矶分校的产前诊所招募了一组妊娠早期孕妇。我们在怀孕期间收集了多达3次的尿液样本,共有159名妇女参加了队列。共7种PAH代谢物和2种氧化应激生物标志物[丙二醛(MDA),在所有可用的尿液样品中测量8-羟基-2'-脱氧鸟苷(8-OHdG)]。使用多元线性回归模型,我们估计了每次PAH代谢物浓度倍增时,在每个样品收集时间测量的8-OHdG和MDA的百分比变化(%)和95%置信区间(CI).此外,我们使用带有随机截距的线性混合模型对参与者进行评估,以评估妊娠多个时间点的PAH代谢物与氧化应激生物标志物浓度之间的关联.
    结果:大多数PAH代谢物与两种尿氧化应激生物标志物呈正相关,MDA和8-OHdG,在妊娠早期和晚期有更强的关联。每个尿PAH代谢物浓度的增加一倍,MDA浓度增加5.8-41.1%,8-OHdG浓度增加13.8-49.7%。线性混合模型结果与每个妊娠采样期的线性回归模型结果一致。
    结论:尿PAH代谢物与妊娠期氧化应激生物标志物的增加有关,尤其是在怀孕早期和晚期。
    BACKGROUND: Polycyclic aromatic hydrocarbons (PAHs) have been linked to adverse birth outcomes that have been reported to be induced by oxidative stress, but few epidemiological studies to date have evaluated associations between urinary PAH metabolites and oxidative stress biomarkers in pregnancy and identified critical periods for these outcomes and PAH exposures in pregnancy.
    METHODS: A cohort of pregnant women was recruited early in pregnancy from antenatal clinics at the University of California Los Angeles during 2016-2019. We collected urine samples up to three times during pregnancy in a total of 159 women enrolled in the cohort. A total of 7 PAH metabolites and 2 oxidative stress biomarkers [malondialdehyde (MDA), 8-hydroxy-2\'-deoxyguanosine (8-OHdG)] were measured in all available urine samples. Using multiple linear regression models, we estimated the percentage change (%) and 95% confidence interval (CI) in 8-OHdG and MDA measured at each sample collection time per doubling of PAH metabolite concentrations. Furthermore, we used linear mixed models with a random intercept for participant to estimate the associations between PAH metabolite and oxidative stress biomarker concentrations across multiple time points in pregnancy.
    RESULTS: Most PAH metabolites were positively associated with both urinary oxidative stress biomarkers, MDA and 8-OHdG, with stronger associations in early and late pregnancy. A doubling of each urinary PAH metabolite concentration increased MDA concentrations by 5.8-41.1% and 8-OHdG concentrations by 13.8-49.7%. Linear mixed model results were consistent with those from linear regression models for each gestational sampling period.
    CONCLUSIONS: Urinary PAH metabolites are associated with increases in oxidative stress biomarkers during pregnancy, especially in early and late pregnancy.
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  • 文章类型: Journal Article
    背景:多环芳烃(PAHs)和金属与肺功能下降有关,但共同暴露的影响和潜在的机制仍然未知。
    方法:在2011-2012年全国健康和营养检查调查的1,123名成年人中,有10种尿中的PAHs,11种尿中金属,和外周血白细胞(WBC)计数测定,并测定5项肺功能指标。最小绝对收缩和选择运算符,贝叶斯核机回归,和基于分位数的g计算用于评估共同暴露对肺功能的影响。采用中介分析法探讨白细胞的中介作用。
    结果:这些模型证明PAHs和金属与肺功能损害显著相关。贝叶斯核机回归模型表明,与所有固定在中位数水平的化学品相比,1s用力呼气量(FEV1)/用力肺活量,呼气流量峰值,25%至75%的用力呼气流量减少了1.31%(95%CI:0.72%,1.91%),231.62(43.45,419.78)mL/s,和131.64(37.54,225.74)mL/s,当所有化学物质都在第75百分位数。在基于分位数的g计算中,混合物的每四分位数增加与104.35(95%CI:40.67,168.02)mL有关,1.16%(2.11%,22.40%),294.90(78.37,511.43)mL/s,FEV1、FEV1/强制肺活量下降168.44(41.66,295.22)mL/s,呼气流量峰值,用力呼气流量在25%到75%之间,分别。2-羟基菲,3-羟基芴,和镉是上述协会的主要贡献者。WBC介导的PAHs与肺功能之间的相关性为8.22%-23.90%。
    结论:多环芳烃和金属的共同暴露会损害肺功能,WBC可以部分调解这种关系。我们的发现阐明了环境混合物对呼吸健康的共同暴露影响和潜在机制,这表明,专注于高度优先的毒物将有效减轻不良反应。
    BACKGROUND: Polycyclic aromatic hydrocarbons (PAHs) and metals were associated with decreased lung function, but co-exposure effects and underlying mechanism remained unknown.
    METHODS: Among 1,123 adults from National Health and Nutrition Examination Survey 2011-2012, 10 urinary PAHs, 11 urinary metals, and peripheral white blood cell (WBC) count were determined, and 5 lung function indices were measured. Least absolute shrinkage and selection operator, Bayesian kernel machine regression, and quantile-based g-computation were used to estimate co-exposure effects on lung function. Mediation analysis was used to explore mediating role of WBC.
    RESULTS: These models demonstrated that PAHs and metals were significantly associated with lung function impairment. Bayesian kernel machine regression models showed that comparing to all chemicals fixed at median level, forced expiratory volume in 1 s (FEV1)/forced vital capacity, peak expiratory flow, and forced expiratory flow between 25 and 75% decreased by 1.31% (95% CI: 0.72%, 1.91%), 231.62 (43.45, 419.78) mL/s, and 131.64 (37.54, 225.74) mL/s respectively, when all chemicals were at 75th percentile. In the quantile-based g-computation, each quartile increase in mixture was associated with 104.35 (95% CI: 40.67, 168.02) mL, 1.16% (2.11%, 22.40%), 294.90 (78.37, 511.43) mL/s, 168.44 (41.66, 295.22) mL/s decrease in the FEV1, FEV1/forced vital capacity, peak expiratory flow, and forced expiratory flow between 25% and 75%, respectively. 2-Hydroxyphenanthrene, 3-Hydroxyfluorene, and cadmium were leading contributors to the above associations. WBC mediated 8.22%-23.90% of association between PAHs and lung function.
    CONCLUSIONS: Co-exposure of PAHs and metals impairs lung function, and WBC could partially mediate this relationship. Our findings elucidate co-exposure effects of environmental mixtures on respiratory health and underlying mechanisms, suggesting that focusing on highly prioritized toxicants would effectively attenuate adverse effects.
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  • 文章类型: Journal Article
    背景:生物强化被认为是一种可持续且具有成本效益的方法,可以恢复受污染的环境,但它的结果是高度可变的。捕食是影响接种物建立的自上而下的关键控制机制,然而,它对这一过程的影响很少受到关注。这项研究的重点是营养相互作用对两种具有不同污染暴露历史的土壤中生物强化成功的影响。我们在这些土壤中接种了13C标记的污染物降解财团,并通过DNA的稳定同位素探测(SIP)追踪了标记生物质的命运。我们通过16SrRNA和18SrRNA基因的扩增子测序与新型富集因子计算相结合,鉴定了活性细菌和真核接种物-生物质消费者。
    结果:接种在短期内有效地提高了PAH的去除,但不是在长期污染的土壤中。在长期污染的土壤中,第15天已经观察到接种属的相对丰度下降,虽然在短期污染的土壤中观察到这些属的生长,表明接种物的建立。在这两种土壤中,真核细胞属主要是13C标记生物质的早期掺入物,而细菌在培育期结束时掺入了标记的生物质,可能是通过交叉喂食。我们还发现两种土壤之间的演替模式不同。在短期污染的土壤中,Cercozoa和真菌属以早期掺入者为主,而Ciliophora,在长期污染的土壤中,Ochrophyta和Amoebozoa是主要属。
    结论:我们的结果显示了接种物建立和捕食者群落反应的差异,影响生物强化效率。这凸显了需要进一步研究捕食对接种物存活的影响,以增加基于接种的技术的适用性。视频摘要。
    BACKGROUND: Bioaugmentation is considered a sustainable and cost-effective methodology to recover contaminated environments, but its outcome is highly variable. Predation is a key top-down control mechanism affecting inoculum establishment, however, its effects on this process have received little attention. This study focused on the impact of trophic interactions on bioaugmentation success in two soils with different pollution exposure histories. We inoculated a 13C-labelled pollutant-degrading consortium in these soils and tracked the fate of the labelled biomass through stable isotope probing (SIP) of DNA. We identified active bacterial and eukaryotic inoculum-biomass consumers through amplicon sequencing of 16S rRNA and 18S rRNA genes coupled to a novel enrichment factor calculation.
    RESULTS: Inoculation effectively increased PAH removal in the short-term, but not in the long-term polluted soil. A decrease in the relative abundance of the inoculated genera was observed already on day 15 in the long-term polluted soil, while growth of these genera was observed in the short-term polluted soil, indicating establishment of the inoculum. In both soils, eukaryotic genera dominated as early incorporators of 13C-labelled biomass, while bacteria incorporated the labelled biomass at the end of the incubation period, probably through cross-feeding. We also found different successional patterns between the two soils. In the short-term polluted soil, Cercozoa and Fungi genera predominated as early incorporators, whereas Ciliophora, Ochrophyta and Amoebozoa were the predominant genera in the long-term polluted soil.
    CONCLUSIONS: Our results showed differences in the inoculum establishment and predator community responses, affecting bioaugmentation efficiency. This highlights the need to further study predation effects on inoculum survival to increase the applicability of inoculation-based technologies. Video Abstract.
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  • 文章类型: Journal Article
    多环芳香系统(PAS)是普遍存在的化合物,在化学和材料科学中具有重大影响。尽管它们特定的结构-性质关系是设计新功能分子的关键,对这些关系的详细了解仍然难以捉摸。为了阐明这些关系,我们对新生成的COMPAS-2数据集进行了数据驱动调查,它含有约500k分子,由11种芳香和反芳族环组成,大小从1到10个环不等。我们的分析探讨了电子计数的影响,几何图形,原子组成,和杂环组成对PASs的一系列电子分子性质的影响。
    Polycyclic aromatic systems (PASs) are pervasive compounds that have a substantial impact in chemistry and materials science. Although their specific structure-property relationships hold the key to the design of new functional molecules, a detailed understanding of these relationships remains elusive. To elucidate these relationships, we performed a data-driven investigation of the newly generated COMPAS-2 dataset, which contains ~500k molecules consisting of 11 types of aromatic and antiaromatic rings and ranging in size from one to ten rings. Our analysis explores the effects of electron count, geometry, atomic composition, and heterocyclic composition on a range of electronic molecular properties of PASs.
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  • 文章类型: Journal Article
    环境持久性自由基(EPFR)在气溶胶对空气质量和公共卫生的影响中起重要作用。但是对它们的大气丰度和来源了解甚少。我们测量了费尔班克斯收集的PM2.5中所含的EPFR,阿拉斯加,2022年冬季我们发现,在基于地表的反演过程中,EPFR浓度增加,并且与不完全燃烧标记物密切相关。包括一氧化碳和元素碳(R2>0.75)。EPFR与PAHs表现出中等良好的相关性,生物质燃烧有机气溶胶,和钾(R2>0.4)。我们还观察到EPFR与类烃有机气溶胶的强相关性,Fe和Ti(R2>0.6),单粒子质谱测量揭示了PAHs的内部混合,钾和铁。这些结果表明,住宅木材燃烧和车辆排气管是EPFR和非排气管排放的主要来源,如刹车磨损和道路灰尘,可能有助于EPFR的稳定。暴露于观察到的EPFR浓度(18±12pmolm-3)相当于每天吸烟约0.4-1支香烟。EPFR与替代肺液中羟基自由基形成的非常强的相关性(R2>0.8)表明暴露于EPFR可能在人呼吸道中诱导氧化应激。
    Environmentally persistent free radicals (EPFRs) play an important role in aerosol effects on air quality and public health, but their atmospheric abundance and sources are poorly understood. We measured EPFRs contained in PM2.5 collected in Fairbanks, Alaska, in winter 2022. We find that EPFR concentrations were enhanced during surface-based inversion and correlate strongly with incomplete combustion markers, including carbon monoxide and elemental carbon (R2 > 0.75). EPFRs exhibit moderately good correlations with PAHs, biomass burning organic aerosols, and potassium (R2 > 0.4). We also observe strong correlations of EPFRs with hydrocarbon-like organic aerosols, Fe and Ti (R2 > 0.6), and single-particle mass spectrometry measurements reveal internal mixing of PAHs, with potassium and iron. These results suggest that residential wood burning and vehicle tailpipes are major sources of EPFRs and nontailpipe emissions, such as brake wear and road dust, may contribute to the stabilization of EPFRs. Exposure to the observed EPFR concentrations (18 ± 12 pmol m-3) would be equivalent to smoking ∼0.4-1 cigarette daily. Very strong correlations (R2 > 0.8) of EPFR with hydroxyl radical formation in surrogate lung fluid indicate that exposure to EPFRs may induce oxidative stress in the human respiratory tract.
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  • 文章类型: Journal Article
    背景:特定毒性化合物,如多环芳烃(PAHs)及其代谢物,可能会影响吸入性损伤(INHI)等级,患者状态,和预后恢复。这项前瞻性研究旨在:i)评估支气管肺泡灌洗(BAL)用于测定LRT中PAHs和尿液中用于测定INHI患者的羟基化代谢物(OH-PAHs)的适用性,ii)描述这些有毒化合物水平的动态变化,和iii)将这些发现与INHI患者的临床变量相关联。
    方法:在住院的第1、3、5、7和14天获得10名INHI患者的BAL和尿液样本,如果可能,使用色谱方法(GC-MS和HPLC)分析PAHs(BAL)和OH-PAHs(尿液)。
    结果:分析的PAHs的浓度在大多数情况下和时间点低于BAL样品中的定量限。在尿液样本中检测到9种OH-PAHs;然而,在住院的前三天,它们的浓度急剧下降。在第14天,高等级INHI(≥3)的存活患者尿液中OH-PAHs的总量高于低等级INHI(<3,p=0.032)。最后,某些OH-PAHs与临床变量(AST/ALT,TBSA,从住院的第1天开始观察到ABSI)(p<0.05)。
    结论:BAL样品不适合分析PAHs。然而,尿液中的OH-PAHs水平可以可靠地测量,并且与几个临床变量相关。此外,高级INHI与尿液中OH-PAHs的总浓度较高有关。
    BACKGROUND: Specific toxic compounds, such as polycyclic aromatic hydrocarbons (PAHs) and their metabolites, may affect the inhalation injury (INHI) grade, patients\' status, and prognosis for recovery. This pilot prospective study aimed to: i) evaluate the suitability of bronchoalveolar lavage (BAL) for determination of PAHs in the LRT and of urine for determination of hydroxylated metabolites (OH-PAHs) in patients with INHI, ii) describe the dynamic changes in the levels of these toxic compounds, and iii) correlate these findings with clinical variables of the patients with INHI.
    METHODS: The BAL and urine samples from 10 patients with INHI were obtained on Days 1, 3, 5, 7, and 14 of hospitalization, if possible, and PAHs (BAL) and OH-PAHs (urine) were analyzed using chromatographic methods (GC-MS and HPLC).
    RESULTS: Concentrations of analyzed PAHs were in most cases and time points below the limit of quantification in BAL samples. Nine OH-PAHs were detected in the urine samples; however, their concentrations sharply decreased within the first three days of the hospitalization. On Day 14, the total amount of OH-PAHs in urine was higher in surviving patients with High-grade INHI (≥3) than in those with Low-grade INHI (<3, p = 0.032). Finally, a significant correlation between certain OH-PAHs and clinical variables (AST/ALT, TBSA, ABSI) from Day 1 of the hospitalization was observed (p<0.05).
    CONCLUSIONS: BAL samples are not suitable for the analysis of PAHs. However, the OH-PAHs levels in urine can be measured reliably and were correlated with several clinical variables. Moreover, High-grade INHI was associated with higher total concentrations of OH-PAHs in urine.
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  • 文章类型: Journal Article
    我们报道了环酰亚胺封端的萘和蒽支架的合成和表征。N-苯基衍生物的固态结构,通过X射线晶体学测定,根据核中芳环的数量揭示填料偏好的变化。标题化合物的光学和电子性质与其他先前描述的异构体相比具有优势,并扩展了有机材料化学家可用的缺电子芳族化合物的工具箱。
    We report the synthesis and characterization of naphthalene and anthracene scaffolds end-capped by cyclic imides. The solid-state structures of the N-phenyl derivatives, determined by X-ray crystallography, reveal changes in packing preference based on the number of aromatic rings in the core. The optical and electronic properties of the title compounds compare favorably with other previously described isomers and expand the toolbox of electron-deficient aromatic compounds available to organic materials chemists.
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  • 文章类型: Journal Article
    已经在微流体单元中开发了多环芳香酚(PAP)的电化学氧化以合成多环芳香醌(PAQ)。甲醇被用作亲核试剂,以捕获氧化过程中形成的苯氧鎓阳离子,后来被水解为醌。作为阴极反应的氢气的形成在流动池中引起挑战,并且通过使反应混合物以增加的流速再循环通过电池来克服。形成的特定醌是由多环芳烃上初始羟基的位置指导的。PAP中可用的对位给出了p-醌,而2-或3-位的羟基导致邻醌。通过循环伏安法分析底物,以估算HOMO/LUMO能量,以进一步阐明这种转化。支持电解质与产品的容易分离将允许再循环,并使其成为绿色转变。
    The electrochemical oxidation of polycyclic aromatic phenols (PAPs) has been developed in a microfluidic cell to synthesize polycyclic aromatic quinones (PAQs). Methanol was used as nucleophile to trap the phenoxonium cation formed in the oxidation as an acetal, that later were hydrolysed to the quinone. Formation of hydrogen gas as the cathode reaction caused challenges in the flow cell and were overcome by recycling the reaction mixture through the cell at increased flow rate several times. The specific quinones formed were guided by the position of an initial hydroxy group on the polycyclic aromatic hydrocarbon. An available para-position in the PAPs gave p-quinones, while hydroxy groups in the 2- or 3-position led to o-quinones. The substrates were analysed by cyclic voltammetry for estitmation of the HOMO/LUMO energies to shed more light on this transformation. The easy separation of the supporting electrolyte from the product will allow recycling and makes this a green transformation.
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  • 文章类型: Journal Article
    背景:膀胱上皮癌(UBC)是膀胱癌最常见的组织学形式,占90%的病例。了解UBC的危险因素,以避免它们并减少其治疗后的复发。这篇综述的目的是提供与UBC发病率相关的危险因素的概述。
    方法:2012年至2024年在PubMed等数据库中进行了全面的文献检索,谷歌学者,和Medline的潜在关键词,如“膀胱癌”,“尿路上皮膀胱癌”,“全球尿路上皮膀胱癌的发病率”,“膀胱癌死亡率”,“按性别分列的发病率”,“膀胱癌的治疗”,和“膀胱癌的危险因素”。吸烟被认为是UBC的主要危险因素。烟草制品产生的烟雾含有多环芳烃(PAHs)和芳香胺,如4-氨基联苯,已知会导致UBC。吸烟相关的膀胱癌死亡率仅次于吸烟相关的肺癌死亡率。对于非吸烟者来说,污染成为与UBC相关的主要风险因素。多环芳烃(PAHs)与许多癌症有关,尤其是UBC。室内和室外污染会产生VOC(挥发性有机化合物)和PAHs。<2.5的小颗粒物质与UBC和肺癌有关。饮用氯化水与UBC有关。此外,在产生三卤甲烷的氯化池中游泳会增加许多癌症的风险,尤其是膀胱癌。职业性接触致癌物,特别是芳香胺,是一个重要的UBC风险因素。据估计,大约20%的UBC可能与这种类型的暴露有关。主要在处理染料的工业环境中,油漆,石油化学品,和金属。其他风险因素包括遗传学,饮食,和医疗条件。酒精,食用加工肉类和全脂牛奶,硒和维生素A和E的较高摄入量也有助于UBC的发展。Further,化疗剂,口服降糖药,和放射治疗与UBC呈正相关。
    结论:必须强调UBC初步预防的重要性,尤其是戒烟计划应该得到鼓励和支持。然而,吸烟不是UBC的唯一危险因素。对于非吸烟者来说,应调查其他风险因素。空气和水污染与UBC有关。室内和室外的污染应该得到更多的控制。应告知患者和人们饮用氯化水和在氯化池游泳的风险。
    BACKGROUND: Urothelial bladder carcinoma (UBC) is the most frequent histologic form of bladder cancer, constituting 90% of the cases. It is important to know the risk factors of UBC to avoid them and to decrease its recurrence after treatment. The aim of this review was to provide an overview of the risk factors associated with UBC incidence.
    METHODS: A comprehensive literature search from 2012 to 2024 was carried out in databases such as PubMed, Google Scholar, and Medline with potential keywords such as \"bladder cancer\", \"urothelial bladder cancer\", \"incidence of urothelial bladder cancer worldwide\", \"mortality rate of bladder cancer\", \"incidence according to gender\", \"treatment for bladder cancer\", and \"risk factors of bladder cancer\". Smoking tobacco was comprehended to be the major risk factor for UBC. Smoke from tobacco products contains polycyclic aromatic hydrocarbons (PAHs) and aromatic amines such as 4-aminobiphenyl, which are known to cause UBC. Smoking-related bladder cancer mortality ranks just second to smoking-related lung cancer mortality. For non-smokers, pollution became a major risk factor associated with UBC. Polycyclic aromatic hydrocarbons (PAHs) are linked to many cancers, especially to UBC. Indoor and outdoor pollution generates VOCs (volatile organic compounds) and PAHs. Small-particle matter < 2.5 is linked to UBC and lung cancers. Drinking chlorinated water is linked to UBC. Also, swimming in chlorinated pools that produce trihalomethanes increases the risk of many cancers, and especially of bladder cancer. Occupational exposure to carcinogens, specifically aromatic amines, is a significant UBC risk factor. It has been estimated that approximately 20% of all UBCs may be linked to this type of exposure, primarily in industrial settings that treat dye, paint, petroleum chemicals, and metal. The other risk factors included genetics, diet, and medical conditions. Alcohol, consumption of processed meat and whole milk, and higher intakes of selenium and vitamins A and E also contribute to the development of UBC. Further, chemotherapeutic agents, oral hypoglycemic drugs, and radiation therapy are positively associated with UBC.
    CONCLUSIONS: The significance of the initial prevention of UBC must be emphasized, and especially programs for quitting cigarettes should be encouraged and supported. However, smoking is not the only risk factor for UBC. For non-smokers, other risk factors should be investigated. Air and water pollution are linked to UBC. Indoor and outdoor pollution should be more controlled. Patients and people should be informed of the risk of drinking chlorinated water and swimming in chlorinated pools.
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