buccal micronucleus cytome assay

颊微核细胞组学分析
  • 文章类型: Journal Article
    背景:已证明吸毒者因消耗合法和非法药物而引起的细胞遗传毒性损害,主要是由于抗氧化能力的改变,细胞修复机制,并增加了自由基的产生。叶酸通过充当还原剂而表现出抗氧化活性,中和目前的自由基,减少基因组损伤。
    方法:干预措施包括给予15毫克叶酸,每天分为三剂,一群44名吸毒者。确定了核异常(NAs)的频率;微核(MNs),核芽(NBUDs),双核细胞(BNs),异常浓缩染色质(CC),karyorrhexis(KX),固缩核(PNs),在15天和30天的不同治疗前(基线)和治疗后时间点测定核溶解(KL)。此外,44例健康者作为对照组.
    结果:我们观察到药物滥用者组中NAs的频率有统计学上的显着下降(补充前28.45±17.74与在补充15天时为11.18±7.42,在补充30天时为9.11±10.9)。具体来说,它降低了NBUD的频率,BNs,CC,KX,和PNs(p<0.05)。
    结论:我们的研究表明,补充叶酸的药物滥用者的细胞遗传毒性损伤有明显改善。
    BACKGROUND: Cytogenotoxic damage caused by the consumption of legal and illegal drugs in drug abusers has been demonstrated, primarily due to alterations in their antioxidant capacity, cellular repair mechanisms, and increased production of free radicals. Folic acid shows antioxidant activity by acting as a reducing agent, neutralizing present free radicals, and reducing genomic damage.
    METHODS: The intervention involved administering 15 mg of folic acid, divided into three doses per day, to a group of 44 drug abusers. The frequency of nuclear abnormalities (NAs) was determined; micronuclei (MNs), nuclear buds (NBUDs), binucleated cells (BNs), abnormally condensed chromatin (CC), karyorrhexis (KX), pyknotic nuclei (PNs), and karyolysis (KL) were determined at different pre-treatment (baseline) and post-treatment time points at 15 and 30 days. Additionally, a group of 44 healthy individuals was used as the control group.
    RESULTS: We observed a statistically significant decrease in the frequency of NAs in the drug abuser group (28.45 ± 17.74 before supplementation vs. 11.18 ± 7.42 at 15 days and 9.11 ± 10.9 at 30 days of supplementation). Specifically, it decreased the frequency of NBUDs, BNs, CC, KX, and PNs (p < 0.05).
    CONCLUSIONS: Our study demonstrates a clear improvement in cytogenotoxic damage in drug abusers supplemented with folic acid.
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  • 文章类型: Journal Article
    药物滥用被认为是具有严重社会影响的全球健康问题。近几十年来,药物消费模式的变化在多种药物的使用中显示出明显的上升趋势。尽管口腔微核细胞组(BMCyt)分析已经评估了药物滥用中的细胞毒性,没有一种方法考虑到这种多种药物使用模式。因此,在这项研究中,我们首次评估了多种药物使用者的细胞遗传毒性效应,及其与消费金额和滥用年限的相关性。本研究通过BMCyt测定对166个个体进行。共有83名个人,有多种合法(酒精和烟草)和至少一种非法药物滥用(大麻,甲基苯丙胺,可卡因,和/或吸入剂),和83个健康个体,分析了非药物滥用者。结果表明,吸毒者核异常核芽的频率较高,双核细胞,固缩核(PNs),karyorrhexis(KX),与健康对照组相比,染色质异常浓缩。此外,结果表明,合法和非法药物的使用与细胞基因毒性损害有关,在第1组(酒精+烟草+至少一种非法药物)和第2组(烟草+至少一种非法药物)中发现的核异常频率呈上升趋势。此外,在不同的群体中发现了正相关,在年份和某些药物的消费量之间(酒精,甲基苯丙胺,和烟草)具有细胞毒性标记,如KL,KX,和PNs。
    Drug abuse is considered a global health problem with serious social impact. In recent decades, changes in drug consumption patterns have shown a clear rising trend in the use of multiple drugs. Although the buccal micronucleus cytome (BMCyt) assay has evaluated cytotoxicity in drug abuse, there has not been an approach that takes into account this pattern of multiple drug use. Therefore, in this study, we evaluate for the first time the cytogenotoxic effects in multidrug users, and its correlation with the amount consumed and years of abuse. This study was conducted on 166 individuals by the BMCyt assay. A total of 83 individuals with a history of multiple licit (alcohol and tobacco) and at least one illicit drug abuse (marijuana, methamphetamines, cocaine, and/or inhalants), and 83 healthy individuals, non-drug abusers were analyzed. The results showed that drug abusers had higher frequencies of nuclear abnormalities nuclear buds, binucleated cells, pyknotic nuclei (PNs), karyorrhexis (KX), and abnormally condensed chromatin when compared with healthy controls. Moreover, results suggests that the use of licit and illicit drugs is related to cytogenotoxic damage, as was shown by an upward trend in the frequency of nuclear abnormalities identified in groups 1 (alcohol + tobacco + at least one illicit drug) and 2 (tobacco + at least one illicit drug). Furthermore, a positive correlation was found in the different groups, between the years and the amount of consumption of some drugs (alcohol, methamphetamine, and tobacco) with cytotoxicity markers such as KL, KX, and PNs.
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  • 文章类型: Journal Article
    目的:本研究旨在评估卡利市区未暴露受试者(N=33)和暴露于杀虫剂熏蒸仪(N=31)的颊粘膜的细胞遗传学损伤,哥伦比亚。
    方法:通过问卷调查社会人口统计数据,人体测量,健康状况,和生活方式被收集。使用颊微核细胞组(BMCyt)测定法评估细胞遗传学损伤。
    结果:研究表明,所有熏蒸器都使用了足够的个人防护设备(PPE),并且饮酒量低。作者没有发现组间BMCyt生物标志物的显著差异(p>0.05)。多变量分析显示,年龄每增加一年,微核(MN)频率增加13%(OR=1.13,p=0.029),随着每日水果消费量的减少,MN较高(OR=4.71,p=0.084),没有统计学意义。
    结论:组间的结果可能与受试者的健康习惯和PPE使用有关。IntJOccupMedEnvironHealth。2024;37(1)。
    OBJECTIVE: This study aimed to evaluate cytogenetic damage in the buccal mucosa of non-exposed subjects (N = 33) and insecticide-exposed fumigators (N = 31) in the urban area of Cali, Colombia.
    METHODS: Through a questionnaire sociodemographic data, anthropometric measurements, state of health, and lifestyle were collected. Buccal micronucleus cytome (BMCyt) assay was using for evaluate cytogenetic damage.
    RESULTS: The study showed that all fumigators used adequate personal protective equipment (PPE) and had low alcohol consumption. The authors did not find significant differences in BMCyt biomarkers between the groups (p > 0.05). Multivariate analysis showed a 13% increase in micronucleus (MN) frequency for every year of increasing age (OR = 1.13, p = 0.029), and higher MN with the decrease in daily fruit consumption (OR = 4.71, p = 0.084), without statistical significance.
    CONCLUSIONS: The results between groups could be related to healthy habits and PPE use among the subjects. Int J Occup Med Environ Health. 2024;37(1):128-37.
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  • 文章类型: Journal Article
    本研究旨在调查DNA损伤,参与颜料级TiO2生产的工人的口腔细胞中的微核频率和核元变化(15个暴露和20个未暴露)。我们还评估了尿液和呼气冷凝液(EBC)中的遗传毒性生物标志物与氧化应激/炎症生物标志物的关联。以及生物标志物和报告的呼吸道症状之间可能的关联。尽管符合TiO2职业接触限值,结果表明,暴露工人的直接/氧化DNA损伤和微核频率增加。遗传毒性参数与尿液和EBC中的氧化应激/炎症生物标志物相关,从而证实TiO2暴露可以影响氧化平衡。具有较高基因毒性/氧化应激生物标志物水平的工人报告了早期呼吸道症状,表明分子改变可以预测早期健康功能障碍。这些发现表明,有必要在健康监测计划中评估早期健康损害,并在处理TiO2的工作场所适当解决安全问题。
    The present study was aimed at investigating DNA damage, micronuclei frequency and meta-nuclear alterations in buccal cells of workers involved in pigment-grade TiO2 production (15 exposed and 20 not-exposed). We also assessed associations of genotoxicity biomarkers with oxidative stress/inflammatory biomarkers in urine and exhaled breath condensate (EBC), as well as possible associations between biomarkers and reported respiratory symptoms. In spite of compliance with TiO2 Occupational Exposure Limits, results showed increased direct/oxidative DNA damage and micronuclei frequency in exposed workers. Genotoxicity parameters were associated with oxidative stress/inflammation biomarkers in urine and EBC, thus confirming that TiO2 exposure can affect the oxidative balance. Workers with higher genotoxic/oxidative stress biomarkers levels reported early respiratory symptoms suggesting that molecular alterations can be predictive of early health dysfunctions. These findings suggest the need to assess early health impairment in health surveillance programs and to address properly safety issues in workplaces where TiO2 is handled.
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  • 文章类型: Journal Article
    墨西哥是一个农业活动非常重要的国家,但是生物监测数据仍然很少。在园艺生产力中,单位面积/表面使用更密集的农药,对环境污染和工人健康的影响更大。考虑到接触各种农药和农药混合物会带来额外的遗传毒性风险,暴露的适当表征,混杂因素和风险本身是非常需要的。我们比较了42名园艺家和46名未暴露对照的遗传损伤(Nativitas,Tlaxcala)使用碱性彗星(全血)和微核(MN)测试与核异常(NA)(颊上皮细胞)。工人表现出明显更高的伤害水平(TI%=14.02±2.49vs.5.37±0.46;MN=10.14±5.15vs.2.40±0.20),其中90%以上的人在使用过程中没有使用防护服或手套。结合DNA损伤技术和定期监测以及安全农药施用教育计划是评估和预防工人健康风险的最佳策略。
    Mexico is a country where agricultural activity is of great importance, but biomonitoring data are still scarce. With more intensive pesticides use per unit area/surface in horticultural productivity, there is a higher impact on environmental contamination and workers\' health. Considering that exposure to various pesticide and pesticide mixtures represents an additional genotoxic risk, the appropriate characterization of exposure, confounding factors and the risk itself are very much needed. We compared genetic damage in 42 horticulturists and 46 unexposed controls (Nativitas, Tlaxcala) using alkaline comet (whole blood) and micronucleus (MN) test with nuclear abnormalities (NA) (buccal epithelial cells). Workers demonstrated significantly higher levels of damage (TI%=14.02 ± 2.49 vs. 5.37 ± 0.46; MN=10.14 ± 5.15 vs. 2.40 ± 0.20), with more than 90% of them not using protective clothing nor gloves during application. Combined DNA damage techniques and periodic monitoring together with educational programs for safe pesticide application is the best strategy to assess and prevent workers\' health risks.
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  • 文章类型: Journal Article
    在纳米材料(NM)生产过程中,工人可能会暴露,特别是通过吸入,合成过程中使用的NMs和其他化学品,因此,有合适的生物标志物来监测潜在的毒性作用是很重要的。这项研究的目的是评估在生产过程中无意暴露于石墨烯共污染物的工人的暴露缓解措施的引入的有效性,监测工作场所NM污染的推定减少以及先前在这些工人身上发现的早期基因毒性和氧化作用。我们使用颊微核细胞(BMCyt)测定和Fpg-彗星试验,在我们的第一次生物监测工作中产生了最敏感的生物标志物,来测量基因毒性效应.我们还检测到尿中氧化的核酸碱基8-oxoGua,8-oxoGuo和8-oxodGuo评估氧化损伤。在先前研究的相同石墨烯工人(N=6)上评估了基因毒性和氧化作用,将结果与第一次生物监测和对照组(N=11)中发现的结果进行比较。这是在安装特殊的过滤罩(在NM排放风险较高的阶段执行)和改善环境和个人防护设备后6个月实现的。采取减缓措施后颗粒数浓度下降。与第一次生物监测相比,我们观察到微核(MN)频率和氧化DNA损伤的减少以及8-oxodGuo排泄的增加。这些结果,尽管受学科数量少的限制,显示了所采用的暴露缓解措施的有效性,以及随着时间的推移,使用敏感和非侵入性生物标志物对参与石墨烯生产过程的工人进行生物监测的适用性。
    During nanomaterial (NM) production, workers could be exposed, particularly by inhalation, to NMs and other chemicals used in the synthesis process, so it is important to have suitable biomarkers to monitor potential toxic effects. Aim of this study was to evaluate the effectiveness of the introduction of exposure mitigation measures on workers unintentionally exposed to graphene co-pollutants during production process monitoring the presumable reduction of workplace NM contamination and of early genotoxic and oxidative effects previously found on these workers. We used Buccal Micronucleus Cytome (BMCyt) assay and Fpg-comet test, resulted the most sensitive biomarkers on our first biomonitoring work, to measure the genotoxic effects. We also detected urinary oxidized nucleic acid bases 8-oxoGua, 8-oxoGuo and 8-oxodGuo to evaluate oxidative damage. The genotoxic and oxidative effects were assessed on the same graphene workers (N = 6) previously studied, comparing the results with those found in the first biomonitoring and with the control group (N = 11). This was achieved 6 months after the installation of a special filter hood (where to perform the phases at higher risk of NM emission) and the improvement of environmental and personal protective equipment. Particle number concentration decreased after the mitigation measures. We observed reduction of Micronucleus (MN) frequency and oxidative DNA damage and increase of 8-oxodGuo excretion compared to the first biomonitoring. These results, although limited by the small subject number, showed the efficacy of adopted exposure mitigation measures and the suitability of used sensitive and noninvasive biomarkers to bio-monitor over time workers involved in graphene production process.
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  • 文章类型: Journal Article
    空气污染,被认为是人类致癌物,是工业和发展中国家的重要死亡原因,波斯尼亚和黑塞哥维那(B&H)是空气污染造成的死亡率最高的国家之一,并且是欧洲城市空气质量最差的国家。尽管人口减少了,由于交通污染以及仍大量使用固体燃料进行取暖和烹饪,B&H的城市空气污染有所增加。人体生物监测研究,关于描述的空气污染,以前没有进行过,特别是在萨拉热窝地区没有进行过。身体健康,幸福,和环境保护是17个确定的可持续发展全球目标的一部分。因此,这项研究旨在确定一组萨拉热窝公民的DNA损伤的基线水平,并比较DNA损伤的季节性变化与报告的空气污染水平的关系。从研究中纳入的33个人中,样本是在夏季和冬季收集的。在从唾液中分离的白细胞中进行口腔微核细胞(BMCyt)测定和彗星测定。对数变换尾部强度的平均值和标准偏差(%),尾长(µm),和尾矩结果在冬季分别为1.14±0.23、2.20±0.14和1.03±0.29,而在夏季,这些值分别为1.19±0.19、2.25±0.17和1.07±0.25。彗星测定参数没有发现显着差异。然而,BMCyt结果显示微核显著增加(P=.008),双核细胞(P=.04),核溶解(P=.0003),凝聚染色质(P=0.03),冬季变形(P=.002)。尽管彗星和BMCyt测定的结果不一致,这项研究有助于萨拉热窝的人类空气污染生物监测,B&H,并且基于BMCyt生物标志物所证明的空气污染的基因毒性作用,有必要进一步研究这种类型。
    Air pollution, recognized as a human carcinogen, is a significant cause of death in industrial and developing countries, and Bosnia and Herzegovina (B&H) is one of the leading countries for air pollution-caused death rate and has the poorest urban air quality in Europe. Despite a population decrease, urban air pollution in B&H has increased due to traffic pollution and still intensive use of solid fuel for heating and cooking. Human biomonitoring studies, regarding the described air pollution, have not been conducted before, and particularly have not been conducted in the region of Sarajevo. Good health, well-being, and environmental protection are part of the 17 defined Sustainable Development Global Goals. Accordingly, this study aimed to determine baseline levels of DNA damage in a group of Sarajevo citizens and to compare seasonal variations in DNA damage in relation to the reported levels of air pollution. From 33 individuals included in the study, samples were collected in the summer and winter seasons. The buccal micronucleus cytome (BMCyt) assay and comet assay in leucocytes isolated from saliva were performed. Mean values and standard deviations of log-transformed tail intensity (%), tail length (µm), and tail moment results in winter were 1.14 ± 0.23, 2.20 ± 0.14, and 1.03 ± 0.29, respectively, while in the summer season those values were 1.19 ± 0.19, 2.25 ± 0.17, and 1.07 ± 0.25, respectively. No significant differences were found for the comet assay parameters. Nevertheless, BMCyt results showed significant increases in micronuclei (P = .008), binuclear cells (P = .04), karyolysis (P = .0003), condensed chromatin (P = .03), and pyknosis (P = .002) in winter. Although the results of comet and BMCyt assays are not in accordance, this study contributes to the human air pollution biomonitoring in Sarajevo, B&H, and based on the genotoxic effects of air pollution evidenced by the BMCyt biomarker further studies of this kind are necessary.
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  • 文章类型: Journal Article
    煤矿工人不断暴露于煤矿粉尘和空气中的颗粒物,这对他们的健康构成潜在风险。本研究使用颊微核细胞周期(BMCyt)测定法评估煤矿工人的DNA损伤。40名煤矿工人和20名对照受试者的血液和口腔上皮细胞样本取自Pail和Padhrar的煤矿,巴基斯坦,确定血液中金属水平的口腔异常频率。除此之外,还分析了工作历史和持续时间。结果表明,微核频率与矿工血液中的金属浓度呈正相关。一年中每单位变化的核损伤程度的变化为微核的0.170;然而,加上每年的工作经验,核芽和破碎的核增加了0.316和0.194个单位,其中每年核溶解增加0.349个单位,核溶解增加0.308个单位,分别。工作时间和工作年限的增加与细胞遗传学损伤呈正相关。由于职业暴露对煤矿工人的核损害是显而易见的,并且随着工作经验的增加而增加。因此,口腔微核细胞测定已被证明是一种有效的细胞遗传学生物监测工具,用于评估煤矿工人的遗传和核损伤。
    Coal miners are continuously exposed to coal mine dust and airborne particulate that act as a potential risk to their health. The present study evaluates the DNA damage in coal miners using the Buccal Micronucleus Cytome (BMCyt) assay. The samples of the blood and buccal epithelial cells of 40 coal miners and 20 control subjects were taken from coal mines of Pail and Padhrar, Pakistan, to establish buccal anomaly frequencies of metal levels in the blood. Besides this, work history and duration hours were also analyzed. Results revealed that micronucleus frequencies positively correlated with the metal concentrations in the miner\'s blood. The change in the extent of nuclear damage per unit change in the year was 0.170 for micronuclei; however, with addition in each year of working experience, nuclear buds and broken egged nuclei increased by 0.316 and 0.194 units, where each year increases karyolysis by 0.349 units and karyorrhexis by 0.308 units, respectively. An increase in work hours and working years was positively correlated with cytogenetic damage. Nuclear damage in coal miners due to occupational exposure is obvious and increases with increasing work experience. Hence, the Buccal Micronucleus Cytome assay has proved to be an effective cytogenetic biomonitoring tool for assessing genetic and nuclear damage in coal miners.
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  • 文章类型: Journal Article
    放射摄影术是综合牙科护理中使用的最有价值的诊断工具之一。牙科X光片的辐射被认为会引起细胞遗传学变化,其合理的影响可能会持续几个小时,月,或几代人,尤其是儿童。
    评估和比较常规使用的口腔根尖周放射学暴露和放射学暴露对脱落上皮细胞的可能的遗传毒性作用,该作用是通过在单次访问牙髓切除术过程中使用口腔微核细胞(BMCyt)测定进行测量的。
    研究包括60名健康儿童,他们在单次就诊牙髓切除术的各个步骤中接受了口内心尖造影(IOPAR;第1组,n=30)或放射造影(RVG;第2组,n=30)。在X射线暴露之前和暴露后10±2天从颊粘膜取细胞学涂片。用Feulgen对细胞进行染色,并通过对每个样品1,000个细胞进行评分来评估微核。
    来自口腔内根尖周X线照相术的辐射暴露的基因毒性作用高于RVG,表明微核(MN)形成显着增加。
    在IOPAR或RVG期间发射的X射线辐射确实以微核频率增加的形式引起基因毒性变化。所以,如有必要,应非常小心并遵循标准方案,以建议进行X射线照相,并减少辐射暴露的累积生物学效应。
    考虑到DNA损伤与癌变之间关系的有力证据以及口腔内X光片在儿科牙科中的广泛应用,了解这些牙科X射线在多大程度上引起基因毒性作用,从而对口腔粘膜造成DNA损伤,这将是有用的。
    JuluY,NagarathnaC.牙髓切除术-BMCyt测定期间暴露于牙科X线照片的儿童的遗传毒性效应的生物监测。IntJClinPediatrDent2022;15(S-1):S63-S70。
    UNASSIGNED: Radiography is one of the most valuable diagnostic tools used in comprehensive dental care. Radiation from dental radiographs was thought to cause cytogenetic changes and its plausible effects can remain for some hours, months, or generations especially in children.
    UNASSIGNED: To evaluate and compare the possible genotoxic effect of routinely used intraoral periapical radiographic exposure and radiovisiographic exposure in exfoliated epithelial cells as measured by the formation of micronuclei during single visit pulpectomy procedure using Buccal Micronucleus Cytome (BMCyt) assay in children.
    UNASSIGNED: Study comprised 60 healthy children who has undergone either intraoral periapical radiography (IOPAR; group 1, n = 30) or radiovisiography (RVG; group 2, n = 30) during various steps of single visit pulpectomy procedure. Cytological smears were taken from the buccal mucosa immediately before the X-ray exposure and 10 ± 2 days after exposure. The cells were stained with Feulgen and evaluated for micronuclei by scoring 1,000 cells per sample.
    UNASSIGNED: The genotoxic effect of radiation exposure from intraoral periapical radiography higher than that of RVG showing significant increase in micronucleus (MN) formation.
    UNASSIGNED: The X-ray radiation emitted during IOPAR or RVG does induce genotoxic changes in the form of increased frequency of micronuclei. So, great care and standard protocol should be followed to advice radiographs if necessary and reduce the cumulated biological effects of radiation exposure.
    UNASSIGNED: Taking into account the strong evidence of a relationship between DNA damage and carcinogenesis and the extensive application of intraoral radiographs in pediatric dentistry, it would be useful to know to what extent these dental X-rays cause genotoxic effects resulting in DNA damage on oral mucosa.
    UNASSIGNED: Julu Y, Nagarathna C. Biomonitoring of Genotoxic Effect in Children Exposed to Dental Radiographs during Pulpectomy Procedure-BMCyt Assay. Int J Clin Pediatr Dent 2022;15(S-1):S63-S70.
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  • 文章类型: Journal Article
    该研究旨在评估生活在Salento半岛(意大利南部)农村地区的256名6-8岁学童的脱落颊细胞(EBCs)中的微核(MN)频率,人为压力低,并且具有正常的慢性病率,以确定MN的基础水平并确定哪些因素能够影响它。关于个人数据的信息,儿童的生活方式和饮食习惯是通过向其父母发放问卷获得的。进行口腔微核细胞组学分析以评估儿童中早期遗传毒性作用的存在。此外,通过对参与者就读的学校附近的大气颗粒物进行采样来评估环境暴露水平。还评估了MN频率与个体或环境因素之间的关联。儿童的平均MN频率为0.27±0.43‰(95CI=0.22-0.33)。该频率与车辆交通呈正相关(OR=2.99;95CI=1.15-7.74),与母亲的高学历(OR=0.41;95CI=0.18-0.95)和体育锻炼(OR=0.56;95CI=0.32-0.57)呈负相关。在这项研究中发现的口腔细胞遗传毒性作用的数据可以被认为是未暴露于环境污染的儿科人群中的MN水平。
    The study aimed to evaluate the micronucleus (MN) frequency in exfoliated buccal cells (EBCs) of 256 6-8-years-old schoolchildren living in a rural area of Salento peninsula (Southern Italy) with low anthropogenic pressure and with a normal rate of chronic diseases in order to determine the basal level of MN and identify which factors are able to influence it. Information about the personal data, lifestyles and dietary habits of the children were obtained by the administration of a questionnaire to their parents. The buccal micronucleus cytome assay was performed to evaluate the presence of early genotoxic effects among the children. In addition, the level of environmental exposure was assessed by sampling atmospheric particulate fractions near the schools attended by participants. The association between MN frequency and individual or environmental factors was also assessed. The children had a mean MN frequency of 0.27 ± 0.43‰ (95%CI = 0.22-0.33). This frequency was positively associated with vehicular traffic (OR = 2.99; 95%CI = 1.15-7.74) and negatively associated with a high educational level of the mother (OR = 0.41; 95%CI = 0.18-0.95) and physical exercise (OR = 0.56; 95%CI = 0.32-0.57). Data on genotoxic effects in buccal cells found in this study could be considered as the MN level in a pediatric population not exposed to environmental pollution.
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