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02/04/2012 1 Catherine Nisse, University Department of Occupational Health, Lille, France Nadège Lepage , Ariane Leroyer, Mickael Howsam , Patrice Simon, Anne Maitre, Franck Broly, JeanPaul Bonte , Michel Lhermite 30th International Congress on Occupational Health , Cancun, March 18-23 , 2012 PAHs ubiquitous in the environment Present in numerous workplaces Importance of characterization of exposure for prevention Biomonitoring is complementary to monitoring of ambient air. 1-OH-pyrene, is the metabolite the most used for routinely estimation of internal exposure to PAH, But Pyrene is not a carcinogen (underestimation of carcinogenic risk?), Other biomarkers have been proposed for biomonitoring Aim of the study : To evaluate the current levels of exposure to PAHs in different industrial activities, using air sampling and simultaneous analysis of several PAHs monohydroxy metabolites in urines To compare the profiles of exposure To evaluate the influence of individual factors (smoking, genetic polymorphism) on metabolites levels Cross sectional study Study population : 125 male workers aged: 21‐57, average : 41 45% of smokers Industrial sectors and Activities Coke production (n=45) Aluminium production (n=20) Glass production (n=15) Landscape service activities (two stroke engine utilisation) (n=15) Metal machining industry (mineral oil exposure) (n=30) Exposure assessment External PAH exposure : personal air sampling during the shift : 16 EPA-PAHs (vapours and particulate bound PAHs) collected on biphasic systeme ( filters and XAD-2 sorbent) Internal PAH exposure : Urinary spot samples collected at the end of shift (ES)and 16 hours later (ES+16). Monohydoxymetabolites, analysed by LC‐MS/MS and HPLC‐Fluorescence detection : 2‐,3‐&1‐,4‐,9‐hydroxyphenanthrenes ( ‐OH‐phen), 1‐hydroxypyrene (1‐OH‐pyr), 3‐hydroxybenzo(a)pyrene (3‐OH‐B(a)P), 1‐&2‐hydroxynaphalenes ( ‐OH‐naph), 2‐hydroxyfluorene (2‐OH‐fluo), 3‐hydroxyfluoranthene (3‐OH‐flua), 1‐&2‐ hydroxybenzo(a)anthracenes ( ‐OH‐B(a)A), 3‐&6‐hydroxychrysenes (‐OHchry) Evaluation of individual factors Genetic polymorphism in the genes coding for enzymes involved in the metabolism of PAHs : GSTM1, GSTT1, CYP1A1, EPHX1A, EPHX1T Self administered questionnaire (individual protections, smoking habits, food …) 0 20000 40000 60000 80000 100000 120000 coke production (n=42) aluminium production (n=19) landscape activities (n=7) glass production (n=13) metal machining (n=30) median ambiant PAH concentrations ng/m 3 Σ particulate PAH Σgaseous PAH The highest median airborne level of total PAH → coke production The proportion of particulate PAH depends on the sector of activity 34 % 12 % 0.5 % 3.4 % 2 % Very different profiles of PAH 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% BjF Ip Bghip DahA BaP BkF BbF BeP Chr BaA PyrG+P FluaG+P Ant Phe Fluo Acen Naph Gaseous PAH always majoritary: naphtalene, acenaphtene, fluorene

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Page 1: Le cyclophosphamide urinaire comme marqueur biologique de

02/04/2012

1

Catherine Nisse, University Department of Occupational Health, Lille, France Nadège Lepage , Ariane Leroyer, Mickael Howsam , Patrice Simon, Anne Maitre, Franck Broly, Jean‐Paul Bonte , Michel Lhermite

30th International Congress on Occupational Health , Cancun, March 18-23 , 2012

PAHs ubiquitous in the environment Present in numerous workplaces Importance of characterization of exposure for prevention Biomonitoring is complementary to monitoring of ambient air. 1-OH-pyrene, is the metabolite the most used for routinely estimation of

internal exposure to PAH, But Pyrene is not a carcinogen (underestimation of carcinogenic risk?), Other biomarkers have been proposed for biomonitoring

Aim of the study :

To evaluate the current levels of exposure to PAHs in different industrial

activities, using air sampling and simultaneous analysis of several PAHs monohydroxy metabolites in urines

To compare the profiles of exposure To evaluate the influence of individual factors (smoking, genetic

polymorphism) on metabolites levels

Cross sectional study

Study population : 125 male workers aged: 21‐57, average : 41

45% of smokers

Industrial sectors and Activities

Coke production (n=45)

Aluminium production (n=20)

Glass production (n=15)

Landscape service activities (two stroke engine utilisation) (n=15)

Metal machining industry (mineral oil exposure) (n=30)

Exposure assessment External PAH exposure : personal air sampling during the shift : 16 EPA-PAHs (vapours and particulate bound PAHs) collected on biphasic systeme ( filters and XAD-2 sorbent) Internal PAH exposure : Urinary spot samples collected at the end of

shift (ES)and 16 hours later (ES+16). Monohydoxymetabolites, analysed by LC‐MS/MS and HPLC‐Fluorescence detection : 2‐,3‐&1‐,4‐,9‐hydroxyphenanthrenes ( ‐OH‐phen), 1‐hydroxypyrene (1‐OH‐pyr), 3‐hydroxybenzo(a)pyrene (3‐OH‐B(a)P), 1‐&2‐hydroxynaphalenes ( ‐OH‐naph), 2‐hydroxyfluorene (2‐OH‐fluo), 3‐hydroxyfluoranthene (3‐OH‐flua), 1‐&2‐ hydroxybenzo(a)anthracenes ( ‐OH‐B(a)A), 3‐&6‐hydroxychrysenes (‐OHchry)

Evaluation of individual factors Genetic polymorphism in the genes coding for enzymes involved in

the metabolism of PAHs : GSTM1, GSTT1, CYP1A1, EPHX1A, EPHX1T Self administered questionnaire (individual protections, smoking

habits, food …)

0

20000

40000

60000

80000

100000

120000

coke production(n=42)

aluminiumproduction (n=19)

landscapeactivities (n=7)

glass production(n=13)

metal machining(n=30)

me

dia

n a

mb

ian

t P

AH

co

nce

ntr

atio

ns

ng/

m3

Σ particulate PAH

Σgaseous PAH

• The highest median airborne level of total PAH → coke production

• The proportion of particulate PAH depends on the sector of activity

34 %

12 % 0.5 %

3.4 % 2 %

Very different profiles of PAH

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

BjF

Ip

Bghip

DahA

BaP

BkF

BbF

BeP

Chr

BaA

PyrG+P

FluaG+P

Ant

Phe

Fluo

Acen

Naph

Gaseous PAH always majoritary: naphtalene, acenaphtene, fluorene

Page 2: Le cyclophosphamide urinaire comme marqueur biologique de

02/04/2012

2

Very different profiles of PAH

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

BjF

Ip

Bghip

DahA

BaP

BkF

BbF

BeP

Chr

BaA

PyrG+P

FluaG+P

Ant

Phe

Fluo

Acen

Naph

29%

52%

86%

98%

67%

Gaseous PAH always majoritary: but differences of proportion between activities : exemple for naphtalene…

Very different profiles of PAH

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

BjF

Ip

Bghip

DahA

BaP

BkF

BbF

BeP

Chr

BaA

PyrG+P

FluaG+P

Ant

Phe

Fluo

Acen

Naph

0.6%

3.4%

0.08 %

0.1%

0.1%

Gaseous PAH are always majoritary: but differences of proportion between activities : exemple for naphtalene…

For particulate PAH the highest levels are present in coke production : exemple for BaP

Métabolites detection

OH-metabolites are detected on 75 to 100% of the samples

except for : ΣOH-Chry, 1 and 2OH-BaA

moment du prélèvement End-Shift End-Shift + 16

OH-Metabolites n %> LOD n %>LOD Analytical method LOD (ng/L)

1OHPyr 116 100,0 114 99,1 HPLC-Fluo 20

3OHBaP 91 77,8 89 76,7 HPLC-Fluo 0,06

1Naph 116 100,0 115 100,0 HPLC-Fluo 300

2Naph 116 100,0 115 100,0 HPLC-Fluo 300

ΣNaph 116 100,0 115 100,0 HPLC-Fluo 300

2OHFluo 105 89,7 110 96,5 LC-MS-MS 1,9

2, 3OHPhen 117 100,0 116 100,0 LC-MS-MS 0,3

1,4,9OHPhen 117 100,0 116 100,0 LC-MS-MS 0,2

ΣOHPhen 117 100,0 116 100,0 LC-MS-MS 0,2-0,3

3OHflua 117 100,0 116 100,0 LC-MS-MS 0,5

3, & 6 OHChry et 2OHBaA 1 0,9 3 2,6 LC-MS-MS 0,2

1OHBaA 2 1,7 7 6,0 LC-MS-MS 0,2

0

0.5

1

1.5

2

2.5

3

Alu

min

ium

pro

du

ctio

n

Co

ke p

rod

uct

ion

Gla

ss p

rod

uct

ion

lan

dsc

ap

e g

ard

enin

g

me

tal m

ach

inin

g

Alu

min

ium

pro

du

ctio

n

Co

ke p

rod

uct

ion

Gla

ss p

rod

uct

ion

lan

dsc

ap

e g

ard

enin

g

me

tal m

ach

inin

g

Alu

min

ium

pro

du

ctio

n

Co

ke p

rod

uct

ion

Gla

ss p

rod

uct

ion

lan

dsc

ap

e g

ard

enin

g

me

tal m

ach

inin

g

Alu

min

ium

pro

du

ctio

n

Co

ke p

rod

uct

ion

Gla

ss p

rod

uct

ion

lan

dsc

ap

e g

ard

enin

g

me

tal m

ach

inin

g

Alu

min

ium

pro

du

ctio

n

Co

ke p

rod

uct

ion

Gla

ss p

rod

uct

ion

lan

dsc

ap

e g

ard

enin

g

me

tal m

ach

inin

g

Ohpyr ES µmol/molcreat

OHBaP ES+16nmol/mol creat

2OHFluo ESµmol/mol creat

Sphen ES µmol/molcreat

3OHFlua ESµmol/mol creat

Med

ian

e o

f

OH

-PA

H m

etab

olit

es b

y ac

tivi

ty s

ect

or

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

Alu

min

ium

pro

du

ctio

n

Co

ke p

rod

uct

ion

Gla

ss p

rod

uct

ion

lan

dsc

ap

e g

ard

enin

g

me

tal m

ach

inin

g

Snaph ES µmol/mol creat

Me

dia

n o

f SN

aph

b

y ac

tivi

ty s

ect

or

• For all metabolites, the highest median level is observed in coke

production workers, followed by aluminium production workers

• In coherence with airborne level, ∑Naph is high in landscapegardeners

1-OH Pyr naphtols

• Median levels with adjustment on

smoking are higher in coke production

workers

3-OH BaP

* adjusted on recent smoking

• Median urinary concentrations are higher

at the end of shift, except for 3 OHBaP

wich is higher at the begining of the

following shift

• Median levels adjusted on smoking

are always higher in coke production

workers and aluminium production

workers except for 3OHFlua

3-OH Flua

OH Phen 2-OH Fluo

* adjusted on recent smoking

• Median urinary concentrations are

higher at the end of shift

Page 3: Le cyclophosphamide urinaire comme marqueur biologique de

02/04/2012

3

1OHPyr 3OHBap Naph 2OHFluo OHPhen 3OHFlua

Smoking (previous 8 h) X 6.23 X 2.17 X 17.00 X 7.94 X 2.52 X 8.81

Corresponding airborne PAH level

X 7.85 X 4.98 X 3.70 X 8.79

X 5.79

X 1.54

Grilled/smoked food (previous 12 h)

X 3.13

Contact with oils X 2.84 X 1.77 X 3.55

Cutaneous exposure X 2.80

Gaz exhaust exposure X 8.79

No gloves protection X 4.97

Intense Physical activity X 2.44 X 3.64

Multivariate analysis : only factors with significant influence on metabolites

excretion are presented (multiplicative factor)

No significant impact of : genetic polymorphisme, use of protective mask

Best correlations between :

1-OHpyr, OH-Phen and inhaled amount of PAH : with their corresponding PAH, and also particulate PAH, gazeous PAH, PAH, toxic equivalents

Between 3-OHBaP and atmospheric PAH and specially with particulate PAH

1OHPyr(ES) 3OHBaP(ES+16) Σnaph(ES) 2OHFluo(ES) ΣOHPhen(ES) 3OHFlua(ES)

Bad corrélation for 3-OH-Flua

* Résults adjusted on recent smoking

R =

Spearm

an C

orr

ela

tion c

oeffic

ient

Intermediate corrélation for 2-OH-Fluo and Naph

0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

0 1 2 3 4 5 6

1OHPyr(ES)

3OHBaP(ES+16)

Σnaph(ES)

2OHFluo(ES)

ΣOHPhen(ES)

3OHFlua(ES)

For each metabolite, the best correlation is always observed with 1-OH Pyr

1OHPyr(ES) 3OHBaP(ES+16) Σnaph(ES) 2OHFluo(ES) ΣOHPhen(ES) 3OHFlua(ES)

Worst correlation between naphtols, 3OH-Flua and the other metabolites

* adjusted on tobacoo smoked in the 8 previous hours

R =

Sp

ea

rma

n C

orr

ela

tion

co

eff

icie

nt

Good correlations between 1-OH pyr , 3-OH BaP and OH-Phen

Levels and Profiles of PAH and their metabolites are different in various industrial activities

Metabolites with 2 and 3 cycles are more often detected (naphtols, OH-Phen, 1OH-Pyr, 2OH-Fluo, 3OH-Flua)

Influence of smoking even at occupational exposure level

For all metabolites and particularly naphtols

Best parameter is the number of cigarettes smoked during the 8 previous hours

Best time for urinary spot sampling : end of shift for all metabolites except for 3 OH BaP

Metabolites best correlated together and to atmospheric concentrations metabolites of Pyr, BaP, Phen

To : The Occupational Physiciens and the participants of the different

companies The Occupational and Environmental Toxicology Laboratory,

GRENOBLE The National Institut of Reserch and Security, VANDOEUVRE, France The Universitary Center of Mesurements and Analyses ,Université

of Lille 2, LILLE, France

For Grants from French Agency for Food, Environment and Occupational health and

safety, ANSES, France Nord Pas de Calais Région , France