Evaluation of the peculiarity of the combined action of a number of chemicals based on the analysis of parameterized cause-effect relationships of marketers of exposure and negative effects and quantitative evaluation of additional health risk
- Authors: Zaitseva N.V.1,2, Zemlyanova M.A.1, Koldibekova J.V.1, Kiryanov D.A.1, Chigvintsev V.M.1
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Affiliations:
- Federal Scientific Center for Medical and Preventive Health Risk Management Technologies
- Russian Academy of Sciences
- Issue: Vol 102, No 10 (2023)
- Pages: 1132-1142
- Section: HEALTH RISK ASSESSMENT
- Published: 24.11.2023
- URL: https://rjsocmed.com/0016-9900/article/view/638327
- DOI: https://doi.org/10.47470/0016-9900-2023-102-10-1132-1142
- EDN: https://elibrary.ru/qhvjbh
- ID: 638327
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Abstract
Introduction. Assessing the type of combined action of chemicals is a complex and pressing problem of hygiene and preventive medicine.
The purpose of the work is to expand methodological approaches to assessing the characteristics of the combined interaction of a number of chemical substances based on the analysis of parameterized cause-and-effect relationships of exposure and negative effects and quantitative assessment of additional health risks.
Materials and methods. There was applied basic multiple logistic regression model, which is an assessment of the probability of developing a negative effect simultaneously with the isolated and combined effects of substances. The model was implemented for three components, the exposure of which was confirmed by exposure to biomarkers. Expert assessment of the type of combined action, carried out taking into account the regression coefficients of the adopted models. Quantitative assessment of the additional risk of negative effects from isolated and combined exposure to substances is carried out according to the parameters of cause-and-effect relationships of exposure to biomarkers and effects. Approbation of the methodological method provided for conditions of exposure to short-term aerogenic exposure to benzo(a)pyrene, significantly exceeding the reference concentrations (15.4 Rfc), with combustion oxide and hydrofluoride at the level of reference indicators (0.2–0.8 Rfc). The results of a study of cause-and-effect relationships based on previously conducted (in 2021–2022) medical examinations of four hundred fifty four exposed and unexposed 4-7 years children were used as biomarker effects.
Results. Depending on the binary combination of three chemical substances and the choice of biomarker of the negative effect (8 indicators), various options for the combined action were identified (24 options in total). For 10 of them, an increase in the adverse effect was established. The predominant nature of the action is the synergistic nature, which causes, in addition to the isolated one, the risk of developing negative effects on the part of the immune, bone and nervous systems, exceeding up to 56.8 times the acceptable level.
Limitations. During the combination effect, there was measured the substance in a binary combination of substances, taking into account the adverse effect and the direction of biomarkers.
Conclusion. In the practice of hygienic assessments, it is necessary to take into account the additional risk of developing negative effects with more complex types of combined action (synergism, antagonism) than simple summation, which will increase the objectivity of the hygienic assessment of the risk to the health of the exposed population.
Compliance with ethical standards. The study was approved by the local ethical committee of the Federal Scientific Center for Medical and Reservative Technologies for Risk Management of the Population of the Rospotrebnadzor (meeting protocol No. 2 dated 11.02.2021), and the Gelsinki Helsinki Declaration of the World Medical Association (as amended 2013) was carried out.
Contribution:
Zaitseva N.V. — editing;
Zemlyanova M.A. — the concept and design of the study, editing;
Koldibekova Yu.V. — the concept and design of the study, collection and processing of material, writing text;
Kiryanov D.A. — study concept and design, editing;
Chigvintsev V.M. — collection and processing of material, statistical processing.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.
Conflict of interest. The authors declare no conflict of interest.
Acknowledgement. The study had no sponsorship.
Received: August 21, 2023 / Accepted: September 26, 2023 / Published: November 20, 2023
About the authors
Nina V. Zaitseva
Federal Scientific Center for Medical and Preventive Health Risk Management Technologies;Russian Academy of Sciences
Author for correspondence.
Email: znv@fcrisk.ru
ORCID iD: 0000-0003-2356-1145
Научный руководитель ФБУН «Федеральный научный центр медико-профилактических технологий управления рисками здоровью населения», академик РАН, доктор медицинских наук, профессор
e-mail: znv@fcrisk.ru
Russian FederationMarina A. Zemlyanova
Federal Scientific Center for Medical and Preventive Health Risk Management Technologies
Email: zem@fcrisk.ru
ORCID iD: 0000-0002-8013-9613
MD, PhD, DSci., Professor, Head of Biochemical and Cytogenetic Diagnostic Techniques Department, Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, Perm, 614045, Russian Federation
e-mail: zem@fcrisk.ru
Russian FederationJuliya V. Koldibekova
Federal Scientific Center for Medical and Preventive Health Risk Management Technologies
Email: koldibekova@fcrisk.ru
ORCID iD: 0000-0002-3924-4526
Старший научный сотрудник с выполнением обязанностей заведующей лабораторией метаболизма и фармакокинетики отдела биохимических и цитогенетических методов диагностики ФБУН «Федеральный научный центр медико-профилактических технологий управления рисками здоровью населения», кандидат биологических наук, 614045, г. Пермь, ул. Монастырская, 82
e-mail: koldibekova@fcrisk.ru
Russian FederationDmitriy A. Kiryanov
Federal Scientific Center for Medical and Preventive Health Risk Management Technologies
Email: kda@fcrisk.ru
ORCID iD: 0000-0002-5406-4961
Заведующий отделом математического моделирования систем и процессов ФБУН «Федеральный научный центр медико-профилактических технологий управления рисками здоровью населения», кандидат технических наук
e-mail: kda@fcrisk.ru
Russian FederationVladimir M. Chigvintsev
Federal Scientific Center for Medical and Preventive Health Risk Management Technologies
Email: cvm@fcrisk.ru
ORCID iD: 0000-0002-0345-3895
Научный сотрудник лаборатории ситуационного моделирования и экспертно-аналитических методов управления отдела математического моделирования систем и процессов ФБУН «Федеральный научный центр медико-профилактических технологий управления рисками здоровью населения» кандидат физико-математических наук
e-mail: cvm@fcrisk.ru
Russian FederationReferences
- Loewe S., Muischnek H. Über Kombinationswirkungen. Mitteilung: Hilfsmittel der Fragestellung. Naunyn Schmiedebergs Arch Pharmakol Exp Pathol. 1926; (114): 313–26.
- Bliss C.I. The toxicity of poisons applied jointly. Ann. Appl. Biol. 1939; 26(3): 585–615.
- Meek M. International experience in addressing combined exposures: Increasing the efficient of assessment. Toxicology. 2013; 313(2–3): 185–9. https://doi.org/10.1016/j.tox.2012.09.015
- Godleski J., Koutrakis P. Relative Toxicity of Air Pollution Mixtures; 2015. Available at: https://studylib.net/doc/8103015/project-1–relative-toxicity-of-air-pollution-mixtures
- Price P., Dhein E., Hamer M., Han X., Heneweer M., Junghans M., et al. A decision tree for assessing effects from exposures to multiple substances. Environ. Sci. Europe. 2012; 24(1): 26. https://doi.org/10.1186/2190-4715-24-26
- Zholdakova Z.I., Kharchevnikova N.V., Mamonov R.A., Sinitsyna O.O. Methods for estimating the combined effect of substances. Gigiena i Sanitaria (Hygiene and Sanitation, Russian journal). 2012; 91(2): 86–9. https://elibrary.ru/pffhgl (in Russian)
- Zabolotskikh V.V., Vasil’ev A.V., Tereshchenko Yu.P. Synergetic effects during combined impact of physical and chemical factors. Izvestiya Samarskogo nauchnogo tsentra Rossiyskoy akademii nauk. 2016; 18(5–2): 290–5. https://elibrary.ru/ykkhkx (in Russian)
- Khadartsev A.A. About emergence in living systems and the ideas of wheeler (review of scientific literature). Vestnik novykh meditsinskikh tekhnologiy. 2019; (1): 129–32. https://doi.org/10.24411/1609-2163-2019-16374 https://elibrary.ru/zalhvr (in Russian)
- Vauquelin G., Van Liefde I., Birzbier B.B., Vanderheyden P.M. New insights in insurmountable antagonism. Fundam. Clin. Pharmacol. 2002; 16(4): 263–72. https://doi.org/10.1046/j.1472-8206.2002.00095.x
- Katsnel’son B.A., Varaksin A.N., Panov V.G., Privalova L.I., Minigalieva I.A., Kireeva E.P. Experimental modeling and mathematical description of the chronic combined toxicity as a basis of multi-factor chemical health risks analysis. Toksikologicheskiy vestnik. 2015; (5): 37–45. https://elibrary.ru/xqjlbr (in Russian)
- Minigalieva I.A., Katsnel’son B.A., Gurvich V.B., Privalova L.I., Panov V.G., Varaksin A.N., et al. Concerning coordination between the generally accepted practice of assessing health risks due to multi-metallic exposures and the theory of combined toxicity. Toksikologicheskiy vestnik. 2017; (4): 13–8. https://doi.org/10.36946/0869-7922-2017-4-13-18 https://elibrary.ru/zdpedt (in Russian)
- Mirzakarimova M.A. Comparative analysis of the influence of complex mixtures of chemical air pollutants on biochemical, physiological, gonado-, embryotoxic indices of laboratory animals and hygienic evaluation of their combined action. Gigiena i Sanitaria (Hygiene and Sanitation, Russian journal). 2017; 96(6): 528–31. https://doi.org/10.18821/0016-9900-2017-96-6-528-531 https://elibrary.ru/zapebt (in Russian)
- Shalina T.I. The hygienic estimate of the risk for human health among the population in the areas connecting with aluminium production. Sibirskiy meditsinskiy zhurnal (Irkutsk). 2009; 91(8): 128–9. https://elibrary.ru/laezez (in Russian)
- Levesque L., Mizzen C.A., McLachlan D.R., Fraser P.E. Ligand specific effects on aluminum incorporation and toxicity in neurons and astrocytes. Brain Res. 2000; 877(2): 191–202. https://clck.ru/36cWhQ
- Chikina S.Yu. Cough hypersensitivity syndrome. Pul’monologiya. 2015; 25(2): 224–8. https://elibrary.ru/ubksyb (in Russian)
- Kir’yanov D.A., Kamaltdinov M.R., Tsinker M.Yu., Babina S.V., Kleyn S.V., Andrishunas A.M. Parameterization of relationships between risk factors and public health under chronic exposure to complex ambient air pollution. Analiz riska zdorov’yu. 2022; (4): 33–44. https://doi.org/10.21668/health.risk/2022.4.03 (in Russian)
- Minigalieva I.A., Klinova S.V., Panov V.G., Sutunkova M.P., Gurvich V.B., Privalova L.I., et al. Studying combined subchronic toxicity of lead and cadmium with a special focus in terms of their cardiovascular effects. Gigiena i Sanitaria (Hygiene and Sanitation, Russian journal). 2020; 99(1): 103–8. https://doi.org/10.33029/0016-9900-2020-99-1-103-108 https://elibrary.ru/bzmpqk (in Russian)
- Wu Y., Wang X., Li J., Ma H., Seshadr V.D., Wang X. Benzo(A)Pyrene-induced lung cancer: chemo protective effect of Coronarin D in Swiss albino mice. App. Biochem. Biotech. 2023; 195(2): 1122–35. https://doi.org/10.1007/s12010-022-04166-2
- Dolgikh O.V., Krivtsov A.V., Bubnova O.A., Gorshkova K.G., Dianova D.G., Vdovina N.A., et al. Patterns of gene polymorphism and immune status in children exposed to benz(a)pyrene. Vestnik Permskogo universiteta. Seriya biologiya. 2017; (4): 97–100. https://elibrary.ru/tcrtbl (in Russian)
- Grandjean P. Developmental fluoride neurotoxicity: an updated review. Environ. Health. 2019; 18(1): 110. https://doi.org/10.1186/s12940-019-0551-x
- Das S.K., Patri M. Neuropeptide Y expression confers benzo[a]pyrene induced anxiolytic like behavioral response during early adolescence period of male Wistar rats. Neuropeptides. 2017; 61: 23–30. https://doi.org/10.1016/j.npep.2016.07.001
- Skupnevskiy S.V., Ivanov D.V. The effect of aluminum and its compounds on the functions of human organs and tissues (review article). Vestnik novykh meditsinskikh tekhnologiy. Elektronnoe izdanie. 2023; 17(1): 1–15. https://doi.org/10.24412/2075-4094-2023-1-3-7 https://elibrary.ru/vgrxrm (in Russian)
- Willhite C.C., Karyakina N.A., Nordheim E., Arnold I., Armstrong V., Momoli F., et al. The REACH registration process: A case study of metallic aluminium, aluminium oxide and aluminium hydroxide. Neurotoxicology. 2021; 83: 166–78. https://doi.org/10.1016/j.neuro.2020.12.004
- Fomenko D.V., Mikhaylova N.N., Kazitskaya A.S., Ulanova E.V., Prokop’ev Yu.A. Experimental studies of the specificity of immune response in various occupational diseases. Byulleten’ Vostochno-Sibirskogo nauchnogo tsentra Sibirskogo otdeleniya Rossiyskoy akademii meditsinskikh nauk. 2012; (5–2): 115–9. https://elibrary.ru/pjbnsd (in Russian)
- Martynova M.O., Kozyrev K.M., Albegova Zh.K. To the question of the modern concepts influence of aluminum on the living organisms. Sovremennye problemy nauki i obrazovaniya. 2014; (2): 302. https://elibrary.ru/sbwgqv (in Russian)
- Rahimzadeh M.R., Rahimzadeh M.R., Kazemi S., Amiri R.J., Pirzadeh M., Moghadamnia A.A. Aluminum poisoning with emphasis on its mechanism and treatment of intoxication. Emerg. Med. Int. 2022; 2022: 1480553. https://doi.org/10.1155/2022/1480553
- Mo J., Au D.W., Wan M.T., Shi J., Zhang G., Winkler C., et al. Multigenerational impacts of Benzo[a]pyrene on bone modeling and remodeling in medaka (Oryzias latipes). Environ. Sci. Technol. 2020; 54(19): 12271–84. https://doi.org/10.1021/acs.est.0c02416
- Han J., Kiss L., Mei H., Remete A.M., Ponikvar-Svet M., Sedgwick D.M., et al. Chemical aspects of human and environmental overload with fluorine. Chem. Rev. 2021; 121(8): 4678–742. https://doi.org/10.1021/acs.chemrev.0c0126
- Strunecka A., Blaylock R.L., Patocka J., Strunecky O. Immunoexcitotoxicity as the central mechanism of etiopathology and treatment of autism spectrum disorders: a possible role of fluoride and aluminum. Surg. Neurol. Int. 2018; 9: 74. https://doi.org/10.4103/sni.sni_407_17
- Jinzhu Y., Qinli Z., Jin Y., Pan K., Jianjun H., Qiao N. Aluminum and benzo[a]pyrene co-operate to induce neuronal apoptosis in vitro. J. Toxicol. Sci. 2015; 40(3): 365–73. https://doi.org/10.2131/jts.40.365
- Lubkowska A., Chlubek D., Machoy-Mokrzyniska A. The effect of alternating administration of aluminum chloride and sodium fluoride in drinking water on the concentration of fluoride in serum and its content in bones of rats. Ann. Acad. Med. Stetin. 2006; 52(Suppl. 1): 67–71. (in Polish)
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