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1.
Clin Drug Investig ; 44(5): 343-355, 2024 May.
Article in English | MEDLINE | ID: mdl-38615091

ABSTRACT

BACKGROUND: Tegoprazan is a potassium-competitive acid blocker that inhibits gastric acid and which may be used for eradicating Helicobacter pylori. This study focuses on the pharmacokinetic interaction and safety between tegoprazan and the combination of clarithromycin, amoxicillin and bismuth in healthy Chinese subjects. METHODS: An open-label, three-period, single-center, multiple-dosage, single-sequence, phase I trial was conducted in 22 healthy subjects. In period 1, the subjects took tegoprazan 50 mg twice daily for 7 days, and in period 2 they were administered clarithromycin 500 mg, amoxicillin 1000 mg and bismuth potassium citrate 600 mg twice daily for 7 days (days 14-20). Tegoprazan, clarithromycin, amoxicillin and bismuth potassium citrate were then administered in combination for 7 days (days 21-27) in period 3. Blood samples were collected up to 12 h after the last dose of each period. Safety assessments were performed in each period. RESULTS: The geometric mean ratios (GMRs) [90% confidence interval (CI)] of maximum plasma concentration at steady state (Cmax,ss) and area under the plasma concentration-time curve over the dosing interval (AUCτ) at steady state were 195.93% (175.52-218.71%) and 287.54% (263.28-314.04%) for tegoprazan and 423.23% (382.57-468.22%) and 385.61% (354.62-419.30%) for tegoprazan metabolite M1, respectively. The GMRs (90% CI) of Cmax,ss and AUCτ were 83.69% (77.44-90.45%) and 110.30% (102.74-118.41%) for clarithromycin, 126.25% (114.73-138.93%) and 146.94% (135.33-159.55%) for 14-hydroxyclarithromycin, 75.89% (69.73-82.60%) and 94.34% (87.94-101.20%) for amoxicillin, and 158.43% (125.43-200.11%) and 183.63% (156.42-215.58%) for bismuth, respectively. All reported adverse events were mild. The frequency of adverse events during the coadministration stage was not higher than that during the single- or triple-drug administration stages. CONCLUSION: The plasma exposure of tegoprazan, M1, 14-hydroxyclarithromycin and bismuth was increased after the coadministration of tegoprazan, clarithromycin, amoxicillin and bismuth. The coadministration exhibited favorable safety and tolerability. CLINICAL TRIALS REGISTRATION: CTR20230643.


Subject(s)
Amoxicillin , Benzene Derivatives , Bismuth , Clarithromycin , Drug Interactions , Adult , Female , Humans , Male , Young Adult , Amoxicillin/adverse effects , Amoxicillin/pharmacokinetics , Anti-Bacterial Agents/adverse effects , Anti-Bacterial Agents/pharmacokinetics , Area Under Curve , Bismuth/adverse effects , Bismuth/pharmacokinetics , China , Clarithromycin/adverse effects , Clarithromycin/pharmacokinetics , East Asian People , Healthy Volunteers , Proton Pump Inhibitors/adverse effects , Proton Pump Inhibitors/pharmacokinetics , Imidazoles/adverse effects , Imidazoles/pharmacokinetics , Benzene Derivatives/adverse effects , Benzene Derivatives/pharmacokinetics
2.
J Reprod Immunol ; 145: 103305, 2021 06.
Article in English | MEDLINE | ID: mdl-33725526

ABSTRACT

Air pollution is associated with preterm birth (PTB), potentially via inflammation. We recently showed the mixture benzene, toluene, ethylbenzene, and xylene (BTEX) is associated with PTB. We examined if ambient BTEX exposure is associated with mid-pregnancy inflammation in a sample of 140 African-American women residing in Detroit, Michigan. The Geospatial Determinants of Health Outcomes Consortium study collected outdoor air pollution measurements in Detroit; these data were coupled with Michigan Air Sampling Network measurements to develop monthly BTEX concentration estimates at a spatial density of 300 m2. First trimester and mid-pregnancy BTEX exposure estimates were assigned to maternal address. Mid-pregnancy (mean 21.3 ± 3.7 weeks gestation) inflammatory biomarkers (high-sensitivity C-reactive protein, interleukin [IL]-6, IL-10, IL-1ß, and tumor necrosis factor-α) were measured with enzyme immunoassays. After covariate adjustment, for every 1-unit increase in first trimester BTEX, there was an expected mean increase in log-transformed IL-1ß of 0.05 ± 0.02 units (P = 0.014) and an expected mean increase in log-transformed tumor necrosis factor-α of 0.07 ± 0.02 units (P = 0.006). Similarly, for every 1-unit increase in mid-pregnancy BTEX, there was a mean increase in log IL-1ß of 0.06 ± 0.03 units (P = 0.027). There was no association of either first trimester or mid-pregnancy BTEX with high-sensitivity C-reactive protein, IL-10, or IL-6 (all P > 0.05). Ambient BTEX exposure is associated with inflammation in mid-pregnancy in African-American women. Future studies examining if inflammation mediates associations between BTEX exposure and PTB are needed.


Subject(s)
Air Pollutants/adverse effects , Black or African American/statistics & numerical data , Interleukin-1beta/blood , Premature Birth/immunology , Tumor Necrosis Factor-alpha/blood , Adolescent , Adult , Benzene/adverse effects , Benzene Derivatives/adverse effects , Biomarkers/blood , Environmental Exposure/adverse effects , Female , Humans , Interleukin-1beta/immunology , Maternal Exposure/statistics & numerical data , Pregnancy , Premature Birth/blood , Toluene/adverse effects , Tumor Necrosis Factor-alpha/immunology , Xylenes/adverse effects , Young Adult
3.
Toxicol Ind Health ; 37(3): 134-141, 2021 Mar.
Article in English | MEDLINE | ID: mdl-33506745

ABSTRACT

Exposure to benzene, toluene, ethylbenzene, and xylene (BTEX) has been reported in gas stations. Exposure to BTEX can result in adverse health outcomes in workers such as cancer and neurological effects. The health risk assessments of exposure to BTEX could be useful in choosing suitable control measures. In this review, data from previous studies of gas station environments in Iran were collected from years 2000 to 2020. The health risk assessments were conducted through the estimation of cancer and noncancer risks using a Monte Carlo simulation based on the US Environmental Protection Agency method. The results showed that exposure to BTEX in some cities of Iran was greater than the occupational exposure limits. The results of cancer risk assessments demonstrated that cancer risk was not increased. However, results of noncancer risk assessments demonstrated that neurological toxicity from exposure to BTEX was significant in different cities of Iran. The health risk assessments indicated that workers at gas station are at health risk.


Subject(s)
Air Pollutants, Occupational/adverse effects , Benzene Derivatives/adverse effects , Neoplasms/chemically induced , Nervous System Diseases/chemically induced , Occupational Exposure/adverse effects , Air Pollutants, Occupational/analysis , Benzene , Benzene Derivatives/analysis , Cities , Environmental Monitoring , Humans , Iran , Occupational Exposure/analysis , Oil and Gas Industry , Risk Assessment , Toluene , Xylenes
4.
Clin Drug Investig ; 41(1): 89-97, 2021 Jan.
Article in English | MEDLINE | ID: mdl-33355910

ABSTRACT

BACKGROUND AND OBJECTIVES: Tegoprazan is one of the potassium-competitive acid blockers (P-CABs). It exhibits its anti-secretory effects by competitively and reversibly blocking the availability of K+ of the H+, K+-ATPase. This study was designed to investigate the safety and pharmacokinetics of tegoprazan in healthy Chinese subjects. METHODS: Thirty-eight healthy Chinese subjects were recruited in this randomized, single-center, double-blind, placebo-controlled study, with a single ascending dose of 50, 100, 200 mg and a multiple dose of 100 mg for 10 days. The plasma concentration of tegoprazan was determined by a validated liquid chromatography tandem mass spectrometry (LC-MS/MS) method. Pharmacokinetics were evaluated via non-compartmental and compartmental model analysis. Safety was assessed by physical examinations, vital signs, clinical laboratory tests, and electrocardiograms. RESULTS: No serious adverse event was observed in this study. After single-dose administration (50, 100 and 200 mg), tegoprazan was rapidly absorbed with a median maximum measure plasma concentration (Tmax) at 0.5 h and declined with a terminal (elimination) half-life (t1/2) of 3.87-4.57 h. The maximum measured plasma concentration (Cmax) for tegoprazan was 813.80, 1494.60 and 2829.00 ng/mL. Meanwhile, the corresponding area under the concentration-time curve (AUC) from time zero to infinity (AUC0-inf) was 2761.00, 5980.05 and 11,044.72 ng∙h/mL in 50, 100, 200 mg group, respectively. Dose-dependent increase was observed in the value of Cmax and AUC after administration of tegoprazan 50 to 200 mg. The two-compartment model well described the pharmacokinetic profile of tegoprazan. In the steady state, no accumulation was found after repeated administration at the 100-mg dose level. No experimental differences were found based on gender. CONCLUSIONS: Tegoprazan was well tolerated in the dose range of 50-200 mg in single- and 100 mg in multiple-dose studies. Tegoprazan shows dose linearity with oral administration after a single dose of 50 to 200 mg and less drug accumulation after 10 days of continuous administration in 100 mg.


Subject(s)
Benzene Derivatives/administration & dosage , Chromatography, Liquid , Imidazoles/administration & dosage , Tandem Mass Spectrometry , Administration, Oral , Adult , Area Under Curve , Asian People , Benzene Derivatives/adverse effects , Benzene Derivatives/pharmacokinetics , Double-Blind Method , Female , Humans , Imidazoles/adverse effects , Imidazoles/pharmacokinetics , Male , Young Adult
5.
Aliment Pharmacol Ther ; 52(5): 789-797, 2020 09.
Article in English | MEDLINE | ID: mdl-32701188

ABSTRACT

BACKGROUND: Tegoprazan is a novel potassium-competitive acid blocker for the treatment of acid-related disorders. AIMS: To assess whether tegoprazan is non-inferior to lansoprazole in terms of efficacy and safety in patients with gastric ulcers. METHODS: In this phase 3, double-blind, active control, multicentre study, 306 gastric ulcer patients were randomised to one of three treatment groups: tegoprazan 50 mg, tegoprazan 100 mg and lansoprazole 30 mg once daily for 4 or 8 weeks. The primary endpoint was the cumulative proportion of patients with healed ulcers confirmed by endoscopy up to 8 weeks from treatment initiation. Symptoms and safety were assessed. RESULTS: In the full analysis set, the cumulative healing rates at week 8 were 94.8% (91/96) for the tegoprazan 50 mg, 95.0% (94/99) for the tegoprazan 100 mg and 95.7% (89/93) for the lansoprazole 30 mg groups. At week 4, the respective healing rates were 90.6% (87/96), 91.9% (91/99), and 89.2% (83/93). In per protocol analysis, 4-week healing rates were 95.4% (84/88), 94.6% (88/93) and 92.9% (79/85) for tegoprazan 50 mg, tegoprazan 100 mg and lansoprazole 30 mg, respectively. Both doses of tegoprazan were non-inferior to lansoprazole in ulcer healing at 4 and 8 weeks. The incidence of drug-related treatment-emergent adverse events did not differ among groups. The increase in serum gastrin concentration was not higher in tegoprazan-treated patients than in lansoprazole-treated patients. CONCLUSIONS: Tegoprazan 50 or 100 mg were not inferior to lansoprazole 30 mg once daily in the treatment of gastric ulcers.


Subject(s)
Benzene Derivatives/administration & dosage , Imidazoles/administration & dosage , Lansoprazole/administration & dosage , Stomach Ulcer/drug therapy , Adult , Aged , Anti-Ulcer Agents/administration & dosage , Anti-Ulcer Agents/adverse effects , Benzene Derivatives/adverse effects , Dose-Response Relationship, Drug , Double-Blind Method , Drug Administration Schedule , Female , Humans , Imidazoles/adverse effects , Lansoprazole/adverse effects , Male , Middle Aged , Potassium/metabolism , Proton Pump Inhibitors/administration & dosage , Proton Pump Inhibitors/adverse effects , Republic of Korea , Treatment Outcome , Wound Healing/drug effects
6.
J Clin Pharm Ther ; 45(5): 1187-1189, 2020 Oct.
Article in English | MEDLINE | ID: mdl-32598503

ABSTRACT

WHAT IS KNOWN AND OBJECTIVE: Tegoprazan induces adverse drug reactions during clinical trials; however, tegoprazan-induced urticaria has not been reported. Here, we describe the first case of this. CASE DESCRIPTION: A 55-year-old woman presented with acute urticaria with pruritus after taking the gastro-oesophageal reflux disease medication, tegoprazan. Urticaria disappeared after tegoprazan discontinuation. In an oral provocation test, after taking 10% of tegoprazan, she developed pruritus, and after taking 30%, she developed urticaria on her back. WHAT IS NEW AND CONCLUSION: This is the first case of urticaria induced by tegoprazan. Physicians should understand the possibility of a tegoprazan-induced hypersensitivity reactions.


Subject(s)
Benzene Derivatives/adverse effects , Imidazoles/adverse effects , Pruritus/chemically induced , Urticaria/chemically induced , Benzene Derivatives/administration & dosage , Drug Hypersensitivity/diagnosis , Female , Gastroesophageal Reflux/drug therapy , Humans , Imidazoles/administration & dosage , Middle Aged
7.
Pak J Biol Sci ; 23(4): 518-525, 2020 Mar.
Article in English | MEDLINE | ID: mdl-32363837

ABSTRACT

BACKGROUND AND OBJECTIVE: Gas station attendants are occupationally exposed to benzene, toluene, ethylbenzene and xylene (BTEX) compounds and thus more susceptible to the biological effects of this mixture present in gasoline, especially due to the carcinogenicity of benzene. Furthermore, the harmful effects of BTEX exposure may be potentiated by genetic and epigenetic inactivation of critical genes. The objective was to evaluate such gene-BTEX interactions accessing the promoter methylation status of p14ARF, p16INK4A and GSTP1 in peripheral blood leukocyte samples. MATERIALS AND METHODS: The 59 exposed and 68 unexposed participants from Rio de Janeiro, Brazil, were included. The promoter methylation status was accessed by methylation-specific PCR (MSP) and GSTP1 Ile105Val polymorphism was investigated by PCR-restriction fragment length polymorphism (PCR-RFLP) technique. RESULTS: Both p14ARF and p16INK4A were significantly hypermethylated in exposed subjects compared to unexposed (p = 0.004 and p<0.001, respectively). Additionally, p16INK4A hypermethylation in the exposed group was correlated with chromosomal abnormalities (CAs) (p = 0.018), thus highlighting the influence of the gene-environment interactions on genome instability. Noteworthy, p16INK4A methylation was significantly associated with miscarriage among female attendants (p = 0.047), in which those who reported miscarriage exhibited hypermethylation in at least 2 of the 3 genes analyzed. The GSTP1 heterozygote genotype, which could affect the metabolism of benzene detoxification, was found in both groups but was more frequent in those occupationally exposed. No significant association was observed between GSTP1 genotypes and methylation status. CONCLUSION: Together, these findings indicate that gas station attendants with the aforementioned epigenetic and genetic profiles may be at greater risk of occupational BTEX exposure-induced genome instability, which could require concerted efforts to establish more preventive actions and constant biomonitoring in gas station attendants.


Subject(s)
Benzene Derivatives/adverse effects , DNA Methylation/drug effects , Gasoline/adverse effects , Promoter Regions, Genetic/drug effects , Toluene/adverse effects , Xylenes/adverse effects , Adult , Brazil , Case-Control Studies , Cyclin-Dependent Kinase Inhibitor p16/genetics , Female , Genomic Instability , Glutathione S-Transferase pi/genetics , Humans , Inhalation Exposure/adverse effects , Male , Middle Aged , Occupational Exposure/adverse effects , Occupational Health , Polymorphism, Genetic , Risk Assessment , Tumor Suppressor Protein p14ARF/genetics
8.
Environ Res ; 175: 100-107, 2019 08.
Article in English | MEDLINE | ID: mdl-31108353

ABSTRACT

BACKGROUND: The chemicals benzene, toluene, ethylbenzene, and xylenes (BTEX) are neuroactive. Exposures often co-occur because they share common sources. We examined neurologic effects of environmental BTEX exposure among U.S. Gulf coast residents taking into account concomitant exposures. METHODS: We measured blood concentrations of BTEX in 690 Gulf state residents. Neurologic symptoms were ascertained via telephone interview. We used log-binomial regression to estimate associations between blood BTEX levels and self-reported neurologic symptoms independently for the presence of any neurologic, central (CNS), or peripheral nervous system (PNS) symptoms. We estimated associations in single chemical models mutually adjusted for co-occurring BTEX and used weighted quantile sum regression to model associations between the combined BTEX mixture and neurologic symptoms. RESULTS: Half (49%) of participants reported at least one neurologic symptom. Each BTEX chemical was associated with increased CNS and PNS symptoms in single-chemical models comparing the highest to lowest quartile of exposure. After adjusting for coexposures, benzene was associated with CNS symptoms among all participants (PR = 2.13, 95% CI: 1.27, 3.57) and among nonsmokers (PR = 2.30, 95% CI: 1.35, 3.91). After adjusting for coexposures, associations with toluene were apparent only for reporting multiple PNS symptoms (PR = 2.00, 95% CI: 0.96, 4.16). In mixture analyses, a one-quartile increase in BTEX exposure was associated with neurologic symptoms (OR = 1.47, 95% CI: 1.11, 1.98). The weighted quantile sum index weighted benzene most heavily, which was consistent with single chemical analyses. CONCLUSIONS: Increasing blood benzene concentration was associated with increased prevalence of CNS symptoms. In this sample, BTEX-associated neurologic effects are likely driven by exposure to benzene and, to a lesser extent, toluene.


Subject(s)
Environmental Exposure , Hydrocarbons, Aromatic , Nervous System Diseases , Petroleum Pollution , Adult , Benzene/adverse effects , Benzene/analysis , Benzene Derivatives/adverse effects , Benzene Derivatives/blood , Female , Humans , Hydrocarbons, Aromatic/adverse effects , Hydrocarbons, Aromatic/blood , Male , Middle Aged , Nervous System Diseases/chemically induced , Nervous System Diseases/epidemiology , Socioeconomic Factors , Toluene/adverse effects , Toluene/blood , Xylenes/adverse effects , Xylenes/blood
9.
Article in English | MEDLINE | ID: mdl-30875733

ABSTRACT

Public concern regarding the use of products with chemicals has increased in Korea, following reports indicating that hazardous chemicals in products, such as disinfectants, can cause fatal lung disease. Despite the widespread use of car colorant products, little is known regarding their potential health risks. The purpose of this study was to determine the potential health risks of substances that exist in car colorant products. Thirteen car colorant products were purchased from the Korean market and 15 commonly used chemicals were analyzed. Exposure and risk assessments were conducted in two assessment stages (screening and refined). The analysis showed that all of the examined products contained toluene, ethylbenzene, and xylene. The maximum concentration of toluene was 52.5%, with a median concentration of 10.8%. Tier 1 (screening) assessment showed that four chemicals (toluene, ethylbenzene, xylene, and 2-butoxyethanol) may pose health risks, but tier 2 (refined) assessment showed that these chemicals do not pose any risk. However, these chemicals were present in all of the examined products, and government regulations did not control their concentrations in these products. Therefore, we suggest that levels of toluene, ethylbenzene, and xylene in car colorant products should be regulated to protect public health.


Subject(s)
Automobiles , Coloring Agents/adverse effects , Benzene Derivatives/adverse effects , Benzene Derivatives/analysis , Humans , Republic of Korea , Risk Assessment , Toluene/adverse effects , Toluene/analysis , Xylenes/adverse effects , Xylenes/analysis
10.
Int Arch Occup Environ Health ; 92(3): 403-413, 2019 Apr.
Article in English | MEDLINE | ID: mdl-30806784

ABSTRACT

PURPOSE: Exposure to organic solvents and noise may be causal agents in the development of hearing loss and tinnitus. The objectives of the present study were to examine the association of organic solvents with hearing loss and tinnitus and to assess the interaction of organic solvent and occupational noise exposure on hearing loss and tinnitus. METHODS: A secondary data analysis of data from the National Health and Nutrition Examination Survey and Occupational Information Network (O*NET) among a study population ranging from 1085 to 2471 study participants from 1999 to 2004. Multiple multivariate logistic regression models were used to assess the associations of individual organic solvent exposures as measured by blood biomarkers (1,4-dichlorobenzene, benzene, ethylbenzene, styrene, toluene, o-xylene, and m-/p-xylene) with self-reported hearing loss, audiometrically assessed hearing loss, and self-reported tinnitus. Models were adjusted for age, gender, race/ethnicity, diabetes, non-occupational noise exposure, smoking, and income. Organic solvents found to be statistically significantly associated with the outcome after adjusting for covariates were tested for interaction with occupational noise exposure. RESULTS: Solvent exposure was not statistically significantly associated with self-reported tinnitus. Benzene (OR 1.43, 95% CI 1.15-1.78), ethylbenzene (OR 1.24, 95% CI 1.02-1.50), and toluene (OR 1.27, 95% CI 1.06-1.52) concentrations were statistically significantly associated with increased adjusted odds of high-frequency hearing loss. No statistically significant interaction was observed between these solvents and occupational noise on high-frequency hearing loss. CONCLUSIONS: We found no evidence of an association between organic solvents and tinnitus; however, there was evidence of an association between organic solvent exposure and prevalence of high-frequency hearing loss.


Subject(s)
Hearing Loss/epidemiology , Noise, Occupational/adverse effects , Solvents/adverse effects , Tinnitus/epidemiology , Adult , Benzene , Benzene Derivatives/adverse effects , Biomarkers/blood , Female , Hearing Loss/etiology , Humans , Male , Middle Aged , Nutrition Surveys , Occupational Exposure/adverse effects , Risk Factors , Tinnitus/etiology , Toluene/adverse effects , United States/epidemiology
11.
Dis Markers ; 2018: 9078939, 2018.
Article in English | MEDLINE | ID: mdl-30154939

ABSTRACT

BACKGROUND: The nonracial leukopenia may be a result of exposure to polycyclic derivatives (benzene-toluene-xylene (BTX)) and may arise from a possible change in the bone marrow microenvironment. The present study sought to evaluate the association of genetic polymorphisms in xenobiotic-metabolizing enzymes with hematological and biochemical profiles. METHODS: We evaluated 89 African descendant children, exposed indirectly to benzene derivatives. Laboratory parameters were investigated by automated methods and genetic polymorphisms by PCR-RFLP and PCR multiplex. RESULTS: Children with leukopenia had significantly decreased white blood cells (WBCs) and platelet counts, which is not consistent with benign leukopenia. In the same group, we have found that carriers of the CYP2E1 variant allele had decreased WBC and lymphocytes. Those with NQO1 variant allele had decreased WBC, neutrophil, eosinophil, monocyte, and lymphocyte counts. Carriers of the MPO variant allele had decreased WBC, neutrophil, eosinophil, basophil, monocyte, lymphocyte, and platelet counts and an elevated free iron level. Children with GSTT and GSTM null exhibited decreased WBC, neutrophil, basophil, and lymphocyte counts. Our multivariate analysis model reveals that females were independently associated with leukopenia. CONCLUSION: Our results suggest that the polymorphisms investigated were associated with hematological changes in the studied population. These alterations could be heightened by exposure to benzene derivatives.


Subject(s)
Benzene Derivatives/adverse effects , Black People/genetics , Environmental Exposure/adverse effects , Leukopenia/diagnosis , Polymorphism, Genetic , Amplified Fragment Length Polymorphism Analysis , Brazil/ethnology , Child , Cross-Sectional Studies , Cytochrome P-450 CYP2E1/genetics , Female , Glutathione Transferase/genetics , Humans , Leukopenia/chemically induced , Leukopenia/genetics , Male , Multiplex Polymerase Chain Reaction , NAD(P)H Dehydrogenase (Quinone)/genetics , Peroxidase/genetics
12.
Carcinogenesis ; 39(5): 661-668, 2018 05 03.
Article in English | MEDLINE | ID: mdl-29538615

ABSTRACT

Although benzene has long been recognized as a cause of human leukemia, the mechanism by which this simple molecule causes cancer has been problematic. A complicating factor is benzene metabolism, which produces many reactive intermediates, some specific to benzene and others derived from redox processes. Using archived serum from 20 nonsmoking Chinese workers, 10 with and 10 without occupational exposure to benzene (exposed: 3.2-88.9 ppm, controls: 0.002-0.020 ppm), we employed an adductomic pipeline to characterize protein modifications at Cys34 of human serum albumin, a nucleophilic hotspot in extracellular fluids. Of the 47 measured human serum albumin modifications, 39 were present at higher concentrations in benzene-exposed workers than in controls and many of the exposed-control differences were statistically significant. Correlation analysis identified three prominent clusters of adducts, namely putative modifications by benzene oxide and a benzene diolepoxide that grouped with other measures of benzene exposure, adducts of reactive oxygen and carbonyl species, and Cys34 disulfides of small thiols that are formed following oxidation of Cys34. Benzene diolepoxides are potent mutagens and carcinogens that have received little attention as potential causes of human leukemia. Reactive oxygen and carbonyl species-generated by redox processes involving polyphenolic benzene metabolites and by Cyp2E1 regulation following benzene exposure-can modify DNA and proteins in ways that contribute to cancer. The fact that these diverse human serum albumin modifications differed between benzene-exposed and control workers suggests that benzene can increase leukemia risks via multiple pathways involving a constellation of reactive molecules.


Subject(s)
Benzene/adverse effects , Carcinogenesis/chemically induced , Leukemia/chemically induced , Adult , Benzene Derivatives/adverse effects , Carcinogens/toxicity , Cyclohexanes/adverse effects , Epoxy Compounds/adverse effects , Female , Humans , Leukemia/blood , Leukemia/metabolism , Male , Mutagens/adverse effects , Occupational Exposure/adverse effects , Risk , Serum Albumin/metabolism
13.
Br J Cancer ; 118(6): 793-801, 2018 03 20.
Article in English | MEDLINE | ID: mdl-29438372

ABSTRACT

BACKGROUND: The Notch pathway is frequently activated in cancer. Pathway inhibition by γ-secretase inhibitors has been shown to be effective in pre-clinical models of pancreatic cancer, in combination with gemcitabine. METHODS: A multi-centre, non-randomised Bayesian adaptive design study of MK-0752, administered per os weekly, in combination with gemcitabine administered intravenously on days 1, 8 and 15 (28 day cycle) at 800 or 1000 mg m-2, was performed to determine the safety of combination treatment and the recommended phase 2 dose (RP2D). Secondary and tertiary objectives included tumour response, plasma and tumour MK-0752 concentration, and inhibition of the Notch pathway in hair follicles and tumour. RESULTS: Overall, 44 eligible patients (performance status 0 or 1 with adequate organ function) received gemcitabine and MK-0752 as first or second line treatment for pancreatic cancer. RP2Ds of MK-0752 and gemcitabine as single agents could be combined safely. The Bayesian algorithm allowed further dose escalation, but pharmacokinetic analysis showed no increase in MK-0752 AUC (area under the curve) beyond 1800 mg once weekly. Tumour response evaluation was available in 19 patients; 13 achieved stable disease and 1 patient achieved a confirmed partial response. CONCLUSIONS: Gemcitabine and a γ-secretase inhibitor (MK-0752) can be combined at their full, single-agent RP2Ds.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/administration & dosage , Antineoplastic Combined Chemotherapy Protocols/adverse effects , Carcinoma, Pancreatic Ductal/drug therapy , Pancreatic Neoplasms/drug therapy , Adult , Aged , Amyloid Precursor Protein Secretases/antagonists & inhibitors , Antineoplastic Combined Chemotherapy Protocols/pharmacokinetics , Bayes Theorem , Benzene Derivatives/administration & dosage , Benzene Derivatives/adverse effects , Benzene Derivatives/pharmacokinetics , Carcinoma, Pancreatic Ductal/metabolism , Deoxycytidine/administration & dosage , Deoxycytidine/adverse effects , Deoxycytidine/analogs & derivatives , Deoxycytidine/pharmacokinetics , Drug Administration Schedule , Female , Humans , Infusions, Intravenous , Male , Middle Aged , Pancreatic Neoplasms/metabolism , Propionates/administration & dosage , Propionates/adverse effects , Propionates/pharmacokinetics , Receptors, Notch/antagonists & inhibitors , Receptors, Notch/metabolism , Signal Transduction/drug effects , Sulfones/administration & dosage , Sulfones/adverse effects , Sulfones/pharmacokinetics , Gemcitabine
14.
Environ Res ; 158: 598-609, 2017 10.
Article in English | MEDLINE | ID: mdl-28719868

ABSTRACT

Traditionally, human health risk assessments have relied on qualitative approaches for hazard identification, which involves weight of evidence determinations that integrate evidence across multiple studies. Recently, the National Research Council has recommended the development of quantitative approaches for evidence integration, including the application of meta-analyses, to help summarize and evaluate the results of a systematic review. In the meta-analytic approach, a pooled effect size is calculated after consideration of multiple potential confounding factors in order to determine whether the entire database under consideration indicates a chemical is a hazard. The following case-study applies qualitative and quantitative approaches to determine whether trimethylbenzene (TMB) isomers represent a neurotoxic hazard, specifically focusing on pain sensitivity. Following a thorough literature search, the only pain sensitivity studies available for TMBs initially seem discordant in their results: effects on pain sensitivity are seen immediately after termination of exposure, appear to resolve 24h after exposure, and then reappear 50 days later following foot-shock. Qualitative consideration of toxicological and toxicokinetic characteristics of the TMB isomers suggests that the observed differences between studies are likely due to testing time and the application of external stressors. Meta-analyses and -regressions support this conclusion: when all studies are included and possible confounders (isomer, testing time, laboratory, etc.) are accounted for, the pooled effect sizes are statistically significant, thus supporting that TMBs are a possible neurotoxic hazard to human health. Ultimately, this case study demonstrates how qualitative and quantitative methods can be combined to provide a robust hazard identification analysis by incorporating more of the available information.


Subject(s)
Benzene Derivatives/adverse effects , Environmental Exposure , Pain/chemically induced , Humans , Meta-Analysis as Topic
15.
J Cell Biochem ; 118(5): 1028-1037, 2017 05.
Article in English | MEDLINE | ID: mdl-27487292

ABSTRACT

Herpes simplex viruses can cause uncommon systemic complications as acute liver failure (ALT) or urinary tract dysfunctions. Diphenyl diselenide, (PhSe)2 , a classical studied organic selenium compound, has a novel antiviral action against HSV-2 infection and well-known antioxidant and anti-inflammatory properties. This study aimed to investigate if (PhSe)2 reduces oxidative stress and systemic toxicity caused by HSV-2 infection in mice. Adult BALB/c mice were pre-treated with (PhSe)2 (5 mg kg-1 /day, intragastric, i.g.) during 5 days; at day 6 mice were infected with HSV-2 (10 µl-105 PFU/mL-1 ) and post-treated with (PhSe)2 for more 5 days. At day 11, they were killed and samples of liver and kidney were obtained to determine: reactive species (RS); malondialdehyde (MDA), and non-protein thiols (NPSH) levels; the activities of antioxidant enzymes, superoxide dismutase (SOD), and catalase (CAT). The activities of adenosine deaminase (ADA), Na+ /K+ -ATPase (liver and kidney); alanine aminotransferase (ALT), aspartate aminotransferase (AST), and the levels of urea (plasma) were determined as markers of hepatic and renal toxicity. The results revealed that (PhSe)2 treatment was effective against the increase of renal and hepatic oxidative stress in infected mice and also normalized hepatic and renal ADA activity. It recovered the activity of Na+ /K+ - and was not effective against the increase in urea levels in infected mice. Different from (PhSe)2 , acyclovir (positive control), caused an increase in ADA activity and a decrease in hepatic CAT activity. Considering the interest of alternative therapies to treat HSV-2 infections and secondary complications, (PhSe)2 become a notable candidate. J. Cell. Biochem. 118: 1028-1037, 2017. © 2016 Wiley Periodicals, Inc.


Subject(s)
Antioxidants/administration & dosage , Antiviral Agents/administration & dosage , Benzene Derivatives/administration & dosage , Herpes Genitalis/drug therapy , Kidney/drug effects , Liver/drug effects , Organoselenium Compounds/administration & dosage , Adenosine Deaminase/metabolism , Animals , Antioxidants/adverse effects , Antioxidants/pharmacology , Antiviral Agents/adverse effects , Antiviral Agents/pharmacology , Benzene Derivatives/adverse effects , Benzene Derivatives/pharmacology , Catalase/metabolism , Female , Gene Expression Regulation/drug effects , Herpes Genitalis/virology , Herpesvirus 2, Human/drug effects , Herpesvirus 2, Human/pathogenicity , Kidney/metabolism , Liver/metabolism , Male , Mice , Mice, Inbred BALB C , Organoselenium Compounds/adverse effects , Organoselenium Compounds/pharmacology , Oxidative Stress/drug effects , Superoxide Dismutase/metabolism
16.
Chemosphere ; 163: 601-609, 2016 Nov.
Article in English | MEDLINE | ID: mdl-27589149

ABSTRACT

The aim of this study was to measure BTEX (benzene, toluene, ethylbenzene, and xylenes) concentrations in the ambient air of Tehran, the capital of Iran, and investigate their seasonal variations, probable sources, spatial mapping, and risk assessment. The concentrations of BTEX were measured using a continuous monitoring device installed in seven stations around the city. Spatial mapping procedure was conducted using the inverse distance weighting (IDW) method. Monte Carlo simulation was used to assess the carcinogenic and noncarcinogenic risks imposed by BTEX. The highest and lowest annual mean concentrations of toluene and ethylbenzene were recorded as 16.25 and 3.63 µg m(-3), respectively. The maximum (6.434) and minimum (3.209) toluene/benzene (T/B) ratio was observed in summer and winter, respectively. The spatial distribution of BTEX pollution indicated that the highest concentrations were found along the major roads because of heavy traffic. Spearman's rank correlation coefficients and concentration ratios showed that BTEX were produced by the multiemission sources. The mean of inhalation lifetime cancer risk (LTCR) for benzene was 3.93 × 10(-7), which is lower than the limits recommended by the United States Environmental Protection Agency (US EPA) and the World Health Organization (WHO). The hazard quotient (HQ), noncarcinogenic risk index, for all BTEX compounds was <1. The obtained results showed no threat of BTEX concentrations to human health. However, as the concentrations of BTEX will increase due to the rapid growth of vehicles and industrial activities, much effort is required to control and manage the levels of these compounds in the future.


Subject(s)
Benzene Derivatives/analysis , Benzene/analysis , Environmental Monitoring/methods , Neoplasms/epidemiology , Toluene/analysis , Xylenes/analysis , Adult , Air Pollutants/analysis , Benzene/adverse effects , Benzene Derivatives/adverse effects , Humans , Iran/epidemiology , Neoplasms/chemically induced , Risk Assessment , Seasons , Toluene/adverse effects , Xylenes/adverse effects
17.
Int J Hyg Environ Health ; 218(7): 590-602, 2015 Oct.
Article in English | MEDLINE | ID: mdl-26141241

ABSTRACT

To date, there is still shortage of highly sensitive and specific minimally invasive biomarkers for assessment of environmental toxicants exposure. Because of the significance of microRNA (miRNA) in various diseases, circulating miRNAs in blood may be unique biomarkers for minimally invasive prediction of toxicants exposure. We identified and validated characteristic miRNA expression profiles of human whole blood in workers exposed to volatile organic compounds (VOCs) and compared the usefulness of miRNA indicator of VOCs with the effectiveness of the already used urinary biomarkers of occupational exposure. Using a microarray based approach we screened and detected deregulated miRNAs in their expression in workers exposed to VOCs (toluene [TOL], xylene [XYL] and ethylbenzene [EBZ]). Total 169 workers from four dockyards were enrolled in current study, and 50 subjects of them were used for miRNA microarray analysis. We identified 467 miRNAs for TOL, 211 miRNAs for XYL, and 695 miRNAs for XYL as characteristic discernible exposure indicator, which could discerned each VOC from the control group with higher accuracy, sensitivity, and specificity than urinary biomarkers. Current observations from this study point out that the altered levels of circulating miRNAs can be a reliable novel, minimally invasive biological indicator of occupational exposure to VOCs.


Subject(s)
Air Pollutants, Occupational/analysis , Benzene Derivatives/analysis , MicroRNAs/blood , Occupational Exposure/analysis , Toluene/analysis , Volatile Organic Compounds/analysis , Xylenes/analysis , Adult , Air Pollutants/adverse effects , Air Pollutants/analysis , Air Pollutants, Occupational/adverse effects , Air Pollution/adverse effects , Air Pollution/analysis , Benzene Derivatives/adverse effects , Biomarkers/blood , Environmental Exposure/adverse effects , Environmental Exposure/analysis , Female , Humans , Male , Middle Aged , Occupational Exposure/adverse effects , Toluene/adverse effects , Volatile Organic Compounds/adverse effects , Xylenes/adverse effects , Young Adult
18.
Article in English | MEDLINE | ID: mdl-24936773

ABSTRACT

Anxiety-related disorders are frequently observed in the population. Because the available pharmacotherapies for anxiety can cause side effects, new anxiolytic compounds have been screened using behavioral tasks. For example, diphenyl diselenide (PhSe)2, a simple organoselenium compound with neuroprotective effects, has demonstrated anxiolytic effects in rodents. However, this compound has not yet been tested in a novelty-based paradigm in non-mammalian animal models. In this study, we assessed the potential anxiolytic effects of (PhSe)2 on the behavior of adult zebrafish under novelty-induced stress. The animals were pretreated with 0.1, 0.25, 0.5, and 1µM (PhSe)2 in the aquarium water for 30min. The fish were then exposed to a novel tank, and their behavior was quantified during a 6-min trial. (PhSe)2 treatment altered fish behavior in a concentration-dependent manner. At 0.01 and 0.25µM, (PhSe)2 did not elicit effects on fish behavior. At 0.5µM, moderate behavioral side effects (e.g., lethargy and short episodic immobility) were noted. At the highest concentration tested (1µM), dramatic side effects were observed, such as burst behavior and longer periods of immobility. The results were confirmed by spatiotemporal analysis of each group. Occupancy plot data showed dispersed homebase formation in the 0.25µM (PhSe)2-treated group compared with the control group (treated with 0.04% DMSO). Furthermore, animals treated with 0.25µM (PhSe)2 showed a reduction in latency to enter the top and spent more time in the upper area of the tank. These data suggest that (PhSe)2 may induce an anxiolytic-like effect in situations of anxiety evoked by novelty.


Subject(s)
Anti-Anxiety Agents/pharmacology , Anxiety Disorders/drug therapy , Benzene Derivatives/pharmacology , Exploratory Behavior/drug effects , Organoselenium Compounds/pharmacology , Stress, Psychological/drug therapy , Animals , Anti-Anxiety Agents/adverse effects , Benzene Derivatives/adverse effects , Disease Models, Animal , Dose-Response Relationship, Drug , Female , Male , Motor Activity/drug effects , Neuropsychological Tests , Organoselenium Compounds/adverse effects , Random Allocation , Zebrafish
19.
Int J Environ Res Public Health ; 11(6): 6354-74, 2014 Jun 18.
Article in English | MEDLINE | ID: mdl-24945191

ABSTRACT

A comprehensive evaluation of the adverse health effects of human exposures to BTX from service station emissions was carried out using BTX exposure data from the scientific literature. The data was grouped into different scenarios based on activity, location and occupation and plotted as Cumulative Probability Distributions (CPD) plots. Health risk was evaluated for each scenario using the Hazard Quotient (HQ) at 50% (CEXP50) and 95% (CEXP95) exposure levels. HQ50 and HQ95 > 1 were obtained with benzene in the scenario for service station attendants and mechanics repairing petrol dispensing pumps indicating a possible health risk. The risk was minimized for service stations using vapour recovery systems which greatly reduced the benzene exposure levels. HQ50 and HQ95 < 1 were obtained for all other scenarios with benzene suggesting minimal risk for most of the exposed population. However, HQ50 and HQ95 < 1 was also found with toluene and xylene for all scenarios, suggesting minimal health risk. The lifetime excess Cancer Risk (CR) and Overall Risk Probability for cancer on exposure to benzene was calculated for all Scenarios and this was higher amongst service station attendants than any other scenario.


Subject(s)
Air Pollutants, Occupational/analysis , Benzene Derivatives/analysis , Occupational Exposure/analysis , Benzene/analysis , Benzene Derivatives/adverse effects , Gasoline , Humans , Neoplasms/chemically induced , Risk Assessment , Toluene/analysis , Xylenes/analysis
20.
Fish Physiol Biochem ; 40(1): 141-9, 2014 Feb.
Article in English | MEDLINE | ID: mdl-23877622

ABSTRACT

Several diets employed in aquaculture are enriched with selenium (Se), as it is a fundamental element to aquatic vertebrates. Diphenyl diselenide [(PhSe)2], which is a synthetic organoselenium compound, has been considered a potential antioxidant agent in different experimental models. Thus, the aim of this study was to evaluate the effects of dietary diphenyl diselenide at concentrations of 1.5, 3.0, and 5.0 mg/kg for 60 days and to determine its optimal supplemental level for carp, Cyprinus carpio. Neither growth retardation nor hepatoxicity was induced by the inclusion of diphenyl diselenide at concentrations ranging from 1.5 to 5.0 mg/kg. In addition, the inclusion of 3.0 mg/kg of diphenyl diselenide stimulated the weight and length of the carp. The supplementation with 1.5 and 3.0 mg/kg of diphenyl diselenide did not produce oxidative damage in the tissues, verified by peroxidation lipid and protein carbonyl assays. However, at 5.0 mg/kg, it caused an increase of the lipid peroxidation in the liver, brain, and muscle, and inhibited the cerebral acetylcholinesterase activity. An increase of the hepatic superoxide dismutase activity and non-protein thiols content in all tissues and ascorbic acid in the liver, gills, and brain was verified in carp fed with the diet containing 3.0 mg/kg of diphenyl diselenide. This diet had advantageous effects for the fish used in experiments. Therefore, this compound could be considered a beneficial dietary supplement for carp nutrition.


Subject(s)
Benzene Derivatives/administration & dosage , Carps , Organoselenium Compounds/administration & dosage , Acetylcholinesterase/metabolism , Animal Nutritional Physiological Phenomena , Animals , Aquaculture , Benzene Derivatives/adverse effects , Body Weight/drug effects , Catalase/metabolism , Diet , Glutathione Transferase/metabolism , Liver/drug effects , Liver/enzymology , Organoselenium Compounds/adverse effects , Porphobilinogen Synthase/blood , Protein Carbonylation/drug effects , Sulfhydryl Compounds/metabolism , Superoxide Dismutase/metabolism , Thiobarbituric Acid Reactive Substances/metabolism
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