Exposure to disinfection by-products in swimming pools and biomarkers of genotoxicity and respiratory damage - The PISCINA2 Study.


Journal

Environment international
ISSN: 1873-6750
Titre abrégé: Environ Int
Pays: Netherlands
ID NLM: 7807270

Informations de publication

Date de publication:
10 2019
Historique:
received: 11 02 2019
revised: 28 06 2019
accepted: 30 06 2019
pubmed: 20 7 2019
medline: 28 2 2020
entrez: 20 7 2019
Statut: ppublish

Résumé

Swimming in pools is a healthy activity that entails exposure to disinfection by-products (DBPs), some of which are irritant and genotoxic. We evaluated exposure to DBPs during swimming in a chlorinated pool and the association with short-term changes in genotoxicity and lung epithelium permeability biomarkers. Non-smoker adults (N = 116) swimming 40 min in an indoor pool were included. We measured a range of biomarkers before and at different times after swimming: trihalomethanes (THMs) in exhaled breath (5 min), trichloroacetic acid (TCAA) in urine (30 min), micronuclei in lymphocytes (1 h), serum club cell protein (CC16) (1 h), urine mutagenicity (2 h) and micronuclei in reticulocytes (4 days in a subset, N = 19). Several DBPs in water and trichloramine in air were measured, and physical activity was extensively assessed. We estimated interactions with polymorphisms in genes related to DBP metabolism. Median level of chloroform, brominated and total THMs in water was 37.3, 9.5 and 48.5, μg/L, respectively, and trichloramine in air was 472.6 μg/m The unchanged levels of the short-term effect biomarkers after swimming and null associations with personal estimates of exposure to DBPs suggest no measurable effect on genotoxicity in lymphocytes, urine mutagenicity and lung epithelium permeability at the observed exposure levels. The moderate associations with micronuclei in reticulocytes require cautious interpretation given the reduced sample size.

Sections du résumé

BACKGROUND
Swimming in pools is a healthy activity that entails exposure to disinfection by-products (DBPs), some of which are irritant and genotoxic.
OBJECTIVES
We evaluated exposure to DBPs during swimming in a chlorinated pool and the association with short-term changes in genotoxicity and lung epithelium permeability biomarkers.
METHODS
Non-smoker adults (N = 116) swimming 40 min in an indoor pool were included. We measured a range of biomarkers before and at different times after swimming: trihalomethanes (THMs) in exhaled breath (5 min), trichloroacetic acid (TCAA) in urine (30 min), micronuclei in lymphocytes (1 h), serum club cell protein (CC16) (1 h), urine mutagenicity (2 h) and micronuclei in reticulocytes (4 days in a subset, N = 19). Several DBPs in water and trichloramine in air were measured, and physical activity was extensively assessed. We estimated interactions with polymorphisms in genes related to DBP metabolism.
RESULTS
Median level of chloroform, brominated and total THMs in water was 37.3, 9.5 and 48.5, μg/L, respectively, and trichloramine in air was 472.6 μg/m
CONCLUSIONS
The unchanged levels of the short-term effect biomarkers after swimming and null associations with personal estimates of exposure to DBPs suggest no measurable effect on genotoxicity in lymphocytes, urine mutagenicity and lung epithelium permeability at the observed exposure levels. The moderate associations with micronuclei in reticulocytes require cautious interpretation given the reduced sample size.

Identifiants

pubmed: 31323486
pii: S0160-4120(19)30465-9
doi: 10.1016/j.envint.2019.104988
pii:
doi:

Substances chimiques

Biomarkers 0
Disinfectants 0
Water Pollutants, Chemical 0

Types de publication

Journal Article Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

104988

Subventions

Organisme : Medical Research Council
ID : MR/S019669/1
Pays : United Kingdom

Informations de copyright

Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.

Auteurs

Laia Font-Ribera (L)

ISGlobal, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Carlos III Institute of Health, Madrid, Spain; IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.

Esther Marco (E)

Institute of Environmental Assessment and Water Research (IDÆA-CSIC), Barcelona, Spain.

Joan O Grimalt (JO)

Institute of Environmental Assessment and Water Research (IDÆA-CSIC), Barcelona, Spain.

Susana Pastor (S)

Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Carlos III Institute of Health, Madrid, Spain; Universitat Autònoma de Barcelona (UAB), Barcelona, Spain.

Ricard Marcos (R)

Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Carlos III Institute of Health, Madrid, Spain; Universitat Autònoma de Barcelona (UAB), Barcelona, Spain.

Lilianne Abramsson-Zetterberg (L)

National Food Administration, Uppsala, Sweden.

Marie Pedersen (M)

Department of Public Health, Section of Epidemiology, University of Copenhagen, Denmark; Danish Cancer Society Research Center, Diet, Genes and Environment, Copenhagen, Denmark.

Tamara Grummt (T)

German Environment Agency, Bad Elster, Germany.

Ralf Junek (R)

German Environment Agency, Bad Elster, Germany.

Esther Barreiro (E)

Universitat Pompeu Fabra (UPF), Barcelona, Spain; Pulmonology Department-Lung Cancer & Muscle Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain; CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain.

Dick Heederik (D)

Institute for Risk Assessment Sciences (IRAS), Utrecht, the Netherlands.

Jack Spithoven (J)

Institute for Risk Assessment Sciences (IRAS), Utrecht, the Netherlands.

Rossana Critelli (R)

Italian Institute for Genomic Medicine (IIGM), Torino, Italy; Department of Medical Science, University of Turin, Turin, Italy.

Alessio Naccarati (A)

Italian Institute for Genomic Medicine (IIGM), Torino, Italy.

Christina Schmalz (C)

Environmental Analytical Chemistry, Center for Applied Geoscience, University of Tübingen, Tübingen, Germany.

Christian Zwiener (C)

Environmental Analytical Chemistry, Center for Applied Geoscience, University of Tübingen, Tübingen, Germany.

Jiaqi Liu (J)

Department of Civil and Environmental Engineering, Hong Kong University of Science and Technology, Hong Kong, China.

Xiangru Zhang (X)

Department of Civil and Environmental Engineering, Hong Kong University of Science and Technology, Hong Kong, China.

William Mitch (W)

Department of Civil and Environmental Engineering, Stanford University, Palo Alto, CA, USA.

Esther Gracia-Lavedan (E)

ISGlobal, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Carlos III Institute of Health, Madrid, Spain.

Lourdes Arjona (L)

ISGlobal, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Carlos III Institute of Health, Madrid, Spain; IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.

Jeroen de Bont (J)

ISGlobal, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Carlos III Institute of Health, Madrid, Spain.

Lluïsa Tarès (L)

ISGlobal, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Carlos III Institute of Health, Madrid, Spain.

Paolo Vineis (P)

School of Public Health, Imperial College London, UK.

Manolis Kogevinas (M)

ISGlobal, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Carlos III Institute of Health, Madrid, Spain; IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.

Cristina M Villanueva (CM)

ISGlobal, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Carlos III Institute of Health, Madrid, Spain; IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain. Electronic address: cristina.villanueva@isglobal.org.

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