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Institute of Public Health, University of Copenhagen, DK-2200 Copenhagen N [M. S., L. E. K., S. L.]; The Department of Environmental and Occupational Medicine, University of Aarhus, DK-8000 Aarhus [H. A.]; National Environmental Research Institute, DK-4000 Roskilde [O. H.]; and National Institute of Occupational Health, DK-2100 Copenhagen Ø [H. W.], Denmark
| Abstract |
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2.5 µm in diameter (PM2.5) has been associated with an increased cancer risk. However, outdoor PM2.5 concentrations may not be the best measure of the individual particle exposure that is a sum of many sources besides outdoor particle levels, e.g., environmental tobacco smoke and cooking. We measured personal PM2.5 and black smoke exposure in 50 students four times over 1 year and analyzed for biomarkers of different types of DNA damages. Ambient PM2.5 concentrations were also measured. Exposure was measured for 48 h, after which blood samples were collected and analyzed for DNA damage in lymphocytes in terms of 7-hydro-8-oxo-2'-deoxyguanosine (8-oxodG), strand breaks, endonuclease III- and fapyguanine glycosylase-sensitive sites, and polyaromatic hydrocarbon adducts. Twenty-four-h urine collections were analyzed for 8-oxodG and 1-hydroxypyrene. Personal PM2.5 exposure was found to be a predictor of 8-oxodG in lymphocyte DNA with an 11% increase in 8-oxodG/10 µg/m3 increase in personal PM2.5 exposure (P = 0.007). No other associations between exposure markers and biomarkers could be distinguished. The genotype of glutathione S-transferase M1 (GSTM1), T1 (GSTT1), and P1 (GSTP1) and NADPH:quinone reductase was also determined, but there were no effects of genotype on DNA polyaromatic hydrocarbon adducts or oxidative damage. The results suggest that moderate exposure to concentrations of PM can induce oxidative DNA damage and that personal PM2.5 exposure is more important in this aspect than is ambient PM2.5 background concentration. | Introduction |
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PAHs are also hypothesized to be involved in the particle-induced carcinogenesis as several PAHs found in urban and indoor PM, e.g., benzo[a]pyrene is classified as probably carcinogenic in humans (10) . PAHs undergo metabolic activation by cytochrome P450 enzymes. This involves the formation of epoxides and diolepoxides capable of binding covalently to DNA, thereby potentially initiating the carcinogenic process (11) . Additional metabolism results in deactivation through glutathione conjugation by GSTs, followed by excretion in urine. The biological response to PAHs in humans varies substantially. These interindividual differences, e.g., measured by concentrations of PAH adducts in DNA have been associated with polymorphisms in several metabolism enzymes (12 , 13) .
In most studies assessing the effect of particulate air pollution on health, either occupationally exposed groups have been studied or outdoor monitoring of urban background PM2.5 or PM10 concentrations have been used as exposure estimate. However, people spent
90% of their time indoors, and several indoor PM sources have been identified (14
, 15)
. This associates risk assessment based mainly on outdoor measurements of air pollutants with some uncertainty, because the outdoor PM concentrations used in the health studies to estimate exposure may not reflect true population exposures to PM. Monitoring personal exposure to PM and relevant biological effects may be difficult. However, by means of biomarkers mechanistically related to relevant health effects, it may be possible to assess relevant exposure to PM and the involved sources.
The aim of this study was to examine the link between personal exposure to fine PM and biomarkers related to an increased risk of cancer. Personal PM2.5 exposure was estimated for 50 students living in central Copenhagen four times in 1 year. Collected blood and urine samples were analyzed for PAH adducts, 1-HP excretion, markers of oxidative DNA damage, and genotypes of the susceptibility genes GSTT1, GSTM1, GSTP1, and NQO1.
| Materials and Methods |
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The subjects were recruited through a notice in a university newsletter. All participants were nonsmokers, living, and studying in central parts of Copenhagen. They were 2033 years of age, with a median age of 24 years, and there was an even distribution of males and females. Not all of the 50 subjects could participate in all four campaigns, and new subjects were recruited so that in each campaign, 50 subjects participated. In all, 68 subjects participated of whom 31 subjects participated in all four campaigns (corresponding to 124 measurements), 12 subjects participated in three campaigns (corresponding to 36 measurements), 10 subjects participated in two campaigns (corresponding to 20 measurements), and 15 subjects participated in only one campaign (corresponding to 15 measurements). All together, 195 measurements were collected which were all included in the subsequent statistical analysis. The subjects filled in questionnaires, which included registration of how long they spent at the same location as smokers (exposure to ETS). Morning blood samples were collected at the end of each 2-day campaign, and 24-h urine samples were collected at the 2nd day of the measuring campaign. The local ethics committee approved the study protocol, and subjects gave written informed consent before entry into the study.
Air Sampling and Analysis.
The particles were sampled using a system from the International Gravity Bureau (Toulouse, France) (16)
, a KTL PM2.5 cyclone developed for the European EXPOLIS study (17)
, a International Gravity Bureau 400 pump (flow 4 liters/min), and a battery for 48-h operation. The samplers were in operation for 48 h to collect sufficient PM2.5 material for accurate measurement of mass. The equipment for personal sampling was placed in a backpack, which the subjects carried or placed nearby when they were indoors. Sampling was done on 37-mm Teflon filters (Biotech Line, Lynge, Denmark). Before and after sampling, the filters were weighted on a Micro weight MT5 from Mettler-Toledo (Glostrup, Denmark) after conditioning for 24 h in the laboratory. The detection limit was determined to
26 µg and defined as three times the SD on blank filters. On the basis of eight parallel measurements, repeated six times, the coefficient of variation was calculated to 14.4%.
The reflectance level (black smoke) of the PM2.5 filters was measured by a Model 43 Smokestain Reflectometer (Diffusion Systems LTD, London, United Kingdom). On each filter, the reflectance was measured with triple determinations in five different spots. The 15 measurements were averaged and transformed into the absorption coefficient (a, m-1) using the following formula: a = (A/2V) x ln(R0/R) (18) . A is the area of the stain on the filter paper (m2), V is the volume sampled (m3), R is the intensity of reflected light from the exposed filter, and R0 is the intensity of reflected light from a clean filter. The coefficient of variation was 22.2%, calculated on the basis of eight parallel measurements repeated five times. Three black smoke measurements were below detection limit of 0.01 x 10-6 m-1. To include these measurements in a logarithmic model, they were given the value of 0.007 x 10-6 m-1 estimated according to the formula: detection limit/square root 2, suggested by Hornung and Reed (19) .
Analysis of 8-oxodG.
After venous puncture, blood samples were collected in 2 x 10-ml sodium heparin tubes (Termo Venoject glass tubes, Leuven, Belgium). Immediately, lymphocytes from the 20-ml whole blood were isolated by centrifugation for 30 min at 350 x g after diluting the blood 1:1 with 0.9% NaCl and adding 4 ml of Lymphoprep (Nycomed Pharma, Oslo, Norway) to the bottom of 5 ml of the blood/NaCl solution. The lymphocytes were then collected, washed in 0.9% NaCl, and centrifuged 10 min at 350 x g. The pellet was subsequently washed in 2 ml of lysis buffer [0.32 M sucrose, 5 mM MgCl2, 10 mM Tris, 0.1 mM desferoxamine mesylate, and 1% Triton X (pH 7.5)] and centrifuged at 1500 x g for 10 min. The DNA isolation procedure and the HPLC with electrochemical detection were performed immediately as described previously (20)
. Storage problems preclude the use of lymphocytes for quality control. However, with rat tissues used for quality control, the interassay coefficient of variation was <18%. The urinary concentration of 8-oxodG was measured by column switching HPLC-electrochemical detection as described previously (21)
.
Single-cell Gel Electrophoresis (Comet Assay).
Lymphocytes were isolated by adding 60 µl of whole blood collected in sodium heparin tubes (Termo Venoject glass tubes) to 1 ml of RPMI + 10% FCS, followed by incubation on ice for 30 min. Then, 200 µl of Lymphoprep were added, and the solution was centrifuged for 6 min at 300 x g. The lymphocytes were collected and washed with 1 ml of PBS. After centrifugation, the pellet was resuspended in 60 µl of PBS. Single-cell gel electrophoresis and measurement of SBs, as well as FPG- and ENDO-sensitive sites, were done as described previously (22)
. FPG- and ENDO-sensitive sites reflect oxidized purine and pyrimidines in DNA, respectively (23)
. The cells were visually scored according to five classes (04) and summed, giving a total score between 0 and 400 (23)
.
PAH Adducts and 1-HP.
PAH adducts were measured in lymphocyte DNA by 32P-postlabelling using butanol enrichment as described previously (12)
. An internal standard was used to correct for assay variability, and each sample was measured in at least two separate analyses. The interassay coefficient of variation was <10%. After measuring all 186 samples, further quality control was used as we repeated the measurement of 16 samples selected from different runs and seasons. The coefficient of variation between the separated analytical periods was 12.6%. 1-HP was measured by HPLC with fluorescence detection as described previously (24)
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Determination of GSTT1, GSTM1, GSTP1, and NQO1 Genotypes.
DNA was isolated from lymphocytes using standard phenol extraction procedures. The genotypes of GSTT1, GSTM1, GSTP1, and NQO were determined by PCR-based assays as described previously (25)
.
Statistics.
All statistical analyses were carried out using SAS software (version 8e). Mixed model repeated measures analysis (Proc mixed) was used to describe concentrations of the biomarkers (8-oxodG in lymphocytes, urine, comet scores, PAH adducts, and 1-HP) as a function of various predictors. As predictors, we included season, gender, average outdoor temperature, and, in four separate models for each dependent variable, the exposure markers: (a) personal PM2.5 exposure; (b) personal black smoke exposure; (c) background PM2.5 concentration; and (d) percentage of time exposed to ETS. The season was included to account for systematic errors in exposure sampling and analysis of the biomarkers. In the PAH adduct models, the genotypes of GSTM1, GSTT1, and GSTP1 were included as predictors. In the models with biomarkers of oxidative stress (8-oxodG-, ENDO-, and FPG-sensitive sites), the NQO1 genotype was included as a predictor. Subject nested in gender was included as a random factor to account for factors that could possibly lead to an (within the subject) inherent basis level in the dependent variable that was not included in the model. A backward selection was applied, and in the final model, only significant factors were included. The dependent variables were transformed by the natural logarithm to obtain variance homogeneity and normal distribution of the residuals. The models are therefore not linear in original scale, and model estimates represent slopes in the logarithmic analysis. To calculate the predictive value of an X unit increase in one of the predictors, the following formula was used: [exp(model estimate x X) - 1] x 100.
Similar models were used to test for associations between the exposure markers, with the natural logarithm of personal PM2.5 exposure as dependent variable and personal black smoke exposure, background PM2.5 concentration, and exposure to ETS as predictors. Subject was included as a random factor.
| Results |
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The comet assay measurements of SB, as well as FPG- and ENDO-sensitive sites, showed no significant associations to any of the exposure markers (Table 2)
. The season was a significant predictor of SB level (P < 0.001), with the summer levels being higher than the other three seasons. In addition, average outdoor temperature was a significant predictor in the model causing a 5% increase in SBs per 1°C increase in average outdoor temperature (P = 0.03). NQO1 and gender were excluded as predictors because of lack of significance. For all three measurements, the intraindividual variance was estimated to zero, indicating no unexplained similarity between observations on the same subject.
Relationship between the External Exposure Markers.
The urban background PM2.5 concentration was a predictor of personal PM2.5 exposure (P = 0.03), with an increase of 12% in personal exposure/10 µg/m3 increase in background PM2.5. The personal black smoke exposure was also a predictor of personal PM2.5 (P < 0.0001), with an increase of 30% in personal PM2.5 exposure per 1 x 10-5m-1 increase in personal black smoke exposure. In addition, exposure to ETS predicted personal PM2.5 exposure (P = 0.0005), with an increase of 4% in personal exposure to PM2.5/1 h increase in time exposed to ETS. In three of the seasons, we also measured personal exposure to nitrogen dioxide, which showed no significant correlations with the markers of PM2.5 exposure or the biomarkers (data not shown).
Relationship between the Biomarkers.
There were no significant associations between any pair of biomarkers of genotoxicity, including 8-oxodG in lymphocytes or urine and SB-, FPG-, or ENDO-sensitive sites in lymphocytes or PAH adducts. Similarly, there were no significant associations between any of these biomarkers and 1-HP excretion (P > 0.2).
| Discussion |
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Induction of 8-oxodG after exposure to PM has been shown to correlate significantly with induction of lung tumors in mice, suggesting that 8-oxodG could be a premutagenic lesion in PM-induced lung cancer (28) . We found personal PM2.5 exposure to be a predictor of 8-oxodG concentrations in lymphocyte DNA with an 11% increase in 8-oxodG/10 µg/m3 in personal PM2.5 exposure. This indicates that exposure to moderate particle concentrations can result in an increased oxidative stress. Experimental studies have found increased concentrations of 8-oxodG after exposure to PM doses many times higher than the exposures seen in this study both in vitro (7) and in vivo (8) . In addition, increased urinary excretion of 8-oxodG and increased levels of PAH adducts in lymphocyte DNA were found in Copenhagen bus drivers from the central area as compared with drivers from the rural and suburban area (29) . The concentration of 8-oxodG in lymphocytes was not measured in that study (29) . In the present study, we found no relationships between these biomarkers and PM exposure. A possible explanation is that the urban bus drivers were exposed to higher concentrations of diesel-emitted PM than the subjects in this study, which could lead to a more extensive PAH exposure and oxidative stress. A recent study similar to the present investigated personal PM2.5 and PAH exposure in 194 nonsmoking students living either in the city of Athens or in the region of Halkida in rural surroundings with a minimal burden of urban air pollution (30) . Surprisingly, significantly higher concentrations of PAH adducts were found in the Halkida subjects compared with the subjects from Athens, although the Athens subjects were exposed to significantly higher concentrations of particle-bound PAHs (30) . Moreover, the exposure gradient in terms of PM2.5 mass was much larger in the Greek study than the present study (31) . The conclusion of the Greek study was that for cohorts with moderate to low particle-bound PAHs, no simple correlation with biomarkers of genotoxicity could be detected, possibly attributable to contributions to the overall genotoxic burden by additional factors, such as exposure to ETS (31) . However, exposure to ETS was not a predictor of any biomarker in the present study. Other studies of personal exposure to PM2.5 by mass and in terms of black smoke have demonstrated both larger and smaller exposure gradients than in the present study (26 , 32) . However, none of these studies have included biomarkers of oxidative DNA damage. It remains to be studied whether stronger correlations can be shown between external exposure and such biomarkers with a larger exposure gradient.
The experimental part of this study spanned 1 year and included one measuring campaign in each season. For most of the biomarkers and external exposure markers, significant differences between the seasons were found. In Copenhagen, the sources of ambient PM2.5 are partly long-range transport of particles composed of ammonium sulfate and nitrate salts and partly emission from combustion engines, in particular, diesel vehicles, whereas heating is a very minor source. The higher levels in the spring could be attributable to weather conditions favoring long-range transport. In addition, behavioral patterns are known to vary through the seasons, e.g., people spent more time indoors during winter when they are more subjected to indoor sources, such as cooking and burning of candles, and less subjected to outdoor air pollution. Other components of ambient air pollution in terms of nitrogen dioxide showed no correlations with measures of PM2.5 or the biomarkers. For 8-oxodG in lymphocytes, the winter season showed the lowest concentrations. Similarly, season was a significant predictor of SBs, with average outdoor temperature as an additional significant predictor. This is similar to a previous study from Copenhagen that found a seasonal effect with increased SB concentrations related to solar flux (33) . A recent review of intervention studies conclude that diet or antioxidant consumption has limited influence on oxidative DNA damage and is unlikely to be responsible in the seasonal variation in 8-oxodG in the present study (34) . Season was also a significant predictor of the PAH adducts with the highest concentrations of PAH adducts during spring and summer. In contrast, the study from Greece found the highest concentrations of DNA adducts during wintertime (30) . If we removed season from our model, outdoor average temperature was a significant predictor, causing a 3% increase in PAH adducts per 1°C increase in average outdoor temperature (P = 0.01). This suggests that temperature or a related component could influence the level of DNA PAH adducts.
For both 8-oxodG in lymphocytes and the comet data, the intraindividual variance was estimated to zero, strongly suggesting that there was no inherent damage level from campaign to campaign in the same subject. Although FPG-sensitive sites in principle should reflect lesions, including 8-oxodG in DNA and partly 8-oxodG in urine, we found no correlation between these three biomarkers in agreement with other studies (35, 36, 37)
. However, correlations may not be expected because 8-oxodG concentration in nuclear cell DNA reflects the balance between formation and repair, whereas the urinary excretion supposedly reflects the summed rates of formation and turnover of 8-oxodG in nuclear and mitochondrial DNA, as well as the nucleotide pool in the whole body (21)
. Generally, the 8-oxodG concentration determined by HPLC is
10 times higher than the concentration determined as FPG-sensitive sites for yet unknown reasons (38)
.
We found no relationship between personal exposure or ambient PM concentrations and excretion of 1-HP. Only a few studies have investigated this relationship in nonoccupationally exposed populations (39 , 40) . One study examined the 1-HP excretion in nonsmoking inhabitants from two Polish cities that showed marked differences in ambient PM10 concentrations (39) . The inhabitants from the city showing the highest concentrations of PM10 (>120 µg/m3) excreted significantly higher concentrations of 1-HP than inhabitants from the less polluted city (<70 µg/m3), suggesting that 1-HP might be useful as an exposure marker of high concentrations of PAH-loaded particles (39) . However, other studies find no significant differences in 1-HP concentrations when comparing subjects from urban and suburban areas (31 , 40) . Nevertheless, we found significantly increased concentrations of 1-HP during wintertime as compared with summertime, suggesting that increased PAH exposure with little impact on PM2.5 exposure in terms of mass may occur. Cooking procedures, in particular charcoal broiling, which may be an important contributor to 1-HP excretion, are unlikely to explain the high values during wintertime, although we have no specific information on that subject.
The current study suggests that exposure to PM2.5 at modest levels can induce oxidative DNA damage in terms of 8-oxodG in lymphocytes. If similar damage is induced in lung cells, as suggested by experimental work, it may be related to an increased risk in lung cancer. The association to oxidative DNA damage was confined to the personal exposure, whereas the ambient background concentrations showed no significant association.
| Footnotes |
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1 Supported by the Danish National Environmental Research Program under the Center for the Environment and the Lung. ![]()
2 To whom requests for reprints should be addressed, at Institute of Public Health, Department of Pharmacology, The Panum Institute, Room 18-5-32, Blegdamsvej 3, DK-2200 Copenhagen N, Denmark. Phone: 45 35327649; Fax: 45 35327610; E-mail: s.loft{at}pubhealth.ku.dk ![]()
3 The abbreviations used are: PAH, polyaromatic hydrocarbon; PM, particulate matter; PM10, particulate matter
10 µm in diameter; PM2.5, particulate matter
2.5 µm in diameter; 8-oxodG, 7-hydro-8-oxo-2'-deoxyguanosine; GST, glutathione S-transferase; NQO1, NADPH:quinone reductase; 1-HP, 1-hydroxypyrene; ROS, reactive oxygen species; SB, strand break; FPG, fapyguanine glycosylase; ENDO, endonuclease III; HPLC, high-performance liquid chromatography; ETS, environmental tobacco smoke. ![]()
Received 6/21/02; revised 11/22/02; accepted 12/17/02.
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