Evaluation of genetic instability, oxidative stress, and metabolism-related gene polymorphisms in workers exposed to waste anesthetic gases

Professionals who work in operating rooms (ORs) may be exposed daily to waste anesthetic gases (WAGs) due to the use of inhalational anesthetics. Considering the controversial findings related to genetic damage and redox status in addition to a lack of knowledge about the effect of polymorphisms in...

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Veröffentlicht in:Environmental science and pollution research international 2023-01, Vol.30 (4), p.9609-9623
Hauptverfasser: Silva, Mariane A. P., Figueiredo, Drielle B. S., Lara, Juliana R., Paschoalinotte, Eloisa E., Braz, Leandro G., Braz, Mariana G.
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container_end_page 9623
container_issue 4
container_start_page 9609
container_title Environmental science and pollution research international
container_volume 30
creator Silva, Mariane A. P.
Figueiredo, Drielle B. S.
Lara, Juliana R.
Paschoalinotte, Eloisa E.
Braz, Leandro G.
Braz, Mariana G.
description Professionals who work in operating rooms (ORs) may be exposed daily to waste anesthetic gases (WAGs) due to the use of inhalational anesthetics. Considering the controversial findings related to genetic damage and redox status in addition to a lack of knowledge about the effect of polymorphisms in genes related to phase I and II detoxification upon occupational exposure to WAGs, this cross-sectional study is the first to jointly evaluate biomarkers of genetic instability, oxidative stress, and susceptibility genes in professionals occupationally exposed to high trace amounts of halogenated (≥ 7 ppm) and nitrous oxide (165 ppm) anesthetics in ORs and in individuals not exposed to WAGs (control group). Elevated rates of buccal micronucleus (MN) and nuclear bud (NBUD) were observed in the exposure group and in professionals exposed aged more than 30 years. Exposed males showed a higher antioxidant capacity, as determined by the ferric reducing antioxidant power (FRAP), than exposed females; exposed females had higher frequencies of MN and NBUD than nonexposed females. Genetic instability (MN) was observed in professionals with greater weekly WAG exposure, and those exposed for longer durations (years) exhibited oxidative stress (increased lipid peroxidation and decreased FRAP). Polymorphisms in metabolic genes (cytochrome P450 2E1 ( CYP2E1 ) and glutathione S-transferases ( GSTs )) did not exert an effect, except for the effects of the GSTP1 (rs1695) AG/GG polymorphism on FRAP (both groups) and GSTP1 AG/GG and GSTT1 null polymorphisms, which were associated with greater FRAP values in exposed males. Minimizing WAG exposure is necessary to reduce impacts on healthcare workers.
doi_str_mv 10.1007/s11356-022-22765-8
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subjects Anesthetics, Inhalation
Antioxidants
Aquatic Pollution
Atmospheric Protection/Air Quality Control/Air Pollution
Cross-Sectional Studies
DNA Damage
Earth and Environmental Science
Ecotoxicology
Environment
Environmental Chemistry
Environmental Health
Female
Glutathione Transferase - genetics
Humans
Male
Occupational Exposure - analysis
Oxidative Stress
Polymorphism, Genetic
Research Article
Waste Water Technology
Water Management
Water Pollution Control
title Evaluation of genetic instability, oxidative stress, and metabolism-related gene polymorphisms in workers exposed to waste anesthetic gases
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