ANTIOXIDANTS, BIOCHEMICAL, AND HEMATOLOGICAL PARAMETERS CHANGE IN WORKERS OCCUPATIONALLY EXPOSED TO RADON INHALATION AT CERTAIN CONSTRUCTION MATERIAL INDUSTRIES IN ERBIL, IRAQ
DOI:
https://doi.org/10.25271/sjuoz.2024.12.1.1221Keywords:
Antioxidants, Blood, Hematology, Liver Function, Oxidative Stress, RadonAbstract
This study examined the effects of radon on the endogenous antioxidants, biochemical, and hematological parameters of workers in Erbil, Iraqi Kurdistan. This was carried out to ascertain how radon affects the health of those who work in certain factories producing building materials. The case study group consisted of 70 workers, who were then divided into seven subgroups (gypsum, cement plant, lightweight block, marble, red brick 1, crushed stone, and concrete block 2), while the control group consisted of 20 healthy volunteers. The total antioxidant capacity (TAC), levels of carcinoembryonic antigen (CEA), superoxide dismutase (SOD), catalase (CAT), and glutathione peroxidase (GPX), the complete blood count (CBC), and liver function tests were evaluated. The statistical analysis revealed that the antioxidant activities and CEA levels between the case study group and the control group differed significantly. Also, antioxidant enzyme activities and indoor radon concentration, the annual effective dosage, were found to be highly significantly correlated by Pearson and Spearman analyses in the case study group. Additionally, the results demonstrated a substantial correlation in the data between the levels of CEA biomarkers and radon (r=0.478, p˂0.000). The present results showed that radon concentration increased alanine aminotransferase (ALT) activity in a radon concentration-dependent manner (r=0.263 and p ˂0.05). The aspartate aminotransferase (AST), alkaline phosphatase (ALP), and total bilirubin activities, on the other hand, were not significantly affected by radon. The most significantly influenced CBC parameter was the low white blood cells (WBC) in the case study group compared to the controls. Low platelet count (PLT) was the second-highest problematic metric. The other CBC values, however, did not significantly differ between the research group and the control group. This study offers a preliminary image of the endogenous antioxidant systems in employees, especially to show a connection between radon and the occurrence of cancer among workers in Iraq Kurdistan Region.
References
ABDELHALIM, M. A. K. & MOUSSA, S. A. A. 2013. The biochemical changes in rats' blood serum levels exposed to different gamma radiation doses. Afr J Pharm Pharmacol, 7, 785-792.
AHMAD, I. M., TEMME, J. B., ABDALLA, M. Y. & ZIMMERMAN, M. C. 2016. Redox status in workers occupationally exposed to long-term low levels of ionizing radiation: A pilot study. Redox Report, 21, 139-145.
AKKÖSE, A., ÖMER, B. & YIĞITBAŞı, A. 2003. DNA damage and glutathione content in radiology technicians. Clinica chimica acta, 336, 13-18.
AKLEYEV, A. V., AKUSHEVICH, I. V., DIMOV, G. P., VEREMEYEVA, G. A., VARFOLOMEYEVA, T. A., UKRAINTSEVA, S. V. & YASHIN, A. I. 2010. Early hematopoiesis inhibition under chronic radiation exposure in humans. Radiation and environmental biophysics, 49, 281-291.
ALI, S. A., FADDA, L. M., ELEBIARY, H. & SOLIMAN, M. 2012. Evaluation of the radioprotective action of anserine along with zinc in albino rats exposed to gamma-radiation. Journal of Applied Pharmaceutical Science, 115-122.
AUTSAVAPROMPORN, N., KLUNKLIN, P., CHITAPANARUX, I., JAIKANG, C., CHEWASKULYONG, B., SRIPAN, P., HOSODA, M. & TOKONAMI, S. 2021. A potential serum biomarker for screening lung cancer risk in high level environmental radon areas: A pilot study. Life, 11, 1273.
AUTSAVAPROMPORN, N., KLUNKLIN, P., THREERATANA, C., TUNTIWECHAPIKUL, W., HOSODA, M. & TOKONAMI, S. 2018. Short telomere length as a biomarker risk of lung cancer development induced by high radon levels: A pilot study. International journal of environmental research and public health, 15, 2152.
CACIARI, T., CAPOZZELLA, A., TOMEI, F., NIETO, H., GIOFFRÈ, P., VALENTINI, V., SCALA, B., ANDREOZZI, G., DE SIO, S. & CHIGHINE, A. 2012. Professional exposure to ionizing radiations in health workers and white blood cells. Annali di igiene: medicina preventiva e di comunita, 24, 465-474.
CEBALLOS-PICOT, I., TRIVIER, J.-M., NICOLE, A., SINET, P.-M. & THEVENIN, M. 1992. Age-correlated modifications of copper-zinc superoxide dismutase and glutathione-related enzyme activities in human erythrocytes. Clinical Chemistry, 38, 66-70.
CHAKRABORTY, S., SINGH, O. P., DASGUPTA, A., MANDAL, N. & DAS, H. N. 2009. Correlation between lipid peroxidation-induced TBARS level and disease severity in obsessive–compulsive disorder. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 33, 363-366.
COLLIER, C., STRONG, J., BAKER, S., ELDRED, T., HUMPHREYS, J. & COBB, L. 1999. Effects of continuous inhalation exposure of rats to radon and its progeny at various levels of dose and dose rate: interim results. Radiation research, 152, S141-S144.
DARBY, S., HILL, D., AUVINEN, A., BARROS-DIOS, J., BAYSSON, H., BOCHICCHIO, F., DEO, H., FALK, R., FORASTIERE, F. & HAKAMA, M. 2005. Radon in homes and risk of lung cancer: collaborative analysis of individual data from 13 European case-control studies. Bmj, 330, 223.
ĐUROVIĆ, B., SPASIĆ-JOKIĆ, V. & ĐUROVIĆ, B. 2008. Influence of occupational exposure to low-dose ionizing radiation on the plasma activity of superoxide dismutase and glutathione level. Vojnosanitetski pregled, 65, 613-618.
EKEN, A., AYDIN, A., ERDEM, O., AKAY, C., SAYAL, A. & SOMUNCU, İ. 2012. Induced antioxidant activity in hospital staff occupationally exposed to ionizing radiation. International Journal of Radiation Biology, 88, 648-653.
GILBERT, E. S., CROSS, F. T. & DAGLE, G. E. 1996. Analysis of lung tumor risks in rats exposed to radon. Radiation research, 145, 350-360.
GRZYWA-CELIŃSKA, A., KRUSIŃSKI, A., MAZUR, J., SZEWCZYK, K. & KOZAK, K. 2020. Radon—the element of risk. The impact of radon exposure on human health. Toxics, 8, 120.
GÜVEN, A., GÜVEN, A. & GÜLMEZ, M. 2003. The effect of kefir on the activities of GSH‐Px, GST, CAT, GSH and LPO levels in carbon tetrachloride‐induced mice tissues. Journal of Veterinary Medicine, Series B, 50, 412-416.
HOFFMANN, U., PRZYBILLA, P. & KRAATZ, G. 2005. Cholestasis in a body-builder after use of metandienone-a case report. Toxichem Krimtech, 72, 115-7.
HOSSAIN, P. U. D., M 2000. Evaluation of the cytogenetic damage and progenitor cell survival in foetal liver of mice exposed to gamma radiation during the early foetal period. International journal of radiation biology, 76, 413-417.
IARC 2001. International Agency for Research on Cancer. Ionizing Radiation, Part 2: Some Internally Deposited Radionuclides, International Agency for Research on Cancer.
ISMAIL, A. H., JAFAAR, M. S., HOSSEIN, H. A. & MUSTAFA, F. H. 2011. The Impact of Exposing Human Blood Samples to the Radon Gas on the platelet count: using new exposure technique. Biophysical Reviews and Letters, 6, 81-92.
KAFAFY, Y. 2000. Protective effect of cysteine and vitamin E on gamma irradiation injury in rats. Egypt. J. Rad. Sci. Applic, 13, 17-25.
KATAOKA, T., HORIE, S., ETANI, R., KANZAKI, N., SASAOKA, K., KOBASHI, Y., HANAMOTO, K. & YAMAOKA, K. 2016. Activation of antioxidative functions by radon inhalation enhances the mitigation effects of pregabalin on chronic constriction injury-induced neuropathic pain in mice. Oxidative Medicine and Cellular Longevity, 2016.
KATAOKA, T., NISHIYAMA, Y., YAMATO, K., TERAOKA, J., MORII, Y., SAKODA, A., ISHIMORI, Y., TAGUCHI, T. & YAMAOKA, K. 2012. Comparative study on the inhibitory effects of antioxidant vitamins and radon on carbon tetrachloride-induced hepatopathy. Journal of Radiation Research, 53, 830-839.
KATAOKA, T., SAKODA, A., YOSHIMOTO, M., NAKAGAWA, S., TOYOTA, T., NISHIYAMA, Y., YAMATO, K., ISHIMORI, Y., KAWABE, A. & HANAMOTO, K. 2011. Studies on possibility for alleviation of lifestyle diseases by low-dose irradiation or radon inhalation. Radiation protection dosimetry, 146, 360-363.
KONO, Y. & FRIDOVICH, I. 1982. Superoxide radical inhibits catalase. Journal of Biological Chemistry, 257, 5751-5754.
KOZU, Y., MANIWA, T., TAKAHASHI, S., ISAKA, M., OHDE, Y. & NAKAJIMA, T. 2013. Prognostic significance of postoperative serum carcinoembryonic antigen levels in patients with completely resected pathological-stage I non-small cell lung cancer. Journal of Cardiothoracic Surgery, 8, 1-7.
KREWSKI, D., LUBIN, J. H., ZIELINSKI, J. M., ALAVANJA, M., CATALAN, V. S., WILLIAM FIELD, R., KLOTZ, J. B., LÉTOURNEAU, E. G., LYNCH, C. F. & LYON, J. L. 2006. A combined analysis of North American case-control studies of residential radon and lung cancer. Journal of Toxicology and Environmental Health, Part A, 69, 533-597.
KUCIEL-LEWANDOWSKA, J., GNUS, J., PAWLIK-SOBECKA, L., PŁACZKOWSKA, S., KOKOT, I., KASPERCZAK, M. & PAPROCKA-BOROWICZ, M. 2018a. The assessment of the integrated antioxidant system of the body in the course of radon therapy: a pilot study. BioMed Research International, 2018.
KUCIEL-LEWANDOWSKA, J. M., PAWLIK-SOBECKA, L., PŁACZKOWSKA, S., KOKOT, I. & PAPROCKA-BOROWICZ, M. 2018b. The assessment of the integrated antioxidant system of the body and the phenomenon of spa reaction in the course of radon therapy: A pilot study. Advances in Clinical and Experimental Medicine, 27, 1341-1346.
LI, S., TAN, H.-Y., WANG, N., ZHANG, Z.-J., LAO, L., WONG, C.-W. & FENG, Y. 2015. The role of oxidative stress and antioxidants in liver diseases. International journal of molecular sciences, 16, 26087-26124.
MA, J., YONEHARA, H., IKEBUCHI, M. & AOYAMA, T. 1996. Effect of radon exposure on superoxide dismutase (SOD) activity in rats. Journal of radiation research, 37, 12-19.
MAULOOD, I. M., AHMED, A. H. & OTHMAN, H. K. 2015. Hemodynamic and oxidative stress effects of gamma-radiation in both male and female rats. Journal of Zankoi Sulaimani
Part-A- (Pure and Applied Sciences).
MILACIC, S. 2008. Health investigations of depleted-uranium clean-up workers. La Medicina del lavoro, 99, 366-370.
MILACIC, S. & SIMIC, J. 2009. Identification of health risks in workers staying and working on the terrains contaminated with depleted uranium. Journal of radiation research, 50, 213-222.
MITSUNOBU, F., YAMAOKA, K., HANAMOTO, K., KOJIMA, S., HOSAKI, Y., ASHIDA, K., SUGITA, K. & TANIZAKI, Y. 2003. Elevation of antioxidant enzymes in the clinical effects of radon and thermal therapy for bronchial asthma. Journal of Radiation Research, 44, 95-99.
MOERTEL, C. G., FLEMING, T. R., MACDONALD, J. S., HALLER, D. G., LAURIE, J. A. & TANGEN, C. 1993. An evaluation of the carcinoembryonic antigen (CEA) test for monitoring patients with resected colon cancer. Jama, 270, 943-947.
MORTAZAVI, S., GHIASSI-NEJAD, M. & REZAIEAN, M. Cancer risk due to exposure to high levels of natural radon in the inhabitants of Ramsar, Iran. International Congress Series, 2005. Elsevier, 436-437.
NADA, A. 2008. Modulating efficacy of rosemary extracts in rats exposed to oxidative stress. Egyptian Journal of Radiation Sciences and Applications, 21, 499-514.
NAIR, R. R. K., RAJAN, B., AKIBA, S., JAYALEKSHMI, P., NAIR, M. K., GANGADHARAN, P., KOGA, T., MORISHIMA, H., NAKAMURA, S. & SUGAHARA, T. 2009. Background radiation and cancer incidence in Kerala, India—Karanagappally cohort study. Health physics, 96, 55-66.
NIE, J.-H., CHEN, Z.-H., LIU, X., WU, Y.-W., LI, J.-X., CAO, Y., HEI, T. K. & TONG, J. 2012. Oxidative damage in various tissues of rats exposed to radon. Journal of Toxicology and Environmental Health, Part A, 75, 694-699.
OTHMAN, S. Q., AHMED, A. H. & MOHAMMED, S. I. 2022. Environmental health risks of radon exposure inside selected building factories in Erbil city, Iraq. International Journal of Environmental Analytical Chemistry, 1-15.
OTHMAN, S. Q., AHMED, A. H. & MOHAMMED, S. I. 2023. Assessment of 222Rn, 226Ra, 238U, 218Po, and 214Po activity concentrations in the blood samples of workers at selected building material factories in Erbil City. Environmental Monitoring and Assessment, 195, 673.
RAMADAN, L. A., SHOUMAN, S. A., SAYED-AHMED, M. M. & OLA, H. 2001. Modulation of radiation-induced organs toxicity by cremophor-el in experimental animals. Pharmacological Research, 43, 185-191.
RAMADHANI, D., PURNAMI, S., NURHAYATI, S., PUDJADI, E. & SYAIFUDIN, M. 2018. In vitro radiosensitivity of lymphocytes from high-background radiation ar-ea inhabitants in Indonesia: a pilot study using the G0 micronucleus assay. BERKALA PENELITIAN HAYATI JOURNAL OF BIOLOGICAL RESEARCHES, 24, 1-7.
RAMADHANI, D., SUVIFAN, V. A., PURNAMI, S., RAHAJENG, N., LUSIYANTI, Y., WANANDI, S. I., WIBOWO, H., MIURA, T. & SYAIFUDIN, M. 2021. Superoxide dismutase and glutathione peroxidase activities in a population exposed to high indoor radon concentration: a preliminary report. Free Radical Research, 55, 1094-1103.
RIFKIND, J. M., RAMASAMY, S., MANOHARAN, P., NAGABABU, E. & MOHANTY, J. G. 2004. Redox reactions of hemoglobin. Antioxidants and Redox Signaling, 6, 657-666.
SARAYMEN, R., KILIC, E., YAZAR, S. & CETIN, M. 2003. Influence of sex and age on the activity of antioxidant enzymes of polymorphonuclear leukocytes in healthy subjects. Yonsei medical journal, 44, 9-14.
SHAHID, S., CHAUHDRY, M. N., MAHMOOD, N. & SHEIKH, S. 2015. Impacts of terrestrial ionizing radiation on the hematopoietic system. Polish Journal of Environmental studies, 24, 1783-1794.
SHIMIZU, T., IWANAGA, M., YASUNAGA, A., URATA, Y., GOTO, S., SHIBATA, S. & KONDO, T. 1998. Protective role of glutathione synthesis on radiation-induced DNA damage in rabbit brain. Cellular and molecular neurobiology, 18, 299-310.
SPITZ, D. R., AZZAM, E. I., JIAN LI, J. & GIUS, D. 2004. Metabolic oxidation/reduction reactions and cellular responses to ionizing radiation: a unifying concept in stress response biology. Cancer and Metastasis Reviews, 23, 311-322.
STANLEY, F. K., IRVINE, J. L., JACQUES, W. R., SALGIA, S. R., INNES, D. G., WINQUIST, B. D., TORR, D., BRENNER, D. R. & GOODARZI, A. A. 2019. Radon exposure is rising steadily within the modern North American residential environment, and is increasingly uniform across seasons. Scientific reports, 9, 1-17.
SU, S., ZHOU, S., WEN, C., ZOU, J., ZHANG, D., GENG, J., YANG, M., LIU, M., LI, L. & WEN, W. 2018. Evidence for adaptive response in a molecular epidemiological study of the inhabitants of a high background-radiation area of Yangjiang, China. Health physics, 115, 227-234.
TAEB, S., MORTAZAVI, S., GHADERI, A., MOZDARANI, H., DE ALMEIDA, C., KARDAN, M., MORTAZAVI, S., SOLEIMANI, A., NIKOKAR, I. & HAGHANI, M. 2014. Alterations of PSA, CA15. 3, CA125, Cyfra21-1, CEA, CA19. 9, AFP and Tag72 tumor markers in human blood serum due to long term exposure to high levels of natural background radiation in Ramsar, Iran. International Journal of Radiation Research, 12, 133.
TAO, Z., AKIBA, S., ZHA, Y., SUN, Q., ZOU, J., LI, J., LIU, Y., YUAN, Y., TOKONAMI, S. & MORISHOMA, H. 2012. Cancer and non-cancer mortality among inhabitants in the high background radiation area of Yangjiang, China (1979–1998). Health physics, 102, 173-181.
THOMAS, S. N., ZHU, F., SCHNAAR, R. L., ALVES, C. S. & KONSTANTOPOULOS, K. 2008. Carcinoembryonic antigen and CD44 variant isoforms cooperate to mediate colon carcinoma cell adhesion to E-and L-selectin in shear flow. Journal of biological chemistry, 283, 15647-15655.
VENNERI, L., ROSSI, F., BOTTO, N., ANDREASSI, M. G., SALCONE, N., EMAD, A., LAZZERI, M., GORI, C., VANO, E. & PICANO, E. 2009. Cancer risk from professional exposure in staff working in cardiac catheterization laboratory: insights from the National Research Council's Biological Effects of Ionizing Radiation VII Report. American heart journal, 157, 118-124.
WALCZAK, K., OLSZEWSKI, J., DOMERADZKA-GAJDA, K., POLITAŃSKI, P., ZMYŚLONY, M., KOWALCZYK, K. & STĘPNIK, M. 2019. Micronuclei frequency in peripheral blood lymphocytes and levels of anti-p53 autoantibodies in serum of residents of Kowary city regions (Poland) with elevated indoor concentrations of radon. Mutation Research/Genetic Toxicology and Environmental Mutagenesis, 838, 67-75.
YAMAOKA, K., MITSUNOBU, F., HANAMOTO, K., MORI, S., TANIZAKI, Y. & SUGITA, K. 2004. Study on biologic effects of radon and thermal therapy on osteoarthritis. The Journal of Pain, 5, 20-25.
YAMAOKA, K., MITSUNOBU, F., KOJIMA, S., SHIBAKURA, M., KATAOKA, T., HANAMOTO, K. & TANIZAKI, Y. 2005. The elevation of p53 protein level and SOD activity in the resident blood of the Misasa radon hot spring district. Journal of radiation research, 46, 21-24.
YANXIAO, G., MEI, T., GANG, G., XIAOCHUN, W. & JIANXIANG, L. 2019. Changes of 8-OHdG and TrxR in the residents who bathe in radon hot springs. Dose-Response, 17, 1559325818820974.
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