Skip to main content
Erschienen in: Acta Neurologica Belgica 5/2021

13.06.2020 | Original article

Serum levels of polychlorinated biphenyls and stroke risk among Chinese: a hospital-based case–control study

verfasst von: Ping Li, Ying Dan, Shuangying Li, Qiaolian Zhang, Ya Su, Mei Lu

Erschienen in: Acta Neurologica Belgica | Ausgabe 5/2021

Einloggen, um Zugang zu erhalten

Abstract

Previous studies have revealed the serious human health risk effects of organic pollutants-polychlorinated biphenyls (PCBs). However, the roles of circulating PCBs on stroke risk have not been elucidated. The purpose of this study was to examine whether serum PCBs could increase the risk for stroke among Chinese participants. A total of 241 patients with stroke and age- (5-year interval) and gender-matched controls were recruited in Tianjin, China. Concentrations of 17 PCB congeners were measured by using high-resolution gas chromatography with mass spectrometric detection. Conditional logistic regression models were applied to assess the odds ratio (OR) and 95% confidential interval (CI). Significant positive associations were observed between serum total PCBs and dioxin-like PCBs and the risk for stroke (all p trends < 0.05), and the adjusted ORs for the highest tertile (T3) of serum concentration compared with the lowest tertile (T1) were 1.704 (1.073, 2.506) and 1.846 (1.156, 2.949). However, no significant association was found for non-dioxin-like PCBs (OR for T3 vs. T1: 1.388, 95%CIs: 0.850, 2.266; p trend: 0.118). Stratified analysis by stroke subtypes (ischemic or hemorrhagic strokes) showed no significant heterogeneity (OR for T3 vs. T1: 1.644 vs. 1.824; p for interaction: 0.458). The results suggest detrimental roles of PCBs, mainly dioxin-like PCBs, in stroke risk, irrespective of stroke subtypes. Further well-designed prospective studies with larger sample size are invited to confirm these associations.
Literatur
1.
Zurück zum Zitat Feigin VL et al (2019) Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol 18:439–458CrossRef Feigin VL et al (2019) Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol 18:439–458CrossRef
2.
Zurück zum Zitat Axelrad DA, Goodman S, Woodruff TJ (2009) PCB body burdens in US women of childbearing age 2001–2002: an evaluation of alternate summary metrics of NHANES data. Environ Res 109:368–378CrossRef Axelrad DA, Goodman S, Woodruff TJ (2009) PCB body burdens in US women of childbearing age 2001–2002: an evaluation of alternate summary metrics of NHANES data. Environ Res 109:368–378CrossRef
3.
Zurück zum Zitat Louis GM, Weiner JM, Whitcomb BW, Sperrazza R, Schisterman EF, Lobdell DT et al (2005) Environmental PCB exposure and risk of endometriosis. Hum Reprod 20:279–285CrossRef Louis GM, Weiner JM, Whitcomb BW, Sperrazza R, Schisterman EF, Lobdell DT et al (2005) Environmental PCB exposure and risk of endometriosis. Hum Reprod 20:279–285CrossRef
4.
Zurück zum Zitat Bernard A, Fierens S (2002) The Belgian PCB/dioxin incident: a critical review of health risks evaluations. Int J Toxicol 21:333–340CrossRef Bernard A, Fierens S (2002) The Belgian PCB/dioxin incident: a critical review of health risks evaluations. Int J Toxicol 21:333–340CrossRef
5.
Zurück zum Zitat Harrad S, Wang Y, Sandaradura S, Leeds A (2003) Human dietary intake and excretion of dioxin-like compounds. J Environ Monit 5:224–228CrossRef Harrad S, Wang Y, Sandaradura S, Leeds A (2003) Human dietary intake and excretion of dioxin-like compounds. J Environ Monit 5:224–228CrossRef
6.
Zurück zum Zitat Kostyniak PJ, Hansen LG, Widholm JJ, Fitzpatrick RD, Olson JR, Helferich JL et al (2005) Formulation and characterization of an experimental PCB mixture designed to mimic human exposure from contaminated fish. Toxicol Sci 88:400–411CrossRef Kostyniak PJ, Hansen LG, Widholm JJ, Fitzpatrick RD, Olson JR, Helferich JL et al (2005) Formulation and characterization of an experimental PCB mixture designed to mimic human exposure from contaminated fish. Toxicol Sci 88:400–411CrossRef
7.
Zurück zum Zitat Shcherbatykh I, Huang X, Lessner L, Carpenter DO (2005) Hazardous waste sites and stroke in New York State. Environ Health 4:18CrossRef Shcherbatykh I, Huang X, Lessner L, Carpenter DO (2005) Hazardous waste sites and stroke in New York State. Environ Health 4:18CrossRef
8.
Zurück zum Zitat Carpenter DO (2006) Polychlorinated biphenyls (PCBs): routes of exposure and effects on human health. Rev Environ Health 21:1–23CrossRef Carpenter DO (2006) Polychlorinated biphenyls (PCBs): routes of exposure and effects on human health. Rev Environ Health 21:1–23CrossRef
9.
Zurück zum Zitat Gupta P, Thompson BL, Wahlang B, Jordan CT, Zach Hilt J, Hennig B et al (2018) The environmental pollutant, polychlorinated biphenyls, and cardiovascular disease: a potential target for antioxidant nanotherapeutics. Drug Deliv Transl Res 8:740–759CrossRef Gupta P, Thompson BL, Wahlang B, Jordan CT, Zach Hilt J, Hennig B et al (2018) The environmental pollutant, polychlorinated biphenyls, and cardiovascular disease: a potential target for antioxidant nanotherapeutics. Drug Deliv Transl Res 8:740–759CrossRef
10.
Zurück zum Zitat Perkins JT, Petriello MC, Newsome BJ, Hennig B (2016) Polychlorinated biphenyls and links to cardiovascular disease. Environ Sci Pollut Res Int 23:2160–2172CrossRef Perkins JT, Petriello MC, Newsome BJ, Hennig B (2016) Polychlorinated biphenyls and links to cardiovascular disease. Environ Sci Pollut Res Int 23:2160–2172CrossRef
11.
Zurück zum Zitat Lim JE, Lee S, Jee SH (2018) Serum persistent organic pollutants levels and stroke risk. Environ Pollut 233:855–861CrossRef Lim JE, Lee S, Jee SH (2018) Serum persistent organic pollutants levels and stroke risk. Environ Pollut 233:855–861CrossRef
12.
Zurück zum Zitat Bergkvist C, Kippler M, Larsson SC, Berglund M, Glynn A, Wolk A et al (2014) Dietary exposure to polychlorinated biphenyls is associated with increased risk of stroke in women. J Intern Med 276:248–259CrossRef Bergkvist C, Kippler M, Larsson SC, Berglund M, Glynn A, Wolk A et al (2014) Dietary exposure to polychlorinated biphenyls is associated with increased risk of stroke in women. J Intern Med 276:248–259CrossRef
13.
Zurück zum Zitat Kippler M, Larsson SC, Berglund M, Glynn A, Wolk A, Akesson A (2016) Associations of dietary polychlorinated biphenyls and long-chain omega-3 fatty acids with stroke risk. Environ Int 94:706–711CrossRef Kippler M, Larsson SC, Berglund M, Glynn A, Wolk A, Akesson A (2016) Associations of dietary polychlorinated biphenyls and long-chain omega-3 fatty acids with stroke risk. Environ Int 94:706–711CrossRef
14.
Zurück zum Zitat Lee DH, Lind PM, Jacobs DR Jr, Salihovic S, van Bavel B, Lind L (2012) Background exposure to persistent organic pollutants predicts stroke in the elderly. Environ Int 47:115–120CrossRef Lee DH, Lind PM, Jacobs DR Jr, Salihovic S, van Bavel B, Lind L (2012) Background exposure to persistent organic pollutants predicts stroke in the elderly. Environ Int 47:115–120CrossRef
15.
Zurück zum Zitat Sjodin A, Jones RS, Lapeza CR, Focant JF, McGahee EE 3rd, Patterson DG Jr (2004) Semiautomated high-throughput extraction and cleanup method for the measurement of polybrominated diphenyl ethers, polybrominated biphenyls, and polychlorinated biphenyls in human serum. Anal Chem 76:1921–1927CrossRef Sjodin A, Jones RS, Lapeza CR, Focant JF, McGahee EE 3rd, Patterson DG Jr (2004) Semiautomated high-throughput extraction and cleanup method for the measurement of polybrominated diphenyl ethers, polybrominated biphenyls, and polychlorinated biphenyls in human serum. Anal Chem 76:1921–1927CrossRef
16.
Zurück zum Zitat Geng D, Jogsten IE, Dunstan J, Hagberg J, Wang T, Ruzzin J et al (2016) Gas chromatography/atmospheric pressure chemical ionization/mass spectrometry for the analysis of organochlorine pesticides and polychlorinated biphenyls in human serum. J Chromatogr A 1453:88–98CrossRef Geng D, Jogsten IE, Dunstan J, Hagberg J, Wang T, Ruzzin J et al (2016) Gas chromatography/atmospheric pressure chemical ionization/mass spectrometry for the analysis of organochlorine pesticides and polychlorinated biphenyls in human serum. J Chromatogr A 1453:88–98CrossRef
17.
Zurück zum Zitat Cao LL, Yan CH, Yu XD, Tian Y, Zou XY, Lu DS et al (2012) Determination of polychlorinated biphenyls and organochlorine pesticides in human serum by gas chromatography with micro-electron capture detector. J Chromatogr Sci 50:145–150CrossRef Cao LL, Yan CH, Yu XD, Tian Y, Zou XY, Lu DS et al (2012) Determination of polychlorinated biphenyls and organochlorine pesticides in human serum by gas chromatography with micro-electron capture detector. J Chromatogr Sci 50:145–150CrossRef
18.
Zurück zum Zitat Lawal AO (2017) Air particulate matter induced oxidative stress and inflammation in cardiovascular disease and atherosclerosis: The role of Nrf2 and AhR-mediated pathways. Toxicol Lett 270:88–95CrossRef Lawal AO (2017) Air particulate matter induced oxidative stress and inflammation in cardiovascular disease and atherosclerosis: The role of Nrf2 and AhR-mediated pathways. Toxicol Lett 270:88–95CrossRef
19.
Zurück zum Zitat Garcia-Lara L, Perez-Severiano F, Gonzalez-Esquivel D, Elizondo G, Segovia J (2015) Absence of aryl hydrocarbon receptors increases endogenous kynurenic acid levels and protects mouse brain against excitotoxic insult and oxidative stress. J Neurosci Res 93:1423–1433CrossRef Garcia-Lara L, Perez-Severiano F, Gonzalez-Esquivel D, Elizondo G, Segovia J (2015) Absence of aryl hydrocarbon receptors increases endogenous kynurenic acid levels and protects mouse brain against excitotoxic insult and oxidative stress. J Neurosci Res 93:1423–1433CrossRef
20.
Zurück zum Zitat Vogel CF, Khan EM, Leung PS, Gershwin ME, Chang WL, Wu D et al (2014) Cross-talk between aryl hydrocarbon receptor and the inflammatory response: a role for nuclear factor-kappaB. J Biol Chem 289:1866–1875CrossRef Vogel CF, Khan EM, Leung PS, Gershwin ME, Chang WL, Wu D et al (2014) Cross-talk between aryl hydrocarbon receptor and the inflammatory response: a role for nuclear factor-kappaB. J Biol Chem 289:1866–1875CrossRef
21.
Zurück zum Zitat Liu D, Perkins JT, Petriello MC, Hennig B (2015) Exposure to coplanar PCBs induces endothelial cell inflammation through epigenetic regulation of NF-kappaB subunit p65. Toxicol Appl Pharmacol 289:457–465CrossRef Liu D, Perkins JT, Petriello MC, Hennig B (2015) Exposure to coplanar PCBs induces endothelial cell inflammation through epigenetic regulation of NF-kappaB subunit p65. Toxicol Appl Pharmacol 289:457–465CrossRef
22.
Zurück zum Zitat Liu D, Perkins JT, Hennig B (2016) EGCG prevents PCB-126-induced endothelial cell inflammation via epigenetic modifications of NF-kappaB target genes in human endothelial cells. J Nutr Biochem 28:164–170CrossRef Liu D, Perkins JT, Hennig B (2016) EGCG prevents PCB-126-induced endothelial cell inflammation via epigenetic modifications of NF-kappaB target genes in human endothelial cells. J Nutr Biochem 28:164–170CrossRef
23.
Zurück zum Zitat Yang Q, Huang Q, Hu Z, Tang X (2019) Potential neuroprotective treatment of stroke: targeting excitotoxicity, oxidative stress, and inflammation. Front Neurosci 13:1036CrossRef Yang Q, Huang Q, Hu Z, Tang X (2019) Potential neuroprotective treatment of stroke: targeting excitotoxicity, oxidative stress, and inflammation. Front Neurosci 13:1036CrossRef
24.
Zurück zum Zitat Wahlang B, Falkner KC, Clair HB, Al-Eryani L, Prough RA, States JC et al (2014) Human receptor activation by aroclor 1260, a polychlorinated biphenyl mixture. Toxicol Sci 140:283–297CrossRef Wahlang B, Falkner KC, Clair HB, Al-Eryani L, Prough RA, States JC et al (2014) Human receptor activation by aroclor 1260, a polychlorinated biphenyl mixture. Toxicol Sci 140:283–297CrossRef
25.
Zurück zum Zitat Wahlang B, Prough RA, Falkner KC, Hardesty JE, Song M, Clair HB et al (2016) Polychlorinated biphenyl-xenobiotic nuclear receptor interactions regulate energy metabolism, behavior, and inflammation in non-alcoholic-steatohepatitis. Toxicol Sci 149:396–410CrossRef Wahlang B, Prough RA, Falkner KC, Hardesty JE, Song M, Clair HB et al (2016) Polychlorinated biphenyl-xenobiotic nuclear receptor interactions regulate energy metabolism, behavior, and inflammation in non-alcoholic-steatohepatitis. Toxicol Sci 149:396–410CrossRef
26.
Zurück zum Zitat Pflieger-Bruss S, Hagemann S, Korner W, Hanf V, Kohn FM, Muller C et al (2006) Effects of single non-ortho, mono-ortho, and di-ortho chlorinated biphenyls on human sperm functions in vitro. Reprod Toxicol 21:280–284CrossRef Pflieger-Bruss S, Hagemann S, Korner W, Hanf V, Kohn FM, Muller C et al (2006) Effects of single non-ortho, mono-ortho, and di-ortho chlorinated biphenyls on human sperm functions in vitro. Reprod Toxicol 21:280–284CrossRef
27.
Zurück zum Zitat Lind PM, Orberg J, Edlund UB, Sjoblom L, Lind L (2004) The dioxin-like pollutant PCB 126 (3,3',4,4',5-pentachlorobiphenyl) affects risk factors for cardiovascular disease in female rats. Toxicol Lett 150:293–299CrossRef Lind PM, Orberg J, Edlund UB, Sjoblom L, Lind L (2004) The dioxin-like pollutant PCB 126 (3,3',4,4',5-pentachlorobiphenyl) affects risk factors for cardiovascular disease in female rats. Toxicol Lett 150:293–299CrossRef
28.
Zurück zum Zitat Chen Y, Huang Q, Chen Q, Lin Y, Sun X, Zhang H et al (2015) The inflammation and estrogen metabolism impacts of polychlorinated biphenyls on endometrial cancer cells. Toxicol In Vitro 29:308–313CrossRef Chen Y, Huang Q, Chen Q, Lin Y, Sun X, Zhang H et al (2015) The inflammation and estrogen metabolism impacts of polychlorinated biphenyls on endometrial cancer cells. Toxicol In Vitro 29:308–313CrossRef
29.
Zurück zum Zitat Huang Q, Chen Y, Chen Q, Zhang H, Lin Y, Zhu M et al (2017) Dioxin-like rather than non-dioxin-like PCBs promote the development of endometriosis through stimulation of endocrine-inflammation interactions. Arch Toxicol 91:1915–1924CrossRef Huang Q, Chen Y, Chen Q, Zhang H, Lin Y, Zhu M et al (2017) Dioxin-like rather than non-dioxin-like PCBs promote the development of endometriosis through stimulation of endocrine-inflammation interactions. Arch Toxicol 91:1915–1924CrossRef
30.
Zurück zum Zitat Hennig B, Meerarani P, Slim R, Toborek M, Daugherty A, Silverstone AE et al (2002) Proinflammatory properties of coplanar PCBs: in vitro and in vivo evidence. Toxicol Appl Pharmacol 181:174–183CrossRef Hennig B, Meerarani P, Slim R, Toborek M, Daugherty A, Silverstone AE et al (2002) Proinflammatory properties of coplanar PCBs: in vitro and in vivo evidence. Toxicol Appl Pharmacol 181:174–183CrossRef
31.
Zurück zum Zitat Magoni M, Donato F, Apostoli P, Rossi G, Comba P, Fazzo L et al (2019) Serum levels of polychlorinated biphenyls and risk of non-Hodgkin lymphoma: a hospital-based case-control study. Chemosphere 235:969–975CrossRef Magoni M, Donato F, Apostoli P, Rossi G, Comba P, Fazzo L et al (2019) Serum levels of polychlorinated biphenyls and risk of non-Hodgkin lymphoma: a hospital-based case-control study. Chemosphere 235:969–975CrossRef
32.
Zurück zum Zitat Callahan CL, Pavuk M, Birnbaum LS, Ren X, Olson JR, Bonner MR (2017) Serum polychlorinated biphenyls and leukocyte telomere length in a highly-exposed population: the Anniston Community Health Survey. Environ Int 108:212–220CrossRef Callahan CL, Pavuk M, Birnbaum LS, Ren X, Olson JR, Bonner MR (2017) Serum polychlorinated biphenyls and leukocyte telomere length in a highly-exposed population: the Anniston Community Health Survey. Environ Int 108:212–220CrossRef
Metadaten
Titel
Serum levels of polychlorinated biphenyls and stroke risk among Chinese: a hospital-based case–control study
verfasst von
Ping Li
Ying Dan
Shuangying Li
Qiaolian Zhang
Ya Su
Mei Lu
Publikationsdatum
13.06.2020
Verlag
Springer International Publishing
Erschienen in
Acta Neurologica Belgica / Ausgabe 5/2021
Print ISSN: 0300-9009
Elektronische ISSN: 2240-2993
DOI
https://doi.org/10.1007/s13760-020-01392-5

Weitere Artikel der Ausgabe 5/2021

Acta Neurologica Belgica 5/2021 Zur Ausgabe

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Schützt Olivenöl vor dem Tod durch Demenz?

10.05.2024 Morbus Alzheimer Nachrichten

Konsumieren Menschen täglich 7 Gramm Olivenöl, ist ihr Risiko, an einer Demenz zu sterben, um mehr als ein Viertel reduziert – und dies weitgehend unabhängig von ihrer sonstigen Ernährung. Dafür sprechen Auswertungen zweier großer US-Studien.

Bluttest erkennt Parkinson schon zehn Jahre vor der Diagnose

10.05.2024 Parkinson-Krankheit Nachrichten

Ein Bluttest kann abnorm aggregiertes Alpha-Synuclein bei einigen Menschen schon zehn Jahre vor Beginn der motorischen Parkinsonsymptome nachweisen. Mit einem solchen Test lassen sich möglicherweise Prodromalstadien erfassen und die Betroffenen früher behandeln.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Wartezeit nicht kürzer, aber Arbeit flexibler

Psychotherapie Medizin aktuell

Fünf Jahren nach der Neugestaltung der Psychotherapie-Richtlinie wurden jetzt die Effekte der vorgenommenen Änderungen ausgewertet. Das Hauptziel der Novellierung war eine kürzere Wartezeit auf Therapieplätze. Dieses Ziel wurde nicht erreicht, es gab jedoch positive Auswirkungen auf andere Bereiche.

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.