Environmental exposure to polycyclic aromatic hydrocarbons : An underestimated risk factor for systemic lupus erythematosus onset and progression

Copyright © 2024 Elsevier B.V. All rights reserved..

OBJECTIVE: To investigate the link between systemic lupus erythematosus (SLE) incidence and exposure to environmental polycyclic aromatic hydrocarbons (PAH).

METHODS: A case-control study (ChiCTR2000038187) involving 316 SLE patients and 851 healthy controls (HCs) was executed. Environmental exposure was assessed via a questionnaire, stratified by gender and age (females <35 and ≥35 years, males). Blood samples collected from 89 HCs, 85 inactive, and 95 active SLE patients were used to measure serum benzo[a]pyrene diol epoxide -albumin (BPDE-Alb) adducts and PAH concentrations, indicating long-term and short-term exposure respectively. Intergroup comparisons and statistical analyses were conducted using R version 4.3.1.

RESULTS: Diverse patterns were found in how environmental factors affect SLE onset across different demographics. Lifestyle exposure factors were found to be a stronger determinant of SLE onset than occupational exposure factors in women under 35. Indoor air pollution had a significant impact on SLE incidence, potentially comparable to outdoor air pollution. Lifestyle-related PAH exposure had a greater impact on SLE than occupational PAH exposure. PAH exposure levels progressively increase from HCs to inactive and active SLE patients. Active SLE patients show markedly higher BPDE-Alb levels than HCs.

CONCLUSIONS: Environmental PAH, particularly lifestyle-related, are significant, yet under-recognized, risk factors for SLE.

STATEMENT OF ENVIRONMENTAL IMPLICATION: We examined the relationship between exposure to environmental polycyclic aromatic hydrocarbons (PAH) and the incidence of systemic lupus erythematosus (SLE). PAH, prevalent in sources such as cigarette smoke, air pollution, and charred food, pose significant health hazards. This study is the first to investigate specific PAH exposure levels in SLE patients. We determined actual PAH exposure levels in both SLE patients and healthy individuals and indicated that long-term PAH exposure biomarker is more reliable for evaluating exposure in non-occupationally exposed groups like SLE, compared to short-term markers. These findings provide valuable insights for future research on similar non-occupationally exposed populations.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:926

Enthalten in:

The Science of the total environment - 926(2024) vom: 20. Apr., Seite 171841

Sprache:

Englisch

Beteiligte Personen:

Jin, Hui [VerfasserIn]
Zhao, Cheng [VerfasserIn]
Chen, Yiran [VerfasserIn]
Zhang, Ying [VerfasserIn]
Yong, Zeng [VerfasserIn]
Lei, Yu [VerfasserIn]
Li, Qilin [VerfasserIn]
Yao, Xu [VerfasserIn]
Zhao, Ming [VerfasserIn]
Lu, Qianjin [VerfasserIn]

Links:

Volltext

Themen:

55097-80-8
7,8-Dihydro-7,8-dihydroxybenzo(a)pyrene 9,10-oxide
Environmental exposure biomarker
Environmental trigger
Journal Article
Polycyclic Aromatic Hydrocarbons
Polycyclic aromatic hydrocarbons
Serum Albumin
Systemic lupus erythematosus

Anmerkungen:

Date Completed 17.04.2024

Date Revised 17.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.scitotenv.2024.171841

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370034414