摘要:Formaldehyde (FA) is a human carcinogen used as formalin in hospital laboratories. We evaluated its association with human chromosomal aberrations (CAs) and the risk/protective role played by several genetic polymorphisms in this relationship, on a cohort of 57 exposed pathologists
vs 48 controls. All subjects were assessed for CAs on peripheral blood lymphocytes and genotyped for the most common cancer-associated gene polymorphisms which could be related with the genotoxic outcome:
CYP1A1 exon 7 (A>
G),
CYP1A1*2A (T>
C),
CYP2C19*2 (G>
A),
GSTT1 (Positive/Null),
GSTM1 (Positive/null),
GSTP1 (A>
G),
XRCC1 (G399A),
XRCC1 (C194T),
XRCC1 (A280G),
XPD (A751C),
XPC exon 15 (A939C),
XPC exon 9 (C499T),
TNFα − 308 (G>
A),
IL10 − 1082 (G>
A),
IL10 − 819 (C>
T) and
IL6 − 174 (G>
C). Air-FA concentration was assessed through personal samplers. The comparison between pathologists and controls showed a significantly higher CAs frequency in pathologists. Significant positive correlations were found between CAs frequency and air-FA concentration while significant associations were found between variation in CAs frequency and the mutated allele for
CYP1A1 exon 7 (A>
G),
CYP2C19*2 (G>
A),
GSTT1-positive,
GSTM1-positive and
XRCC1 (G399A). Our study confirms the role of FA as genotoxicity inductor, even in workers chronically exposed to low air-FA levels and reveals the role played by some genetic polymorphisms in this association, highlighting the importance of individual susceptibility biomarkers assessment in occupational health studies.