Preview

Medical Journal

Advanced search

Chloroform content in the blood of the population as a biomarker of exposure to drinking water disinfection by-products

https://doi.org/10.51922/1818-426X.2023.1.23

Abstract

The modern methodological approaches, such as biomonitoring, could be used to improve the evidence base reliability and reduce uncertainty under chemicals health risk assessments and hygienic rationing. The aim of the study was to substantiate using the results of chloroform determination in human blood as a biomarker of exposure to drinking water disinfection byproducts under republican conditions. A gas chromatography-mass spectrometry method for determination of chloroform in whole blood based on the use of acetonitrile as solvent and additional extraction of chloroform from acetonitrile supernatant by small amounts of hexane was developed. Chloroform concentrations in the blood of population at the territories supplied with chlorinated drinking water are significantly higher than that of population at the territories supplied with water without chlorination (0.03–0.54 ng/ml, P95 0.27 ng/ml versus 0.00–0.37 ng/ml, P95 0.13 ng/ml respectively). A proposed linear dependence model enables to predict the chloroform blood level in the exposed population based on water concentrations and vice versa. We recommend the determination of chloroform in the whole blood of the population as an informative biomarker of cumulative exposure, reflecting real exposure scenarios for the preceding period of time, based on identified trends.

About the Authors

E. V. Drozdova
РУП «Научно-практический центр гигиены»
Belarus


S. I. Sychik
РУП «Научно-практический центр гигиены»
Belarus


V. E. Syakhovich
УЗ «Национальная антидопинговая лаборатория
Belarus


K. N. Pakhadnia
УЗ «Национальная антидопинговая лаборатория
Belarus


A. A. Ahabalayeu
УЗ «Национальная антидопинговая лаборатория
Belarus


N. А. Dalhina
РУП «Научно-практический центр гигиены»
Belarus


References

1. Drozdova, E. V., Buraya V. V., Girina V. V., Suravets T. Z., Firago A. V. K voprosu ob obrazovanii pobochnykh produktov dezinfektsii pit’evoy vody (reglamentiruemykh i emerdzhentnykh), ikh genotoksicheskikh i kantserogennykh svoystvakh: obzor problemy i napravleniya dal’neyshikh issledovaniy [On the formation of drinking water disinfection by-products (regulated and emergent), their genotoxicity and carcinogenic effects: review and perspectives for further studies] // Zdorov’e i okruzhayushchaya sreda: sbornik nauchnykh trudov [Health and the Environment: Collection of Scientific Papers]. – Minsk, 2016. – Iss. 26. – P. 12–16.

2. Chetverkina, K. V. K Ustanovleniyu repernogo urovnya soderzhaniya hloroforma v krovi detskogo naseleniya [On determination of reference chloroform content in children’s blood] // Analiz riska zdorov’yu = Health Risk Analysis. – 2018. – № 3. – P. 85–93.

3. Drazdova, A., Girina V., Buraya V., Firago A. Assessment of drinking water chlorination by-products in view of multiroute exposure // Toxicology Letters. – 2019. – Vol. 314, Suppl. 1: Abstracts of the 55th Congress of the European Societies of Toxicology (EUROTOX 2019) Toxicilogy – Science Providing Solutions, Helsinki, Finland, 8th–11th of September 2019. – S. 82.

4. Sun, Y., Chen C., Mustieles V., Wang L., Zhang Y., Wang Y.-X., Messerlian C. Association of Blood Trihalomethane Concentrations with Risk of All-Cause and Cause-Specific Mortality in U. S. Adults: A Prospective Cohort Study // Environ Sci Technol. – 2021. – Vol. 55, № 13. – Р. 9043–9051.

5. Rivera-Núñez, Z., Wright J. M., Blount B. C., Silva L. K., Jones E., Chan R. L., Pegram R. A., Singer P. C., Savitz D. A. Comparison of Trihalomethanes in Tap Water and Blood: A Case Study in the United States // Environmental health perspectives. – 2012. – Vol. 120, № 5. – Р. 661–667.

6. Wollin, K.-M., Apel P., Chovolou Y., Pabel U., Schettgen T., Kolossa-Gehring M., Röhl C. Concept for the Evaluation of Carcinogenic Substances in Po pulation-Based Human Biomonitoring // Int J Environ Res Public Health. – 2022. – Vol. 19, № 12. – Р. 7235.

7. Buekers, J., David M., Koppen G., Bessems J., Scheringer M., Lebret E., Sarigiannis D., Kolossa-Gehring M., Berglund M., Schoeters G., Trier X. Development of Policy Relevant Human Biomonitoring Indicators for Chemical Exposure in the European Population // Int J Environ Res Public Health. – 2018. – Vol. 15, № 10. – Р. 2085.

8. EPA/600/R-06/087 Exposures and internal doses of trihalomethanes in humans: multi-route contributions from drinking water. Available at: http://nepis.epa.gov/Adobe/PDF/.pdf (15.01.2018).

9. Drozdova, E. V., Sychik S. I., Hrynchak V. A., Rjabceva S. N. Experimental models of animal chronic pathology in assessing health risks for sensitive population groups // Health Risk Analysis. – 2022. – № 2. – Р. 185–195.

10. WHO. Guidelines for drinking-water quality. – 4th ed. – Geneva, 2011. – 564 p.

11. Hays, S. M., Aylward L. L., LaKind J. S., Bartels M. J., Barton H. A., Boogaard P. J., Brunk C., DiZio S., Dourson M., Goldstein D. A., Lipscomb J., Kilpatrick M. E., Krewski D., Krishnan K., Nordberg M., Okino M., Tan Y. M., Viau C., Yager J. W. Guidelines for the derivation of Biomonitoring Equivalents: report from the Biomonitoring Equivalents Expert Workshop // Regul Toxicol Pharmacol. – 2008. – Vol. 51, 3 Suppl. – S4–S15.

12. Health impacts of long-term exposure to disinfection by-products in drinking water in Europe: HIWATE / M. J. Nieuwenhuijsen, R. Smith, S. Golfi nopoulos, N. Best, J. Bennett, G. Aggazzotti, E. Righi, G. Fantuzzi, L. Bucchini, S. Cordier, C. M. Villanueva, V. Moreno, C. La Vecchia, C. Bosetti, T. Vartiainen, R. Rautiu, M. Toledano, N. Iszatt, R. Grazuleviciene, M. Kogevinas // J Water Health. – 2009. – Vol. 7, № 2. – P. 185–207.

13. Backer, L. C., Ashley D. L., Bonin M. A., Cardi nali F. L., Kieszak S. M., Wooten J. V. Household exposures to drinking water disinfection by-products: whole blood trihalomethane levels // Journal of Exposure Analysis and Environmental Epidemiology. – 2000. – Vol. 10. – P. 321–326.

14. Louro, H., Heinälä M., Bessems J., Buekers J., Vermeire T., Woutersen M., van Engelen J., Borges T., Rousselle C., Ougier E., Alvito P., Martins C., Assunção R., Silva M. J., Pronk A., Schaddelee-Scholten B., Del Carmen Gonzalez M., de Alba M., Castaño A., Viegas S., Humar-Juric T., Kononenko L., Lampen A., Vinggaard A. M., Schoeters G., Kolossa-Gehring M., Santonen T. Human biomonitoring in health risk assessment in Europe: Current practices and recommendations for the future // Int J Hyg Environ Health. – 2019. – Vol. 222, № 5. – Р. 727–737.

15. Nuckols, J. R., Ashley D. L., Lyu C., Gordon S. M., Hinckley A. F., Singer P. Influence of tap water quality and household water use activities on indoor air and internal dose levels of trihalomethanes // Environ Health Perspect. – 2005. – Vol. 113, № 7. – Р. 863–870.

16. Redondo-Hasselerharm, P. E., Cserbik D., Flores C., Farré M. J., Sanchís J., Alcolea J. A., Planas C., Caixach J., Villanueva C. M. Insights to estimate exposure to regulated and non-regulated disinfection by-products in drinking water // J Expo Sci Environ Epidemiol. – 2022. – Vol. 29. – P. 1–11.

17. LaKind, J. S., Naiman D. Q., Hays S. M., Aylward L. L., Blount В. С. Public health interpretation of trihalomethane blood levels in the United States: NHANES 1999–2004 // J Expo Sci Environ Epidemiol. – 2010. – Vol. 20, № 3. – Р. 255–262.

18. Sharma, V. K., Zboril R., McDonald T. J. Formation and toxicity of brominated disinfection byproducts during chlorination and chloramination of water: a review // J. Environ Sci Health B. – 2014. – Vol. 49, № 3. – P. 212–228.

19. Evlampidou, I., Font-Ribera L., Rojas-Rueda D., Gracia-Lavedan E., Costet N., Pearce N., Vineis P., Jaakkola J. J. K., Delloye F., Makris K. C., Stephanou E. G., Kargaki S., Kozisek F., Sigsgaard T., Hansen B., Schullehner J., Nahkur R., Galey C., Zwiener C., Vargha M., Righi E., Aggazzotti G., Kalnina G., Grazuleviciene R., Polanska K., Gubkova D., Bitenc K., Goslan E. H., Kogevinas M., Villanueva C. M. Trihalomethanes in Drinking Water and Bladder Cancer Burden in the European Union // Environmental Health Perspectives. – 2020. – Vol. 128, № 1. – P. 1–14.


Review

For citations:


Drozdova E.V., Sychik S.I., Syakhovich V.E., Pakhadnia K.N., Ahabalayeu A.A., Dalhina N.А. Chloroform content in the blood of the population as a biomarker of exposure to drinking water disinfection by-products. Medical Journal. 2023;(1):23-32. (In Russ.) https://doi.org/10.51922/1818-426X.2023.1.23

Views: 6


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1818-426X (Print)