Evidence map›Paper›PMID 19750105›Full record

ArticleEnvironmental health perspectives2009

Serum cholinesterase inhibition in relation to paraoxonase-1 (PON1) status among organophosphate-exposed agricultural pesticide handlers.

Jonathan N Hofmann, Matthew C Keifer, Clement E Furlong, Anneclaire J De Roos, Federico M Farin, Richard A Fenske, Gerald van Belle, Harvey Checkoway

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.5field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 57 citations in OpenAlex.

  1. Environmental toxins in neurodegeneration - a narrative review.Neurological research and practice · 2025
    Review
  2. Article
  3. Article
  4. Organophosphorus pesticide exposure biomarkers in a Mexican population.Environmental science and pollution research international · 2021
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Serum paraoxonase-1 (PON-1) genotype and exposure to organophosphorous insectides--is there a high-risk population?Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2011
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Jonathan N HofmannDepartment of Epidemiology, University of Washington, Seattle, Washington, USA. hofmannjn@mail.nih.gov
Matthew C Keifer
Clement E Furlong
Anneclaire J De Roos
Federico M Farin
Richard A Fenske
Gerald van Belle
Harvey Checkoway
University of Washington · USFred Hutch Cancer Center · US

Funding

WILDLIFE BIOMARKER APPLICATIONS TO REMEDIATION DECISION MAKINGP42ES004696 · NIEHS · UNIVERSITY OF WASHINGTON · PI GALLAGHER, EVAN P · 1987 to 2021
$51.2M
XENOBIOTIC BIOTRANSFORMATION AND DISPOSITIONP30ES007033 · NIEHS · UNIVERSITY OF WASHINGTON · PI ALI SHOJAIE · 1995 to 2026
$42.5M
University of Washington Education and Research CenterT42OH008433 · OH · UNIVERSITY OF WASHINGTON · PI SIMPSON, CHRISTOPHER D · 2005 to 2024
$29.4M
Pacific Northwest Agricultural Safety and Health CenterU50OH007544 · OH · UNIVERSITY OF WASHINGTON · PI FENSKE, RICHARD ARNOLD · 2001 to 2010
$7.1M
STRUCTURE/FUNCTION OF THE HUMAN PON1 POLYMORPHISMR01ES009883 · NIEHS · UNIVERSITY OF WASHINGTON · PI FURLONG, CLEMENT EUGENE · 1999 to 2013
$5.3M
ENVIRONMENTAL EPIDEMIOLOGY AND BIOSTATISTICST32ES007262 · NIEHS · UNIVERSITY OF WASHINGTON · PI CHECKOWAY, HARVEY · 1990 to 2006
$2.3M
ACL HHS T42OH008433NIEHS NIH HHS ES009883NIEHS NIH HHS P30 ES007033NIEHS NIH HHS P30 ES07033NIEHS NIH HHS P42 ES004696NIEHS NIH HHS P42 ES04696NIEHS NIH HHS R01 ES009883NIEHS NIH HHS T32 ES007262NIEHS NIH HHS T32 ES07262NIOSH CDC HHS T42 OH008433NIOSH CDC HHS U50 OH007544NIOSH CDC HHS U50 OH07544
6 · The paper itself

Abstract

backgroundAnimal studies have demonstrated that low paraoxonase-1 (PON1) status (i.e., low catalytic efficiency and/or low plasma PON1 activity) is associated with neurotoxic effects after exposure to several organophosphate (OP) insecticides. However, few human studies have investigated associations between PON1 status and intermediate end points, such as serum cholinesterase [butyrylcholinesterase (BuChE)] inhibition, among OP-exposed individuals.

objectivesWe evaluated the relation between plasma PON1 status and BuChE inhibition among OP-exposed agricultural pesticide handlers.

methodsAgricultural pesticide handlers in Washington State were recruited during the 2006 and 2007 spray seasons when they were seen for follow-up ChE testing by collaborating medical providers as part of a statewide monitoring program. Blood samples were collected from 163 participants and tested for PON1 status based on plasma PON1 activity [arylesterase (AREase)] and PON1 Q192R genotype. We evaluated percent change in BuChE activity from baseline level in relation to PON1 status.

resultsWe observed significantly greater BuChE inhibition among QQ homozygotes relative to RR homozygotes (p = 0.036). Lower levels of plasma PON1 activity were significantly associated with greater BuChE inhibition (p = 0.004). These associations remained after adjustment for year, days since baseline test, age, and OP exposure in the last 30 days.

conclusionsWe found that both low PON1 catalytic efficiency (i.e., the Q192 alloform) and low plasma PON1 activity were associated with BuChE inhibition among OP-exposed agricultural pesticide handlers. Corroborative findings from future studies with prospective collection of blood samples for PON1 testing, more sensitive markers of OP-related effects, and larger sample sizes are needed.

Indexed as

AgricultureOccupational ExposureAdolescentAdultAryldialkylphosphataseButyrylcholinesteraseCholinesterase InhibitorsFemaleHumansMaleMiddle AgedWashingtonYoung AdultAryldialkylphosphataseButyrylcholinesteraseCholinesterase InhibitorsPON1 protein, humanagriculturecholinesterasefarmworkersgene-environment interactionorganophosphatesparaoxonasepesticides

Identifiers

PMID19750105
PMCPMC2737017
OpenAlexW1969442348

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.