Evidence map›Paper›PMID 30971425›Full record

ArticleOccupational and environmental medicine2019

Alterations in immune and renal biomarkers among workers occupationally exposed to low levels of trichloroethylene below current regulatory standards.

Kyoung-Mu Lee, Luoping Zhang, Roel Vermeulen, Wei Hu, Bryan A Bassig, Jason Jj Wong, Chuangyi Qiu, Mark Purdue, Cuiju Wen, Douglas I Walker and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Occupational and environmental medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 43% 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

6 citing papers in PubMed, 15 citations in OpenAlex.

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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

16 authors at 9 institutions in 4 countries.

Kyoung-Mu LeeDepartment of Environmental Health, Korea National Open University, Seoul, The Republic of Korea.ORCID 0000-0003-4100-1694
Luoping ZhangSchool of Public Health, University of California Berkeley, Berkeley, California, USA.
Roel VermeulenDepartment of IRAS, Utrecht University, Utrecht, The Netherlands.
Wei HuNational Cancer Institute, Rockville, Maryland, USA.
Bryan A BassigNational Cancer Institute, Rockville, Maryland, USA.
Jason Jj WongDivision of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Rockville, Maryland, USA.
Chuangyi QiuDivision of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Rockville, Maryland, USA.
Mark PurdueDCEG/NCI/NIH, Bethesda, Maryland, USA.
Cuiju WenGuangdong Poison Control Center, Guangzhou, China.
Douglas I WalkerDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Dean P JonesDivision of Pulmonary, Allergy and Critical Medicine, Emory University, Atlanta, Georgia.
Laiyu LiGuangdong Medical Laboratory Animal Center, Foshan City, Guangdong, China.
Yongshun HuangGuangdong Poison Control Center, Guangzhou, China.
Nathaniel RothmanDivision of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Rockville, Maryland, USA.
Martyn T SmithDivision of Environmental Health Sciences, School of Public Health, University of California, Berkeley, Georgia, USA.
Qing LanDivision of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Rockville, Maryland, USA.
National Cancer Institute · USBerkeley Public Health Division · USEmory University · USIcahn School of Medicine at Mount Sinai · USJi Hua Laboratory · CNKorea National Open University · KRNational Institutes of Health · USUniversity of California, Berkeley · USUtrecht University · NL

Funding

Training CoreP42ES004705 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI MCHALE, CLIONA · 1987 to 2025
$74.6M
Pilot Project ProgramP30ES019776 · NIEHS · EMORY UNIVERSITY · PI William Michael Caudle · 2013 to 2026
$22.6M
Graduate and Postdoctoral Training in ToxicologyT32ES012870 · NIEHS · EMORY UNIVERSITY · PI Carmen Joseph Marsit · 2004 to 2026
$9.1M
VIROLOGY AND CHRONIC INFECTIONP30ES001896 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI SMITH, MARTYN T · 1985 to 2003
$4.7M
NIEHS NIH HHS P30 ES001896NIEHS NIH HHS P30 ES019776NIEHS NIH HHS P42 ES004705NIEHS NIH HHS T32 ES012870
6 · The paper itself

Abstract

objectivesThe occupational exposure limit for trichloroethylene (TCE) in different countries varies from 1 to 100 ppm as an 8-hour time-weighted average (TWA). Many countries currently use 10 ppm as the regulatory standard for occupational exposures, but the biological effects in humans at this level of exposure remain unclear. The objective of our study was to evaluate alterations in immune and renal biomarkers among workers occupationally exposed to low levels of TCE below current regulatory standards.

methodsWe conducted a cross-sectional molecular epidemiology study of 80 healthy workers exposed to a wide range of TCE (ie, 0.4-229 ppm) and 96 comparable unexposed controls in China, and previously reported that TCE exposure was associated with multiple candidate biological markers related to immune function and kidney toxicity. Here, we conducted further analyses of all of the 31 biomarkers that we have measured to determine the magnitude and statistical significance of changes in the subgroup of workers (n=35) exposed to <10 ppm TCE compared with controls.

resultsSix immune biomarkers (ie, CD4+ effector memory T cells, sCD27, sCD30, interleukin-10, IgG and IgM) were significantly decreased (% difference ranged from -16.0% to -72.1%) and one kidney toxicity marker (kidney injury molecule-1, KIM-1) was significantly increased (% difference: +52.5%) among workers exposed to <10 ppm compared with the control group. These associations remained noteworthy after taking into account multiple comparisons using the false discovery rate (ie, <0.20).

conclusionOur results suggest that occupational exposure to TCE below 10 ppm as an 8-hour TWA may alter levels of key markers of immune function and kidney toxicity.

Indexed as

AdultApoptosis Regulatory ProteinsBiomarkersCD30 LigandCD4 Lymphocyte CountChinaCross-Sectional StudiesFemaleHepatitis A Virus Cellular Receptor 1HumansImmunoglobulin GImmunoglobulin MInterleukin-10MaleOccupational ExposureTrichloroethyleneApoptosis Regulatory ProteinsBiomarkersCD30 LigandHAVCR1 protein, humanHepatitis A Virus Cellular Receptor 1IL10 protein, humanImmunoglobulin GImmunoglobulin MInterleukin-10SIVA1 protein, humanTNFSF8 protein, humanTrichloroethylenebiomarkerimmune functionkidney toxicityoccupational exposuretrichloroethylene

Identifiers

PMID30971425
PMCPMC6953904
OpenAlexW2937497794

What OpenQuestion holds

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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.