Evidence map›Paper›PMID 34434063›Full record

ArticleRisk management and healthcare policy2021

Genetic Polymorphisms of Pesticide-Metabolizing Enzymes and Transporters in Agricultural Workers and Thyroid Hormone Levels.

Jintana Sirivarasai, Suwanee Chanprasertyothin, Pornpimol Kongtip, Susan Woskie

Open access · goldAbstract read
In one paragraph

Article in Risk management and healthcare policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Frontiers in pharmacology · 2025
    Pooled it
  2. Article
  3. 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

4 authors at 2 institutions in 2 countries.

Jintana SirivarasaiFaculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Suwanee ChanprasertyothinResearch and Innovation Center, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Pornpimol KongtipDepartment of Occupational Health and Safety, Faculty of Public Health, Mahidol University, Bangkok, Thailand.ORCID 0000-0002-3482-3705
Susan WoskieDepartment of Public Health, University of Massachusetts Lowell, Lowell, MA, USA.
Mahidol University · THUniversity of Massachusetts Lowell · US

Funding

1/2-GEOHealth Hub: Improving Agricultural Health in Southeast Asia-ThailandU01TW010091 · FIC · MAHIDOL UNIVERSITY · PI KONGTIP, PORNPIMOL, WOSKIE, SUSAN · 2015 to 2020
$1.8M
2/2-GEOHealth Hub-Improving Agricultural Health in Southeast Asia-USU2RTW010088 · FIC · UNIVERSITY OF MASSACHUSETTS LOWELL · PI KONGTIP, PORNPIMOL, WOSKIE, SUSAN · 2015 to 2019
$1.4M
FIC NIH HHS U01 TW010091FIC NIH HHS U2R TW010088
6 · The paper itself

Abstract

purposeChronic exposure to pesticides has been associated with thyroid dysfunction owing to their endocrine disruption ability. Genetic variations in genes encoding phase I and II enzymes and phase III transporters are partly responsible for individual responses to chemical pesticides. This study investigated the association between variations in genes involved in pesticide metabolism and altered thyroid hormone concentrations.

methodsWe assessed thyroid-stimulating hormone (TSH), free triiodothyronine (FT3), and free thyroxine (FT4) in organic agriculture workers (n = 216) and workers who used chemical pesticides (n = 229). A questionnaire was used to collect sociodemographic, pesticide exposure, and health status data. Blood samples were analyzed for TSH, FT3, and FT4. Genomic DNA was extracted and genotyped using the TaqMan real-time PCR genotyping assay and restriction fragment length polymorphism method for 15 metabolically related genes.

resultsSignificant differences in the TSH (1.58 vs 1.12 µIU/mL) and FT3 (0.34 vs 0.31 ng/dL) concentrations between the chemical and organic worker groups were observed. The frequencies of all single nucleotide polymorphisms were in Hardy-Weinberg equilibrium and were mostly consistent with Asian populations. The findings showed the association between SNPs of enzymes and transporters and TSH, FT3, and FT4. The odd ratio and adjusted odd ratio (with sex, age, smoking status, alcohol consumption and exposure parameters) for subclinical thyroid disease by the variant alleles

conclusionThis is the first study to assess gene-environment interactions in Thai agricultural workers by investigating disruptions of the hypothalamic-pituitary-thyroid axis. The investigated SNP profiles revealed several gene-thyroid hormone associations in which even low levels of pesticide exposure could disturb thyroid homeostasis. These findings provide a foundation for planning future studies investigating associations between complex diseases and occupational pesticide exposure.

Indexed as

enzyme phase I and IIgenotypeoccupational pesticide exposurethyroid-stimulating hormonetransporters

Identifiers

PMID34434063
PMCPMC8380960
OpenAlexW3194936429

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.