Evidence map›Paper›PMID 41111924›Full record

ArticleJournal of the National Cancer Center2025

BTEX chrono-metabolism and leukemogenic effects of night shift work in workers of gasoline stations: the EXPOSOWORK prospective panel study in Bulgaria.

Behzad Heibati, Georgia Soursou, Samuel Abimbola, Pantelis Charisiadis, Lygia Eleftheriou, Leon A M Berge, Jo S Stenehjem, Konstantinos C Makris

Abstract read
In one paragraph

Article in Journal of the National Cancer Center, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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. Review
  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

8 authors.

Behzad HeibatiCyprus International Institute for Environmental and Public Health, Department of Rehabillitation Sciences, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus.
Georgia SoursouCyprus International Institute for Environmental and Public Health, Department of Rehabillitation Sciences, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus.
Samuel AbimbolaCyprus International Institute for Environmental and Public Health, Department of Rehabillitation Sciences, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus.
Pantelis CharisiadisCyprus International Institute for Environmental and Public Health, Department of Rehabillitation Sciences, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus.
Lygia EleftheriouCP Foodlab Ltd, Nicosia, Cyprus.
Leon A M BergeDepartment of Research, Cancer Registry of Norway, Norwegian Institute of Public Health, Oslo, Norway.
Jo S StenehjemDepartment of Research, Cancer Registry of Norway, Norwegian Institute of Public Health, Oslo, Norway.
Konstantinos C MakrisCyprus International Institute for Environmental and Public Health, Department of Rehabillitation Sciences, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Exposures to benzene, toluene, ethylbenzene and xylenes (BTEX) have been associated with impairment of the hematopoietic system, often leading to leukemogenesis. A prospective panel study: i) characterized the effect of night shift work (NSW) (12-hr night shift vs. 12-hr day shift) on urinary BTEX and metabolites in gasoline station workers in Plovdiv, Bulgaria, ii) evaluated the NSW effect on chrono-based BTEX genotoxic effects (as measured by 8-OHdG, a nonspecific biomarker of genotoxicity) including the influence of the downstream urinary metabolome. Methods: During a week's working period, workers (n=71) followed both day shift and night shift work schedules (12-h long each shift) collecting four urine samples per worker (pre and end of shift). Airborne BTEX exposures were evaluated over 12-h shift periods using wearable passive samplers. Urinary BTEX and the metabolome were measured using mass spectrometry. 8-OHdG was measured using an ELISA immunoassay. Associations were examined using mixed-effect regression models and corrected for false-discovery rates of 0.05. Results: Median personal airborne benzene levels were 3.05 (IQR: 2.89), and 2.92 (IQR: 1.86) μg/m Conclusion: Larger NSW studies with longer and more frequent follow-up times are warranted to better delineate the possible influence of NSW chrono-modulated working activities in leukemogenic processes.

Indexed as

BTEXCircadian rhythmExposomeLeukemiaMetabolomicsNight shift

Identifiers

PMID41111924
PMCPMC12529599

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.