ArticleJournal of exposure science & environmental epidemiology2026
TLR/NF-κB activation in vitro as a tool in the assessment of occupational bioaerosol exposure and health risks in wastewater treatment plants.
Article in Journal of exposure science & environmental epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWastewater treatment plant (WWTP) workers are exposed to biological hazards, including bacteria, fungi, and viruses with pathophysiological properties, posing a risk to workers' health. Due to the complexity of WWTP bioaerosol composition, exposure assessment is challenging, and new methods are needed for a more holistic evaluation.
objectives(1) Characterize bacterial exposure in three Norwegian wastewater treatment plants (WWTPs), (2) Assess the bioaerosol's and cultivated viruses' ability to activate toll-like receptors in vitro, and (3) Elucidate adverse health effects in WWTP workers.
methodsInhalable bioaerosol fractions were collected with personal and stationary sampling, and endotoxin levels and 16S rRNA gene as a biomarker for bacteria were quantified. The inflammatory potential of the bioaerosol was assessed in vitro with HEK-Blue reporter cells, and we investigated the applicability of these cells for viral ligand detection by exposing them to cultivated Influenza A virus, Adenovirus F/40, E. coli phage MS2, and bovine Coronavirus. We used self-reported questionnaire data for an observational health assessment.
resultsTLR2 and TLR4 were activated in 85 and 91% of bioaerosol samples and activation correlated with airborne endotoxin levels. Airborne bacteria were present in all samples, with higher levels in personal (2.7 × 10 SIGNIFICANCE: Workers are continuously exposed to high levels of airborne bacteria levels of endotoxins exceeding 90 Endotoxin units/m IMPACT: This study highlights the continuous exposure of WWTP workers to bioaerosols with pathophysiological properties, inducing TLR2- and TLR4-NF-κB immune responses. This effect occurs regardless of workstations and workers' tasks, despite median endotoxin levels remaining below 90 EU/m³. The presence of airborne bacteria and bioaerosols with inflammatory potential may contribute to workers' health symptoms, and our results highlight the importance of a holistic exposure assessment. We further demonstrate that HEK TLR reporter cell lines provide an innovative method to assess bioaerosol exposure, though they may underestimate exposure to viral-laden bioaerosols.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.