Effects Of Combined Exposure Research Articles

Effects of water contamination with heavy metals on pigmented macrophages in spleen of Vardar chub (Squalius vardarensis Karaman) from three rivers in the North-Eastern region of North Macedonia

Background and purpose: Pigmented macrophage aggregates (PMAs) are a part of the immune system of fish and are considered as valuable biomarkers of the impact of water pollution on fish health.Materials and methods: Immunomodulatory effect of water contaminated with high levels of metals on spleen and splenic PMAs of Vardar chub (Squalius vardarensis) (n=129) was examined in two seasons, spring, and autumn 2012. For this purpose, three rivers were chosen: the Zletovska River, heavily contaminated with metals, the Kriva River, moderately contaminated with metals combined with high level of organic matter, and the Bregalnica River, without heavy metal contamination. Spleen masses and splenosomatic indices (SSI) were used for determining the general impact of water contamination on the immune system of Vardar chub. Moreover, volumes and numbers of PMAs within spleen tissue were determined stereologically.Results: The isolated effect of high exposure to metals caused the reduction of spleen mass and/or SSI in the fish from the Zletovska River. The combined effect of exposure to metals and high levels of nutrients in the fish from the Kriva River referred to stimulation of PMAs response, namely increased volumes of splenic PMAs. The existence of seasonally dependent differences was noted since the observed variability in PMAs between rivers occurred only in the autumn.Conclusions: Splenic PMAs in the Vardar chub can be used as an additional biomarker of metal pollution, but with caution, since enhancement of the volumes and numbers of MACs depends on the exposure level of heavy metals, on the presence of the other contaminants, as well as on the physiological condition of the fish.

Effects of single and combined exposure to lead and stress during pregnancy on offspring neurodevelopment

ObjectiveTo assess associations of single and combined exposures to lead and stress during different stages of pregnancy with offspring neurodevelopment. MethodsWe measured prenatal lead (maternal blood-lead in early-pregnancy and umbilical-cord-blood-lead) and maternal stress levels in Shanghai-Birth-Cohort from 2013 to 2016. Maternal stress was assessed using Center-for-Epidemiological-Studies-Depression-Scale and Self-Rating-Anxiety-Scale during mid-pregnancy. The Ages-Stages-Questionnaires-3 (at 6/12-months-of-age) and Bayley-III (at 24-months-of-age) were both used to assess neurodevelopment. ResultsA total of 2132 mother-child pairs with both prenatal lead and stress measurements were included. The geometric-means of blood-lead in early-pregnancy and cord-blood-lead were 1.46 μg/dL and 1.33 μg/dL, respectively. Among the study women, 1.89 % and 0.14 % were screened positive for depression and anxiety. Adjusting for related confounders, the combined exposures had stronger adverse associations with offspring social-emotional skills than single exposures; and the combined exposure in early-pregnancy was associated with greater neurodevelopmental differences than combined exposure around-birth, especially in social-emotion at 24 months-of-age [β (95 %CI): − 10.48(−17.42, −3.54) vs. − 5.95(−11.53, −0.36)]. ConclusionsBoth single and combined prenatal exposures to lead/stress impaired infant neuro-development, and the effects of combined exposure may be more profound than single exposures. Combined exposure in early-pregnancy may be associated with worse neurodevelopmental outcomes than combined exposure around-birth, especially in social-emotional development.

The combined effect of exposures to vapours, gases, dusts, fumes and tobacco smoke on current asthma.

Smoking, exposure to environmental tobacco smoke (ETS) and occupational exposure to vapours, gases, dusts or fumes (VGDF) increase asthma symptoms. The impact of combined exposure is less well established. We aimed to evaluate the risk of combined exposure to smoking, ETS and VGDF on the prevalence of current asthma and asthma‐related symptoms with a postal survey among a random population of 16,000 adults, aged 20–69 years (response rate 51.5%). The 836 responders with physician‐diagnosed asthma were included in the analysis. Of them, 81.9% had current asthma defined as physician‐diagnosed asthma with current asthma medication use or reported symptoms. There was a consistently increasing trend in the prevalence of current asthma by increased exposure. The highest prevalence of multiple symptoms was in smokers with VGDF exposure (92.1%) compared to the unexposed (73.9%, p = 0.001). In logistic regression analysis, combined exposure to several exposures increased the risk in all analysed symptoms (p = 0.002–0.007). In conclusion, smoking and exposure to ETS or VGDF increased the prevalence of current asthma and multiple symptoms. The combined exposure carried the highest risk. Preventive strategies are called for to mitigate exposure to tobacco smoke and VGDF.

Attributable risk of household solid fuel use and second-hand smoke associated with under-5 mortality in 46 low- and lower-middle-income countries, 2010-2020.

Household solid fuel use (including indoor and outdoor) and second-hand smoke (SHS) are considered to be major contributors of under-5 mortality (U5M) in low- and lower-middle-income countries (LMICs). This study provides a comprehensive assessment of their odds ratios and attributable mortality in LMICs. We used the Demographic Health Surveys data for under-5 children in 46 LMICs (n=778,532) from 2010 to 2020. Mixed effect multilevel logistic regressions were conducted to estimate the pooled adjusted odds ratio (aOR) for U5M due to solid fuel use, SHS and their combination compared to no exposure to them in 46 LMICs. The attributable mortality of solid fuel use, SHS, and their combination were assessed for each LMIC. The pooled aOR of solid fuel use and SHS for U5M was estimated to be 1.27 (95% Confidence Interval (CI): 1.19-1.36) and 1.13 (95%CI: 1.06-1.25), respectively, whereas those of their combination was 1.40 (95%CI: 1.31-1.50). U5M attributable to indoor and outdoor solid fuel use was the highest in Myanmar (18.0%) and the Gambia (16.5%), respectively, while those attributable to SHS was the highest in Indonesia (9.8%). U5M attributable to the combination of solid fuel use and SHS was the highest in Timor-Leste (22.7%). The combined effect of exposure to solid fuel and SHS had a higher risk of U5M than the individual risk. The use of clean fuel and tobacco control measures should be integrated with other child health promotion policies. This research was partially supported by a research grant from the Ministry of Education, Culture, Sports, Science and Technology of Japan (21H03203).

Hepatic consequences of a mixture of endocrine-disrupting chemicals in male mice

The global epidemic of metabolic syndrome has been partially linked to ubiquitous exposure to endocrine-disrupting chemicals (EDCs). Although the impacts of exposure to single EDCs have been thoroughly studied, the consequences of simultaneous uncontrolled exposure to multiple EDCs require further investigations. Therefore, in this study, we evaluated how exposure to mixtures containing bisphenol A and seven phthalates impacts liver functions and metabolic homeostasis. Male mice were gavaged with either EDCs at four different dose combinations or corn oil (control) for six weeks. The results showed that exposure to EDCs at the human daily exposure limit had a negligible impact on liver function. However, EDC at ≥ 25 orders of magnitude of human-relevant doses had detrimental impacts on overall liver function, leading to metabolic abnormalities, steatohepatitis, and hepatic fibrosis via the activation of both genomic and non-genomic pathways. The metabolic phenotype was linked to alterations in key genes involved in hepatic lipid and glucose metabolism. In contrast, alterations in cytokine expression, oxidative stress, and apoptosis impacted steatohepatitis and fibrosis. Because EDC exposure does not occur independently, the findings of the combined effects of exposure to multiple EDCs have significant relevance for public health.

The Combined Effects of Perinatal Ethanol and Early-Life Stress on Cognition and Risk-Taking Behavior through Oxidative Stress in Rats.

Both prenatal ethanol and early-life stress have been shown to induce reduced risk-taking and explorative behavior as well as cognitive dysfunction in the offspring. In this study, we examined the effect of combined exposure to ethanol and early stress on maternal care, exploratory behavior, memory performances, and oxidative stress in male offspring.Pregnant rats were exposed to ethanol (4g/kg) from gestational day (GD) 6-to postnatal day (PND) 14 and limited nesting material (LNS) from PND0-PND14 individually or in combination. Maternal behavior was evaluated during diurnal cycle. The level of corticosterone hormone and markers of oxidative stress were evaluated in the pups. Risk-taking and explorative behavior were assessed with the elevated-plus maze (EPM) test and cognitive behavior with the Morris water maze (MWM), novel object recognition (NORT), and object location memory (OLM) tests.In the mothers, perinatal alcohol or LNS either alone or in combination decreased maternal behavior. In the offspring, the combination of the two factors significantly increased the pup's plasma corticosterone concentration in comparison with ethanol and LNS alone. Reduced risk-taking behavior was observed in the ethanol, LNS and ethanol + LNS groups compared with the control group, and this was amplified in the co-exposure of ethanol and LNS groups. The MWM, NORT, and OLM tests revealed spatial and recognition memory impairment in the ethanol and LNS groups. This impairment was more profound in the co-exposure of ethanol and LNS. Also, we observed a significant decrease in superoxide dismutase (SOD) and glutathione peroxidase (GPx) activities and an increase in malondialdehyde (MDA) level in the hippocampus of ethanol and LNS co-exposed animals as compared with individual exposure of ethanol and LNS.While each factor independently produced similar outcomes, the results indicate that the dual exposure paradigm could significantly strengthen the outcomes.

Alleviation of Tris(2-chloroethyl) Phosphate Toxicity on the Marine Rotifer Brachionus plicatilis by Polystyrene Microplastics: Features and Molecular Evidence.

As emerging pollutants, microplastics (MPs) and organophosphorus esters (OPEs) coexist in the aquatic environment, posing a potential threat to organisms. Although toxicological studies have been conducted individually, the effects of combined exposure are unknown since MPs can interact with OPEs acting as carriers. In this study, we assessed the response of marine rotifer, Brachionus plicatilis, to co-exposure to polystyrene MPs and tris(2-chloroethyl) phosphate (TCEP) at different concentrations, including population growth, oxidative status, and transcriptomics. Results indicated that 0.1 μm and 1 μm MPs were accumulated in the digestive system, and, even at up to 2000 μg/L, they did not exert obvious damage to the stomach morphology, survival, and reproduction of B. plicatilis. The presence of 1 μm MPs reversed the low population growth rate and high oxidative stress induced by TCEP to the normal level. Some genes involved in metabolic detoxification and stress response were upregulated, such as ABC and Hsp. Subsequent validation showed that P-glycoprotein efflux ability was activated by combined exposure, indicating its important role in the reversal of population growth inhibition. Such results challenge the common perception that MPs aggravate the toxicity of coexisting pollutants and elucidate the molecular mechanism of the limited toxic effects induced by MPs and TCEP.

A controlled chamber study of effects of exposure to diesel exhaust particles and noise on heart rate variability and endothelial function

Background Adverse cardiovascular effects are associated with both diesel exhaust and road traffic noise, but these exposures are hard to disentangle epidemiologically. We used an experimental setup to evaluate the impact of diesel exhaust particles and traffic noise, alone and combined, on intermediary outcomes related to the autonomic nervous system and increased cardiovascular risk. Methods In a controlled chamber 18 healthy adults were exposed to four scenarios in a randomized cross-over fashion. Each exposure scenario consisted of either filtered (clean) air or diesel engine exhaust (particle mass concentrations around 300 µg/m3), and either low (46 dB(A)) or high (75 dB(A)) levels of traffic noise for 3 h at rest. ECG was recorded for 10-min periods before and during each exposure type, and frequency-domain heart rate variability (HRV) computed. Endothelial dysfunction and arterial stiffness were assessed after each exposure using EndoPAT 2000. Results Compared to control exposure, HRV in the high frequency band decreased during exposure to diesel exhaust, both alone and combined with noise, but not during noise exposure only. These differences were more pronounced in women. We observed no synergistic effects of combined exposure, and no significant differences between exposure scenarios for other HRV indices, endothelial function or arterial stiffness. Conclusion Three-hour exposure to diesel exhaust, but not noise, was associated with decreased HRV in the high frequency band. This indicates activation of irritant receptor-mediated autonomic reflexes, a possible mechanism for the cardiovascular risks of diesel exposure. There was no effect on endothelial dysfunction or arterial stiffness after exposure.

EFFECTS OF TEMPERATURE AND METALS (ZINC AND CADMIUM) IN EMBRYONIC STAGE OF Anabas testudineus: AN ALTERNATIVE FRESHWATER FISH EMBRYO TEST IN THE SOUTHEAST ASIA REGION

The fish embryo acute toxicity test (FET) was proposed as a promising alternative to the general practice of fish acute toxicity test (FAT) on living animals. To date, the available information on freshwater fish embryos in Southeast Asia is limited. Hence, this study aims to present preliminary data on the single and combined exposure effects of temperature and metals, including zinc and cadmium, on the embryonic development of Anabas testudineus. Over 80% of the embryos died after 10 hour post-fertilization (hpf) in all cadmium treatments, whereas the same effect was only observed in 49.6 and 146 mg/L of zinc treatment. The optimum temperature for rearing the embryos ranged from 27 to 34°C, with a survival rate greater than 90% was recorded. The combined test of zinc + cadmium showed the additive effect with approximately 80% mortality rate at 12 hpf, while the combination of temperature and cadmium had increased the mortality rate up to 100% at 16 hpf. The temperature was found to elevate the cadmium uptake in the embryos and magnified the concentration higher than the concentration in water.

Potentiation of methylmercury toxicity by combined metal exposure: In vitro and in vivo models of a restricted metal exposome

Methylmercury (MeHg) is a prevalent toxic metal that readily modifies protein thiols. Reactive persulfides that play a role in redox homeostasis are able to inactivate this metal through sulfur adduct formation. Although humans are exposed to other metals that could consume reactive persulfides on a daily basis, the health effects of combined exposure to MeHg and other metals remain unexplored. This study aimed to examine potential MeHg toxicity during exposure to MeHg with other metals capable of consuming reactive persulfides. We designed a simple system to assess the risk of combined exposure to metals based on reactivity to reactive persulfides and mercury accumulation. Among the metals examined in a cell-free system, copper, cadmium, nickel, and MeHg consumed Na2S2, used as a model of reactive persulfides, whereas zinc, iron, lithium, strontium, tin, and aluminum did not. In HepG2 cells, binary exposure to MeHg and copper, but not aluminum, increased the consumption of extracellular reactive persulfides. Binary exposure exacerbated MeHg-induced cytotoxicity by promoting the modification of intracellular proteins by MeHg. In a mouse model, binary exposure to MeHg and copper resulted in elevated mercury accumulation in the fetuses and placenta of pregnant mice, as well as the brain and liver of non-pregnant mice. Our study suggests that MeHg sensitivity can be increased by combined exposure with other electrophilic metals. In particular, binary exposure to MeHg and copper during pregnancy exacerbated mercury accumulation in offspring.

Non-destructive biomarkers can reveal effects of the association of microplastics and pharmaceuticals or personal care products

Methods to assess the effects of contaminants on marine organisms typically involve euthanasia to obtain samples, but less invasive techniques may be more appropriate for working with threatened species. In this study, were assessed the biological responses of crabs exposed to microplastics and contaminants of emerging concern. Biochemical and cellular effects (lipid peroxidation, DNA damage, cholinesterase activity, and lysosomal membrane stability) in hemolymph were analyzed in a kinetic study, at 3 and 7 days, in U. cordatus exposed to microplastics spiked with Triclosan (TCS) or 17α-Ethynylestradiol (EE2). The results showed that the contaminants were produced toxic effects in the crabs exposed either to the microplastics alone (oxidative stress, genotoxicity, and neurotoxicity), or to microplastics with TCS or EE2 adsorbed (neurotoxic and cytotoxic). The present study showed the responsiveness of non-lethal analyzes to understanding the biological effects of combined exposure to microplastics and chemical pollution.

The pro-inflammatory effects of combined exposure to diesel exhaust particles and mineral particles in human bronchial epithelial cells

BackgroundPeople are exposed to ambient particulate matter (PM) from multiple sources simultaneously in both environmental and occupational settings. However, combinatory effects of particles from different sources have received little attention in experimental studies. In the present study, the pro-inflammatory effects of combined exposure to diesel exhaust particles (DEP) and mineral particles, two common PM constituents, were explored in human lung epithelial cells.MethodsParticle-induced secretion of pro-inflammatory cytokines (CXCL8 and IL-1β) and changes in expression of genes related to inflammation (CXCL8, IL-1α, IL-1β and COX-2), redox responses (HO-1) and xenobiotic metabolism (CYP1A1 and CYP1B1) were assessed in human bronchial epithelial cells (HBEC3-KT) after combined exposure to different samples of DEP and mineral particles. Combined exposure was also conducted using lipophilic organic extracts of DEP to assess the contribution of soluble organic chemicals. Moreover, the role of the aryl hydrocarbon receptor (AhR) pathway was assessed using an AhR-specific inhibitor (CH223191).ResultsCombined exposure to DEP and mineral particles induced increases in pro-inflammatory cytokines and expression of genes related to inflammation and redox responses in HBEC3-KT cells that were greater than either particle sample alone. Moreover, robust increases in the expression of CYP1A1 and CYP1B1 were observed. The effects were most pronounced after combined exposure to α-quartz and DEP from an older fossil diesel, but enhanced responses were also observed using DEP generated from a modern biodiesel blend and several stone particle samples of mixed mineral composition. Moreover, the effect of combined exposure on cytokine secretion could also be induced by lipophilic organic extracts of DEP. Pre-incubation with an AhR-specific inhibitor reduced the particle-induced cytokine responses, suggesting that the effects were at least partially dependent on AhR.ConclusionsExposure to DEP and mineral particles in combination induces enhanced pro-inflammatory responses in human bronchial epithelial cells compared with exposure to the individual particle samples. The effects are partly mediated through an AhR-dependent pathway and lipophilic organic chemicals in DEP appear to play a central role. These possible combinatory effects between different sources and components of PM warrant further attention and should also be considered when assessing measures to reduce PM-induced health effects.

Interactive toxicity of copper and cadmium in regenerating and adult planarians

In a polluted environment, metals are present as complex mixtures. As a result, organisms are exposed to different metals at the same time, which affects both metal-specific as well as overall toxicity. Detailed information about the molecular mechanisms underlying the adverse effects of combined exposures remains limited in terms of different life stages. In this study, the freshwater planarian Schmidtea mediterranea was used to investigate developmental and physiological responses associated with a combined exposure to Cu and Cd. In addition, the cellular and molecular mechanisms underlying the provoked adverse effects were studied in different exposure scenarios. Mixed exposure resulted in a decline in survival, diverse non-lethal morphological changes, neuroregenerative impairments, altered behaviour and a limited repair capacity. Underlying to these effects, the cellular redox state was altered in all exposure conditions. In adult animals, this led to DNA damage and corresponding transcriptional changes in cell cycle and DNA repair genes. In regenerating animals, changes in hydrogen peroxide and glutathione contents led to regenerative defects. Overall, our results demonstrate that (1) developing organisms are more susceptible to metal exposures, and (2) the toxicity of an individual metal increases significantly in a mixed exposure scenario. These aspects have to be included in current risk assessment strategies.

Combined Effects of Exposure to Noise and Vibration on Human Postural Equilibrium under Simulated Driving Conditions

There is little information about drivers’ body balance responses to combined exposure of noise and vibration. To fill the gap, this study aims to investigate the combined effects of exposure to noise and whole-body vibration (WBV) on the body balance under simulated driving conditions. For this purpose, 30 male participants were exposed to noise level at 85 dB(A) and two vibration levels (0.87 and 1.3 m/s2) in five sessions. The design of the study was repeated-measures, and it attempted to assess the effects of 40 minutes of exposure to noise and/or WBV. Moreover, the participants’ fatigue was measured with the Borg scale (CR 10). The findings revealed there was a significant change in body sway after WBV and combined noise and WBV exposure (p < 0.05). However, no significant difference was found in exposure to noise alone (p > 0.05). The effect sizes of exposure to noise, WBV (1.3 m/s2), and combined noise and WBV (1.3 m/s2) on body balance were 0.035, 0.425, and 0.635, respectively. Also, single exposure to WBV caused more fatigue than single exposure to noise (p < 0.05). Combined noise and WBV exposure descriptively caused more fatigue in comparison with the influence of WBV alone. The study concluded that the combined effects of exposure to noise and vibration are more than the sum of them. So, some synergistic effects may be observed in human body balance. It is essential to increase drivers’ awareness and revise current health care interventions about new possible effects of combined exposures.

Комбинированное действие хронического ионизирующего излучения и многократного лазерного воздействия на когнитивные функции крыс

Low-level laser therapy (LLLT) may have utility in the management of side effects of radiation therapy in head and neck cancer (HNC) patients. Although evidence suggests that LLLT is safe treatment for HNC patients, more research is imperative and vigilance remains warranted to de-tect any potential adverse effects of LLLT on treatment outcomes and survival of HNC patients. The purpose of this study was to evaluate the effect of transcranial low-level laser irradiation (LLLI) in combined with whole-body ionizing radiation (IR) on conditioned-reflex activity of rats. Seventy healthy Wistar female rats were distributed into the following groups: Group 1, sham control; Group 2, LLLI; Group 3, IR; Group 4, IR and LLLI. Group 3 and Group 4 chronically ex-posed to IR (30 days; 5,3+/-0,5 mGy/h; 3,7 Gy). Group 2 and Group 4 received five applications of LLLI, once a day for 15 min (wavelength 890 nm, the pulse duration was 100 ns, impulse fre-quency 10000 Hz, output power – 1,7 mW). Cognitive functions of the rats were tested using shut-tle-box avoidance method. The rats were tested 30 minutes later, 24 hours later, and 14 days af-ter the end of LLLI. LLLI and IR in isolated action (groups 2 and 3) did not significantly affect the conditioned reflex activity of rats. The negative effect of combined exposure to these factors (group 4) on the development and reproduction of an active avoidance reflex within 24 hours af-ter exposure was revealed. Gradually this negative effect weakened and within two weeks was leveled. Thus, the combined action of IR and LLLI may pose a potential danger to the cognitive function of the brain.

Combined effects of exposure to polycyclic aromatic hydrocarbons and metals on oxidative stress among healthy adults in Caofeidian, China

Exposure to polycyclic aromatic hydrocarbons (PAHs) and metals is associated with many adverse effects on human health, accompanied by oxidative stress. This study aimed to investigate the effects of co-exposure to PAHs and metals on oxidative stress in healthy adults. A preliminary longitudinal panel study was conducted between 2017 and 2018 in 45 healthy college students in Caofeidian, China. Six urinary monohydroxylated-PAHs (OH-PAHs), ten metals, 8-hydroxydeoxyguanosine (8-OHdG), and 8-iso-prostaglandin-F2α (8-iso-PGF2α) were measured. Linear mixed effects (LME) models and Bayesian kernel machine regression (BKMR) models were used to explore the associations of urinary OH-PAHs and metals with 8-OHdG and 8-iso-PGF2α. LME models showed that most urinary OH-PAHs and metals were positively associated with 8-OHdG and 8-iso-PGF2α. For example, a one-unit increase in the ln-transformed level of 1-hydroxypyrene (1-OHPyr) and vanadium (V) was associated with an increase of 143.8% (95% CI: 105.7 – 188.9%) and 105.8% (95% CI: 79.2–136.4%) in 8-OHdG; 8-iso-PGF2α increased by 118.9% (95% CI: 99.2–140.5%) and 83.9% (95% CI: 67.2–102.2%) with a one-unit increase in the ln-transformed level of 3-hydroxyphenanthrene (3-OHPhe) and aluminum (Al). BKMR models indicated the overall positive associations of the mixture of six OH-PAHs, ten metals, or six OH-PAHs and ten metals with 8-OHdG and 8-iso-PGF2α. Urinary 1-OHPyr and V were identified as the major contributors to the increased urinary 8-OHdG levels, while urinary 3-OHPhe and Al were the most vital contributors to the increased urinary 8-iso-PGF2α levels. The results revealed the longitudinal dose-response relationships of urinary OH-PAHs and metals with oxidative stress among healthy adults in Caofeidian; this finding serves as an evidence regarding the early health hazard caused by exposure to PAHs and metals and has implications for the environmental management of PAH and metal emissions in this area.

Risk Assessment of Contaminants in Sewage Sludge Applied on Norwegian Soils

Risk Assessment of Contaminants in Sewage Sludge Applied on Norwegian Soils

Combined Developmental Toxicity of the Pesticides Difenoconazole and Dimethomorph on Embryonic Zebrafish.

Difenoconazole (DIF) and dimethomorph (DIM) are widely used pesticides frequently detected together in environmental samples, so the deleterious effects of combined exposure warrant detailed examination. In this study, the individual and combined effects of DIM and DIF on conventional developmental parameters (hatching rate, deformity rate, lethality) and gene expression were measured in embryonic zebrafish. Both DIF and DIM interfered with normal zebrafish embryo development, and the most sensitive toxicity index for both was 96 h post-fertilization (hpf) deformity rate (BMDL10 values of 0.30 and 1.10 mg/L, respectively). The combination of DIF and DIM had mainly synergistic deleterious effects on 96 hpf deformity and mortality rates. Transcriptome analysis showed that these compounds markedly downregulated expression of mcm family genes, cdk1, and cdc20, thereby potentially disrupting DNA replication and cell cycle progression. Enhanced surveillance for this pesticide combination is recommended as simultaneous environmental exposure may be substantially more harmful than exposure to either compound alone.

Housing and health: a collaborative project for evidence-based policy-making

Abstract Issue The potential to improve health and equity through better housing is well established. However, housing policies (mainly focused on energy efficiency) have not fully integrated health. Description Within the Urban Environment and Health Project of the Diputació de Barcelona, their Housing and Public Health Offices and the Barcelona Institute for Global Health undertook the first phase (May-December 2020) of a collaborative project on housing and health. Focused on the physical dwelling, a map of health risk factors (linked to thermal comfort, environmental and spatial quality), a literature review of each factor, and a list of local health-promoting housing programs were elaborated. Issues addressed included: (a) most relevant home factors affecting health; (b) evidence of poor housing conditions impacting physical, mental, and social health of residents; (c) housing improvements with documented positive health benefits. The second phase (March-December 2021) uses the same methods to address two new housing dimensions: residential environment and community. Results Recent research on housing and health explores the potential accumulative/synergistic effects of combined exposures, as additional poor housing parameters (e.g. low indoor air quality, lack of natural light, pest problems, material damage) correlate with poorer health status and higher use of medical resources. Through this collaborative project, increased awareness among local officers has led to preliminary context-specific criteria and parameters to promote healthy homes beyond compliance with current building codes, especially aimed at increasing maintenance and renovation standards in older neighborhoods of Barcelona. Lessons Collaboration between stakeholders allows for rich and innovative perspectives and encourages multisectoral actions. Context-specific health costs/benefits analyses are needed to facilitate development and implementation of housing policies with health at its core. Key messages Housing policies should have a holistic approach of health risks, redounding in housing policies improvement. Collaborative projects between academic institutions and local governments encourage pivotal evidence-based housing policy-making.

Individual and joint effects of metal exposure on metabolic syndrome among Chinese adults

Growing evidence suggests that metal exposure contributes to metabolic syndrome (MetS), but little is known about the effects of combined exposure to metal mixtures. This cross-sectional study included 3748 adults who were recruited from the Medical Physical Examination Center of Tongji Hospital, Wuhan, China. The levels of 21 metal(loid)s in urine were measured by inductively coupled plasma mass spectrometry. MetS was diagnosed according to National Cholesterol Education Program's Adult Treatment Panel III recommendations. Multivariate logistic regression model was uesd to explore the effects of single-metal and multi-metal exposures. The elastic net (ENET) regularization with an environmental risk score (ERS) was performed to estimate the joint effects of exposure to metal mixtures. A total of 636 participants (17%) were diagnosed with MetS. In single metal models, MetS was positively associated with zinc (Zn) and negatively associated with nickel (Ni). In multiple metal models, the associations remained significant after adjusting for the other metals. In the joint association analysis, the ENET models selected Zn as the strongest predictor of MetS. Compared to the lowest quartile, the highest quartile of ERS was associated with an elevated risk of MetS (OR = 3.72; 95% CI: 2.77, 5.91; P-trend < 0.001). Overall, we identified that the combined effect of multiple metals was related to an increased MetS risk, with Zn being the major contributor. These findings need further validation in prospective studies.