Relative survival after exposure to polychlorinated biphenyls and dioxins: a follow-up of Japanese patients affected in the Yusho incident

Objectives

Little information is available on conditional survival among Yusho patients, who were accidentally exposed to PCBs and other dioxin-related compounds. In this study, we estimated relative survival among Yusho patients to quantify time trends in excess mortality compared to the general population.

Methods

A total of 1664 Yusho patients (860 males, and 804 females) were analyzed as Yusho cohort subjects. Relative survival ratio (RSR) was calculated as a measure of patient survival.

Results

Overall, 1-, 5-, 10-, and 15-year RSRs were 1.00 (95% confidence interval (CI): 0.99, 1.00), 1.00 (95% CI: 0.99, 1.01), 0.99 (95% CI: 0.98, 1.00), and 0.99 (95% CI: 0.98, 1.01), respectively. We did not observe meaningful increases or decreases in RSRs in either sex, which remained the same in all age groups for 1-, 5-, 10-, and 15-year RSRs.

Conclusions

This study provides quantitative evidence that Yusho patients have no significant difference in relative survival compared with the general Japanese population. Our results suggest that PCBs and dioxin exposure confers no excess mortality. This information may be important for both the clinical management of and patient coping with Yusho disease.     

Identification of subwatershed sources for chlorinated pesticides and polychlorinated biphenyls in the Ballona Creek watershed

Santa Monica Bay forms part of the western border of the greater Los Angeles region. The Ballona Creek watershed is highly urbanized and past studies indicate that Ballona Creek is the largest source for most pollutants to Santa Monica Bay. This study evaluates the contribution of subwatersheds to PCB and chlorinated pesticide loading during wet weather flow. Fifteen storm drains from these subwatersheds were sampled during three storms during the 2005-2006 winter rainy season. A series of grab samples were taken over the duration of the storms. The suspended solids were analyzed for polychlorinated biphenyls (PCBs) and chlorinated pesticides. A geographic information system (GIS) was used to calculate the runoff volume from each subwatershed to estimate pollution mass loading. There was no statistical difference among subswatersheds; however, a disproportionate mass of PCB loading came from site 5, which had no obvious sources. No specific subwatersheds were identified as key sources for chlorinated pesticides. These results may serve as a model for other locations with concerns for historic PCB and chlorinated pesticides loadings.     

Levels of chlorinated pesticides and polychlorinated biphenyls in Norwegian breast milk (2002-2006), and factors that may predict the level of contamination

In the present study, polychlorinated biphenyls (PCBs) and organochlorine pesticides (OCPs) were determined in 423 breast milk samples from women living in Norway. Various predictors for the contaminant levels were also investigated. The samples were collected in six counties, representing South, Central and North Norway in 2002-2006. Initial results showed significantly lower levels of OCPs in breast milk from ethnic Norwegians (N = 377) compared to ethnic non-Norwegians (N = 46). Median concentrations (range) of PCBs, p,p′-DDE, HCB, β-HCH and oxychlordane in breast milk of the Norwegian women, all parities included, were 103 (34-450), 41 (5.4-492), 11 (3.6-24), 4.7 (0.9-37) and 2.8 (0.5-16) ng/g lipid weight, respectively. Results indicated that sum of 18 PCBs, p,p′-DDE and β-HCH are good predictors for monitoring of PCB, DDT and HCH levels in Norwegian breast milk. Multivariable linear regression analyses showed that age was strongly associated with increasing OC levels (P < 0.001), whereas parity was associated with decreasing OC levels (P < 0.001). Smoking was associated with higher levels of PCBs, p,p′-DDE and β-HCH. The models explained from 17 to 35% of the variance. Median levels of OCs in the present Norwegian primparaes seemed to be 29-62% lower than corresponding results found in a Norwegian study from 2000-2002.     

Accumulation of polychlorinated biphenyls and organochlorine pesticide in pet cats and dogs: Assessment of toxicological status

PCB and DDT concentrations were determined in the adipose tissue of cats and dogs from Southern Italy. In cats p,p′-DDE was the most abundant DDT component (95.0%), while in dogs these compounds were absent, except in two specimens. PCB concentrations were higher in cats (199.02 ng g^− 1 lipid weight) than in dogs (41.61 ng g^− 1 lipid weight). Also there were inter-specific differences in the contribution of the different congeners to PCBs, although PCB 138, PCB 153 and PCB 180 were the most representative congeners in both species. Animals from one location, Taranto City, had significantly elevated concentrations of dioxin-like PCBs compared to the other locations. Consequently the estimated mean 2,3,7,8-tetrachlorodibenzo-p-dioxin toxic equivalents (TEQs) of coplanar PCBs were higher in these animals (cats: 0.65 pg g^− 1 lipid weight; dogs 0.29 pg g^− 1 lipid weight) than in the other ones (cats: 0.12 pg g^− 1 lipid weight; dogs: 0.001 pg g^− 1 lipid weight).     

Enhanced removal of polychlorinated biphenyls from alfalfa rhizosphere soil in a field study: The impact of a rhizobial inoculum

Polychlorinated biphenyls (PCB) are persistent pollutants in soil environments where they continue to present considerable human health risks. Successful strategies to remediate contaminated soils are needed that are effective and of low cost. Bioremediation approaches that include the use of plants and microbial communities to promote degradation of PCB have significant potential but need further assessment under field conditions. The effects of growth of alfalfa (Medicago sativa L.) and inoculation with a symbiotic nitrogen fixing bacterium (Rhizobium meliloti) on the removal of polychlorinated biphenyls (PCB) from rhizosphere soil were evaluated in a field experiment. The initial PCB content of the soil ranged from 414 to 498 µg kg⁻¹. PCB removal for the rhizosphere soil was enhanced in the planted treatments, an average of 36% decrease in PCB levels compared to a 5.4% decrease in the unplanted soil, and further enhanced when plants were inoculated with the symbiotic Rhizobium (an average of 43% decrease) when evaluated at 90 days after planting. Plant biomass production was higher in the inoculated treatment. The total PCB content was increased from 3.30 µg kg⁻¹ to 26.72 µg kg⁻¹ in plant shoots, and from 115.07 µg kg⁻¹ to 142.23 µg kg⁻¹ in roots in the inoculated treatment compared to the planted treatment. Increased colony forming units (cfu) of total heterotrophic bacteria, biphenyl-degrading bacteria and fungi were observed in the rhizosphere of inoculated plants. PCB removal from the rhizosphere soil was not significantly correlated with the direct PCB uptake by the plants in any of the treatments but was significantly correlated with the stimulation of rhizosphere microflora. Changes in the soil microbial community structure in the planted and inoculated treatment were observed by profiling of bacterial ribosomal sequences. Some bacteria, such as Flavobacterium sp., may have contributed to the effective degradation of PCB and deserve further investigation.     

Determination of dioxins and polychlorinated biphenyls in breast milk, maternal blood and cord blood from residents of Tohoku, Japan

Polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs) and polychlorinated biphenyls (PCBs) are bioaccumulative chemicals that are considered to be toxic contaminants based on several epidemiological studies. To elucidate exposure levels of these chemicals in the present study, concentrations of PCDD/DFs, dioxin-like PCBs (DL-PCBs) and PCBs in breast milk, maternal blood and cord blood obtained from the same participants registered in a birth cohort study in Tohoku, Japan, were measured. Congener-specific analysis revealed several differences in minor congeners of these compounds among the three specimen types, although major congeners were detected in the specimens. The toxicity equivalence quantity concentrations (1998 WHO-TEF) and PCBs in breast milk, maternal blood and cord blood on the whole and on a lipid basis were in the order of breast milk > maternal blood > cord blood. Pearson's correlation coefficients of TEQs and total PCBs among the three specimens were high, with the correlation coefficient of TEQ between breast milk and maternal blood being the highest (r=0.94, p<0.001). On the other hand, the TEQ between breast milk and cord blood was the lowest (r=0.79, p<0.001). Pearson's correlation coefficient between the TEQ and PCBs in each specimen was also high (r=0.82-0.95, p<0.001). The associations of chemical concentrations with maternal age, parity, fish intake, BMI and the rate of body weight increase during pregnancy were analyzed with multiple linear regression analysis. TEQ concentrations and PCBs were negatively associated with parity (p<0.05), and maternal age was positively associated with PCBs (p<0.05). However, the associations with BMI and fish intake during pregnancy were not significant. These results suggest that parity is an important factor affecting the concentrations of dioxins and PCBs in these specimens.     

Distribution of polychlorinated biphenyls, organochlorine pesticides and polybrominated diphenyl ethers in human umbilical cord serum, maternal serum and milk from Wielkopolska region, Poland

The levels of organochlorinated pesticides (OCPs): p,p'-DDT and its metabolites, hexachlorobenzene (HCB), hexachlorocyclohexane isomers (HCHs), chlordanes and their metabolites, and 18 polychlorinated biphenyl (PCB) congeners were measured in maternal serum, umbilical cord serum and human milk collected from 22 mothers living in the Wielkopolska region, Poland. Additionally, 11 polybrominated diphenyl ether (PBDE) congeners were measured in the human milk samples. p,p'-DDT and its major metabolite, p,p'-DDE, together with HCB, were found in all milk and serum samples. Median concentrations of p,p'-DDE in maternal serum, umbilical cord serum and milk were 343, 329 and 634ng/g lipid weight (lw). PCB congeners 138, 153 and 180 were the major congeners measured in all serum samples, while CB 170 was detected in 74% and 100% of umbilical cord and maternal serum, respectively. Except for CBs 74, 101 and 105, which had a detection frequency of 77%, 23% and 82%, respectively, all investigated PCB congeners were measured in all human milk samples. The median concentrations of sum PCBs in maternal serum, umbilical cord serum and milk were 79, 60 and 133 ng/g lw, respectively. A good correlation (Spearman R(S)>0.75, p<0.001) was found for major PCBs, p,p'-DDT and p,p'-DDE, between maternal and umbilical cord serum, while the correlation was weaker between milk and serum. The median of sum PBDEs in human milk was 2.0 ng/g lw (range 0.8 to 8.4), with BDE 47 being always the most abundant PBDE congener and, together with BDE 153, being present in all samples. In general, results found in the investigated group are at the low end of the concentration range measured in Europe.