Influence of genetic polymorphisms on the association between phthalate exposure and pulmonary function in the elderly

Hye Yin Park, Jin Hee Kim, Youn Hee Lim, Sanghyuk Bae, Yun Chul Hong

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33 Scopus citations

Abstract

Background: Phthalates are prevalent environmental exposure chemicals with rising concern on various health effects, including pulmonary function. Meanwhile, elderly people are more susceptible to environmental exposure, and their decreasing lung function is an important health issue. Objectives: To investigate the association between urinary phthalate metabolite levels and indices for pulmonary function, and evaluate effect modification by genetic polymorphisms of oxidative-stress related genes, catalase (CAT), superoxide dismutase (SOD2), and myeloperoxidase (MPO) in elderly Koreans. Methods: We conducted a panel study on 418 individuals over 60 years old in Seoul, Korea, and repeatedly measured urinary phthalate metabolite levels and ran pulmonary function tests. Genetic polymorphisms of CAT (rs769218, rs769217), SOD2 (rs4880, rs2758331, rs5746136) and MPO (rs2071409, rs7208693) were determined. Mixed effect model was used to investigate association of phthalate levels with pulmonary function indices and to examine the effect of CAT, SOD2 and MPO polymorphisms on the association. Results: Inverse association was demonstrated between sum of mono-(2-ethyl-5-hydroxyhexyl) phthalate and mono-(2-ethyl-5-oxohexyl) phthalate (σDEHP) levels and FEV1/FVC (Β=-0.632, p=0.0275) or FEF25-75 (Β=-0.077, p=0.025) after adjusting for age, months after previous measurements, sex, body mass index, cotinine, mean temperature and dew point. The effect of σDEHP on lung function was significant only in subjects with certain genotypes, and having all significant genotypes in three genes showed significant difference in the phthalate-pulmonary function association (FEV1/FVC: Β=-2.169, p=0.0032; FEF25-75: Β=-0.155, p=0.0103), while other combinations showed less estimate size without any significance. Conclusions: Urinary phthalate metabolites levels are associated with decreasing pulmonary function in elderly Koreans, and effect modification of certain CAT, SOD2 and MPO polymorphisms on the association is suggested.

Original languageEnglish
Pages (from-to)18-24
Number of pages7
JournalEnvironmental Research
Volume122
DOIs
StatePublished - Apr 2013

Bibliographical note

Funding Information:
This study was supported by the Susceptible Population Research Program (2008–2010) of the Ministry of Environment and the Basic Science Research Program through the National Research Foundation of Korea (NRF), funded by the Ministry of Education, Science and Technology (2011-0005907), Republic of Korea.

Keywords

  • Elderly
  • Genetic polymorphisms
  • Oxidation
  • Phthalates
  • Pulmonary function

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