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What is This?
Abstract
Trivalent chromium (Cr) is an environmental contaminant, which is extensively used in tanning industries
throughout the world and causes various forms of health hazards in tannery workers. Therefore, a cross-
sectional study design was used to evaluate the DNA damage and oxidative stress condition in tannery workers
exposed to Cr in north India. The study population comprised 100 male tanners in the exposed group and 100
healthy males (no history of Cr exposure) in the comparable control group. Baseline characteristics including
age, smoking, alcohol consumption habits and duration of exposure were recorded via interviewing the sub-
jects. Blood Cr level (measured by atomic absorption spectrophotometry), DNA damage (measured by comet
assay) and oxidative stress parameters (malondialdehyde (MDA), glutathione (GSH) and superoxide dismutase
(SOD)) were estimated in both the groups. As a result of statistical analysis, exposed group showed signifi-
cantly higher level of Cr (p < 0.0001), DNA damage (p < 0.0001), MDA (p < 0.0001), SOD (p < 0.05) and lower
level of GSH (p < 0.001) when compared with controls. Smoking, alcohol consumption habits and age had no
significant effect (p > 0.05) on DNA damage and oxidative stress parameters in both the groups. In simple and
multiple correlation analysis, DNA damage and oxidative stress parameters showed significant correlation with
Cr level and duration of exposure in exposed group. The findings of the present study revealed that chronic
occupational exposure to trivalent Cr may cause DNA damage and oxidative stress in tannery workers.
Keywords
Occupational exposure, tannery workers, trivalent chromium, DNA damage, oxidative stress
(Kornhauser et al., 2002). Therefore, trivalent Cr is revealed that adequate human data on the hazardous
considered to be an important health risk factor for the nature of trivalent Cr in terms of genotoxic effects and
tannery workers. The wide use of this trivalent Cr, in oxidative stress are scanty (Goulart et al., 2005;
tanning industry, has elicited concern over the safety Medeiros et al., 2003; Sellappa et al., 2011). There-
of tannery workers. fore, the aim of the present study was to evaluate the
Health hazards such as cancer, asthma, chronic perilous effect of trivalent Cr with special reference to
bronchitis, hypertension, chromosomal aberration, DNA damage and oxidative stress on north Indian
back pains, metabolic syndrome, hemoglobin (Hb) tannery workers. The result of this study may be help-
changes resulting from iron metabolism and DNA ful for the early identification of hazardous effect of
detriment in lymphocytes have been reported in the Cr on tannery workers, which will be crucial to reduce
leather tannery workers (Edling et al., 1986; Iaia exposure and health hazard.
et al., 2004; Veyalkin and Milyutin, 2003; Mikoczy To the best of our knowledge, in the literature, no
and Hagmar, 2005; Ory et al., 1997; Stupar et al., investigation has been reported on north Indian tan-
1999; Sbrana et al., 1991). According to Monteiro nery workers to find out the involvement of trivalent
Neto et al. (2010), most of the health troubles that the Cr in the progression of genotoxicity and oxidative
leather tannery workers encounter in chronic occupa- stress. In addition, the present study utilized comet
tional exposure condition are associated with genetic assay as a diagnostic tool to evaluate genetic damage
damage. Trivalent Cr has been demonstrated to on tannery workers who are exposed to trivalent Cr,
decrease the fidelity of DNA synthesis (Snow and although some previous studies (Cid et al., 1991;
Xu, 1991). Khan et al. (2012) reported that population Medeiros et al., 2003; Sellappa et al., 2011) have used
exposed to trivalent Cr is at high risk for health DNA protein cross-link assay, micronucleus test and
hazards. Friedman et al. (1987) reported that trivalent chromosomal aberration assay to explore the geno-
Cr induces chromosomal aberrations in human lym- toxicity of trivalent Cr.
phocytes. They also suggested that trivalent Cr might
possess tumor-promoter-like properties. Materials and methods
Oxidative stress, caused by massive production of
lipid peroxidation products or by depletion of cells Study subjects
majors antioxidant, has been proposed as one of the This cross-sectional study was conducted in a total of
possible mechanisms involved in Cr toxicity (Harris 200 male subjects including 100 Cr-exposed tannery
and Shi, 2003; Pulido and Parish, 2003). In experi- male workers and 100 control males, with age ranging
mental animals, medium- to long-term exposure to 15–65 years. Tannery workers who were actively
trivalent Cr has resulted in a significant increase in the involved in the chrome tanning process and had not
excretion of lipid peroxidation products (Goulart been exposed to any radiation treatment for 12 months
et al., 2005). Lipid peroxidation occurs as a chain before sampling, were recruited from outpatient clinic
reaction initiated by excess production of free at Chaudhary Ehsan Kareem Hospital, Jajmau, Kan-
radicals. In response to deleterious effects of free pur, India. Controls were selected from the general
radical-induced lipid peroxidation, cells activate population of Lucknow- India, with no history of
antioxidant defense mechanisms in which superoxide occupational exposure to Cr and not known to be
dismutase (SOD), an enzymatic antioxidants and exposed to any other environmental or occupational
reduced glutathione (GSH), a nonenzymatic antioxi- carcinogens but belonged to the same age group as the
dants act synergistically with one another to detoxify tannery workers. Similar to the exposed subjects,
the effects of lipid peroxidation (Barber and Harris, those controls who had a history of exposure to any
1994; Cheung et al., 2001). kind of radiation treatment were excluded in this
In India, leather tanning industry is one of the study. Blood samples (5 ml) were collected in hepar-
oldest cottage industries, which now has taken a inized tubes by technician strictly in accordance with
predominant place in the country’s economy. There the Guidelines of Ethical and Bio-safety Committee
are more than 2500 tanneries in India and nearly of University of Lucknow. Individuals participating
80% of the tanneries are engaged in the chrome tan- in the proposed study were informed about the nature
ning process by utilizing trivalent Cr (Sinha et al., of the study and their written consents were obtained.
2006). Thus, the Indian tannery workers are highly Each subject was asked to fill an extensive question-
exposed to trivalent Cr. A survey of the literature has naire regarding age, sex, occupation, residence,
marital status, smoking, alcohol consumption and neutralizing solution (400 mM Tris, pH 7.5) for 5 min
duration of Cr exposure and so on. and this step was repeated. Slides were then
dehydrated in absolute methanol for 5 min and kept
Blood Cr analysis at room temp to dry. For staining, 75 ml of ethidium
bromide stain was applied as 4–5 small, equally
Estimation of whole blood Cr was carried out accord-
spaced droplets over the slides and cover glass was
ing to Granadillo et al. (1994), with slight modifica-
placed. For visualization of DNA damage, slides were
tion. Whole blood of 1 ml was digested with 5 ml,
observed using 40 objective fluorescent microscope
3 ml and 2 ml of mixture of HNO3:HClO4 (in ratio
(Leica optiphase microscope equipped with a
of 5:1), respectively, on hot plate in fume hood. The
515–560 nm excitation filter and a 590 nm barrier
digested sample was dissolved in 5 ml of distilled
filter) with a Biovis comet software.
water (DW) and filtered with Whatman filter paper
A total of 50 individual cells were screened per
to obtain clear solution. Finally, Cr concentration was
sample (25 cells from each slide). An undamaged cell
determined by Atomic Absorption Spectrophotome-
resembles an intact nucleus without a tail and a
try (AAS) with a graphite furnace and Zeeman
damaged cell has the appearance of a comet. Comet
effect background correction (Perkin-Elmer Model
tail length (distance of DNA migration from the body
5100PC). Standard curves were included in each run,
of the nuclear core) was used to evaluate the extent of
obtained by adding known amounts of Cr standard
DNA damage and expressed as micrometer.
solution to a control biological sample. No matrix
modifier was used. Cr concentration was expressed
as microgram per liter. Malondialdehyde
Blood plasma malondialdehyde (MDA) concentration
Comet assay was measured by the method of Ohkawa et al. (1979).
Comet assay was carried out according to the method Blood plasma of 200 ml was mixed with 1 ml of 20%
of Singh et al. (1988), with slight modification. Whole acetic acid and then a 200-ml of 8% sodium dodecyl
blood of 20 ml was used to perform comet assay. Fully sulphate was added subsequently (pH adjusted to 4).
frosted microscopic slides were prepared in duplicate It is followed by the addition of 1.5 ml of 0.8%
per person. These slides were first coated with 50 ml thiobarbutric acid and 1.1 ml of DW. Reaction
regular melting point agarose (1% in DW) to prepare mixture was incubated in boiling water bath for 1 h.
base layer and air dried. Base layer second coat After cooling, 3 ml of n-butanol was added. A clear
was prepared by placing 200 ml agarose (1% in butanol fraction thus obtained was used for measuring
phosphate-buffered saline (PBS)) on slide and the absorbance at 532 nm and the results were
covered with cover glass. After applying cover glass, expressed in nanomole per milliliter.
the slides were allowed to gel at 4 C for 10 min.
Coverslip was removed and second layer was Reduced glutathione (GSH)
prepared by mixing 20 ml of whole blood with 80 ml Blood GSH concentration was estimated according to
low melting point agarose (0.5% in PBS), covered the method of Beutler et al. (1963). Briefly, 200 ml of
with coverslip and kept at 4 C for 10 min. Coverslip whole blood was mixed with 1.8 ml of cold DW and
was again removed and third layer was prepared by incubated for 10 min at 37 C. Followeding this,
placing 100 ml low melting point agarose (0.5% in 600 ml of sulphosalicylic acid was added to the reac-
PBS) over second layer and covered with cover glass. tion mixture and centrifuged at 2000 r/min for 15 min.
The coverslip was removed and the slide was To 200 ml of supernatant, 400 ml of phosphate buffer
immersed in 50 ml cold lysing solution (2.5 M NaCl, and 80 ml of 3,5-dithiobis-2-nitrobenzoic acid were
100 mM Na2EDTA, 10 mM Tris, 10% dimethyl added. The absorbance of the yellow color developed
sulfoxide (DMSO), 1% triton-X 100) for 24 h. To was measured at 412 nm and the results were
allow unwinding of DNA, the slides were placed in expressed as microgram per milliliter.
alkaline electrophoresis buffer (10 N NaOH,
200 mM EDTA, DMSO) for 20 min. These slides
were further allowed to electrophoresis at 18 V Superoxide dismutase (SOD)
(0.7–1.0 V/cm), 300 mA for 20 min at 4 C (dim light). SOD activity was assayed according to the method of
After electrophoresis, slides were immersed in McCord and Fridovich (1969), with slight modification.
Briefly, 200 ml of whole blood was washed thrice with the effect of smoking and alcohol consumption habits
ice cold normal saline by centrifuging three times at on DNA damage and oxidative stress parameters. The
10000 r/min. Red blood cells collected were hemolyzed Pearson’s correlation analysis was carried out to find
by adding 1.5 volume of water. The temperature was out the association pattern of Cr level and duration of
maintained at 0–4 C by means of an ice water mixture. exposure with DNA damage and oxidative stress. The
Hb was then precipitated by the addition of cold ethanol partial correlation was used to adjust the effect of
(300 ml) and chloroform (180 ml). Solutions were mixed smoking and alcohol consumption habits on the corre-
properly on each addition and then centrifuged. The lation pattern. p < 0.05 is being considered as statisti-
resulting supernatant containing SOD was taken for the cally significant. All the analyses were carried out
measurement of its activity. Two reaction setups were using SPSS-15.0 version.
run in parallel for SOD estimation. The tube in first
setup (experimental) received 1.2 ml (0.052 M) of
sodium pyrophosphate, 0.3 ml (186 mM) of phenazine Results
methosulphate , 0.3 ml (300 mM) of nitroblue tetrazo- Demographic characteristics
lium and 0.2 ml of enzyme source. The tubes in the sec-
ond setup (reference) received all the reagents The demographic characteristics of the controls and
mentioned except the enzyme source. Briefly, 0.8 ml tannery workers (exposed group) are shown in
and l ml DW was added, respectively, in both sets and Table 1. A significant difference was found between
finally reactions were started simultaneously by the controls and exposed groups only with respect to
addition of 0.2 ml (780 mM) of reduced nicotinamide smoking habit. However, age, marital status and alco-
adenine dinucleotide (NADH) disodium salt. After an hol consumption habit showed no significant differ-
interval of 90 s, 1 ml of glacial acetic acid was then ence between controls and exposed group.
added to each reaction tube and absorbance was read
at 560 nm against a blank on spectrophotometer. The Cr concentration
SOD activity was expressed as units per gram of The total Cr concentration in whole blood of the controls
hemoglobin. and exposed group are illustrated in Figure 1. Exposed
group showed significantly (p < 0.0001) higher Cr
Statistical analysis concentration (tanners: 167.58 + 23.44 mg/l) than in
controls (22.09 + 3.78 mg/l).
The data collected were entered in Microsoft Excel
computer program and checked for any inconsistency.
The results were presented in percentages, mean and DNA damage
standard deviations. The unpaired t test was used to DNA damage was identified in terms of the comet tail
compare two mean values and chi-square test was length in controls and exposed group (Figure 2(a)).
used to compare dichotomous/categorical variables. Exposed group showed significantly (p < 0.0001)
The two-way analysis of variance was used to find out higher comet tail length (tanners: 23.53 + 5.27 mm)
MDA concentration
Exposed group showed significantly (p < 0.0001)
Figure 1. Blood Cr concentration in controls (n ¼ 100) higher concentration of MDA (tanners: 9.89 +
and tanners (n ¼ 100). Values are presented as 2.08 nmol/ml) than in controls (6.49 + 1.84 nmol/
mean + SD. p values refer to unpaired t test between ml; Figure 3). There was no significant (p > 0.05)
control and exposed groups. Cr: chromium. effect of smoking and alcohol consumption habits
on MDA concentration in controls and exposed group
(Table 2). In simple correlation analysis, MDA con-
centration showed significantly positive correlation
with Cr concentration (r ¼ 0.60, p < 0.01) and dura-
tion of exposure (r ¼ 0.53, p < 0.01) in exposed group.
Whereas, in control group, no significant correlation
(r ¼ 0.04, p > 0.05) between MDA and Cr concentra-
tion was observed. There was also no significant
correlation (p > 0.05) of MDA concentration with age
in both the groups (table not shown). After adjusting
for smoking and alcohol consumption habits, MDA
concentration showed significant positive correlation
with Cr concentration (R ¼ 0.59, p < 0.01) and duration
of exposure (R ¼ 0.54, p < 0.01) in exposed group
(Table 3).
GSH concentration
Figure 2. Representative photographs of DNA damage in The exposed group showed significantly
terms of comet tail length in different groups: (a) controls, (p < 0.001) lower concentration of GSH (tanners:
(b) tanners. (c) DNA damage in controls (n ¼ 100) and 67.02 + 17.76 mg/ml) compared with controls
tanners (n ¼ 100). Values are presented as mean + SD. (74.38 + 11.34 mg/ml; Figure 4). There was no
p values refer to unpaired t test between control and
exposed groups.
significant (p > 0.05) effect of smoking and alcohol
consumption habits on GSH concentration in both
the groups (Table 2). Simple correlation analysis
when compared with controls (9.27 + 2.21 mm; showed that GSH concentration was significantly nega-
(Figure 2(b)). There was no significant (p > 0.05) tively correlated with Cr concentration (r ¼ 0.31, p <
effect of smoking and alcohol consumption on DNA 0.01) and duration of exposure (r ¼ 0.23, p < 0.05). No
damage in controls as well as exposed group (Table 2). significant correlation (r ¼ 0.07, p > 0.05) between
In simple correlation analysis, DNA damage showed GSH and Cr concentration was observed in control
significantly positive correlation with Cr group. GSH concentration showed no significant corre-
concentration (r ¼ 0.65, p < 0.01) and duration of lation (p > 0.05) with age in both groups (table not
exposure (r ¼ 0.59, p < 0.01) in exposed group. shown). After adjusting for smoking and alcohol con-
Whereas, no significant correlation (r ¼ 0.10, sumption habits, GSH concentration showed significant
p > 0.05) between DNA damage and Cr concentration negative correlation with Cr concentration (R ¼ 0.30,
was observed in case of controls. DNA damage p < 0.01) and duration of exposure (R ¼ 0.22, p < 0.05)
showed no significant correlation (p > 0.05) with age in exposed group (Table 3).
Table 2. Effects of smoking and alcohol consumption on DNA damage and oxidative stress parameters in controls and
tanners
Parameters Controls Tanners ANOVA, F and p values
DNA damage
Smoker 9.46 + 1.83 23.67 + 5.68 12.50, 0.05
Nonsmoker 9.16 + 2.41 22.07 + 5.69
Alcoholic 9.72 + 1.47 23.44 + 6.38 11.99, 0.05
Nonalcoholic 9.17 + 2.34 22.89 + 5.54
MDA
Smoker 7.22 + 1.90 10.08 + 2.10 5.71, 0.71
Nonsmoker 6.06 + 1.66 9.60 + 2.04
Alcoholic 6.36 + 2.33 9.55 + 2.62 5.05, 0.27
Nonalcoholic 6.52 + 1.72 9.98 + 1.90
GSH
Smoker 74.01 + 11.73 66.29 + 15.24 2.94, 0.34
Nonsmoker 50.00 + 3.88 68.08 + 21.02
Alcoholic 70.70 + 11.44 69.34 + 19.12 0.04, 0.88
Nonalcoholic 51.27 + 5.01 66.33 + 17.40
SOD
Smoker 76.17 + 7.51 82.26 + 7.51 0.65, 0.57
Nonsmoker 95.51 + 10.94 77.77 + 13.22
Alcoholic 78.73 + 9.11 77.48 + 12.36 0.22, 0.72
Nonalcoholic 92.12 + 12.18 81.30 + 13.01
ANOVA: analysis of variance; GSH: glutathione; MDA: malondialdehyde; SOD: superoxide dismutase.
Table 3. Simple and multiple correlation analysis taking DNA damage and oxidative stress parameters as outcomes and
Cr concentration and duration of exposure as predictorsa
DNA damage MDA GSH SOD
r R r R r R R R
Cr
Controls 0.10 0.09 0.04 0.04 0.07 0.05 0.03 0.03
Tanners 0.65b 0.61b 0.60b 0.59b 0.31b 0.30b 0.47b 0.44b
Duration of exposure
Controls – – – – – – – –
Tanners 0.59b 0.62b 0.53b 0.54b 0.23c 0.22c 0.35b 0.34c
with increased duration of exposure. An increase in GSH is a major endogenous antioxidant, pro-
micronucleus frequency (biomarker of DNA damage) duced by the cells and plays a significant role in
with an increase in the duration of exposure in tannery protection against oxidative stress by participating
workers was also observed by Sellappa et al. (2011). directly in the neutralization of free radicals and
Danadevi et al. (2003, 2004) reported a significant reactive oxygen compounds (Scholz et al., 1989).
positive correlation between DNA damage and dura- The GSH concentration was found to be signifi-
tion of exposure. No significant correlation between cantly decreased in exposed group when compared
DNA damage and age was found in our study. Similar with controls. However, Goulart et al. (2005)
results were also obtained by Danadevi et al. (2004). observed no significant alteration in GSH concen-
Bukvic et al. (2001) reported a strong correlation of tration in tannery workers exposed to trivalent Cr
DNA damage with increasing age. According to Ewis compared with controls. Lenton et al. (1999) study
et al. (2001), duration of exposure to the carcinogen is reported a significant decrease in intracellular anti-
the factor that should be considered rather than the oxidant GSH with increased rate of oxidative DNA
age of the worker. damage. The decreased value of GSH in exposed
The mechanism of Cr toxicity is possibly mediated workers may be due to its involvement in the
by oxidative stress, when the production of reactive detoxification, inhibition of lipid peroxidation by
oxygen species (ROS) overwhelms antioxidant scavenging free radicals. GSH depletion impairs
defense mechanism (Valko et al., 2005). Excess pro- the cell’s defense against the toxic actions of ROS
duction of ROS induces lipid peroxidation, which and might lead to cell injury and death (Sen, 1997).
destroys cell structures, lipids, proteins and nucleic According to Beltowski et al. (2000), the intensity
acids (Sen et al., 2010). In our study, MDA (a stable of oxidative stress is determined not only by the
aldehydic products of lipid peroxidation) was found free radicals production but also by antioxidants
to be significantly higher in concentration in exposed (enzymatic and nonenzymatic) defense. In the pres-
group when compared with controls. Higher concen- ent study, GSH concentration showed significant
tration of MDA indicate increased rate of oxidative negative correlation with Cr concentration and
stress in exposed populations. According to Harris duration of exposure. These findings revealed that
and Shi (2003), higher MDA concentration in decreased level of GSH can be as a consequence
exposed group may play a key role to cause oxidative of oxidative stress, which may be associated with
stress induced by metals. Goulart et al. (2005) Cr exposure in chronic condition.
reported that tannery workers, exposed to trivalent The activity of antioxidant enzyme SOD was found
Cr, showed significantly elevated concentration of to be significantly higher in the exposed group com-
urinary MDA when compared with control values. pared with controls. SOD catalyzes the dismutation
Trivalent Cr has been shown in vitro to be able to gen- of superoxide radicals (ROS) to less toxic hydrogen
erate hydroxyl radicals (Shi et al., 1993) and induce peroxide. Thus, it also has a protective role against
oxidative damage in the presence of hydrogen perox- free radial-induced damage and their significant
ide (Lloyd et al., 1998; Tsou et al., 1996). In our induction can be understood as an adaptive response
study, there was no significant effect of smoking and to oxidative stress.
alcohol consumption habits on MDA concentration
in exposed tannery workers. We also found no sig-
nificant correlation between age and MDA concen- Conclusion
tration. However, Bridges et al. (1993) describe an In conclusion, the level of DNA damage measured
age-related increase in MDA concentration, which by comet assay was found to be significantly
is influenced by smoking habit. Alcohol consump- increased in tannery workers exposed to trivalent
tion habit also induce enhanced rate of MDA Cr. In addition, we found that the level of oxidative
concentration (Reddy et al., 1997). In the present stress was significantly increased in trivalent
study, a significant positive correlation of MDA con- Cr-exposed tannery workers. This is the first
centration was observed only with Cr concentration reported study on tannery workers from north India,
and duration of exposure. These findings strongly related to the adverse effects of trivalent Cr in terms
support that higher MDA concentration in exposed of genetic damage and oxidative stress. However,
group might be due to higher chronic exposure of further studies are also needed in order to elucidate
Cr concentration. the hazardous effects of trivalent Cr.
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