Browsing by Author "Namorado, S."
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- 3rd HBM-PT Workshop on Human BioMonitoring in Portugal - earlyMYCO: assessing the risk associated to early-life exposure to mycotoxins: Book of abstractsPublication . Assunção, Ricardo; Alvito, Paula; Ferreira, M.; Bastos, P.; Nunes, C.; De Boevre, Marthe; Duarte, E.; Nunes, B.; Namorado, S.; Silva, S.; Pires, S.; Martins, C.Livro de resumos do 3rd HBM-PT Workshop on Human BioMonitoring in Portugal sob o tema “Risk Assessment”, abrangendo trabalhos em torno das seguintes temáticas: Exposição a produtos químicos e efeitos na saúde humana; Influência da mudança do ambiente na exposição humana a produtos químicos; Integração de dados de monitorização humana e ambiental; Tradução dos dados de biomonitorização humana em ações regulamentares sobre saúde humana e ambiental. O evento pretende reunir investigadores, representantes de instituições reguladoras e restantes stakeholders, promovendo o debate sobre a aplicação da biomonitorização humana nas políticas de saúde e ambiente, bem como na avaliação de risco para a saúde e possibilitando a apresentação de resultados, na forma de comunicações orais e/ou e-posters. Este workshop é organizado pela National Hub portuguesa em Biomonitorização Humana, constituída no âmbito do programa europeu conjunto HBM4EU - European Human Biomonitoring Initiative (https://www.hbm4eu.eu/), da qual fazem parte a FCT, a Agência Portuguesa do Ambiente, a Direção-Geral da Saúde, o Instituto Nacional de Saúde Doutor Ricardo Jorge, a Faculdade de Medicina da Universidade de Lisboa e a Escola Superior de Tecnologia da Saúde do Instituto Politécnico de Lisboa.
- Are Portuguese women of childbearing age exposed to environmental mercury? The One Health perspectivePublication . Santiago, S; Namorado, S.; Dias, C.M.; Nascimento, A.; Martins, C.; Santos, M.; Carvalho, C.; Assunção, R.One health, a transdisciplinary approach, recognizes the interconnection between human, animals and their shared environment. Fish and seafood are important sources of high-biological value proteins, omega-3 fatty acids and essential minerals. However, it can contain environmental contaminants, such as mercury compounds. Long-lived predatory fish species, such as tuna or swordfish, are an important human exposure source. Thus, only through a transdisciplinary approach, namely using one health perspective, is it possible to properly tackle the issue of mercury at different levels. Methylmercury, the most toxic mercury form, mainly targets the central nervous system, and the prenatal period represents a period of greatest vulnerability regarding neurodevelopmental effects on the fetus. Portugal has a tradition of high consumption of fishery and aquaculture products, higher than in the European Union (EU) countries and above both EU and world averages. The present research aimed to evaluate the exposure of Portuguese women of childbearing age to mercury through human biomonitoring and to determine mercury contamination in fish available in Portuguese markets. For this study, 300 Portuguese women of childbearing age (25 to 44 years) were randomly selected in a cross-sectional epidemiological study carried out in Portugal (INSEF, http://www.insef.pt/) in 2015. Also, 24 different species of fish and fishery and aquaculture products acquired on the Portuguese market and representative of Portuguese consumption were selected. This study reinforces the need to develop and implement Portugal risk communication strategies focused on selecting fish species with lower mercury levels to protect susceptible populations from exposure to this chemical while simultaneously promoting the important health benefits of fish consumption and applying a One Health approach.
- earlyMYCO – a mother & child pilot study to assess early-life exposure to mycotoxins in PortugalPublication . Martins, C.; Assunção, R.; Costa, A.; Serrano, D.; Namorado, S.; Vidigal, C.; Almeida, E.; Alvito, P.; Nunes, C.Early-life exposure occurs during gestation through transfer of toxic substances present in the maternal diet to the fetus and later during lactation, through the breast milk. Mycotoxins are well known carcinogenic, nephrotoxic, hepatotoxic, and immunosuppressive food chemical contaminants. Recently, human biomonitoring data revealed that Portuguese population is exposed to mycotoxins. These results emphasized the need for assessing the prenatal and lactation exposure to mycotoxins in a vulnerable period of life. The earlyMYCO project (PTDC/MED-TOX/28762/2017) aimed, for the first time, to develop and implement a pilot study to assess the early-life exposure to mycotoxins through a mother & child cohort, and to identify the associated challenges, thus contributing to the development of future studies and to the knowledge of the exposome of Portuguese population. Participants were recruited in primary health care units in Lisbon (Portugal) during pregnancy (1st trimester) and followed-up in three moments of observation: 2nd trimester of pregnancy (mother), and 1st and 6th months of the child’s life (mother & child), with the collection of biological samples (blood, urine, breast milk) and the application of sociodemographic and food consumption questionnaires (food frequency and 24h dietary recall). All the participants of the earlyMYCO pilot study (n = 19) reported more than nine years of education, with 37% reporting 10- 12 years and 63% reporting more than 12 years. Regarding the household monthly income, 42% reported a monthly income above 1941€, with most of participants (95%) being workers for remuneration or profit. Dairy products, bread, tea, and coffee were reported as the food items with higher frequency of consumption. The 24h dietary recall questionnaires confirmed these results. Detailed analysis of the data gathered allowed also to highlight the high consumption of meat, fish and vegetables. Regarding infants, 22% were fed with infant formula and 78% were exclusively breastfed. It is expected that results obtained within earlyMYCO pilot study will contribute to a deeper knowledge on exposure of vulnerable population groups (pregnant women and infants) and to the understanding of the impact of early-life exposure to mycotoxins.
- earlyMYCO project - Early-life exposure to mycotoxins: a neglected issue?Publication . Alvito, Paula; Amador, P.; Broeiro, Paula; Caldeira, T; De Boevre, Marthe; De Saeger, Sarah; Duarte, E.; Ferreira, M.; Lamy, Elisabete; Mexia, R.; Namorado, S.; Nunes, B.; Nunes, C.; Pires, S.; Silva, M.J.; Silva, Susana; Vidal, A.; Martins, C.; Assunção, R.Recent studies under MYCOMIX project reported that Portuguese children until 3 years old are exposed to multiple mycotoxins through food consumption, constituting a potential health threat. Aflatoxins (carcinogenic toxins) represented the main risk contributors and deoxynivalenol (a non-carcinogenic toxin associated with immunological and gastrointestinal toxic effects) showed the highest daily intake of the studied mycotoxins. These results opened new research perspectives and emphasized the need to accurately assess the prenatal and lactational exposure to mycotoxins in a critical and vulnerable period of life. Early-life exposure of children occurs during gestation through transfer of toxic substances present in the maternal diet to the fetus and later on, during lactation, through the breast milk. Considering this, the national project earlyMYCO – Early-life exposure to MYCOtoxins and its impact on health aims at assessing the risk of early-life exposure to mycotoxins. earlyMYCO proposes to answer several key questions including what extent are pregnant women and infants until six months exposed to mycotoxins in Portugal? Is this exposure a health threat? With this purpose, earlyMYCO gathered a multidisciplinar team with expertise on medical sciences, public health and toxicology to perform i) an epidemiological study, including the recruitment of pregnant women and infants, food survey and biological sample collection and ii) mycotoxin exposure assessment in pregnant women and infants using biomarkers of exposure. The epidemiological study was approved by INSA’s Ethical Committee and will be conducted in the Primary Health Care of Central Lisboa. The biomonitoring study will use advanced analytical methodologies and will provide data to perform the exposure assessment. Due to the increasing prevalence in food commodities, mycotoxins appear to be important, but often neglected contaminants in terms of health impact on human population especially in vulnerable groups as children. It is expected that results obtained within earlyMYCO will contribute to understand the impact of mycotoxin early-life exposure.
- earlyMYCO: assessing the risk associated to early-life exposure to mycotoxinsPublication . Assunção, Ricardo; Alvito, Paula; Ferreira, M.; Bastos, P.; Nunes, C.; De Boevre, Marthe; Duarte, E.; Nunes, B.; Namorado, S.; Silva, S.; Pires, S.; Martins, CarlaA number of health disorders has been associated to exposure to hazardous chemicals during the first 1000 days of life. Therefore, a proper risk assessment built on accurate data assumes particular im-portance to evaluate the potential impact that early-life exposure could represent in adulthood. Mycotox-ins are secondary fungal metabolites that might cause harmful effects in humans and animals. Recent studies showed that Portuguese young children are exposed to multiple mycotoxins through food con-sumption which could constitute a health concern. However, earlier exposure to these compounds re-mains unexplored. earlyMYCO – Early-life exposure to MYCOtoxins and its impact on health, a national funded project, intends to contribute to clarify this issue evaluating the health effects of early-life exposure of Portuguese mother-and-child pairs to mycotoxins and assessing the associated risk. The Estimated Daily Intake, using human biomonitoring data, will be compared with reference dose values. For those mycotoxins representing a health concern, an estimate of the associated probable health-impact will be performed by calculating the associated burden in terms of disability-adjusted life years (DALY). Preliminary results of exposure to mycotoxins through food consumption (cereal-based foods) in young children (≤ 3 years old) revealed a potential adverse health effect for percentiles of intake of aflatoxins above or equal to P50 (corresponding to 0.041 ng/kg body weight/day or higher). Our results will contribute to reach an accurate risk assessment framework and to establish and prioritize preventive measures to reduce exposure to chemicals, especially for vulnerable population groups as pregnant women and infants.
- earlyMYCO: assessing the risk associated to the early-life exposure to mycotoxinsPublication . Assunção, R.; Martins, C.; Nunes, B.; Namorado, S.; Silva, S.; Pires, S.M.; Alvito, P.A number of health disorders, e.g. non-communicable diseases, has been associated to exposure with hazardous chemicals during the first 1000 days of life. In this context, a proper risk assessment built on accurate data assumes particular importance to evaluate the potential impact that early-life exposure could represent in adulthood. Mycotoxins are secondary fungal metabolites that could produce harmful effects in humans and animals. These substances can be found in a variety of food products, and recent studies showed that Portuguese young children are exposed to multiple mycotoxins through food consumption which could constitute a health concern in this population group [1]. However, earlier exposure to these compounds remains unexplored. earlyMYCO – Early-life exposure to MYCOtoxins and its impact on health, a national funded project (PTDC/MED-TOX/28762/2017), intends to contribute to clarify this issue evaluating the health effects of early-life exposure of Portuguese mother-and-child pairs to mycotoxins and assessing the associated risk. The associated health risk will be characterized and the health impact assessed combining data from mother-and-child pairs, their exposure to mycotoxins and newly obtained toxicological data. The Estimated Daily Intake (EDI) will be compared with reference dose values. Preliminary results of exposure to mycotoxins through food consumption (cereal-based foods) in young children (≤ 3 years old) revealed a potential adverse health effect for percentiles of intake of aflatoxins above or equal to P50 (corresponding to 0.041 ng/kg body weight/day or higher). When finalized, our results will contribute to reach an accurate risk assessment framework and to establish and prioritize preventive measures to reduce exposure to chemicals and risk, especially for vulnerable population groups as pregnant women and infants. [1] R. Assunção, et. al., Food and Chemical Toxicology 118, 399–408 (2018).
- Effect biomarkers in e-waste management workersPublication . Silva, Maria João; Aimonen, K.; Louro, Henriqueta; Tavares, A.; Moreira, R.; Catalan, J.; Duca, R.C.; Godderis, L.; Mahiout, S.; Martins, C.; Martinsone, I.; Matisane, L.; Namorado, S.; Van Nieuwenhuyse, A.; Pinhal, H.; Porras, S.; Remes, J.; Scheepers, P.; Verdonck, J.; Viegas, S.; Santonen, T.; HBM4EU E-waste study teamDuring e-waste handling/processing, a broad range of toxic chemicals (metals and persistent organic compounds), are released and may affect workers’ health. This work intended to identify genotoxic effects in workers from European e-waste management companies. Micronuclei were analysed in peripheral blood lymphocytes (MNPBL) from 95 workers and 50 controls and in reticulocytes (MNRET) from 82 workers and 41 controls. No statistically significant differences were detected between the total exposed and control groups, for both MNPBL and MNRET frequencies. Stratification of workers in subgroups according to the main activities performed revealed that the subgroup involved in batteries recycling (n=23) presented a frequency of MNPBL significantly higher than that of controls. Significant differences in MNPBL frequencies were also found between battery workers and the subgroups handling/processing white goods, metals and plastics, and miscellaneous E-waste; no differences in MNRET frequencies among subgroups were detected. Worth to note, the subgroup dealing with brown goods (n=12) displayed the highest MNPBL and MNRET frequencies, although statistical significances were not observed when comparing with the other subgroups or controls. These preliminary results highlight the value of adding effect biomarkers to biomonitoring campaigns, to uncover groups of workers at enhanced risk and to prioritize risk management measures’ implementation.
- Exposure assessment of total DON in urine of Portuguese adult population under the HBM4EU aligned studiesPublication . Alvito, P.C.; Silva, M.J.; Viegas, S.; Vasco, E.; Martins, C.; Assunção, R.; Silva, S.; Gilles, L.; Govarts, E.; Schoeters, G.; Namorado, S.Mycotoxins are secondary metabolites of fungi that can be found in food commodities. Exposure to mycotoxins has been associated with several adverse health effects, including hepatotoxicity. nephrotoxicity, immunotoxicity, mutagenicity and carcinogenicity.As such, from a public health perspective it is important to monitor and to assess the risk associated to mycotoxins’ exposure. In the scope of the European Human Biomonitoring Initiative (HBM4EU), exposure to mycotoxins, namely to deoxynivalenol (DON) was analysed in adults from several European countries, including Portugal. Data was collected under the project “Exposure of the Portuguese Population to Environmental Chemicals: a study nested in INSEF 2015”. INSEF-ExpoQuim, was an epidemiological study nested in the first Portuguese Health Examination Survey (INSEF), that enrolled individuals aged 28–39 years, living in Portugal for more than 12 months and able to follow an interview in Portuguese. Fieldwork was developed between May 2019 and March 2020 and first morning urine samples were collected along with data on socio-demographic characteristics, living conditions and residential history, habits/ lifestyle, nutrition, health, occupation and substance specific information covering nearly all exposure pathways. Procedures followed the guidelines of HBM4EU. Total DON (sum of free DON + DONglucuronides after deconjugation) was determined in 295 urine samples by a qualified laboratory and using a harmonized analytical method. Results: showed that the Portuguese population was exposed to DON (mean = 9.8 mg/L; 95% CI: 8.7–10.9 mg/L). DON concentrations were significantly higher for samples collected in spring and summer. Individuals living in rural areas and with a lower education levels presented higher exposures to DON, as well as individuals with a higher bread consumption frequency (≥4 times per week). No differences were found regarding sex, age, occupation, income or consumption of other foods. Comparing this study’s data with the human biomonitoring guidance value (HBM-GV) determined for DON in the scope of HBM4EU (Total DON: 0.69 μg DON/kg bw/total 24 h ≈ 23 μg DON/L urine) 12.5% of the participants presented values above the HBM-GV. Overall, the results from this study showed that the Portuguese population is currently exposed to DON, with a significant proportion of individuals presenting exposures to values that warrant further assessment, including a close monitoring of exposure in the future and the development and implementation of policy measures aimed at minimizing exposure and improving the health of the population.
- Genotoxicity in peripheral blood leukocytes and reticulocytes of e-waste management workersPublication . Aimonen, K.; Silva, Maria João; Tavares, Ana; Moreira, Rodrigo; Louro, Henriqueta; Catalán, J.; Duca, R.; Godderis, L.; Mahiout, S.; Martins, C.; Martinsone, I.; Matisane, L.; Namorado, S.; Van Nieuwenhuyse, A.; Pinhal, Hermínia; Porras, S.; Remes, J.; Verdonck, J.; Viegas, S.; Scheepers, P.; Santonen, T.The European Commission has recently adopted a new Circular Economy Action Plan, which recognizes the critical role of material circulation in achieving sustainable development. The waste management sector will play a pivotal role in this, and an increase in the number of workers involved in waste recycling is expected. However, a recent multi-centric study conducted as part of the European Human Biomonitoring Initiative (HBM4EU) highlights potential occupational health risks associated with e-waste management. This study reports the exposure of e-waste workers from six European countries to metals and the early genotoxic effects from exposure to a wide array of toxic chemicals (and their mixtures) in the occupational environment. The results showed that e-waste workers are exposed to higher levels of hazardous metals such as lead (Pb), cadmium (Cd), mercury (Hg), and chromium (Cr) than controls. Significantly higher levels were detected in the post-shift urine and blood samples of different subcategories of e-waste workers. Especially the level of Pb was elevated in urine and blood samples among all worker categories, and the highest values were detected in battery recycling workers. Genotoxic effects were assessed by the micronucleus frequencies in peripheral blood lymphocytes (MNPBL) and reticulocytes (MNRET). MNPBL were analyzed in 95 workers and 50 controls, and MNRET in 82 workers and 41 controls. While there were no statistically significant differences between all workers and controls, the subgroup of battery recycling workers showed significantly higher frequency of MNPBL than controls or other exposed subgroups such as workers handling white goods, metals and plastics or miscellaneous e-waste. The highest MNPBL and MNRET frequencies were observed in workers handling brown goods, but the difference to controls, or to the other worker categories, was not statistically significant. Post-shift urinary levels of studied metals did not show positive correlation with the micronucleus frequencies, which might be partially explained by the heterogeneity of activities considered and related exposure levels found. In addition to metals, the study also measured exposure to flame retardants, phthalates, and polychlorinated biphenyls (PCBs) and, thereby, correlations between exposure to those compounds and effect biomarkers will be further explored. Overall, the study highlights the need to raise awareness of potential hazards and improve risk management measures in the e-waste management sector. The micronucleus results provide valuable new information on early biological effects from occupational exposures during e-waste management that also contribute to identifying worker groups that are at higher risk of adverse health effects.
- Mycotoxins under the Human Biomonitoting Initiative (HBM4EU): challenges in the near futurePublication . Alvito, Paula; Vasco, Elsa; Assunção, Ricardo; Martins, Carla; Louro, H.; Namorado, S.; Viegas, S.; Silva, MJMycotoxins are natural toxins produced by several fungi genera that contaminate cereals, fruits and other food. The ingestion of contaminated food and feed may result not only in acute disease but also in chronic conditions, e.g., reproductive toxicity, inflammatory bowel diseases or cancer either in animals or humans. It is thus of high relevance to use a one health approach to monitor environmental, human and animal exposure to mycotoxins and their effects, in order to decrease mycotoxins-associated outcomes. In the Human Biomonitoring Initiative (HBM4EU, https://www.hbm4eu.eu/the-project/), following a systematic prioritization exercise which brought together national and EU level policy needs for knowledge on chemical exposure and health outcomes, mycotoxins (Deoxynivalenol and Fumonisin B1) were considered as priority substances around which the HBM4EU research programme is being developed. Within the three pillars of the HBM4EU, namely, 1. Science to Policy, 2. European HBM Platform and 3. Exposure and Health, answers to several identified policy questions related to mycotoxins exposure and effects are being debated, including the current levels of human exposure and time trends in Europe, geographical differences and highly exposed subgroups (including workers), the availability of toxicokinetics data, methods for analyzing mycotoxins and their metabolites in human samples, the potential for using effect biomarkers, the use of biomonitoring data under a risk assessment framework, derivation of HBM guidance values. During this presentation, challenges related to those questions and human biomonitoring of mycotoxins will be presented and discussed in the perspective of a one health approach.