Tohoku J. Exp. Med., Micronuclei 2005, 205, among 1-9 Newborns and Environmental Contamination 1 Monitoring of Lymphocyte Micronuclei among Newborns from Kragujevac in Central Serbia before and after Environmental Contamination OLIVERA MILOŠEVIĆ-DJORDJEVIĆ, DARKO GRUJIČIĆ, SLOBODAN ARSENIJEVIĆ1 and DRAGOSLAV MARINKOVIĆ2 Faculty of Science, University of Kragujevac, 1Clinic of Gynecology, University of Kragujevac and 2Faculty of Biology, University of Belgrade, Serbia and Montenegro MILOŠEVIĆ-DJORDJEVIĆ, O., GRUJIČIĆ, D., ARSENIJEVIĆ, S. and MARINKOVIĆ, D. Monitoring of Lymphocyte Micronuclei among Newborns from Kragujevac in Central Serbia before and after Environmental Contamination. Tohoku J. Exp. Med., 2005, 205 (1), 1-9 ── The air strikes on “Zastava” complex in Kragujevac, in the spring of 1999, caused extensive environmental pollution with damage to soil, water and air. Since the main problem was the leakage of several tones of polychlorinated biphenyls (PCBs) as well as heavy metals Cr and Ni into the environment and groundwater, we decided to evaluate influence of the environmental contamination on eventual changes of genetic constitution of human body cells. The subjects analyzed were 36 phenotypically healthy newborn babies, who were born 12 months (n = 22) and 18 months (n = 14) after environmental contamination, and 25 newborns in 1998 as a control group. For the assessment of mutagenic effects of environmental pollutants in vivo, the cytokinesis-block micronucleus test was employed. The results show significant increase of micronuclei (MN) in lymphocytes from newborns born 12 months after contamination (9.36 ± 5.60), in comparison to controls (5.53 ± 3.02) and newborns born 18 months after contamination (6.14 ± 3.57). Only 3 newborns (12%) out of 25 controls showed more than 1 MN/1000 binucleated cells in respect to 8/22 after 12 months (36%) and 2/14 after 18 months from contamination (14%). The mean number of binucleated cells with MN significantly varied in function of sex and environmental changes in newborns born 12 months after contamination (as demonstrated by the analysis of covariance F = 9.61, p < 0.003). After 18 months of contamination, environmental components had no noticeable effects on MN frequency (F = 0.5, p > 0.48). These results suggest that the exposure to environmental pollutants in utero affects genetic constitution of fetus and increases MN values in their body cells, which is detectable right after birth in peripheral blood lymphocytes. ──── environmental contamination; micronuclei; newborns; peripheral blood lymphocytes © 2005 Tohoku University Medical Press Received June 1, 2004; revision accepted for publication October 27, 2004. Address for reprints: Olivera Milošević-Đorđević, Institute of Biology, Department of Genetics, Faculty of Science, University of Kragujevac, Radoja Domanovića 12, P.O. Box 60, 34000 Kragujevac, Serbia, Serbia and Montenegro. e-mail: [email protected] 1 2 O. Milošević-Đjordjević et al. In the analysis of micronuclei (MN) the cytokinesis-block method described by Fenech and Morley (1985) is used both as an in vitro test for genotoxicity and as in vivo assay for biomonitoring of genotoxic effects in humans (Falck et al. 2002). MN are formed from acentric chromosome or chromatid fragments and whole chromosomes or chromatids that lag behind in anaphase, and are left in telophase outside the dauther nuclei (Catalan et al. 2000; Falck et al. 2002). In normal lymphocyte cultures MN are detected at a low rate, but their frequency can be increased. Most of MN may result from in vivo exposure to a genotoxin (Norppa et al. 1993). The ability of the MN assay to detect both clastogenic and aneugenic effects (leading to structural and numerical chromosomal aberrations) is an advantage of the MN technique (Fenech 2000). Kragujevac, a central Serbian industrial town, is the home of the “Zastava” car factory. The factory is located on the right bank of the Lepenica River, a small tributary of the Velika Morava, and the left bank of the Zdralica River. In 1999, the air strikes on “Zastava” complex, caused extensive environmental pollution with damage to soil, water and air. In the fires caused by the bombing, 95,000 kg of different materials and goods and 2,200 kg of sealing mass were burnt. The main problem was the leakage of several tones of polychlorinated biphenyls (PCBs) as well as heavy metals Cr and Ni, into the Morava River and contamination of groundwater by PCBs (BTF Technical Assesment Mission). According to Zastava personnel, up to 3,500 kg of oil containing PCBs were released into the environment, and underground water tanks below the factory were polluted with transformer oil containing PCBs. By the feasibility study finalized in April 2000, 27 clean-up projects were identified to address the post conflict environmental and humanitarian problems. Five of this 27 Projects were attributed to the remediation activities in Kragujevac (UNEP/BTF, Feasibility Study 2000). It is known that PCBs are stable pollutants which can be detected in the environment including the air, water, fish, human adipose tissue, blood, and breast milk (Safe 1984). They enter human organism in several ways: through food chain, by inhalation/breathing, by ingestion, or in a direct contact with skin. PCBs cause both acute toxicity and secondary effects (Toborek et al. 1995). Kalina et al. (1991) studied the ability of PCBs to induce chromosomal aberrations and sister chromatid exchanges in peripheral lymphocytes in a group of workers occupationally exposed to PCBs during production of the Czechoslovakian PCB products. PCBs induced clastogenic effect in observed group. On the contrary, Belpaeme et al. (1996) did not observe a significant increase of MN frequency in human lymphocytes treated with PCBs in vitro. Kholkute et al. (1994) studied effects of PCBs on in vitro fertilization in the mouse. The results suggested that higher dosages of PCBs affected fertilisation and caused an increased incidence of degeneration of oocytes and abnormality in the early mouse embryos. Heavy metals are Cd, Hg, Pb, As, Cr, Ni, Fe, Co, Cu, Zn (Wronska-Nofer et al. 1994; Stohs and Bagchi 1995), and they can be detected in environment including the soil, air, water, food and tobacco-smoke. Their half-life is very long (20-30 years). Heavy metals are cytotoxic, genotoxic and carcinogenic. Benova et al. (2002) studied the cytogenetic and molecular effects of Cr(VI) on peripheral lymphocytes and exfoliated buccal cells employing a chromosomal aberration assay, sister-chromatid exchanges and micronucleus test. The data obtained from exposed works showed a significant increase in the number of cells with MN in lymphocytes as well as in the buccal cells. Cr(VI) has both clastogenic and aneugenic effects. Wise et al. (2003) reported that Cr(VI) had genotoxic and cytotoxic effects in human lung cells. Clemens and Landolph (2003) reported that Ni had carcinogenic effect. Exposure to genotoxic agents in the environment can produce a wide variety of effects on human chromosomes and human health. The main purpose of the present study was to determine MN frequency in peripheral blood lymphocytes of newborns in Kragujevac, born before and 12 or 18 months after environmental contamination. Micronuclei among Newborns and Environmental Contamination MATERIAL AND METHODS This study was approved by the Ethic Committee of Clinic of Kragujevac and consisted of 61 phenotypically healthy newborn babies observed at the Department of Obstetrics and Gynecology in Kragujevac in 1998 and in 2000. Control values of MN frequency were obtained by the analysis of peripheral blood lymphocyte cultures from 15 boys and 10 girls who were born in 1998 before environmental (n = 25). The same analysis was carried out 12 months after environmental contamination (in the beginning of 2000) for 14 boys and 8 girls (n = 22), and 18 months after contamination for 9 boys and 5 girls (n = 14). Each newborn baby was 1 day old. All their mothers were non-smokers, without any therapy during the pregnancy, and were not occupationally exposed to known mutagenic agents. The cytokinesis-block method described by Fenech (1993) was used in our cytogenetic investigation. Under sterile conditions, 20 drops of whole heparinized blood from each newborn were incubated in 5 ml of Parker 199 (Institute Torlak, Belgrade) with 15% fetal calf serum (Sigma) and 3% phytohemagglutinin (PHA INEP, Belgrade). All the cultures were set-up in duplicate and incubated at 37°C, for 68 hours. Cytochalasin B (Sigma) at a final concentration of 6 μ g/ml was added to the samples after 44 hours of culture incubation. Sixty eight hours after culture initiation, cells were centrifuged, then washed with 0.9% NaCl, and treated with hypotonic solution (0.56% KCl) at 37°C. Cell suspension was fixed in methanol/acetic acid 3:1 for 2 times, and dropped onto specially prepared, clean, cold and lamp-dried slides. Slides were stained in 2% Giemsa (Alfapanon, Novi Sad). The MN frequency was determined by the analysis of 1000 binucleated cells (BN) per subject. The obtained results were compared by the application of Student,s t-test. Analysis of covariance (ANCOVA) was used to compare variation of MN in function of sex and contamination. RESULTS Among the control newborns, the mean value of MN in peripheral blood lymphocytes was 5.53 ± 3.02 , i.e. 4.91 ± 3.01 for males with the variation range from 1 to 13 MN/1000 BN, and 6.48 ± 2.89 for females with the variation range from 2 to 11 MN/1000 BN (Tables 1 and 3, and Fig. 1). Only 2 males out of 15, and only 1 fe- 3 male out of 10 (total 12%), showed more than 1 MN/1000 BN. The results of individual and mean values of MN in newborns born 12 or 18 months after environmental contamination are presented in Tables 2 and 3, and in Fig. 1. The mean value of MN in peripheral blood lymphocytes of newborns born 12 months after environmental contamination was 9.36 ± 5.60, i.e. 8.21 ± 3.93 for males with the variation range from 1 to 15 MN/1000 BN, and 11.38 ± 7.63 for females with the variation range from 2 to 23 MN/1000 BN. Among males 4 newborns out of 14, and among females 4 out of 8 (total 36%), showed more than 1 MN/1000 BN. The mean value of MN in peripheral blood lymphocytes of newborns born 18 months after contamination was 6.14 ± 3.57, i.e. 4.67 ± 2.24 for males with the variation range from 1 to 8 MN/1000 BN, and 8.80 ± 4.21 for females with the variation range from 6 to 16 MN/1000 BN. Only one baby out of 9 boys, as well as 1 out of 5 girls (total 14%), showed more than 1 MN/1000 BN. There were statistically significant differences in total MN values when controls were compared with newborns born 12 months after contamination (t = 2.86, p < 0.01), as well as with newborns born 12 and 18 months after environmental contamination (t = 2.11, p < 0.05). Significant difference in MN frequencies was observed among control males and males born 12 months after contamination (t = 2.52, p < 0.05), as well as among males born 12 and 18 months after contamination (t = 2.74, p < 0.05). No significant difference in MN was observed among analyzed females (p > 0.05) in all analyzed groups. The summarised results for analysis of covariance are presented in Tables 4 and 5. ANCOVA for MN in control newborns and newborns born 12 months after contamination (Table 4) shows that the mean number of binucleated cells with micronuclei significantly varied in function of sex and environmental changes (F = 9.61, p < 0.003). Between group variance was much greater than within group (MSBg = 178.92). 4 O. Milošević-Đjordjević et al. TABLE 1. Frequency of micronuclei in peripheral blood lymphocytes from control male and female newborns in Kragujevac, analyzed in 1998 Distribution of MN Newborns Age (day) Sex Analyzed cells Frequency of MN/1000 cells 1MN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 M M M M M M M M M M M M M M M F F F F F F F F F F 1000 1000 1000 1000 1000 1000 1000 1000 1000 385 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 685 1000 8 7 4 5 5 2 3 8 13 2.60 4 1 4 3 4 5 6 9 6 3 5 9 2 8.76 11 8 7 4 5 5 2 3 8 7 1 2 1 4 3 4 5 6 9 6 3 5 9 2 6 5 ANCOVA for MN in newborns born 18 months after contamination (Table 5) shows no significant difference in MN variation (F = 0.5, p > 0.48). Within group variance is greater than between group (MSwg = 9.13). DISCUSSION Genomic mutations are directly or indirectly responsible for several abnormalities or human health problems. Many of these mutations are expressed as defects, which become evident before, or right after birth. The aim of biomonitoring studies in humans exposed to genotoxicants is primarily to identify individuals, or populations, 2MN 3 1 3 at increased risk of developing chronic diseases (Bonassi et al. 1995). The cytogenetic damage in exposed humans has been reported by many authors and most of the published reports are restricted to occupational exposures to ionizing radiation (Maluf 2004), heavy metals (Benova et al. 2002; Clemens and Landolph 2003; Wise et al. 2003), and PCBs (Kalina et al. 1991; Joksić and Marković 1992). Spontaneous frequency of DNA damages are influenced by many exogenous and endogenous factors such as age, viral infections, radiation, the presence of genotoxicants in food and in environment. Children are the most convenient subjects Micronuclei among Newborns and Environmental Contamination 5 TABLE 2. Frequency of micronuclei in peripheral blood lymphocytes from newborns born 12 and 18 months after environmental contamination Distributions After Newborns Age (day) Sex Analyzed cells Frequency of MN/1000 cells 1MN 2MN 12 months 1 2 1 1 M M 1000 1000 11 7 7 7 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 M M M M M M M M M M M M F F F F F F F F 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 3 15 11 9 11 7 11 6 11 1 3 9 20 23 10 10 15 9 2 2 3 15 8 5 11 7 11 6 11 1 3 5 18 21 8 10 13 9 2 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 1 1 1 1 1 1 1 1 1 1 1 1 1 1 M M M M M M M M M F F F F F 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1 7 5 5 6 2 4 4 8 6 7 6 16 9 1 7 5 3 6 2 4 4 8 6 7 6 12 9 18 months 3MN 1 2 2 1 1 1 1 1 2 6 O. Milošević-Đjordjević et al. TABLE 3. Incidence of micronuclei in peripheral blood lymphocytes from controls and newborns born after 12 and 18 months from environmental contamination Newborns Males (M) Females (F) Total (M+F) N0 Incidence of MN (mean ± S.D.) N0 Incidence of MN (mean ± S.D.) N0 Incidence of MN (mean ± S.D.) Before environmental contamination 15 4.91 ± 3.01 10 6.48 ± 2.89 25 5.53 ± 3.02 12 months after environmental contamination 14 8.21 ± 3.93 8 11.38 ± 7.63 22 9.36 ± 5.60 18 months after environmental contamination 9 4.67 ± 2.24 5 8.80 ± 4.21 14 6.14 ± 3.57 Student’s t-test t = 2.86, p < 0.01a t = 2.11, p < 0.05b t = 2.52, p < 0.05c t = 2.74, p < 0.05d Statistically significant difference between total mean values of MN in newborns born before and after 12 months from environmental contamination. b Statistically significant difference in total mean values of MN between newborns born 12 and 18 months after environmental contamination. c Statistically significant difference in mean values of MN between males born before and 12 months after environmental contamination. d Statistically significant difference in mean values of MN between males 12 and 18 months after environmental contamination. a Fig. 1. Frequency of micronuclei (MN) in peripheral blood lymphocytes of newborns born before and 12 and 18 months after environmental contamination. * Statistically significant difference between newborns born 12 and 18 months after contamination, with probability p < 0.05. ** Statistically significant difference between control and newborns born 12 months after contamination, which probability p < 0.01. for studying the effects of environmental pollution. They are not affected by occupational exposure, unhealthy life style (smoking, alcohol, drugs), or by diseases of adults (Rossner et al. 2002). Whyatt et al. (1998) reported that air pollution had increased DNA damage more in fetal Micronuclei among Newborns and Environmental Contamination 7 TABLE 4. ANCOVA for micronuclei in peripheral blood lymphocytes from controls and newborns born after 12 months from environmental contamination Source SS df MS F p Adjusted means (Bg) Adjusted error (Wg) Adjusted total 178.92 1028 1140.43 1 58 59 178.92 17.74 9.61 0.003 TABLE 5. ANCOVA for micronuclei in peripheral blood lymphocytes from controls and newborns born after 18 months from environmental contamination Source SS df MS F p Adjusted means (Bg) Adjusted error (Wg) Adjusted total 4.57 328.54 333.11 1 36 37 4.57 9.13 0.5 0.48 than in maternal tissues. They concluded that the DNA repair efficiency in the fetus was lower than in the adult, so that the fetus was more sensitive to the effects at the level of a genotype. The data presented here show significant increase of MN values in newborns born 12 months after contamination (exposed in utero) in comparison with control newborns. Comparing the newborns born 12 and 18 months after contamination a decrease in MN frequency was observed. Our results show that the environmental pollutants increased the number of BN cells containing more than 1 MN/1000 BN. Only 3 newborns out of 25 controls (12%) showed more than 1 MN/1000 BN, in respect to 8/22 newborns born 12 months after contamination (36%) and 2/14 newborns born 18 months after contamination (14%). This kind of difference has been also observed in individuals exposed to ionising radiation (Joksić et al. 1999). If we assume that MN are biomarkers for exposure, including industrial chemical exposure, and urban air pollution effects (Rossner et al. 2002), the observed changes in mean values of MN may be explained by substantial changes in living environment during the observed periods. Our results showed higher mean values of MN in females in all analyzed groups of newborns in comparison with males. Obtained results are in agreement with those reported by other authors. Namely, Fenech et al. (1999) and Bonassi et al. (2001) reported that incidence of MN increased with the age, and that sex had significant influence. Females had 19% higher level of MN frequency. Similar results were reported by Joksić et al. (2003) who studied the effect of sex on MN frequency in human-fetal lymphocytes. They concluded that X-chromosomes played an important role in the increase of MN. Carere et al. (1999) showed higher susceptibility of malsegregation of chromosome X in comparison to autosomes. Catalan et al. (2000) have concluded that possitive correlation between the frequency of aneuploid cells and micronucleated cells indicats that X and Y are the chromosomes preferentially incorporated into the MN. Norppa and Falck (2003) reported that the X chromosome especially tended to lag behind in female lymphocyte anaphase, and micronucleated more efficiently than autosomes. Nath et al. (1995) concluded that newborns had a very low MN frequency and in MNs did not show Y chromosome (no Y + MN). The level of genotoxic damages was changed in both sexes during the observed periods. Significant increase of MN in males born 12 months after contamination, and decrease of MN in males born 18 months after contamination, were observed. In females born after contamination mean MN values were higher than in controls, but significant difference was not observed. After 18 8 O. Milošević-Đjordjević et al. months from contamination the MN frequency was decreased, but no to the level of control females. Among the lymphocytes of newborns before contamination, individual variation in MN/1000 BN varied from 1 to 13; in a sample 12 months after contamination MN varied from 1 to 23, and after 18 months it ranged from 1 to 16. The mean number of MN varied in function of sex and environmental changes. Analysis of covariance demonstrated that MN significantlly varied in function of sex and contamination in newborns born 12 months from contamination in comparison to controls (F = 9.61, p < 0.003). The presence of greater between group variance of MN indicates that investigated groups of newborns were exposed in utero to different environmental conditions. Statistically significant variation of MN in newborns born 18 months after contamination was not observed (F = 0.5, p > 0.48). The presence of greater within group variance in this period coud be attributed to interindividual variation of MN in males and females. Some studies have analyzed the effects of environmental pollution on children. Rosival et al. (1983) and Rosival and Trnovec (1999) reported that fetal exposure to chlorinated pesticides was shown to correlate with embryonal measurements of chlorinated pesticides. Higher level of placental contamination by organochlorine compounds was observed in an industrial locality in comparison to similar or even higher placental contamination by heavy metals in a rural area. Reichrtova (1995) reported that the presence of heavy metals in the placenta could be detected in particular in the syncytiotrophoblast. This refers also to other chlorinated substances (e.g. PCBs). In conclusion, exposure to environmental pollutants in utero affected genetic constitution of fetal body cells. Right after birth, newborns have a low MN frequency, but when fetus was exposed to environmental genotoxicans in utero, their frequency increased. The present study provides the evidence for significant genetic damage in newborns born after 12 months from contamination, as judged by the increase of lymphocyte MN frequency. MN frequency varies in function of sex and the effects of environment. Acknowledgements This work was supported by the Serbian Ministry of Science and Technology, Grant No. 1214. References Belpaeme, K., Delbeke, K., Zhu, L. & Kirsch-Volders, M. (1996) PCBs do not induce DNA breakage in vitro in human lymphocytes. Mutagenesis, 11, 383-389. 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