Primary systemic treatment (PST) downsizes the tumor and improves pathological response. The aim of this study is to analyze the feasibility and tolerance of primary concurrent radio−chemotherapy ...(PCRT) in breast cancer patients. Patients with localized TN/HER2+ tumors were enrolled in this prospective study. Radiation was delivered concomitantly during the first 3 weeks of chemotherapy, and it was based on a 15 fractions scheme, 40.5 Gy/2.7 Gy per fraction to whole breast and nodal levels I-IV. Chemotherapy (CT) was based on Pertuzumab−Trastuzumab−Paclitaxel followed by anthracyclines in HER2+ and CBDCA-Paclitaxel followed by anthracyclines in TN breast cancers patients. A total of 58 patients were enrolled; 25 patients (43%) were TN and 33 patients HER2+ (57%). With a median follow-up of 24.2 months, 56 patients completed PCRT and surgery. A total of 35 patients (87.5%) achieved >90% loss of invasive carcinoma cells in the surgical specimen. The 70.8% and the 53.1% of patients with TN and HER-2+ subtype, respectively, achieved complete pathological response (pCR). This is the first study of concurrent neoadjuvant treatment in breast cancer in which three strategies were applied simultaneously: fractionation of RT (radiotherapy) in 15 sessions, adjustment of CT to tumor phenotype and local planning by PET. The pCR rates are encouraging.
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IZUM, KILJ, NUK, PILJ, PNG, SAZU, UL, UM, UPUK
Understanding the oral bioaccessibility of lead (Pb) present in soils in urbanized areas is important for the human exposure risk assessment. In particular, the role of the soil-mineralogy in the ...oral bioaccessibility has not been extensively studied. To investigate bioaccessibility, five types of periurban soils were collected, samples were spiked with the same amount of lead-chromates from traffic paint, and subjected to the in vitro Physiological Based Extraction Test (PBET). Ten samples of urban topsoils were collected at elementary schools playgrounds, Pb-bioaccessibility was measured, and a prediction equation for bioaccessibility was constructed. Mineralogy, and metal content were identified with a combination of X-ray powder diffraction, scanning electron microscopy, and portable X-ray fluorescence techniques. Traffic paint sample is made of 15% quartz (SiO2), 13% crocoite (PbCrO4), 55% calcite (CaCO3), and 17% kaolinite (Al2Si2O5(OH)4) and it contains high metal content (Pb, Cr, Zn, and Ca). Studied soils are characterized by variable amounts of acid-neutralizing minerals (carbonates) and low metal content. Spiked soils contained almost equal concentration of Pb, Cr, and Zn, because the contribution of these metals is from the added paint. However, obtained Pb-bioaccessibility at gastric and intestinal conditions are variable (40 to 51% gastric, 24 to 70.5% intestinal). Carbonate content shows significant correlation (p < 0.05) with Cr, Ca, calcite, crocoite, and Pb-bioaccessible at gastric conditions. Correlation of Pb-bioaccessible at intestinal conditions is significant (p < 0.05) with kaolinite.
Variability of Pb-bioaccesibility in urban environments is commonly associated to differences in Pb-sources, however, our results show that the bioaccessibility of the same pollutant behaves different for each soil type. This suggests that soil mineralogy may play a role in Pb-releasing at gastrointestinal conditions. Soil information about mineralogical characteristics from this study may help to reduce exposure to lead from urban sources if data are incorporated into urban planning.
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•Bioaccessibility of lead was analyzed using PBET.•Natural soils were spiked with lead-based paint.•Soils mineralogy affect lead bioaccessibility.•Soil type influences health-risk assessment.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
The aim of this study was to evaluate the health risk of Cd, Cu, Pb, As, and Hg exposure through consumption of cultured oyster
Crassostrea gigas
from Sonoran coast. Metals were analyzed by atomic ...absorption spectrometry, and the risk assessment was estimated according to the hazard quotient (HQ), carcinogenic risk (CR), and hazard index (HI). The mean levels of Cd, Cu, Pb, As, and Hg in oysters were 1.35, 7.69, 0.29, 0.07, and 0.04 mg/kg wet weight, respectively. Results indicate that except for Cd, all mean levels were below than those recommended by the Mexican government, FAO, and European Union. The metal levels were similar to those reported on the Pacific Northwest Coasts. For risk assessment, the HQ, CR, and HI values did not exceed safety levels. Therefore, the oysters cultivated in the studied areas are safe for human consumption.
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EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, KILJ, KISLJ, MFDPS, NLZOH, NUK, OBVAL, OILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
This investigation examines the transport of metal- and pesticide-polluted dust emitted by one of the most relevant agricultural areas of Northwestern Mexico. In the contaminated area, an excessive ...water extraction of the aquifer and seawater intrusion caused the abandonment of fields, which are pollutant-loaded dust emitters. We used air mass forward trajectories (HYSPLIT) model to obtain particle trajectories in the wind and the use of banned pesticides as geochemical tracers for dust transported by wind. Fifty dust samples from 10 agriculture fields and 26 roof dust of a city close to the agricultural area were analyzed for their contents of zirconium, lead, arsenic, zinc, copper, iron, manganese, vanadium, and titanium, by portable X-ray fluorescence. Nine pesticides were analyzed in the roof dust and agricultural soil samples by gas chromatography. Results show that the distribution of metals was significantly different between active and abandoned fields. Arsenic-lead-copper was mainly concentrated in abandoned fields, while zinc-iron-manganese-titanium was dominant in active fields. Two potential sources of metal contamination were found by principal component analysis (PCA): (I) a mixture of traffic and agricultural sources and (II) a group related to agricultural activities. The occurrence of banned pesticides in dust deposited on roofs collected at nearby cities confirms the atmospheric transport from the agricultural area. The HYSPLIT results indicated that the dust emitted from agricultural fields can reach up to the neighboring states of Sonora, Mexico, and the USA. The impacts that these emissions can have on human health should be studied in future research.
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EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, KILJ, KISLJ, MFDPS, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
Inhalation of playground dust-derived fine particles in schoolyards poses a risk from exposure to metal(oids) and minerals. In this work, we obtained the total concentration and bioaccessibility of ...metal(oids) with Gamble Solution (GS) and Artificial Lysosomal Fluid (ALF) synthetic solutions, simulating the extracellular neutral pH environment of the lung and the intracellular conditions of the macrophage, respectively. Scanning Electron Microscope (SEM), and Dynamic Light Scattering analysis (DLS) techniques were used to characterize particles with a size smaller than 2.5 μm, which can be assimilated by macrophages in the deep part of the lung. Arsenic (As), lead (Pb), copper (Cu), manganese (Mn), zinc (Zn), and iron (Fe) showed concentrations of 39.9, 147.9, 286, 1369, 2313, 112,457 mg·kg−1, respectively. The results indicated that all studied elements were enriched when compared to (i) local geochemical background and (ii) findings reported in other cities around the world. Bioaccessibility of metal(oids) in GS was low-moderate for most studied elements. However, in ALF assays, bioaccessibility was high among the samples: for lead (Pb = 34–100%), arsenic (As = 14.7–100%), copper (Cu = 17.9–100%), and zinc (Zn = 35–52%) possibly related to hydrophobic minerals in dust. SEM and DLS image analysis showed that playground dust particles smaller than 2.5 μm are dominant, particularly particles with a size range of 500–600 nm. The polydispersity detected in these particle sizes showed that most of them might be crystalline compounds (elongated shapes) forming agglomerates instead of combustion particles (spheres). Moreover, the circularity detected varies from 0.57 to 0.79 (low roundness), which corroborates this finding. The presence of agglomerates of ultrafine/nanoparticles containing highly bioaccessible metals in playground sites may have severe implications in children's health. Therefore, further studies are required to characterize the size distribution, structure, shape and composition of such minerals which are essential factors related to the toxicology of inhaled dust particles.
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•High total metal content in playground dust is detected.•High metal bioaccessibility of playground dust in synthetic lung fluids is assessed.•Dynamic Light Scattering in lysosomal fluids show ultrafine particles (<500 nm).•Less than 500 nm-particles appear as crystalline compounds rather than combustion
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
This study investigates the presence of Cu, Zn, Cd, Pb, and Hg in 24 dietary supplements purchased in different health stores across the city of Hermosillo, located in the northwest of Mexico. ...Analysis of metals was done by microwave digestion and atomic absorption spectroscopy. The most abundant elements in dietary supplements were Cu (<0.19–137.85
μg/g) and Zn (<2.83–4785.71
μg/g), followed by Pb (<0.003–66.32
μg/g), Cd (<0.001–2.90
μg/g), and Hg (<0.24–0.85
μg/g). The estimated daily intakes of metals were below those recommended by WHO and the Institute of Medicine, showing that little risk from heavy metals is associated with the consumption of the dietary supplements analyzed. However, some products presented more than 10% of the tolerable daily intake of Pb, indicating that production processes should be improved.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK
Environmental arsenic exposure is associated with increased risk of non-cancerous chronic diseases and a variety of cancers in humans. The aims of this study were to carry out for the first time a ...health risk assessment for two common arsenic exposure routes (drinking water and soil ingestion) in children living in the most important agricultural areas in the Yaqui and Mayo valleys in Sonora, Mexico. Drinking water sampling was conducted in the wells of 57 towns. A cross-sectional study was done in 306 children from 13 villages in the valleys. First morning void urine samples were analyzed for inorganic arsenic (InAs) and monomethyl and dimethyl arsenic (MMA and DMA) by HPLC/ICP-MS. The results showed a wide range of arsenic levels in drinking water between 2.7 and 98.7 μg As/L. Arsenic levels in agricultural and backyard soils were in the range of < 10–27 mg As/kg. The hazard index (HI) = ∑hazard quotient (HQ) for drinking water, agricultural soil, and backyard soil showed values > 1 in 100% of the study towns, and the carcinogenic risk (CR) was greater than 1E−04 in 85%. The average of arsenic excreted in urine was 31.7 μg As/L, and DMA had the highest proportion in urine, with averages of 77.8%, followed by InAs and MMA with 11.4 and 10.9%, respectively, percentages similar to those reported in the literature. Additionally, positive correlations between urinary arsenic levels and HI values were found (
r
= 0.59,
P
= 0.000). These results indicated that this population is at high risk of developing chronic diseases including cancer.
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EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, KILJ, KISLJ, MFDPS, NLZOH, NUK, OBVAL, OILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
Environmental arsenic exposure in adults and children has been associated with a reduction in the expression of club cell secretory protein (CC16) and an increase in the expression of matrix ...metalloproteinase-9 (MMP-9), both biomarkers of lung inflammation and negative respiratory outcomes. The objectives of this study were to determine if the levels of serum CC16 and MMP-9 and subsequent respiratory infections in children are associated with the ingestion of arsenic by drinking water. This cross-sectional study included 216 children from three Yaqui villages, Potam, Vicam, and Cocorit, with levels of arsenic in their ground water of 70.01 ± 21.85, 23.3 ± 9.99, and 11.8 ± 4.42 μg/L respectively. Total arsenic in water and urine samples was determined by inductively coupled plasma/optical emission spectrometry. Serum was analyzed for CC16 and MMP-9 using ELISA. The children had an average urinary arsenic of 79.39 μg/L and 46.8 % had levels above of the national concern value of 50 μg/L. Increased arsenic concentrations in drinking water and average daily arsenic intake by water were associated with decreased serum CC16 levels (β = − 0.12, 95% CI − 0.20, − 0.04 and β = − 0.10, 95% CI − 0.18, − 0.03), and increased serum MMP-9 levels (β = 0.35, 95% CI 0.22, 0.48 and β = 0.29, 95% CI 0.18, 0.40) at significant levels (
P
< 0.05). However, no association was found between levels of these serum biomarkers and urinary arsenic concentrations. In these children, reduced serum CC16 levels were significantly associated with increased risk of respiratory infections (OR = 0.34, 95% CI 0.13, 0.90). In conclusion, altered levels of serum CC16 and MMP-9 in the children may be due to the toxic effects of arsenic exposure through drinking water.
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CEKLJ, EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, KILJ, KISLJ, MFDPS, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
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