Upgrading of suberin from cork and birch outer bark

O trabalho aqui apresentado teve como principal propósito o estudo do potencial da suberina como fonte de produtos de química fina e como precursor de novos materiais macromoleculares de origem renovável. O interesse na suberina reside, não só na sua ubiquidade e nas suas propriedades únicas em termos de composição química e hidrofobicidade, mas também no facto de ser um dos principais componentes macromoleculares dos subprodutos da indústria corticeira de Quercus suber L. no Sul da Europa, e da indústria de pasta de papel do Norte da Europa, que utiliza a Betula pendula Roth como matéria-prima. A primeira parte do presente trabalho consistiu no estudo detalhado da composição química da cortiça de Quercus suber L. e respectivos resíduos industriais bem como da casca de Betula pendula Roth recorrendo a diferentes técnicas de caracterização, nomeadamente GC-MS, IV, RMN de 1H e de 13C, DSC, termomicroscopia, TGA e difracção de raios-X. Os resultados mostraram que os produtos de despolimerização da suberina representam tipicamente uma fracção substancial de todas as amostras. Para além da suberina, foram também identificados nas diversas amostras quantidades variáveis de compostos triterpénicos, lenhina, polissacarídeos e matéria inorgânica. Os principais resultados da análise por GC-MS mostraram que todas as amostras de suberina despolimerizada são fontes abundantes de ω-hidroxiácidos e de ácidos dicarboxílicos, bem como dos correspondentes derivados epóxidados. No entanto, as quantidades relativas de cada componente identificado foram significativamente diferentes entre amostras. Por exemplo, em amostras de suberina da casca de Quercus suber L. isoladas por metanólise alcalina o composto maioritário encontrado foi o ácido 22-hidroxidocosanóico, enquanto que a suberina também proveniente da cortiça, mas isolada por hidrólise alcalina era composta maioritariamente pelo ácido 9,10-dihidroxioctadecanóico. Já no caso da amostra de suberina despolimerizada proveniente da casca externa da bétula o composto identificado como mais abundante foi o ácido 9,10-epoxi-18-hidroxioctadecanóico. A caracterização das diversas amostras de suberina despolimerizada por FTIR e RMN de 1H e de 13C foram concordantes com os resultados de GC-MS, evidenciando a sua natureza predominantemente lipofílica. Foi ainda determinada a razão entre os grupos CO2H/OH e CO2CH3/OH por RMN de 1H das amostras convenientemente derivatizadas com isocianato de tricloroacetilo, verificando-se que a suberina despolimerizada possuía quantidades não-estequiométricas destes grupos funcionais. A investigação do comportamento térmico das amostras de suberina despolimerizada, por DSC e termomicroscopia, bem como a análise por difracção de raios-X, permitiu concluir que algumas amostras de suberina despolimerizada possuíam importantes domínios cristalinos e pontos de fusão bem definidos, tipicamente próximos de 70 oC, enquanto outras amostras eram essencialmente amorfa. Factores como a fonte de suberina ou as condições de despolimerização estiveram na origem destas diferenças. iv Neste trabalho estudaram-se também os extractáveis lipofílicos da cortiça e dos seus resíduos industriais, em particular os do pó industrial de cortiça e dos condensados negros, mostrando que os extractáveis lipofílicos são uma fonte abundante de compostos triterpénicos, em particular de ácido betulínico e de friedelina. Foram ainda identificadas fracções abundantes de ω-hidroxiácidos e de ácidos dicarboxílicos no condensado negro. A segunda parte deste trabalho abordou a síntese e a caracterização de novos poliésteres alifáticos derivados de suberina. Estes materiais foram sintetizados utilizando, quer misturas de suberina despolimerizada, quer monómeros modelo estruturalmente análogos aos existentes na suberina. Recorreu-se para o efeito a duas aproximações distintas de polimerização por passos, a policondensação e a politransesterificação. Procurou-se em simultâneo maximizar a eficiência da polimerização em termos de peso molecular e de extensão da reacção e utilizar condições de reacção de química “verdes”. Neste sentido, utilizou-se a policondensação em emulsão utilizando um tensioactivo como catalisador e a policondensação em massa utilizando a lipase B de Candida antarctica. Adicionalmente foram também testado os catalisadores trifluorometanosulfonato de bismuto(III) no caso da policondensação, e ainda os catalisadores clássicos óxido de antimónio(III) e o carbonato de potássio no caso da politransesterificação. Os poliésteres resultantes foram caracterizados através de várias técnicas, tais como IV, RMN (de 1H e de 13C), DSC, DMA, TGA, difracção de raios-X e medidas dos ângulos de contacto. Verificou-se que os catalisadores trifluorometanosulfonato de bismuto (III), óxido de antimónio(III) e carbonato de potássio conduziram aos rendimentos de isolamento dos polímeros resultantes mais elevados. No caso dos poliésteres derivados da suberina os resultados em termos de rendimentos e pesos moleculares sofreram um incremento substancial quando a estequiometria da reacção de polimerização foi adequadamente balanceada (r=1) com a adição de uma quantidade extra de um comonómero. Verificou-se a predominância de diferentes estruturas consoante a amostra de suberina utilizada e as condições de síntese adoptada, predominando as cadeias lineares ou então quantidades substanciais de estruturas reticuladas. Globalmente, este primeiro estudo sistemático da utilização de suberina como um precursor de novos poliésteres alifáticos confirmou o elevado potencial deste recurso abundante e renovável como precursor para preparar materiais macromoleculares.

Comparing potentially avoidable hospitalization rates related to ambulatory care sensitive conditions in Switzerland: the need to refine the definition of health conditions and to adjust for population health status.

BACKGROUND: Regional rates of hospitalization for ambulatory care sensitive conditions (ACSC) are used to compare the availability and quality of ambulatory care but the risk adjustment for population health status is often minimal. The objectives of the study was to examine the impact of more extensive risk adjustment on regional comparisons and to investigate the relationship between various area-level factors and the properly adjusted rates. METHODS: Our study is an observational study based on routine data of 2 million anonymous insured in 26 Swiss cantons followed over one or two years. A binomial negative regression was modeled with increasingly detailed information on health status (age and gender only, inpatient diagnoses, outpatient conditions inferred from dispensed drugs and frequency of physician visits). Hospitalizations for ACSC were identified from principal diagnoses detecting 19 conditions, with an updated list of ICD-10 diagnostic codes. Co-morbidities and surgical procedures were used as exclusion criteria to improve the specificity of the detection of potentially avoidable hospitalizations. The impact of the adjustment approaches was measured by changes in the standardized ratios calculated with and without other data besides age and gender. RESULTS: 25% of cases identified by inpatient main diagnoses were removed by applying exclusion criteria. Cantonal ACSC hospitalizations rates varied from to 1.4 to 8.9 per 1,000 insured, per year. Morbidity inferred from diagnoses and drugs dramatically increased the predictive performance, the greatest effect found for conditions linked to an ACSC. More visits were associated with fewer PAH although very high users were at greater risk and subjects who had not consulted at negligible risk. By maximizing health status adjustment, two thirds of the cantons changed their adjusted ratio by more than 10 percent. Cantonal variations remained substantial but unexplained by supply or demand. CONCLUSION: Additional adjustment for health status is required when using ACSC to monitor ambulatory care. Drug-inferred morbidities are a promising approach.

Caractérisation de la composante toxicocinétique du facteur d’ajustement pour la variabilité interindividuelle utilisé en analyse du risque toxicologique

Un facteur d’incertitude de 10 est utilisé par défaut lors de l’élaboration des valeurs toxicologiques de référence en santé environnementale, afin de tenir compte de la variabilité interindividuelle dans la population. La composante toxicocinétique de cette variabilité correspond à racine de 10, soit 3,16. Sa validité a auparavant été étudiée sur la base de données pharmaceutiques colligées auprès de diverses populations (adultes, enfants, aînés). Ainsi, il est possible de comparer la valeur de 3,16 au Facteur d’ajustement pour la cinétique humaine (FACH), qui constitue le rapport entre un centile élevé (ex. : 95e) de la distribution de la dose interne dans des sous-groupes présumés sensibles et sa médiane chez l’adulte, ou encore à l’intérieur d’une population générale. Toutefois, les données expérimentales humaines sur les polluants environnementaux sont rares. De plus, ces substances ont généralement des propriétés sensiblement différentes de celles des médicaments. Il est donc difficile de valider, pour les polluants, les estimations faites à partir des données sur les médicaments. Pour résoudre ce problème, la modélisation toxicocinétique à base physiologique (TCBP) a été utilisée pour simuler la variabilité interindividuelle des doses internes lors de l’exposition aux polluants. Cependant, les études réalisées à ce jour n’ont que peu permis d’évaluer l’impact des conditions d’exposition (c.-à-d. voie, durée, intensité), des propriétés physico/biochimiques des polluants, et des caractéristiques de la population exposée sur la valeur du FACH et donc la validité de la valeur par défaut de 3,16. Les travaux de la présente thèse visent à combler ces lacunes. À l’aide de simulations de Monte-Carlo, un modèle TCBP a d’abord été utilisé pour simuler la variabilité interindividuelle des doses internes (c.-à-d. chez les adultes, ainés, enfants, femmes enceintes) de contaminants de l’eau lors d’une exposition par voie orale, respiratoire, ou cutanée. Dans un deuxième temps, un tel modèle a été utilisé pour simuler cette variabilité lors de l’inhalation de contaminants à intensité et durée variables. Ensuite, un algorithme toxicocinétique à l’équilibre probabiliste a été utilisé pour estimer la variabilité interindividuelle des doses internes lors d’expositions chroniques à des contaminants hypothétiques aux propriétés physico/biochimiques variables. Ainsi, les propriétés de volatilité, de fraction métabolisée, de voie métabolique empruntée ainsi que de biodisponibilité orale ont fait l’objet d’analyses spécifiques. Finalement, l’impact du référent considéré et des caractéristiques démographiques sur la valeur du FACH lors de l’inhalation chronique a été évalué, en ayant recours également à un algorithme toxicocinétique à l’équilibre. Les distributions de doses internes générées dans les divers scénarios élaborés ont permis de calculer dans chaque cas le FACH selon l’approche décrite plus haut. Cette étude a mis en lumière les divers déterminants de la sensibilité toxicocinétique selon le sous-groupe et la mesure de dose interne considérée. Elle a permis de caractériser les déterminants du FACH et donc les cas où ce dernier dépasse la valeur par défaut de 3,16 (jusqu’à 28,3), observés presqu’uniquement chez les nouveau-nés et en fonction de la substance mère. Cette thèse contribue à améliorer les connaissances dans le domaine de l’analyse du risque toxicologique en caractérisant le FACH selon diverses considérations.

Psychiatric and neurological symptoms in schizophrenia and substance use disorder patients treated for 12-weeks with quetiapine

Contexte Autant dans une population schizophrène que non schizophrène, l‘abus de substance a pour conséquence la manifestation de symptômes psychiatriques et neurologiques. Dans les présentes études cas-témoins, nous avons examiné les différences initiales ainsi que les changements suite au traitement de 12 semaines à la quetiapine au niveau de la sévérité de la toxicomanie et des symptômes psychiatriques et neurologiques chez 3 groupes distincts. Ces 3 groupes sont: des patients schizophrènes avec une toxicomanie (double diagnostic: DD), des patients schizophrènes sans toxicomanie concomittante (SCZ) et finalement, des toxicomanes non schizophrènes (SUD). Parallèlement, afin de nous aider à interpréter nos résultats, nous avons mené deux revues systématiques: la première regardait l‘effet d‘antipsychotiques dans le traitement de troubles d‘abus/dépendance chez des personnes atteintes ou non de psychoses, la deuxième comparait l‘efficacité de la quetiapine et sa relation dose-réponse parmi différents désordres psychiatriques. Méthodes Pour nos études cas-témoins, l‘ensemble des symptômes psychiatriques et neurologiques ont été évalués via l‘Échelle du syndrome positif et négatif (PANSS), l‘Échelle de dépression de Calgary, l‘Échelle des symptômes extrapyramidaux (ESRS) ainsi qu‘avec l‘Échelle d‘akathisie de Barnes. Résultats À la suite du traitement de 12 semaines avec la quetiapine, les groupes SCZ et DD recevaient des doses de quetiapine significativement plus élevées (moyenne = 554 et 478 mg par jour, respectivement) par rapport au groupe SUD (moyenne = 150 mg par jour). Aussi, nous avons observé chez ces mêmes patients SUD une plus importante baisse du montant d‘argent dépensé par semaine en alcool et autres drogues, ainsi qu‘une nette amélioration de la sévérité de la toxicomanie comparativement aux patients DD. Par conséquent, à la fin de l‘essai de 12 semaines, il n‘y avait pas de différence significative dans l‘argent dépensé en alcool et drogues entre les deux groupes de toxicomanes iv or, les patients DD présentait, comme au point de départ, un score de toxicomanie plus sévère que les SUD. Étonnamment, aux points initial et final de l‘étude, le groupe DD souffrait de plus de symptômes parkinsoniens et de dépression que le groupe SCZ. Par ailleurs, nous avons trouvé qu‘initiallement, les patients SUD présentaient significativement plus d‘akathisie, mais qu‘en cours de traitement, cette akathisie reliée à l‘abus/dépendance de cannabis s‘est nettement améliorée en comparaison aux patients SCZ. Enfin, les patients SUD ont bénéficié d‘une plus grande diminution de leurs symptômes positifs que les 2 groupes atteints de schizophrénie. Conclusions Bref, l‘ensemble de nos résultats fait montre d‘une vulnérabilité accentuée par les effets négatifs de l‘alcool et autres drogues dans une population de patients schizophrènes. Également, ces résultats suggèrent que l‘abus de substance en combinaison avec les états de manque miment certains symptômes retrouvés en schizophrénie. De futures études seront nécessaires afin de déterminer le rôle spécifique qu‘a joué la quetiapine dans ces améliorations.

Aquatic Cyanobacteria Isolated from Cochin: Growth characteristics and bioactive impact on selected microflora

Aquatic ecosystem in the south west coast of India is noted for its diversity of habitats. Very often these environments turn bluegreen when the bloom of bluegreen algae (cyanobacteria) appear consequent to eutrophication. This phenomenon occursin these habitats one after the other or simultaneously. This conspicuousness make one curious enough to know more about these nature’s gift bestowed upon mankind. While persuing the literature on the magnificent flora) it is understood that it may provide food fertilizer, chemicals and bioactive substances. These bioactive substances are likely to be involved in regulating natural populations and are potentially useful as biochemical tools and as herbicidal or biocontrol agents. The role of cyanobacteria in the aquatic food chain and contribution in abatement of heavy metals from the natural environment are well documented. Considering the manifold utilization of the flora and their significance in the food chain, the present investigation has been undertaken

Laser Spectroscopy: TDLAS instrumentation and NIR analysis of some organic materials

Near-infrared spectroscopy can be a workhorse technique for materials analysis in industries such as agriculture, pharmaceuticals, chemicals and polymers. A near-infrared spectrum represents combination bands and overtone bands that are harmonics of absorption frequencies in the mid-infrared. Near-infrared absorption includes a combination-band region immediately adjacent to the mid-infrared and three overtone regions. All four near-infrared regions contain "echoes" of the fundamental mid-infrared absorptions. For example, vibrations in the mid-infrared due to the C-H stretches will produce four distinct bands in each of the overtone and combination regions. As the bands become more removed from the fundamental frequencies they become more widely separated from their neighbors, more broadened and are dramatically reduced in intensity. Because near-infrared bands are much less intense, more of the sample can be used to produce a spectra and with near-infrared, sample preparation activities are greatly reduced or eliminated so more of the sample can be utilized. In addition, long path lengths and the ability to sample through glass in the near-infrared allows samples to be measured in common media such as culture tubes, cuvettes and reaction bottles. This is unlike mid-infrared where very small amounts of a sample produce a strong spectrum; thus sample preparation techniques must be employed to limit the amount of the sample that interacts with the beam. In the present work we describe the successful the fabrication and calibration of a linear high resolution linear spectrometer using tunable diode laser and a 36 m path length cell and meuurement of a highly resolved structure of OH group in methanol in the transition region A v =3. We then analyse the NIR spectrum of certain aromatic molecules and study the substituent effects using local mode theory

Seoimentology And Geochemistiiy Of Some Selected Mangrove Ecosystems Of Kerala, Southwest Coast Of India

As a result of the issues of care and conservation and sustainable utilisation, the proper management of mangrove forests have become more pressing than ever. Much recent ecological and toxicological debate has been centered around the question of validity of making predictions about the future of mangrove ecosystemas a result of the newly evolved environmental policy. Though muchinformation exist on the biodiversity, floristic composition and characteristics, geographical distribution and uses of mangroves, systematic documentation of the various sedimentological and geochemical phenomena in relation to the mangrove flora are scarce. Hazardous, persistent, man-made chemicals and waste produces are entering the mangrove ecosystem at from the adjacent watersheds which strengthened alarming rates the indispensible need for further researches on the environmental behaviours, fate and the effect of such products. Studies on the effect of heavy metals, pesticides and the other toxic signals through bioassay and toxicity tests on mangrove species as well as in sediments definitely will furnish ample clues to establish the actual operative mechanisms of these environments. A thorough review of literature made in this angle reveals that some attempts have already been initiated the world over the record the physico-chemical characteristics of major abiotic components such as sediments and water of many mangrove ecosystem, however, adequate information is lacking in the Indian Environmental Science scenario. The present investigation is an attempt to record the sedimentological, mineralogical and geochemical characteristics of sediments as well as the heavy metal enrichment in the various species ofmangrove flora of three important mangrove ecosystems of Kerala, located at Veli (SouthKerala), Kochi (Central Kerala) and Kannur (North Kerala). The results of the above investigation have been analysed statistically, discussed based on the available literature and presented in this thesis under seven chapters

Efficacy of Cluster- Based Approach for the revival of Handloom Co-operative Societies in Kerala- with special reference to Thiruvananthapuram and Kannur Districts

one of the key sectors, identified by the Department of Industries Government of Kerala, for the cluster development initiative is Handloom, which gives employment to over over 50,000 people directly. Despite its age old tradition and fame, the performance of the sector vis-à-vis power looms is not very rosy owing to (i) competition from cheap power loom cloth from other states (ii) scarcity of quality yarn (iii) price escalation of yarn, dyes, chemicals and other raw materials (iv) the shrinking market for handlooms in Kerala (v) non-demand based production and inadequacy of new designs and (vi) inefficiencies in the system, particularly in the co-operative sector. Cluster based approach is adopted in the handloom sector with the objective of providing necessary support mechanism to come out of the crisis that the sector faces now. While four cluster schemes are being implemented in Kerala, it is under IHDS-CDP that the State got a sizeable number of clusters benefiting a large number of societies and weavers- 24 handloom clusters, bringing 152 handloom co-operative societies and over 19,800 handloom workers under the Programme. This research attempts to revisit the underlying rationale and context of the new direction and would attempt to broadly analyze the growth trends under the influence of cluster model adopted by the State IHDS-CDP for the revival of handloom sector through a detailed study of the handloom co-operative societies in Kerala. If handloom sector in Kerala can be revived using cluster based approach, it can be easily concluded that cluster is capable of taking the MSME in Kerala to a ‘high growth path.’ The study is aimed at understanding how best clusters emerge as appropriate industrial organization suitable for the current global structure of manufacture

Sociodemographic characteristics and clinical features of patients with adult polycystic kidney disease undergoing hemodialysis

Aims:To analyze the socio-demographic and clinical characteristics of patients with adult polycystic kidney disease admitted to hemodialysis services in Northwestern Paraná state,Brazil. Methods: This was an observational, descriptive and retrospective longitudinal study. Medical records of patients with polycystic kidneys who initiated hemodialysis between 1995 and 2012, in four centers that treat patients of the coverage area of the 15th Regional Health Region of Paraná state where analyzed. Results:We found that 10.3% of hemodialysis patients had polycystic kidney disease as a leading cause of stage 5 of chronic kidney disease. The mean age of patients was 54.9±9.4 years (ranging between 27 and 74 years), with equal gender distribution and Caucasian predominance (72.9%). The average age of dialysis initiation was 50±10.2 years. The most common comorbidity was systemic hypertension (66.7%). Liver cyst was the main extra-renal manifestation (10.4%). Twenty-five percent of the patients required renal transplantation, and (22.9%) undergone nephrectomy. The most widely used classes of antihypertensive drugs were β-blockers (41.7%) and drugs that act on the renin-angiotensin system (31.3%), while 56.3% of patients were treated with recombinant human erythropoietin. Conclusions:This is a pioneering epidemiological study in Northwestern Paraná state. We found in this population a sociodemographic and clinical profile of adult polycystic kidney disease similar to that of North America and Europe, probably because the ethnic constitution of the sample was predominantly of Euro-descendants.

Combination therapy: opportunities and challenges for polymer-drug conjugates as anticancer nanomedicines.

The discovery of new molecular targets and the subsequent development of novel anticancer agents are opening new possibilities for drug combination therapy as anticancer treatment. Polymer-drug conjugates are well established for the delivery of a single therapeutic agent, but only in very recent years their use has been extended to the delivery of multi-agent therapy. These early studies revealed the therapeutic potential of this application but raised new challenges (namely, drug loading and drugs ratio, characterisation, and development of suitable carriers) that need to be addressed for a successful optimisation of the system towards clinical applications.

Olfactory attractiveness of mixtures of some host plant and conspecific semiochemicals to the banana weevil Cosmopolites sordidus (Germar, 1824)

A simple "Y" shaped olfactometer was used in laboratory studies on the olfactory attractiveness of mixtures in various proportions of industrial analogues of some host plant and conspecific-based semiochemicals, or their combinations with banana rhizome, to the banana weevil. The aim was to identify factors that influence their attractiveness to the weevil, and consider the possibility for their use as lures for trapping the weevil in the field. Cosmopolites sordidus was attracted to the mixtures at specific concentrations and proportions of constituent chemicals. 6-methylhept-5-en-2-one was only attractive on its own at 1 µl/100 ml and in mixture with 4- mercaptophenol, but not at 10 µl, 0.01 µl, or in combination with banana rhizome. 4-mercaptohpenol and 2-n-butylfuran, which were compatible with most host plant-based chemicals and were attractive as a mixture, were perceived to be key elements in the composition of attractants to the weevil. It was concluded that in addition to the composition, other factors that may determine the attractiveness or otherwise of a mixture to C. sordidus are the proportions and concentrations of the constituent chemicals.

A review and simplification of the in vitro incubation medium

The requirement to rapidly and efficiently evaluate ruminant feedstuffs places increased emphasis on in vitro systems. However, despite the developmental work undertaken and widespread application of such techniques, little attention has been paid to the incubation medium. Considerable research using in vitro systems is conducted in resource-poor developing countries that often have difficulties associated with technical expertise, sourcing chemicals and/or funding to cover analytical and equipment costs. Such limitations have, to date, restricted vital feed evaluation programmes in these regions. This paper examines the function and relevance of the buffer, nutrient, and reducing solution components within current in vitro media, with the aim of identifying where simplification can be achieved. The review, supported by experimental work, identified no requirement to change the carbonate or phosphate salts, which comprise the main buffer components. The inclusion of microminerals provided few additional nutrients over that already supplied by the rumen fluid and substrate, and so may be omitted. Nitrogen associated with the inoculum was insufficient to support degradation and a level of 25 mg N/g substrate is recommended. A sulphur inclusion level of 4-5 mg S/g substrate is proposed, with S levels lowered through omission of sodium sulphide and replacement of magnesium sulphate with magnesium chloride. It was confirmed that a highly reduced medium was not required, provided that anaerobic conditions were rapidly established. This allows sodium sulphide, part of the reducing solution, to be omitted. Further, as gassing with CO2 directly influences the quantity of gas released, it is recommended that minimum CO, levels be used and that gas flow and duration, together with the volume of medium treated, are detailed in experimental procedures. It is considered that these simplifications will improve safety and reduce costs and problems associated with sourcing components, while maintaining analytical precision. (c) 2005 Elsevier B.V. All rights reserved.

Environmental oestrogens, cosmetics and breast cancer

The established role of oestrogen in the development and progression of breast cancer raises questions concerning a potential contribution from the many chemicals in the environment which can enter the human breast and which have oestrogenic activity. A range of organochlorine pesticides and polychlorinated bipheryls possess oestrogen-mimicking properties and have been measured in human breast adipose tissue and in human milk. These enter the breast from varied environmental contamination of food, water and air, and due to their lipophilic properties can accumulate in breast fat. However, it is emerging that the breast is also exposed to a range of oestrogenic chemicals applied as cosmetics to the underarm and breast area. These cosmetics are left on the skin in the appropriate area, allowing a more direct dermal absorption route for breast exposure to oestrogenic chemicals and allowing absorbed chemicals to escape systemic metabolism. This review considers evidence in support of a functional role for the combined interactions of cosmetic chemicals with environmental oestrogens, pharmacological oestrogens, phyto-oestrogens and physiological oestrogens in the rising incidence of breast cancer.

Environmental oestrogens and breast cancer: long-term low-dose effects of mixtures of various chemical combinations

The incidence of breast cancer has risen worldwide to unprecedented levels in recent decades, making it now the major cancer of women in many parts of the world.1 Although diet, alcohol, radiation and inherited loss of BRCA1/2 genes have all been associated with increased incidence, the main identified risk factors are life exposure to hormones including physiological variations associated with puberty/pregnancy/menopause,1 personal choice of use of hormonal contraceptives2 and/or hormone replacement therapy.3–6 On this basis, exposure of the human breast to the many environmental pollutant chemicals capable of mimicking or interfering with oestrogen action7 should also be of concern.8 Hundreds of such environmental chemicals have now been measured in human breast tissue from a range of dietary and domestic exposure sources7 ,9 including persistent organochlorine pollutants (POPs),10 polybrominated diphenylethers and polybromobiphenyls,11 polychlorinated biphenyls,12 dioxins,13 alkyl phenols,14 bisphenol-A and chlorinated derivatives,15 as well as other less lipophilic compounds such as parabens (alkyl esters of p-hydroxybenzoic acid),16 but studies investigating any association between raised levels of such compounds and the development of breast cancer remain inconclusive.7–16 However, the functionality of these chemicals has continued to be assessed on the basis of individual chemicals rather than the environmental reality of long-term low-dose exposure to complex mixtures. This misses the potential for individuals to have high concentrations of different compounds but with a common mechanism of action. It also misses the complex interactions between chemicals and physiological hormones which together may act to alter the internal homeostasis of the oestrogenic environment of mammary tissue.

Implementing systematic review techniques in chemical risk assessment: challenges, opportunities and recommendations

Systematic review (SR) is a rigorous, protocol-driven approach designed to minimise error and bias when summarising the body of research evidence relevant to a specific scientific question. Taking as a comparator the use of SR in synthesising research in healthcare, we argue that SR methods could also pave the way for a “step change” in the transparency, objectivity and communication of chemical risk assessments (CRA) in Europe and elsewhere. We suggest that current controversies around the safety of certain chemicals are partly due to limitations in current CRA procedures which have contributed to ambiguity about the health risks posed by these substances. We present an overview of how SR methods can be applied to the assessment of risks from chemicals, and indicate how challenges in adapting SR methods from healthcare research to the CRA context might be overcome. Regarding the latter, we report the outcomes from a workshop exploring how to increase uptake of SR methods, attended by experts representing a wide range of fields related to chemical toxicology, risk analysis and SR. Priorities which were identified include: the conduct of CRA-focused prototype SRs; the development of a recognised standard of reporting and conduct for SRs in toxicology and CRA; and establishing a network to facilitate research, communication and training in SR methods. We see this paper as a milestone in the creation of a research climate that fosters communication between experts in CRA and SR and facilitates wider uptake of SR methods into CRA.