PMID- 33542785 OWN - NLM STAT- MEDLINE DCOM- 20210902 LR - 20220420 IS - 1942-0994 (Electronic) IS - 1942-0900 (Print) IS - 1942-0994 (Linking) VI - 2021 DP - 2021 TI - Effects of Occupational Exposure to Waste Anesthetic Gas on Oxidative Stress and DNA Damage. PG - 8831535 LID - 10.1155/2021/8831535 [doi] LID - 8831535 AB - OBJECTIVE: The aim of the study was to investigate the potential effects of waste anesthetic gas (WAG) on oxidative stress, DNA damage, and vital organs. METHODS: A total of 150 members of the staff at a hospital were assigned to an exposure group or control group. The 68 operating room (OR) staff in the exposure group were exposed to WAG, and the 82 non-OR staff in the control group were not exposed to WAG. Air samples were collected in the OR, and the sevoflurane concentrations in the samples were determined. Superoxide dismutase (SOD), glutathione peroxidase (GSH-px), and malondialdehyde (MDA) in plasma from the participants were determined to assess oxidative stress. Western blot analysis was used to detect gammaH(2)AX in peripheral blood to assess DNA damage. Hematopoietic parameters, liver function, kidney function, and changes in electrophysiology were assessed to identify the effects on the vital organs. RESULTS: The mean (+/-standard deviation) sevoflurane concentration in 172 air samples from 22 operating rooms was 1.11 +/- 0.65 ppm. The superoxide dismutase activity and vital organ parameters (lymphocyte, hemoglobin, and total protein concentrations and heart rate) were significantly lower (P < 0.05) in the exposed group than the control group. The malondialdehyde, total bilirubin, and creatinine concentrations and QT and QTc intervals were significantly higher (P < 0.05) in the exposed group than the control group. There were no significant differences between the glutathione peroxidase activities and gammaH2AX concentrations for the exposed and control groups. CONCLUSIONS: Long-term occupational exposure to waste anesthetic gas may affect the antioxidant defense system and probably affects vital organ functions to some extent. No correlation between DNA damage and chronic exposure to WAG was observed. CI - Copyright (c) 2021 Hai-Xin Hua et al. FAU - Hua, Hai-Xin AU - Hua HX AUID- ORCID: 0000-0002-5136-0175 AD - Department of Anesthesiology, Zhujiang Hospital of Southern Medical University, 253 Gongye Ave., Guangzhou, China 510282. FAU - Deng, Hai-Bo AU - Deng HB AUID- ORCID: 0000-0001-9221-4062 AD - Department of Anesthesiology, Huizhou Third People's Hospital, Guangzhou Medical University, No. 1, Xuebei Street, Huicheng District, Huizhou City, Guangdong Province, China. FAU - Huang, Xiu-Ling AU - Huang XL AUID- ORCID: 0000-0003-1038-256X AD - Department of Anesthesiology, Zhujiang Hospital of Southern Medical University, 253 Gongye Ave., Guangzhou, China 510282. FAU - Ma, Chang-Qing AU - Ma CQ AUID- ORCID: 0000-0001-9864-7387 AD - Department of Anesthesiology, Zhujiang Hospital of Southern Medical University, 253 Gongye Ave., Guangzhou, China 510282. FAU - Xu, Ping AU - Xu P AUID- ORCID: 0000-0001-7767-4474 AD - Department of Anesthesiology, Zhujiang Hospital of Southern Medical University, 253 Gongye Ave., Guangzhou, China 510282. FAU - Cai, Ye-Hua AU - Cai YH AUID- ORCID: 0000-0001-8855-0346 AD - Department of Anesthesiology, Zhujiang Hospital of Southern Medical University, 253 Gongye Ave., Guangzhou, China 510282. FAU - Wang, Hai-Tang AU - Wang HT AUID- ORCID: 0000-0001-6555-1020 AD - Department of Anesthesiology, Nanfang Hospital of Southern Medical University, 1838 Guangzhoudadaobei, Guangzhou, China 510515. LA - eng PT - Journal Article DEP - 20210119 PL - United States TA - Oxid Med Cell Longev JT - Oxidative medicine and cellular longevity JID - 101479826 RN - 0 (Air Pollutants) RN - 0 (Anesthetics) RN - 0 (Gases) RN - 0 (Medical Waste) RN - 38LVP0K73A (Sevoflurane) SB - IM MH - Adult MH - Air Pollutants/adverse effects/analysis MH - Anesthetics/*adverse effects/analysis MH - Case-Control Studies MH - China MH - Cross-Sectional Studies MH - DNA Damage MH - Female MH - Gases MH - Humans MH - Inhalation Exposure/adverse effects/analysis MH - Male MH - Medical Waste/adverse effects MH - Middle Aged MH - Occupational Exposure/*adverse effects/analysis MH - Operating Rooms MH - Organs at Risk/physiology MH - Oxidative Stress/*drug effects/genetics MH - Sevoflurane/adverse effects MH - Young Adult PMC - PMC7840251 COIS- The authors declare no competing financial interests. EDAT- 2021/02/06 06:00 MHDA- 2021/09/03 06:00 PMCR- 2021/01/19 CRDT- 2021/02/05 05:59 PHST- 2020/08/06 00:00 [received] PHST- 2020/10/27 00:00 [revised] PHST- 2021/01/08 00:00 [accepted] PHST- 2021/02/05 05:59 [entrez] PHST- 2021/02/06 06:00 [pubmed] PHST- 2021/09/03 06:00 [medline] PHST- 2021/01/19 00:00 [pmc-release] AID - 10.1155/2021/8831535 [doi] PST - epublish SO - Oxid Med Cell Longev. 2021 Jan 19;2021:8831535. doi: 10.1155/2021/8831535. eCollection 2021.