PMID- 37553041 OWN - NLM STAT- MEDLINE DCOM- 20230824 LR - 20230824 IS - 1879-1298 (Electronic) IS - 0045-6535 (Linking) VI - 339 DP - 2023 Oct TI - Single-chemical and mixture effects of multiple volatile organic compounds exposure on liver injury and risk of non-alcoholic fatty liver disease in a representative general adult population. PG - 139753 LID - S0045-6535(23)02020-9 [pii] LID - 10.1016/j.chemosphere.2023.139753 [doi] AB - Evidence on liver injury and non-alcoholic fatty liver disease (NAFLD) from volatile organic compounds (VOCs) exposure is insufficient. A cross-sectional study including 3011 US adults from the National Health and Nutrition Examination Survey was conducted to explore the associations of urinary exposure biomarkers (EBs) for 13 VOCs (toluene, xylene, ethylbenzene, styrene, acrylamide, N,N-dimethylformamide, acrolein, crotonaldehyde, 1,3-butadiene, acrylonitrile, cyanide, propylene oxide, and 1-bromopropane) with liver injury biomarkers and the risk of NAFLD by performing single-chemical (survey weight regression) and mixture (Bayesian kernel machine regression [BKMR] and weighted quantile sum [WQS]) analyses. We found significant positive associations of EBs for toluene and 1-bromopropane with alanine aminotransferase (ALT), EBs for toluene, crotonaldehyde, and 1,3-butadiene with asparate aminotransferase (AST), EBs for 1,3-butadiene and cyanide with alkaline phosphatase (ALP), EBs for xylene and cyanide with hepamet fibrosis score (HFS), EBs for the total 13 VOCs (except propylene oxide) with United States fatty liver index (USFLI), and EBs for xylene, N,N-dimethylformamide, acrolein, crotonaldehyde, and acrylonitrile with NALFD; and significant inverse associations of EBs for ethylbenzene, styrene, acrylamide, acrolein, crotonaldehyde, 1,3-butadiene, acrylonitrile, cyanide, and propylene oxide with total bilirubin, EBs for ethylbenzene, styrene, acrylamide, acrolein, 1,3-butadiene, acrylonitrile, and cyanide with albumin (ALB), EBs for ethylbenzene, styrene, acrylamide, N,N-dimethylformamide, acrolein, crotonaldehyde, 1,3-butadiene, acrylonitrile, cyanide, and propylene oxide with total protein (TP), and EB for 1-bromopropane with AST/ALT (all P-FDR<0.05). In BKMR and WQS, the mixture of VOC-EBs was significantly positively associated with ALT, AST, ALP, HFS, USFLI, and the risk of NAFLD, while significantly inversely associated with TBIL, ALB, TP, and AST/ALT. VOCs exposure was associated with liver injury and increased risk of NAFLD in US adults. These findings highlight that great attention should be paid to the potential risk of liver health damage from VOCs exposure. CI - Copyright (c) 2023 Elsevier Ltd. All rights reserved. FAU - Liu, Wei AU - Liu W AD - Department of Occupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China; Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. FAU - Cao, Shuting AU - Cao S AD - Department of Occupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China; Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. FAU - Shi, Da AU - Shi D AD - Agricultural, Food and Nutritional Science, Faculty of Agricultural, Life and Environmental Sciences, University of Alberta, Edmonton, Alberta, T6G 2P5, Canada. FAU - Yu, Linling AU - Yu L AD - Department of Occupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China; Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. FAU - Qiu, Weihong AU - Qiu W AD - Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, 350122, China. FAU - Chen, Weihong AU - Chen W AD - Department of Occupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China; Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. Electronic address: wchen@mails.tjmu.edu.cn. FAU - Wang, Bin AU - Wang B AD - Department of Occupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China; Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. Electronic address: gentwong@163.com. LA - eng PT - Journal Article DEP - 20230806 PL - England TA - Chemosphere JT - Chemosphere JID - 0320657 RN - L5I45M5G0O (ethylbenzene) RN - 9G72074TUW (2-butenal) RN - JSD5FGP5VD (1,3-butadiene) RN - Y4Y7NYD4BK (propylene oxide) RN - 0 (Volatile Organic Compounds) RN - 0 (Xylenes) RN - 7864XYD3JJ (Acrolein) RN - MP1U0D42PE (Acrylonitrile) RN - Y9746DNE68 (1-bromopropane) RN - 8696NH0Y2X (Dimethylformamide) RN - 3FPU23BG52 (Toluene) RN - 0 (Biomarkers) RN - 0 (Acrylamides) RN - 0 (Styrenes) SB - IM MH - Humans MH - Adult MH - United States/epidemiology MH - *Non-alcoholic Fatty Liver Disease/chemically induced/epidemiology MH - *Volatile Organic Compounds/analysis MH - Xylenes/analysis MH - Nutrition Surveys MH - Acrolein MH - *Acrylonitrile/toxicity MH - Bayes Theorem MH - Cross-Sectional Studies MH - Dimethylformamide MH - Toluene/analysis MH - Biomarkers MH - Acrylamides MH - Styrenes/analysis OTO - NOTNLM OT - Liver injury OT - Mixture effect OT - Non-alcoholic fatty liver disease OT - Volatile organic compounds COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/08/09 01:05 MHDA- 2023/08/24 06:42 CRDT- 2023/08/08 19:11 PHST- 2023/04/20 00:00 [received] PHST- 2023/07/17 00:00 [revised] PHST- 2023/08/05 00:00 [accepted] PHST- 2023/08/24 06:42 [medline] PHST- 2023/08/09 01:05 [pubmed] PHST- 2023/08/08 19:11 [entrez] AID - S0045-6535(23)02020-9 [pii] AID - 10.1016/j.chemosphere.2023.139753 [doi] PST - ppublish SO - Chemosphere. 2023 Oct;339:139753. doi: 10.1016/j.chemosphere.2023.139753. Epub 2023 Aug 6.