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Lack of an Exposure Response and Interaction With HLA-DPβ1 and DRβ1 Polymorphisms in the Development of Beryllium Toxicity in a High Beryllium Exposure Cohort. | LitMetric

Lack of an Exposure Response and Interaction With HLA-DPβ1 and DRβ1 Polymorphisms in the Development of Beryllium Toxicity in a High Beryllium Exposure Cohort.

J Occup Environ Med

Department of Public Health and Preventive Medicine, Universitas Sebelas Maret, Surakarta, Indonesia (Dr Widyaningsih); Department of Medicine (Dr Rosenman, Ms Reilly, Dr Wang); Department of Epidemiology and Biostatistics (Dr Pathak, Dr Gardiner), Michigan State University, East Lansing, Michigan; Department of Environmental Health, University of Cincinnati, Cincinnati (Dr Rice); Department of Pathology and Laboratory Medicine (Dr Monos); Department of Medicine (Dr Rossman), University of Pennsylvania, Philadelphia.

Published: January 2020

AI Article Synopsis

  • - The study aimed to assess how certain genetic variations (HLA-DPβ1 and DRβ1 polymorphisms) interact with levels of beryllium exposure and contribute to the development of beryllium sensitization (BeS) and chronic beryllium disease (CBD).
  • - Researchers conducted a matched case-control study, involving 61 CBD cases, 41 BeS cases, and 259 control participants from two facilities where beryllium is processed.
  • - Key findings showed that the presence of the DPβE69 variant was linked to BeS and CBD, while the DRβE71 variant might protect against progression from BeS to CBD; however, no clear dose-response relationship with

Article Abstract

Objective: To evaluate interaction of HLA-DPβ1 and DRβ1 polymorphisms with metrics of beryllium exposure, in the development of beryllium sensitization (BeS) and chronic beryllium disease (CBD).

Methods: A matched case-control study of 61 CBD, 41 BeS, and 259 controls from two beryllium-processing facilities.

Results: BES and CBD were significantly associated with presence of DPβE69. Dose response of exposure was not observed for the development of BES and CBD with/without adjustment for DPβE69 (P > 0.05). The DRβE71 polymorphism was more common in BeS than CBD after adjusting for exposure and maybe a protective factor (aOR 0.4, 95% CI 0.2 to 0.9) against the progression of BeS to CBD.

Conclusion: No exposure-response association was found, which may reflect that the workers in this high exposure cohort were above a threshold level where an exposure-response could be observed.

Download full-text PDF

Source
http://dx.doi.org/10.1097/JOM.0000000000001766DOI Listing

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