DDI-Systematic-Review-biomarker-stress-V1
Baseline values, between and within subject variability of non-invasive biomarkers of inflammation and oxidative stress
Name | Country code |
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Switzerland | CHE |
Systematic literature review and meta-analysis.
In the field of engineered nanomaterials (ENMs) exposure biomonitoring, oxidative stress biomarkers measured in urine and exhaled breath condensate (EBC) appear promising to detect early effects. However, baseline values for the oxidative stress biomarkers are still not known. For human biomonitoring, different matrices can be used. Blood seems to be the ideal matrix for most chemicals but has an important disadvantage of being invasive. Our matrices permit a non-invasive biomonitoring.
We focus on four oxidative stress biomarkers: 8-OHdG, 8-isoprostane, malondialdehyde and H2O2. These biomarkers seems to be the most relevant for biomonitoring and for detecting early effects in workers handling ENMs.
A systematic literature review was performed to determine the baseline values of these biomarkers in urine and EBC in a healthy non-smoking adult (≥18 years) population. Searches were conducted for literature published since journal inception and up to April 2019 in the following bibliographic electronic databases: The Cochrane Central Register of controlled Trials, EMBASE, PubMed, and Web of Science. Two reviewers screened the titles and abstracts with disagreements resolved by consensus. The full-text review and the data extraction are ongoing.
A meta-analysis will be performed for each biomarker. As most of the selected studies include few participants and use non-standardized analytical methods, the results need to be harmonized to be able to establish baselines values and inter / intra individual variations.
We plan to carry out subgroup analysis by gender, by age and by country of origin. In addition, subgroup analyses will be done for people with respiratory diseases (COPD, asthma, lung cancer), for smokers and for workers exposed to ENMs.To our knowledge, this systematic review is the first providing baseline values for these four oxidative stress biomarkers. It is essential for enabling meaningful interpretation of the results from biomonitoring programs conducted in occupational and environmental settings.
Text data / Systematic review requests