42 research outputs found
Microstructure and mechanical properties of the Mo-NiCrBSi coating deposited by atmospheric plasma spraying
Prah koji je koriÅ”Äen u ovom istraživanju (Mo-NiCrBSi) je meÅ”avina dva praha, praha Mo i praha 'samotekuÄe' legure NiCrBSi, u procentualnom odnosu 75/25%. NanoÅ”enjem ove meÅ”avine prahova dobijena je 'samotekuÄa' prevlaka na bazi molibdena. Prevlaka je naneta plazma sprej postupkom u atmosferskim uslovima. Kvalitet ovako dobijene prevlake zavisi od nekoliko parametara kao Å”to su: veliÄina Äestica praha koji se nanosi, temperatura nanoÅ”enja, vrsta gasova koji se koriste, koliÄina unetog praha, ugao i tempo nanoÅ”enja (kontinualno ili sa prekidima), rastojanje plazma sprej piÅ”tolja od osnove, temperatura osnove, primenjeni pritisak tokom postupka itd. Sve ove parametre treba pažljivo izabrati kako bi se dobile prevlake sa najboljim karakteristikama, a u zavisnosti od željene primene. U ovom istraživanju su koriÅ”Äene tri grupe Mo-NiCrBSi prevlaka dobijene sa tri razliÄita rastojanja plazma sprej piÅ”tolja od osnove. Mikrostrukture i mehaniÄke karakteristike dobijenih prevlaka su analizirane da bi se doÅ”lo do optimalnih parametara nanoÅ”enja tj. do onih koji daju najbolje rezultate.The powder used in this research (Mo-NiCrBSi) was a blend of powders composed of 75% Mo and 25% self-fluxing alloy NiCrBSi. With the deposition of this powder a molybdenum base self-fluxing coating is obtained. The process used for coating deposition was atmospheric plasma spraying (APS). The quality of the coatings deposited by APS depends on several parameters such as the sprayed particle size, the deposition temperature, the combustion gases, the feed speed, the angle and rate of deposition (continuous or intermittent), the spray distance, the temperature of the substrate, the pressure applied during the process, etc. All these parameters should be carefully selected in order to obtain the best coating properties for each application. In this research, three groups of the Mo-NiCrBSi coating specimens were produced with different spray distance parameter. Their microstructure and mechanical properties were analyzed in order to find the optimal spray parameters i.e the ones that give the best structural and mechanical characteristics of the coating
Toxic Effects of the Mixture of Phthalates and Bisphenol A-Subacute Oral Toxicity Study in Wistar Rats
Phthalates and bisphenol A, classified as endocrine disruptors, have weak estrogenic, anti-androgenic properties, and aect thyroid hormone regulation. The aim of this study on male rats was to compare the subacute toxic effects of low doses of single compounds (bis (2 āethylhexyl) phthalate (DEHP), dibutyl phthalate (DBP), and bisphenol A (BPA)) with the effects of their mixture through dierent biochemical, hormonal, and hematological parameters. Rats were divided into five experimental groups: Control (corn oil), DEHP (50 mg/kg b.w./day), DBP (50 mg/kg b.w./day), BPA (25 mg/kg b.w./day), and MIX (50 mg/kg b.w./day DEHP + 50 mg/kg b.w/day DBP + 25 mg/kg b.w./day BPA). Animals were sacrificed after 28 days of oral treatment and blood was collected for further analysis. The results demonstrated that the mixture produced significant changes in lipid profile, liver-related biochemical parameters, and glucose level. Furthermore, the opposite effects of single substances on the thyroxine level have been shown in comparison with the mixture, as well as a more pronounced effect of the mixture on testosterone level. This study contributes to the body of knowledge on the toxicology of mixtures and gives one more evidence of the paramount importance of mixture toxicity studies, especially in assessing the endocrine disruptive effects of chemicals
Obrazovanje zdravstvenih radnika u Srbiji: procena i mere za unapreÄenje kvaliteta kroz praksu, interprofesionalno obrazovanje i razvoj nastavniÄkih kompetencija
Background/Aim. Health professions education is facing
emerging issues. A comprehensive situation analysis was
performed among academic staff, healthcare practitioners,
and healthcare science students to address and respond to
new trends. The aim of the study was to investigate the
attitude, perception, and the recognized needs towards
experiential education (EE), interprofessional education
(IPE), and teaching competencies development (TCD). The
critical evaluation of the existing quality standards for
further quality improvement in health professions education
in Serbia was provided. Methods. The survey on EE, IPE,
and TCD was conducted within the Reinforcement of the
Framework for Experiential Education in Serbia
(ReFEEHS) project, co-funded by the Erasmus+ program
of the European Comission at four Serbian universities (the
University of Belgrade, the University of Kragujevac, the
University of NiÅ”, and the University of Novi Sad). Four
task groups were appointed to perform a desk review of the
existing curricula, recommendations, and practices within
each of the four health professions education (Medicine,
Pharmacy, Dentistry, and Nursing) in Serbia and assess the
level of compliance with relevant educational policies and
practices in the European Union . Results. A total of 1,507
respondents completed the survey. A highly expressed
positive attitude was found towards EE, IPE, and TCD
among all the respondents. The majority of the respondents
(> 70%) shared that EE should be organized in real-life
practice and involve studentsā work under the supervision
of a qualified supervisor, as well as interactions with patients
and healthcare professionals. About 90% of the
respondents supported the inclusion of IPE teaching
activities into EE, with 77% of students expressing high
motivation to attend those classes, whereas 93% of
academic staff was eager to deliver and teach joint IPE
subjects. Only 20% of academic staff has already attended
some TCD program, while 75% recognized the need for its
organization. Moreover, 90% of healthcare practitioners
have recognized that mentors/clinical supervisors also need
additional skills for effective mentoring work within health
science education. Based on the survey results,
recommendations for improvement were given within three
educational fields, healthcare science curricula, professional
practice (traineeship), teaching staff, and regulations.
Conclusion. The results derived from the survey served as
a starting but also a vital point for higher education
improvement in Serbia. All interested parties ā academia,
students, healthcare professionals, and regulatory bodies
should collaborate on achieving improved, contemporary,
and transformative health professions education.Uvod/Cilj. Obrazovanje u oblasti zdravstva suoÄava se sa novim pitanjima. Da bi se odgovorilo na savremene zahteve obrazovanja zdravstvenih radnika, sprovedena je sveobuhvatna situaciona analiza. Cilj istraživanja bio je da se istraže stavovi, percepcije i prepoznaju potrebe akademske zajednice, zdravstvenih radnika i studenata zdravstvenih profesija, u odnosu prema uÄenju u realnom radnom okruženju, tj. nastavi u praksi (experiential education - EE), interprofesionalnom obrazovanju (interprofessional education - IPE) i unapreÄenju nastavniÄkih kompetencija (teaching competencies development - TCD). Radi daljeg unapreÄenja u oblasti obrazovanja, za zdravstvene radnike u Srbiji obezbeÄeno je kritiÄko vrednovanje postojeÄih standarda kvaliteta. Metode. Istraživanje je sprovedeno u okviru projekta Reinforcement of the Framework for Experiential Education in Serbia (ReFEEHS), ko-finansiranog od strane Erasmus+ programa Evropske komisije na Äetiri univerziteta u Republici Srbiji (Univerzitet u Beogradu, Univerzitet u Kragujevcu, Univerzitet u NiÅ”u i Univerzitet u Novom Sadu). OdreÄene su Äetiri radne grupe, sa zadatkom razmatranja trenutnih kurikuluma, preporuka i prakse u okviru svake zdravstvene profesije (medicina, farmacija, stomatologija, sestrinstvo), kao i procene njihove usklaÄenosti sa relevantnim preporukama i praksom u obrazovanju u Evropskoj uniji. Rezultati. U istraživanju je uÄestvovalo 1 507 ispitanika. Pozitivan stav prema EE, IPE i TCD zabeležen je meÄu svim ispitanicima. ViÅ”e od 70% ispitanika iskazalo je stav o tome da je potrebno organizovati EE, tj. nastavu u praksi u realnom radnom okruženju, Å”to bi podrazumevalo struÄni rad studenata pod nadzorom kompetentnog mentora, ali i interakciju sa bolesnicima, kao i interakciju sa zdravstvenim radnicima. Oko 90% ispitanika podržalo je ukljuÄivanje IPE nastavnih aktivnosti u kurikulume; 77% studenata izrazilo je motivisanost da prisustvuju zajedniÄkim predmetima, dok je Äak 93% nastavnika i saradnika iskazalo volju da uÄestvuju u kreiranju i poduÄavanju nastavnih jedinica u okviru IPE. Prethodno je samo 20% nastavnika/saradnika pohaÄalo neki TCD program, dok je Äak 75% prepoznalo potrebu za organizacijom tih programa; 90% zdravstvenih radnika smatralo je da su za efikasan mentorski rad u obrazovanju u oblasti zdravstvene nauke potrebne dodatne veÅ”tine mentora/kliniÄkih supervizora. Na osnovu sagledanih rezultata upitnika, date su preporuke za unapreÄenje visokog obrazovanja u okviru tri obrazovne oblasti buduÄih zdravstvenih radnika, koje se odnose na kurikulum, studentsku struÄnu praksu/kliniÄki staž, nastavno osoblje i regulatorne aspekte. ZakljuÄak. Dobijeni rezultati koriÅ”Äeni su kao polazna, ali veoma znaÄajna taÄka za unapreÄenje visokog obrazovanja u Srbiji. Sve zainteresovane strane - akademska zajednica, studenti, zdravstveni radnici i regulatorna tela, treba da saraÄuju u cilju postizanja unapreÄenog i savremenog obrazovanja zdravstvenih radnika
Nivoi kadmijuma u humanom tkivu dojke i nivoi estradiola u serumu: Postoji li veza?
Cadmium (Cd), one of the most abundant environmental pollutants, is considered to have endocrine disrupting properties. However, data on the dose-response relationship between Cd dose and levels of hormones have been insufficiently studied, especially in human data sets. Thus, the aim of this study was to determine the possibility of analyzing data obtained from a case- control study in female patients with benign/malignant breast tumors, using the Benchmark dose (BMD) concept. The collected data on Cd levels in breast tissue and estrogen serum levels were processed in PROAST software using different variables. The dose-response relationship between the internal dose of Cd and estradiol levels in the serum was investigated and BMD intervals were calculated. The dose-response relationship between the Cd concentration in breast tissue and the estradiol serum level was shown, indicating lower estradiol serum levels as a consequence of higher Cd concentrations in breast tissue. As one of the few studies analyzing human data using the BMD approach, these findings could have a pivotal role in dose response analysis of data collected from human studies.Kadmijum (Cd), jedan od najzastupljenijih zagaÄivaÄa životne sredine, dokazan je endokrini ometaÄ. MeÄutim, podaci o postojanju odnosa izmeÄu doze Cd i odgovora-nivoa hormona nisu dovoljno istraženi, posebno podaci sakupljeni iz studija na ljudima. Stoga je cilj ove studije bio da se utvrdi moguÄnost analize podataka dobijenih iz studije sluÄaja-kontrole kod pacijentkinja sa benignim/malignim tumorom dojke, primenom koncepta BenÄmark doze (BMD). Prikupljeni podaci o nivoima Cd u tkivu dojke i serumskim nivoima estrogena obraÄeni su u PROAST softveru uz koriÅ”Äenje razliÄitih varijabli. Ispitivan je odnos doza-odgovor izmeÄu unutraÅ”nje doze Cd (koncentracije u tkivu dojke) i estradiola u serumu i izraÄunati BMD intervali. UtvrÄeno je postojanje odnosa izmeÄu koncentracije Cd u tkivu dojke i nivoa estradiola u serumu koje ukazuje na niže nivoe estradiola u serumu kao posledica veÄe koncentracije Cd u tkivu dojke. Kao jedno od retkih istraživanja ovog tipa, dobijeni rezultati mogli bi predstavljati poÄetak otkrivanja moguÄnosti analize podataka prikupljenih u studijama na ljudima primenom BMD pristupa
Benchmark dose approach in investigating the relationship between blood metal levels and reproductive hormones: Data set from human study
The main objective of this research was to conduct a doseāresponse modeling between the internal dose of measured blood Cd, As, Hg, Ni, and Cr and hormonal response of serum testosterone, luteinizing hormone (LH), and follicle-stimulating hormone (FSH). The study included 207 male participants from subjects of 5 different cohorts (patients with prostate, testicular, and pancreatic cancer, patients suffering from various thyroid and metabolic disorders, as well as healthy volunteers), enrolled from January 2019 to May 2021 at the Clinical Centre of Serbia in Belgrade, Serbia. Benchmark doseāresponse modeling analysis was performed with the PROAST software version 70.1, showing the hormone levels as quantal data. The averaging technique was applied to compute the Benchmark dose (BMD) interval (BMDI), with benchmark response set at 10%. Dose-response relationships between metal/metalloid blood concentration and serum hormone levels were confirmed for all the investigated metals/metalloid and hormones. The narrowest BMDI was found for Cd-testosterone and Hg-LH pairs, indicative of high confidence in these estimates. Although further research is needed, the observed findings demonstrate that the BMD approach may prove to be significant in the doseāresponse modeling of human data
Redoks status i razine bioelemenata u mozgu Ŕtakora akutno izloženih smjesi kadmija i olova
Most Pb and Cd neurotoxicity studies investigate exposure to either of the toxic metals alone, while data on co-exposure are scarce. The aim of our study was to fill that gap by investigating acute combined effects of Pb and Cd on redox and essential metal status in the brain of Wistar rats. Animals were randomised in four groups of six to eight rats, which received 15 or 30 mg/kg of Cd, 150 mg/kg of Pb, or 150 mg/kg of Pb + 15 mg/kg of Cd by gavage. The fifth, control, group received distilled water only. Co-treatment with Pb and Cd induced significant increase in malondialdehyde (MDA) and thiobarbituric acid-reactive substances (TBARS) compared to control and groups receiving either metal alone. This is of special importance, as MDA presence in the brain has been implicated in many neurodegenerative disorders. The groups did not significantly differ in Zn, Cu, Mn, and Fe brain levels. Our findings highlight the importance of metal mixture studies. Neurotoxicity assessments of single chemicals do not provide a real insight into exposure to mixtures in real life. Further research should look into interactions between these metals to reveal complex molecular mechanisms of their neurotoxicity.DosadaÅ”nji podatci o neurotoksiÄnosti olova (Pb) i kadmija (Cd) uglavnom su opisani nakon izloženosti pojedinaÄnim metalima, a podatci o neurotoksiÄnom djelovanju smjese tih dvaju metala priliÄno su oskudni. Cilj ovoga rada bio je ispitati uÄinak akutnoga izlaganja smjesi olova i kadmija na parametre oksidacijskoga stresa i status bioelemenata u mozgu Å”takora. Životinje su bile podijeljene u pet skupina: Cd15 (15 mg/kg), Cd30 (30 mg/kg), Pb150 (150 mg/kg), Pb150+Cd15 i kontrolna, netretirana skupina. Smjesa olova i kadmija dovela je do znaÄajno viÅ”ih vrijednosti malondialdehida (MDA) i drugih produkata u mozgu Å”takora u usporedbi s kontrolnom skupinom i obama pojedinaÄnim metalima. To je iznimno važno, imajuÄi u vidu da je prisutnost MDA-a u mozgu povezana s mnogim neurodegenerativnim poremeÄajima. Nije dobivena statistiÄki znaÄajna razlika izmeÄu ispitivanih skupina u razinama cinka (Zn), bakra (Cu), mangana (Mn) I željeza (Fe). Rezultati ovoga istraživanja važan su doprinos buduÄim istraživanjima smjesa i upuÄuju na to da istraživanja toksiÄnosti u kojima se procjenjuje neurotoksiÄnost pojedinaÄnih kemikalija ne pružaju stvarni uvid u neurotoksiÄnost njihovih smjesa kojima smo izloženi u stvarnom životu. Dobiveni rezultati otvaraju daljnja pitanja o interakciji i mehanizmima toksiÄnosti smjese tih metala
Staro olovo, novi izazovi: postoji li bezbedan nivo izloženosti?
Lead (Pb) is one of the most important toxic metals without known physiological role.
Recent data indicate that any exposure, even low, can be harmful. Therefore, safe blood lead
levels, as well as tolerating daily intake, have not been identified. In adults, the most sensitive
effect is increase in systolic blood pressure, while in children, the most sensitive effect is on
cognition. Therefore, the aim of this study was to examine the effects of low lead doses on the
central nervous and cardiovascular system in a rat model. The study was conducted on
Wistar rats (n = 42; 7 groups) treated for 28 days, with increasing doses of 0.1; 0.5; 1; 3; 7;
15 mgPb/kg b.w./day to simulate real exposure. After the sacrifice, the brain and heart were
isolated, in which the parameters of oxidative status, bioelements and lead levels were
determined. Benchmark modelling of the dose-effect relationship was performed using
PROAST 70.1 software (RIVM, Netherlands). The obtained results indicate that lead leads to
the induction of oxidative stress and dishomeostasis of bioelements. The lowest value of the
Benchmark dose (BMD) was obtained for increase the total oxidative status in the brain
(4.49e-06 mgPb/kg/b.w./day), which is the most sensitive effect. In the case of heart, the
most sensitive effect was increase in malondialdehyde (BMD: 0.000248 mgPb/kg/b.w./day).
Obtained results indicate that low lead doses have toxic effects on heart and brain. Obtained
BMD may be useful in assessing human health risk of low lead dose exposure.Olovo (Pb) je jedan od najznaÄajnijih toksiÄnih metala bez poznate fizioloÅ”ke uloge u
organizmu. Novija istraživanja ukazuju da potencijalno svaka izloženost olovu, Äak i niskim
dozama, može biti Å”tetna, te toleriÅ”uÄi dnevni unos, kao ni bezbedan nivo u krvi, nisu
utvrÄeni. Kod odraslih, kao najosetljiviji efekat izdvaja se poveÄanje sistolnog krvnog
pritiska, dok je kod dece to poremeÄaj kognicije. ImajuÄi navedeno u vidu, cilj ove studije bio
je da se na animalnom modelu ispita uticaj niskih doza olova na centralni nervni i
kardiovaskularni sistem, koji su do sada identifikovani kao najosetljiviji na dejstvo olova, i
odrede Benchmark doze (BMD). Studija je sprovedena na modelu Wistar pacova koji su
podeljeni u 7 grupa tretiranih tokom 28 dana rastuÄim dozama olova 0, 0,1; 0,5; 1; 3; 7; 15
mg Pb/kg t.m./dan kako bi se simulirala realna izloženost. Nakon žrtvovanja pacova,
izolovani su mozak i srce u kojima su odreÄeni olovo, bioelementi i parametri oksidativnog
statusa. Benchmark modelovanje odnosa doza-efekat vrÅ”eno je pomoÄu PROAST 70.1
softvera (RIVM, Holandija). Dobijeni rezultati ukazuju da olovo dovodi do indukcije
oksidativnog stresa i poremeÄaja homeostaze bioelemenata. Najniža BMD dobijena je za
poveÄanje totalnog oksidativnog statusa u mozgu (4,49e-06 mg Pb/kg t.m./dan), Å”to
predstavlja najosetljiviji efekat, a u srcu je to poveÄanje koncentracije malondialdehida
(BMD: 0,000248 mg Pb/kg t.m./dan). Dobijeni rezultati ukazuju da i niske doze olova mogu
ispoljiti toksiÄne efekte na srce i mozak, a dobijene BMD su od znaÄaja za procenu rizika
olova po zdravlje ljudi.VIII Kongres farmaceuta Srbije sa meÄunarodnim uÄeÅ”Äem, 12-15.10.2022. Beogra
Subacute Exposure to Low Pb Doses Promotes Oxidative Stress in the Kidneys and Copper Disturbances in the Liver of Male Rats
Recent data indicate that lead (Pb) can induce adverse effects even at low exposure levels. Moreover, the corresponding mechanisms of low Pb toxicity have not been well identified. In the liver and the kidneys, Pb was found to induce various toxic mechanisms leading to organ physiological disruption. Therefore, the purpose of the study was to simulate low-dose Pb exposure in an animal model with the aim of assessing oxidative status and essential element levels as the main mechanism of Pb toxicity in the liver and kidneys. Furthermore, doseāresponse modelling was performed in order to determine the benchmark dose (BMD). Forty-two male Wistar rats were divided into seven groups: one control group, and six groups treated for 28 days with 0.1, 0.5, 1, 3, 7, and 15 mg Pb/kg b.w./day, respectively. Oxidative status parameters (superoxide dismutase activity (SOD), superoxide anion radical (O2ā), malondialdehyde (MDA), total sulfhydryl groups (SHG), and advanced oxidation protein products (AOPP)) and Pb, copper (Cu), zinc (Zn), manganese (Mn), and iron (Fe) levels were measured. Lowering Cu levels (BMD: 2.7 ng/kg b.w./day), raising AOPP levels (BMD: 0.25 Āµg/kg b.w./day) in the liver, and inhibiting SOD (BMD: 1.3 ng/kg b.w./day) in the kidneys appear to be the main mechanisms of Pb toxicity. The lowest BMD was derived for a decrease in Cu levels in liver, indicating that this effect is the most sensitive
NaruŔena homeostaza polnih hormona kod pacijenata sa karcinom dojke, prostate i testisa: koja je uloga kadmijuma i olova
The endocrine potential of Cd and Pb, an important mechanism of their toxicity, has
been established in certain hormone-dependent cancers (1,2). This study aimed to
determine Cd and Pb levels in blood, tumor and healthy surrounding tissue of patients with
breast, prostate and testis cancer and investigate the correlation of Cd and Pb with sex
hormone levels in the patient's blood. The study involved 55 breast, 41 prostate and 52 testis
cancer patients, while healthy women (41) and men (61) represented control groups.
Electrothermal atomic absorption spectrophotometry was used for Cd and Pb levels
determination. Significantly higher Cd levels, i.e. lower Pb in tumor tissue compared to the
healthy surrounding tissue were found in patients with breast cancer. A positive correlation
was confirmed between Cd levels in the changed tissue and both human gonadotropins, and
a negative correlation with estradiol, as well between Pb in tumor tissue and testosterone
levels. Patients with prostate and testis cancer were characterized by significantly higher
blood Cd levels compared to healthy subjects. Furthermore, significant Cd and Pb tumor
tissue accumulation was shown in prostate and testis cancer patients. A significant positive
correlation was found between blood Cd and estradiol levels in patients with prostate
cancer. The study highlighted higher Cd level as a significant predictor of cancer, and
confirmed impaired sex hormone homeostasis as pivotal mechanism of toxicity underlying
the toxic effects of Cd and Pb in patients with breast, prostate and testis cancer.Endokrini potencijal kadmijuma (Cd) i olova (Pb), kao važan mehanizam toksiÄnosti
oba metala, potvrÄen je kod odreÄenih hormon-zavisnih karcinoma (1,2). Ova studija je
imala za cilj da utvrdi koncentracije Cd i Pb u krvi, tumorskom i okolnom zdravom tkivu
pacijenata sa karcinomom dojke, prostate i testisa i ispita korelaciju Cd i Pb sa nivoom polnih
hormona u krvi pacijenata. Obuhvatila je 55 pacijentkinja sa karcinomom dojke, 41 pacijenta
sa karcinomom prostate i 52 pacijenta sa karcinomom testisa, dok su u kontrolnu grupu bile
ukljuÄene zdrave žene (41) i zdravi muÅ”karci (61). Koncentracije Cd i Pb su analizirane
elektrotermalnom atomskom apsorpcionom spektrofotometrijom. ZnaÄajno viÅ”e
koncentracije Cd, odnosno niže Pb u tumorskom u odnosu na okolno zdravo tkivo utvrÄene
su kod pacijentkinja sa karcinomom dojke. Pozitivna korelacija je potvrÄena izmeÄu
koncentracija Cd u tkivu izmenjene strukture i oba humana gonadotropina, a negativna sa
estradiolom, te izmeÄu Pb u tumorskom tkivu i testosterona. Pacijente sa karcinomom
prostate i testisa karakterisale su znaÄajno viÅ”e koncentracije Cd u krvi u odnosu na zdrave
ispitanike, a pokazana je i znaÄajna akumulacija Cd i Pb u tumorskom tkivu prostate i testisa.
ZnaÄajna pozitivna korelacija utvrÄena je izmeÄu koncentracije Cd i estradiola u krvi kod
pacijenata sa karcinom prostate. Studija je pokazala da su viÅ”e koncentracije Cd znaÄajan
prediktor za nastanak karcinoma i potvrdilanaruŔenu homeostazu polnih hormona kao
važan mehanizam toksiÄnosti koji se nalazi u osnovi toksiÄnih efekata Cd i Pb kod obolelih od
karcinoma dojke, prostate i testisa.VIII Kongres farmaceuta Srbije sa meÄunarodnim uÄeÅ”Äem, 12-15.10.2022. Beogra
Modelovanje odnosa dozaāodgovor izmeÄu nivoa Pb i Cd u tkivima karcinoma testisa i prostate i nivoa testosterona
Exposure to lead (Pb) and cadmium (Cd) poses risk to human health. It is known that
these metals have toxic impact on male reproductive system, leading to physiological
disorders and infertility. Limited data indicates the carcinogenic potential of Pb, while Cd has
been recognized as carcinogen. Benchmark dose-effect modeling can be applied to data from
human, animal and ecotoxicological studies with the aim to obtain Benchmark dose (BMD),
starting point in human health risk assessment. The aim of this study was to use Benchmark
modeling to determine the dose-effect relationship between Pb and Cd levels in tissues of
testicular and prostate cancer patients and serum testosterone levels. The study was
conducted at the Clinical Center of Serbia, and included 104 patients with prostate and
testicular cancer. Cd and Pb levels (ng/g) were measured by atomic absorption
spectrophotometry in isolated healthy surrounding and carcinoma-affected tissues.
Testosterone levels (ng/mL) were measured using the chemiluminescence immunoassay
(CLIA) method. Dose-effect modeling was performed using PROAST70.1 software with
continuous data. The dose dependence was obtained between Cd levels in tumor tissue and
testosterone levels (BMD: 0.0024 ng Cd/g, prostate cancer and 0.0038 ng Cd/g, testicular
cancer). Dose dependence was obtained between Cd levels in healthy surrounding tissue and
testosterone levels (BMD: 0.0092 ng Cd/g). No dose dependence was obtained when
modeling Pb levels as a dose. The data from this study indicate a potential link between Cd
and testosterone levels, i.e. potential association of Cd exposure with male reproductive
health.Izloženost olovu (Pb) i kadmijumu (Cd) predstavlja rizik po zdravlje ljudi. Poznato je da ovi
metali deluju toksiÄno na muÅ”ki reproduktivni sistem dovodeÄi do poremeÄaja fizioloÅ”kih
funkcija i neplodnosti. OgraniÄen broj studija ukazuje na kancerogeni potencijal Pb, dok je Cd
poznatihumani karcinogen. Benchmark modelovanje odnosa doza-efekat se teoretski može
primeniti na podacima iz humanih, animalnih i ekotoksikoloŔkih studija, sa ciljem dobijanja
Benchmark doze (BMD) kao polazne taÄke u proceni rizika po zdravlje ljudi. Cilj ovog rada
bio je da se Benchmark modelovanjem utvrdi odnos doza-efekat izmeÄu nivoa Pb i Cd u
tkivima karcinoma testisa i prostate pacijenata i nivoa testosterona u serumu. Studija je
sprovedena na KliniÄkom centru Srbije i ukljuÄila je 104 pacijenta sa karcinomom prostate i
testisa. Nivoi Cd i Pb (ng/g) su izmereni metodom atomske apsorpcione spektrofotometrije u
izolovanim zdravim okolonim i karcinomom zahvaÄenim tkivima. Nivoi testosterona
(ng/mL) su mereni pomoÄu metode direktnog kompetitivnog hemiluminiscentnog
imunoeseja (CLIA). Modelovanje odnosa doza-efekat je vrÅ”eno pomoÄu PROAST 70.1
softvera (RIVM, Holandija) uz upotrebu kontinuiranih podataka. Dozna zavisnost je dobijena
izmeÄu nivoa Cd u tumorskom tkivu i nivoa testosterona gde je BMD vrednost iznosila
0,0024 ng Cd/g (karcinom prostate) i 0,0038 ng Cd/g (karcinom testisa). Dozna zavisnost je
dobijena i za modelovanje odnosa nivoa Cd u zdravom tkivu i testosterona, sa BMD
vrednoÅ”Äu 0,0092 ng Cd/g. Pri modelovanju nivoa Pb nije dobijena dozna zavisnost. Podaci
ove studije ukazuju na potencijalnu vezu izmeÄu nivoa Cd u tkivu i nivoa testosterona,
ukazujuÄi na efekte izloženosti ovom metalu na muÅ”ko reproduktivno zdravlje.VIII Kongres farmaceuta Srbije sa meÄunarodnim uÄeÅ”Äem, 12-15.10.2022. Beogra