201. Analysis of apoptosis related genes in nurses exposed to anti-neoplastic drugs
- Author
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Jalal Pourahmad, Maral Ramazani, Ahmad Salimi, Farshad H. Shirazi, Razieh Pourahmad Jaktaji, and Maria Tavakoli-Ardakani
- Subjects
Adult ,Male ,Oncology ,medicine.medical_specialty ,medicine.medical_treatment ,Gene Expression ,Nurses ,Antineoplastic Agents ,Apoptosis ,Anti-neoplastic drugs ,medicine.disease_cause ,03 medical and health sciences ,0302 clinical medicine ,lcsh:RA1190-1270 ,Occupational Exposure ,Internal medicine ,Gene analysis ,medicine ,Humans ,Pharmacology (medical) ,Lymphocytes ,Viability assay ,Carcinogen ,lcsh:Toxicology. Poisons ,030304 developmental biology ,Membrane Potential, Mitochondrial ,Pharmacology ,0303 health sciences ,Chemotherapy ,Caspase 3 ,Nurse ,business.industry ,lcsh:RM1-950 ,Cancer ,medicine.disease ,Mitochondria ,Mitochondrial toxicity ,lcsh:Therapeutics. Pharmacology ,Case-Control Studies ,030220 oncology & carcinogenesis ,Toxicity ,Female ,Lipid Peroxidation ,Apoptosis Regulatory Proteins ,Reactive Oxygen Species ,business ,Oxidative stress ,Research Article - Abstract
Background Anti-neoplastic agents are widely used in the treatment of cancer and some non-neoplastic diseases. These drugs have been proved to be carcinogens, teratogens, and mutagens. Concern exists regarding the possible dangers of the staff handling anti-cancer drugs. The long-term exposure of nurses to anti-neoplastic drugs is still a controversial issue. The purpose of this study was to monitor cellular toxicity parameters and gene expression in nurses who work in chemotherapy wards and compare them to nurses who work in other wards. Methods To analyze the apoptosis-related genes overexpression and cytotoxicity effects, peripheral blood lymphocytes obtained from oncology nurses and the control group. The results Significant alterations in four analyzed apoptosis-related genes were observed in oncology nurses. In most individual samples being excavated, Bcl-2 overexpression is superior to that of Bax. Prominent P53 and Hif-1α up-regulation were observed in oncology nurses. Moreover, all cytotoxicity parameters (cell viability, ROS formation, MMP collapse, Lysosomal membrane damage, Lipid peroxidation, Caspase 3 activity and Apoptosis phenotype) in exposed oncology nurses were significantly (p Conclusion Our data show that oxidative stress and mitochondrial toxicity induced by anti-neoplastic drugs lead to overexpression of apoptosis-related genes in oncology nurses.
- Published
- 2019
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