Effects of polymorphic variations in tumor necrosis factor alpha and occupational exposure to grain dust on longitudinal decline in pulmonary function.
Pahwa P; Nakagawa K; Koehncke N; McDuffie HH
J Agromedicine 2009 Apr; 14(2):215-221
Background: Longitudinal declines in pulmonary function are associated with individuals experiencing occupational exposure to organic dusts in combination with lifestyle factors such as cigarette smoking and with genetic factors, and interactions between these factors. Objective: To investigate the relationship between polymorphism of genes encoding Tumor Necrosis Factor Alpha (TNF-alpha) and longitudinal lung function decline in grain workers exposed to grain dust. Method: Male grain handlers who participated in the Saskatchewan Grain Workers Surveillance Program from 2002 through 2005 provided demographic, occupational, lifestyle, and respiratory symptoms information as well as pulmonary function measurements and DNA for genotyping. Marginal models using the generalized estimating equations approach were fitted by using a SAS PROC GENMOD to predict the annual decline in Forced Expired Volume in one second (FEV1) and Forced Vital Capacity (FVC). Results: Smoking intensity contributed to the decline in FEV1. Among *1/*1 homozygotes and *1/*2 heterozygotes, grain workers with <10 years in the grain industry had significantly lower FEV1 declines compared to those of the other two exposure groups (>10 and < or equal to 20 years, and >20 years in the grain industry). The annual declines in FEV1 for grain workers who were either *1/*1 homozygote or *1/*2 heterozygote and had been in the grain industry for <10 years were lower by comparison to those of grain workers who were *2/*2 genotype and had been in the industry for <10 years. Conclusion: This research demonstrates that years in the grain industry is an effect modifier between TNF-alpha 308 genotype and longitudinal decline in FEV1 in male subjects exposed to grain dust.
Demographic-characteristics; Dust-exposure; Dust-inhalation; Dust-particles; Environmental-exposure; Environmental-hazards; Environmental-health-monitoring; Environmental-pollution; Grain-dusts; Health-hazards; Lung-disorders; Lung-irritants; Organic-dusts; Particle-aerodynamics; Particulates; Pulmonary-system; Pulmonary-system-disorders; Quantitative-analysis; Racial-factors; Respiratory-hypersensitivity; Respiratory-infections; Respiratory-irritants; Respiratory-system-disorders; Risk-factors; Smoking; Statistical-analysis; Tobacco; Tobacco-smoke;
Author Keywords: Grain dust; longitudinal decline; pulmonary function; TNF-alpha
Punam Pahwa, PhD, Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Royal University Hospital, 103 Hospital Drive, Saskatoon, SK S7N 0W8, Canada
Journal of Agromedicine