Concentraciones plasmáticas de 25-OH-Vitamina D en sangre de cordón umbilical tras los meses de verano / Plasma 25-OH Vitamin C concentrations in cord blood after summer months, Spain

Fundamentos: Los niveles de vitamina D (25(OH)D) del recién nacido dependen de los depósitos maternos. En los últimos años se han publicado estudios que muestran una elevada prevalencia de deficiencia de vitamina D en mujeres embarazadas, viéndose en algunos diferencias estacionales. El objetivo del presente estudio fue determinar los valores de 25(OH)D en sangre de cordón después de los meses de verano y determinar su relación con diferentes variables. Métodos: Se seleccionó a 103 mujeres en el momento del parto durante los meses de octubre, noviembre y principios de diciembre, cuyas gestaciones tuvieron lugar durante meses de máxima exposición solar. Se determinaron las concentraciones de 25(OH)D en sangre de cordón umbilical y se recogieron datos perinatales, ingesta de vitamina D y calcio y exposición solar mediante cuestionario. Se realizó el análisis estadístico mediante el programa SPSS. Las comparaciones se realizaron mediante test de Kruskal- Wallis y U de Mann-Whitney, aplicando corrección por comparaciones múltiples de Bonferroni. Se consideró estadísticamente significativa una p<0,05 y de 0,0083 para comparaciones múltiples. Resultados: El valor medio de 25(OH)D en sangre de cordón fue 12,36±7,2 ng/ml. El 83,4% de las mujeres presentaron niveles deficitarios. Se observó una correlación estadísticamente significativa entre los niveles bajos de vitamina D y la baja ingesta de vitamina D (coeficiente de correlación 0,29); la etnia, presentando el valor más alto la etnia caucásica (17,9 ± 5,83 ng/ml) y el menor la etnia indopakistaní (6,68 ± 4,2 ng/ml); el uso de indumentaria tradicional (5,64 ± 3,09 ng/ml); la baja exposición solar y el fototipo cutáneo oscuro con un coeficiente de correlación de 0,67 y -0,48 respectivamente. Conclusiones: Existe una elevada prevalencia de deficiencia de vitamina D en sangre de cordón umbilical independiente de la exposición solar.Se observó una correlación entre niveles bajos de vitamina D y etnia, indumentaria tradicional, baja exposición solar y fototipo de piel oscura. No se observaron diferencias estadísticamente significativas entre los niveles de vitamina D y las variables perinatales estudiadas (AU)

Background: Plasma vitamin D (25(OH)D) levels in the newborn are dependent on maternal stores. Several studies showing a high prevalence of vitamin D deficiency in pregnant women have been published last years. The aim of the study was to analyze 25(OH)D levels in cord blood after summer month, determine whether there is a relation with different variables. Methods: 103 pregnant women were recruited between October and early December 2014, whose gestations took place during month of maximum sun exposure. Plasmatic 25(OH)D values were measured in cord blood at birth. Clinical record data were collected and a nutritional survey was made on maternal vitamin D and calcium intake and sun exposure. Statistical analysis was performed using SPSS. Comparisons were performed using Kruskal-Wallis and Mann-Whitney U tests, and correction for multiple comparisons using Bonferroni. P value <0.05 and <0.0083 for multiple comparisons were considered statistically significant. Results: Mean 25(OH)D value in cord blood was 12.36± 7.2 ng/ml. Vitamin D deficiency was present in 83.4% of women. A statistically significant correlation was observed between lowvitamin D levels and low vitamin D intake (correlation coefficient 0.29); Ethnic group, with the highest level in caucasic group (17.9 ± 5.83 ng/ml) and the lowest in indopakistani group (6.68 ± 4.2 ng/ml); the use of traditional clothing (5.64 ± 3.09 ng/ml); low sun exposure and dark skin phototype with a correlation coefficient of 0.67 and -0.48, respectively. Conclusions: There is a high prevalence of vitamin D deficiency in pregnant women regardless of the season and increased sun exposure. Low vitamin D levels in cord blood were significantly related to ethnicity (Indopakistan and Maghreb), low sun exposure and dark skin phototype. No statistically significant differences were found between vitamin D levels and perinatal variables studied (AU)

Sistema on-line para o cálculo de doses fetais de pacientes e trabalhadoras ocupacionalmente expostas em radiologia diagnóstica / On-line software for the estimation of fetal radiation dose to patients and staff members in diagnostic radiology

Neste trabalho descrevemos um sistema on-line, chamado “Dose Fetal Web”, que calcula a dose fetal e os riscos radiológicos devido a exposições clínicas ou ocupacionais de gestantes. O sistema utiliza a metodologia matemática onde são usados coeficientes de conversão de dose uterina para dose fetal, gerados por meio de simulações pelo método de Monte Carlo. Para exposição médica de uma paciente gestante, uma base de dados de informações de operação de equipamentos acompanhados por um programa de garantia de qualidade e parâmetros fetais e maternos coletados durante exames de ultrassonografia obstétrica são incorporados na estimativa da dose fetal. No caso de dose fetal de uma trabalhadora gestante sujeita à exposição ocupacional (IOE),informações de uma base de dados de monitoração pessoal como dose ocupacional e carga de trabalho são usadas nos cálculos. No primeiro caso, considerando-se uma paciente gestante de 26 semanas submetida a um procedimento abdominal AP (tensão aplicada ao tubo de 70 kVp e filtração total de 3 mmAl), a dose fetal calculada pelo sistema foi 4,61 mGy e os riscos radiológicos obtidos foram 5,0·10-4 e 0,14 para a probabilidade de indução de retardamento mental e declínio de pontos de QI, respectivamente. No segundo caso, considerando-se uma IOE gestante, e assumindo-se que ela utilize um avental de proteção de 0,5 mm de equivalência em chumbo durante cada procedimento de radiologia intervencionista, e que a leitura pessoal de um dosímetro TLD portado fora do avental foi de 2 mGy/mês, a dose fetal calculada pelo sistema foi 0,02 mSv/mês.

In this paper we describe an online software, named “Dose Fetal Web”, which calculates the dose of the fetus and the radiological risks from both medical and occupational exposures of pregnant women. The software uses a mathematical methodology where coefficients for converting uterus to fetal dose, NUD, have been calculated by using Monte Carlo simulation. In the fetal dose from diagnostic medical examination of the pregnant patient, database information regarding output and other equipment related parameters from the QA database, maternal and fetal parameters collected by ultrasound procedures were used for the fetal dose estimation. In the case of fetal dose of the pregnant staff member the database information regarding routine individual monitoring dosimetry, such as occupational dose and workload, were used for the estimation. In the first case, suppose a 26 weeks pregnant patient had to undergo a single AP Abdomen procedure (70 kVp peak tube voltage and total filtration 3 mmAl), the fetal dose calculated by the software was 4.61 mGy and the radiological risks would be 5.0·10-4 and 0.14 to the probability of mental retardation induction and decline in the IQ score, respectively. In the second case,considering that the staff member can be pregnant, and assuming that she wore a 0.5 mm lead equivalent apron during every interventional radiology procedure and a personal dosimetry reading of 2 mGyTLD/month measured with the TLDs outside the apron, the fetal dose calculated by the software was 0.02 mSv/month.

Transgenerational effects from exposure to environmental toxic substances.

Exposure of mouse germ cells to radiation and chemicals results in mutation, malformation, cancer and other adverse effects (e.g., functional disorders) in the offspring, though these findings have not been proven in human studies. Environmental toxic substances such as urethane (ethyl carbamate) which had been injected subcutaneously to 50 million people as a co-solvent of analgesics and dioxin (an endocrine disruptor) have been found to be associated with adverse effects in the progeny of mice after parental exposures. There are some reports on congenital malformations in the progeny of fathers who had been exposed to dioxin. However, these substances have not shown mutagenicity in in vitro assay systems such as bacterial systems even with S9, cell transformation assays, etc., in spite of their potent teratogenicity and carcinogenicity in in vivo systems. Urethane was negative in the mouse specific locus test for germ cell mutations, but elicited a significant response at the same loci in the offspring of mice treated during pregnancy. Further, urethane is a mutagen in Drosophila germ cell tests, specifically inducing point mutations. Dioxin (2,3,7,8-tetrachlorodibenzo-p-dioxin) does not induce in vivo somatic mutations in mice and rats. It does not induce chromosomal aberrations when the mouse and/or human sperm are treated, but induces mutations at ESTR (expanded simple tandem repeat) loci in mice at low frequencies and also congenital malformations. In this paper, we first present an overview of the results of our studies on transgenerational effects of these toxic substances, compare the results with those obtained after radiation exposure, and then discuss our subsequent studies to reconcile the problems underlying their mutagenicity, teratogenicity and carcinogenicity.

The effect of oscillating low intensity magnetic field on the Na+, K+, Ca++, and Mg++ concentrations in the maternal and fetal circulation of the dually perfused human placental cotyledon.

Dual-sided perfusions of the human placental cotyledon in vitro were used to study effects of low intensity magnetic fields (MFs) of 2 mT, 50 Hz (E1, 10 perfusions) and 5 mT, 50 Hz (E2, 10 perfusions). In the control group C (10 experiments) no field was used. Perfusions lasted 180 min each. Increased release of calcium ions from the placental cotyledon was found in the fetal circulation during perfusion when the 2 mT, 50 Hz MF was used. No changes in the release of sodium and magnesium ions were observed compared to the control group. The 5 mT, 50 Hz oscillating MF intensified the release of sodium ions from the perfused cotyledon both to the fetal and maternal circulation up to the 150th min of the experiment. Increased release of magnesium ions was observed only to the fetal circulation between 120 and 180 min and of calcium ions to the fetal circulation between 60 and 180 min. No significant differences in K concentrations were found between the control and MF exposed cotyledons under conditions of these experiments.

Placental transfer of ruthenium in rat and guinea-pig.

Ruthenium-106 in citrate solution was administered intravenously to rat at different stages of pregnancy and to guinea-pig either before conception or in late pregnancy. The results for rat showed that retention in the embryo/foetus measured at 3-5 days after administration increased from about 0.0002% of injected activity per embryo/foetus on day 12 of gestation to about 0.05% at birth. The relative concentrations of 106Ru in embryo/foetus and mother (Cf/Cm ratio) were about 0.1 in each case. Concentrations in the yolk sac on day 12 were about 1% g-1 compared with 0.01% g-1 in the foetus. Retention in the guinea-pig foetus in late gestation at 7 days after administration (days 50-57) was about 0.2% injected activity per foetus, corresponding to a Cf/Cm = 0.2. Retention in each foetoplacental unit was 2% of injected 106Ru with 50% in the yolk sac, 35% in the placenta and 10% in the foetus. For administration 4 weeks prior to conception, the level of 106Ru retained in the foetus on day 57 of gestation was two orders of magnitude lower than after short-term administration, with a Cf/Cm about 0.004.

In vivo studies of the effect of magnetic field exposure on ontogeny of choline acetyltransferase in the rat brain.

Developmental increases of the activity of choline acetyltransferase (ChAT) were examined in the brains of fetuses and offspring from parent rats continuously exposed to a 500 mG, 60 Hz circularly polarized (CP) magnetic field (MF) prior to pregnancy, and further, during pregnancy and lactation. In developing rats between 12 days and 20 days of embryogenesis that were housed in a control unit, i.e., nonexposed to MF, the specific activity of ChAT in whole brain specimens increased from 2.4% to 6.9% of adult activity, while specific activity of ChAT in rat brain specimens between 12 days of embryogenesis and 10 days of postpartum increased from 2.4% to 21.6% of adult activity. On the other hand, the specific activity of ChAT in whole brain specimens from rats under housed MF exposure conditions was found to increase from 2.6% to 6.7% of adult activity between 12 days and 20 days of embryogenesis and from 2.6% to 21.6% of adult activity between 12 days of embryogenesis and 10 days postpartum. Furthermore, the effect of the same test magnetic environment on the specific activity of ChAT in the brains of parental rats was examined in order to determine whether magnetic field exposure of parental rats might reflect onto the development of fetal brain. It was observed that continuous exposure of parental rats to a 500 mG, 60 Hz CP MF did not show any significant changes in the specific activity of ChAT in the septodiagonal band complex, dorsal and ventral hippocampus, striatum, and frontoparietal cerebral cortex, as compared with the same brain regions of control subjects.(ABSTRACT TRUNCATED AT 250 WORDS)

Maternal smoking and irradiation during pregnancy as risk factors for child leukemia.

The effect of joint exposure to diagnostic X-rays and maternal smoking during pregnancy was compared in a case-control study of 216 children with cancer (128 cases with acute lymphoblastic leukemia [ALL] and 88 with solid tumors) and 301 control children with insulin-dependent diabetes mellitus (IDDM). Exposure to diagnostic X-rays combined with smoking of ten or more cigarettes per day gave a relative risk of 3.6 (95% CI, 1.8 to 7.0) and a positive dose response relation for ALL in the offspring (p less than 0.001). When examined alone, X-rays gave a relative risk of 1.8 (95% CI, 1.1 to 3.1), and smoking a relative risk of 2.2 (95% CI, 1.1 to 4.5). No similar trend was seen for solid tumors. Potential confounding was examined after stratification on maternal smoking-diagnostic X-ray exposure and each of potential confounders, but there was little change in the risk ratio. We conclude that the risk of ALL in the offspring was more than threefold higher when smoking was combined with diagnostic X-ray during pregnancy.

[Exposure of the fetoplacental unit, breast milk and cow's milk to radionuclides 1 year after Chernobyl]. / Belastung der fetoplazentaren Einheit, der Muttermilch und Kuhmilch durch Radionuklide ein Jahr nach Tschernobyl.

Placenta, umbilical cord with membranes, amniotic fluid, foetal blood (from the umbilical vein), maternal urine and breast milk were examined for the non-natural radioisotopes 131iodine, 103ruthenium, 134caesium, 137caesium originating mainly from the nuclear power plant accident in Chernobyl compared with 40potassium existent in the natural environment. Apart from amniotic fluid, all samples contained considerable traces of caesium-radioisotopes. 131iodine and 103ruthenium could not be identified at the time of our survey due to their short half-life. The radioisotope load of placenta was found to be increased tenfold compared to studies before the Chernobyl catastrophe. Breast milk radioisotope load was found to be lower than that in cow's milk in a corresponding geographical region in the same period of time.

[Obstetric aspects of radiation exposure following the Chernobyl accident]. / Geburtshilfliche Aspekte zur Strahlenbelastung nach Tschernobyl.

Radioactivity was determined in the milk from 39 patients and in amniotic fluid, urine and placentas from 17 patients shortly after the Chernobyl disaster by means of a beta and gamma-scintillation counter. Elevated radioactivity (7.6 nCi/l beta activity and 7.4 nCi/l gamma activity) was found only in one sample of breast milk.

Strontium-85 in the fetuses of pregnant rats and mice.

Pregnant SPF Wistar rats and ICR/Swiss albino mice were injected in the tail vein with 85SrCl2 with 0.05 mM inactive carrier (SrCl2) given in volumes of 0.1 ml. The activity in the injected volume was about 14 MBq per kg of rat and 13 MBq per kg of mouse. The animals were injected at 2 or 13 days of gestation. The activity retained by the fetuses was quantitatively determined at three stages of the fetal intrauterine development: in rats at 14, 16 and 21 days of gestation, in mice at 14, 16 and 20 days of gestation. The activity of fetuses and/or placentas with fetal membranes was measured using a TESLA automatic gamma counter. Results indicate that fetuses of mice retained a significantly (P less than 0.01) greater percent of strontium activity than fetuses of rats. The highest specific activities (the percentage of total activity retained per gram of fetal tissue) were found in the late pregnancy period (at 21 days of gestation in rats and 20 days of gestation in mice) in animals that were injected with the radionuclide at 13 days of gestation.