1. Environmental Microcystin Exposure Increases Liver Injury Risk Induced by Hepatitis B Virus Combined with Aflatoxin: A Cross-Sectional Study in Southwest China
- Author
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Yuan Yao, Jia Wang, Renping Zhang, Feng Wang, Chuanfen Zheng, Jiaohua Luo, Weiqun Shu, Yujing Huang, Zhiqun Qiu, Hui Zeng, Lei Feng, Jian Chen, Xiaohong Yang, Yingqiao Tian, Yao Tan, Liping Wu, Xiaobin Feng, Guosheng Xiao, Hui Lin, Yang Luo, Lingqiao Wang, Chaowen Pu, Changyou Yuan, Qingqing Nong, and Wenyi Liu
- Subjects
Adult ,Male ,Rural Population ,0301 basic medicine ,China ,Hepatitis B virus ,medicine.medical_specialty ,Aflatoxin ,HBsAg ,Microcystins ,Cross-sectional study ,Population ,Physiology ,010501 environmental sciences ,medicine.disease_cause ,01 natural sciences ,03 medical and health sciences ,Aflatoxins ,Epidemiology ,medicine ,Humans ,Environmental Chemistry ,education ,Aged ,0105 earth and related environmental sciences ,Liver injury ,education.field_of_study ,business.industry ,virus diseases ,General Chemistry ,Middle Aged ,Hepatitis B ,medicine.disease ,digestive system diseases ,Cross-Sectional Studies ,030104 developmental biology ,Immunology ,Female ,business - Abstract
Three liver hazards, two confirmed—hepatitis B virus (HBV) and aflatoxin (AFB), and one rarely studied in populations—microcystin (MC), simultaneously exist in tropical and humid areas; however, there are no epidemiological data on their risks in the same population. We conducted a community-based cross-sectional survey among 5493 adults in two rural towns and statistically analyzed the comparative and combinative effects of the three factors after detecting HBsAg and HBV DNA titers, determining estimated daily intakes (EDIs) of AFB1 and MC-LR and testing serum AST and ALT as liver injury markers for each participant. We observed a HBsAg(+) rate of 7.6%, a relatively high AFB1 exposure level (mean EDIAFB1 = 471.30 ng/d), and a relatively low MC-LR exposure level (mean EDIMC-LR = 228.25 ng/d). ORs for abnormal AST (2.42, 95%CI = 1.69–3.45) and ALT (2.87, 95%CI = 1.91–4.29) increased in HBV infections compared with HBV-unexposed participants but did not increase in participants with separate or combined exp...
- Published
- 2017
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