Sigara içen radyoloji teknisyenlerinde trimethoprimin kromozomal düzensizlikler üzerine etkileri

Ayrı ayrı uygulandıklarında kromozomlar üzerinde klaskojenik etki gösterdikleri bilinen trimethoprim, sigara kullanımı ve radyasyon etkenleri birlikte kullanılmıstır. Çalısmamızda sigara tiryakisi 5 saglıklı erkek radyoloji teknisyeninden alınan kan örneklerine invitro olarak 6, 24 ve 48 saatlik süreler için 8, 35 ve 60 mg/ml dozunda trimethoprim uygulanmıstır. Kontrol olarak ayrılan kültürlere ise aynı süreler için kültür çözeltisinden eklenmistir. Her bir bireyden, her bir doz-süre kombinasyonu için 50 adet metafaz “Kromozomal Düzensizlik Içeren Hücre” ve “Yapısal Kromozom Düzensizlik” oranları açısından degerlendirmeye alınmıstır. Düzensizlik Içeren Hücre oranı; kontrol grubunda % 4.8 iken, 8 mg/ml’de % 11.60, 35 mg/ml’de % 14 ve 60 mg/ml’de ise % 17.86'ya yükseldigi belirlenmistir. Yapısal Kromozom Düzensizlikleri oranı; kontrol grubunda % 4.13 iken, 8 mg/ml’de % 11.73 mg/ml’de % 15.33 ve 60 mg/ml’de ise % 19.06'ya yükselmistir. Bulgular üzerinde yapılan istatiksel degerlendirmelerde artan trimethoprim dozuna paralel olarak kromozomal düzensizlik oranının arttıgı (p0.05) belirlenmistir.

The effects of trimethoprim ion the chromosomal aberrations on the radiological techniciances who smoke

Trimethoprim, cigerette smoking and radition is known to have a clastogenic effects on chromosomes when applied to oneby one. In this study all of this aggents have been applied together. 8, 35 and 60 mg/ml doses of trimethoprim applied to the bloods which were taken from five healthy radiology technicians who are cigarette smokers, for the periods of 6, 24 and 48 hours. The same quantity of culture medium was added to the cultures which were separated for control in the same period. For each dose-aplication ;eriod combination, from each individual 50 metaphases were evaluated in relation to the ratio of “The Cells Including Chromosomal Aberrations” and “Structural Chromosome Abberrations”. The ratio of cells including chromosomal aberration was 4.8 % for the control group, it was 11.6 % at 8 mg/ml, 14 % at the 35 mg/ml and 17.86 % at the 60 mg/ml. The ratio structural chromosome aberrations was 4.13 % for the control group, it was 11.73 at the 8 mg/ml, 15.33 % at the 35 mg/ml and 19.06 % at the 60 mg/ml. Statistical evaluat on of findigs showed that the ratio of choromosomal aberrations incereased parellel to the increased dose of tiremthoprim (p0.05).

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  • 1. Kahn, S. B., Fein, S.A., Brodski, I.; Effects on folate metabolism in man. Clin. Pharmacol. Thr., 9:550-560, 1968.
  • 2. Gleckman, R., Blagg, N., Joubert, D.W.; Trimethoprim mechanism of action, antimicrobial activity, bacterial resistance, pharmacokinetics, adveres reaction and therapotiç indications. Pharmacotherapy, 1:14-20, 1981.
  • 3. Bruchall, J.J.; Mechanism of action of trimethoprim-sulphamethoxazole-II. J. Inf. Dis., 128:437-441, 1973.
  • 4. Kouts, J., Van Der Weyden, M.B., Cooper, M.; Effects of trimethoprim on folate metabolism in human bone marrow. Aust. N.Z. Med. 3:245-250, 1973.
  • 5. Hitchigs, G.H., Mechanism of action of trimehoprim-sulphamethoxazole-I. J. Inf. Dis., 128:433-436, 1973.
  • 6. Kayaalp, S.O.; Radyasyon Tedavi Yönünden Tıbbi Farmakoloji. Cilt 3. 5. Baskı, Ankara, 1990 Feryal Matbaası, 1341-1357.
  • 7. Jensen, M.K., Moller, A.V.; Chromosome studies in pernicious anemia. Acta Medicia Scandinavica, 5:571-579, 1978.
  • 8. Stewenson, A.C., Clarke, G., Patel, C.R., Hughes., D.T.D.; Chromosomal studies invivı and invitro of trimethoprim and sulphamethoxazole (co-trioxazole). Mut. Res., 17:255-260, 1973.
  • 9. Jensen, M.K.; Cytogenetics findings in pernicious anemia, comarison between result obtained with chromosome studies and micronuscleus test. Mut. Rest., 45:249-252, 1977.
  • 10. Sorensen, P.J., Jensen, M.K.; Cytogenetics studies patients treated with trimethoprim-sulphamethoxazole. Mut. Res., 89:91-94, 1981.
  • 11. Akbaş, E., Alp, M.N., Budak, T.; Trimethoprimini insan koromozomlarında yapısal düzensizlikler üzerine etkisi. D.Ü. Tıp Fak. Dergisi, 18:21-32, 1991.
  • 12. Sezer, E., Sigara kullanımı ve gençler. Sigara alarmı, 4:3-7, 1992.
  • 13. Hopken, H.J., Evans, H.J.; cigarette smoke induced dna damage and lung cancer risks. Nature, 283:288-293, 1980.
  • 14. Vijayelexmi and Evans, H.J.; In invivo and invitro effects of cigarette smoke on choromosomal damage and SCE in human peripheral blood lymphocytes. Mut. Res., 92:321-325, 1982.
  • 15. Sunders, P., Radyasyonun Biyolojik Etkileri. Çeviren, Tener, A. Cangüzel, 1988 T.A.E.K. Ankara Nükleer Araştırma ve Eğitim Merkezi Sağlık Fiziği Bölümü, 1-85.
  • 16. Yürek, G., (1986): Radyasyon Yaşantımızdaki Gerçek. Ankara, 1986 T.A.E.K. yayınları, TÜBİTAK matbaası; 1-15. 17. Rojley, J.D.; Human oncogene locations and chromosome aberrations. Nature, 301:290-291, 1983.
  • 18. Braekeleer, M.R., Smith, B., Lin, C., C.; Fragile sites and structral rearrangments in cancer. Hum. Genet. 69:112-116, 1985.
  • 19. Soloman, E., Borrow, J., Goddard, A.D.; Chromosome aberrations and cncer. Science 254:1153-1160, 1991.
  • 20. Moorheadr, R.S, Nowel, P.C., Mellman, J., Battips, D.M., Hungerford, D.A.; Chromosome preparations of leukocytes cultured from human peripheral blood. Exp. Cell. Res. 20:613-620, 1960.
  • 21. Yurtsever, N.; Deneysel istatistiksel metodlar. Ankara, 1984 Toprak ve Gübre Araştırma Enstitüsü Yayınları., 90-313.
  • 22. Littlefield, L.G., Joiner, E. E.;Analysis of Chromosome aberrations in lymhocytes of lung heavy smokers. Mut. Res., 170:145-150, 1986.
  • 23. Obe, G., Herha, J., Chromosomal aberrations in heavy smokers. Hum. Genet., 41:259-265,1978.
  • 24. Kline, J., Levin, B., Shrout, P., Stein, Z., Susser, M., Warburton, D.; Maternal smoking and trisomy among spodtanously aborted conceptions. Am. J. Hum. Genet., 37:1216-1219, 1985.
  • 25. Burad, T., Alp, N., Akbaş, E., The effects of trimethoprim on chromosomal aberrations incigarette-smokers. Am J. Hum. Genet. Suplement Volume 49(4):446, 1992.
  • 26. Pantelias, G.E.; Radiation induced cytogenetic damage in relation to changes in interphase chromoseme conformation. Rad. Res., 17:341-350, 1986.
  • 27. Matsubara, S., Suzuki, H., Kuwabara, Y., Okano, T.; Effects of contrast medium on radiation induced chdomosome aberrations. Radiology, 144:295-301, 1982.
  • 28. Stenstrand, K.; Effects of ionizing radiation chromosome aberrations, sister chromatid exchanges and micronucle in lymhocytes of smokers and non smokers. Hereditas, 102:71-76, 1989.
  • 29. Sanford, K.K., Parshad, R., Stanbridge, E.J., Frost, J.K., Jones, G.M., Wilkinson, J. E., Tarone, R.; Chromosomal radiosensitivity during the G2 cell cycle period and cytopatolgy of human normal X tumor ell hybrids. Cancen Res., 46:2045-2049, 1986.
  • 30. Bender M.A., Gooch, P.C.; Perisistend chromosome aberrations in irradiated human subjects. Rad. Res. 16:44-51, 1962.
  • 31. Dolphin, G.W. Llyod, D.C.; The significance or radiation-induced chromosome abnormalities in radiological protections. J. Med. Genet. 11:181-188, 1974.
  • 32. Buckton, K.E., Pike, M.C.; Time in culture an important variable in studying invivo radiation induced chromosome in man. Int. J. Rad. Biol., 8:439-452, 1964.
  • 33. Sachs, R.K., Brenner, D.J.; Effect of let on Chromosemal aberration yields. Int. J. Radiat. Biolb., 64:677-688, 1993.
  • 34. Natarajan, A.T., Darroudi, A.N.; Meijers, J.M., Zdzienicka, M.Z.; Ionizing Radiation induced DNA lesions which lead to chromosomal aberrations. Mut. Res. 299:297-303, 1993.
  • 35. Crown, J.P., Jhonwar, S., Haimi, J., Andreef, M., Gee, T.; Acxured cyclic haematopoiesis assosiated with clonal, morphologically normal circulating leucocytes. Acta Haematology, 86:103-106, 1991.
  • 36. Balasem, A.N., Ali, A.S.K., Mosa, H.S., Hussain, K.O.; Chromosomal Aberrations analysis in Peripheral lymphocytes of radiation workers. Mut. Res., 271:209-211, 1992.
  • 37. Weissenborn, U., Obe, G.; Modification of X-ray induced chromosome aberrationfrepuency by pre-and post irradiatidon hyperthermiaof human peripheral ıylphocytes. Int. J. Radiat. Biol., 59:973-984.
  • 38. Vyas, R.C., Darroudi, F., Natarajan. A.T.; Radiation-induced chromosomal breakage and rejioneng in interphase-metaphase chromosomes of human lymphocytes. Mut. Res., 249:29-35, 1991.
  • 39. Tanaka, K., Sawada, S., Kamado, N.; Relative biological effectiveness and dose rate effect of tritiated water on chromosomes in human lmphocytes and bone marrow cell. Mut. Res., 323:53-61, 1994.