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spelling Implementation of effect biomarkers in human biomonitoring studies: A systematic approach synergizing toxicological and epidemiological knowledgeEnvironmental GenotoxicityEffect BiomarkersHuman BiomonitoringGenotoxicidade AmbientalReviewHuman biomonitoring (HBM) studies have highlighted widespread daily exposure to environmental chemicals. Some of these are suspected to contribute to adverse health outcomes such as reproductive, neurological, and metabolic disorders, among other developmental and chronic impairments. One of the objectives of the H2020 European Human Biomonitoring Initiative (HBM4EU) was the development of informative effect biomarkers for application in a more systematic and harmonized way in large-scale European HBM studies. The inclusion of effect biomarkers would complement exposure data with mechanistically-based information on early and late adverse effects. For this purpose, a stepwise strategy was developed to identify and implement a panel of validated effect biomarkers in European HBM studies. This work offers an overview of the complete procedure followed, from comprehensive literature search strategies, selection of criteria for effect biomarkers and their classification and prioritization, based on toxicological data and adverse outcomes, to pilot studies for their analytical, physiological, and epidemiological validation. We present the example of one study that demonstrated the mediating role of the effect biomarker status of brain-derived neurotrophic factor BDNF in the longitudinal association between infant bisphenol A (BPA) exposure and behavioral function in adolescence. A panel of effect biomarkers has been implemented in the HBM4EU Aligned Studies as main outcomes, including traditional oxidative stress, reproductive, and thyroid hormone biomarkers. Novel biomarkers of effect, such as DNA methylation status of BDNF and kisspeptin (KISS) genes were also evaluated as molecular markers of neurological and reproductive health, respectively. A panel of effect biomarkers has also been applied in HBM4EU occupational studies, such as micronucleus analysis in lymphocytes and reticulocytes, whole blood comet assay, and malondialdehyde, 8-oxo-2′-deoxyguanosine and untargeted metabolomic profile in urine, to investigate, for example, biological changes in response to hexavalent chromium Cr(VI) exposure. The use of effect biomarkers in HBM4EU has demonstrated their ability to detect early biological effects of chemical exposure and to identify subgroups that are at higher risk. The roadmap developed in HBM4EU confirms the utility of effect biomarkers, and support one of the main objectives of HBM research, which is to link exposure biomarkers to mechanistically validated effect and susceptibility biomarkers in order to better understand the public health implications of human exposure to environmental chemicals.Supported by the European Union's Horizon 2020 research and innovation program projects HBM4EU [grant number 733032]ElsevierRepositório Científico do Instituto Nacional de SaúdeRodríguez-Carrillo, AndreaMustieles, VicenteSalamanca-Fernández, ElenaOlivas-Martínez, AliciaSuárez, BeatrizBajard, LolaBaken, KirstenBlaha, LudekBonefeld-Jørgensen, Eva CecilieCouderq, StephanD'Cruz, Shereen CynthiaFini, Jean-BaptisteGovarts, EvaGundacker, ClaudiaHernández, Antonio F.Lacasaña, MarinaLaguzzi, FedericaLinderman, BirgitteLong, ManhaiLouro, HenriquetaNeophytou, ChristianaOberemn, AxelRemy, SylvieRosenmai, Anna KjerstineSaber, Anne ThoustrupSchoeters, GreetSilva, Maria JoãoSmagulova, FatimaUhl, MariaVinggaard, Anne MarieVogel, UllaWielsøe, MariaOlea, NicolásFernández, Mariana F.2023-10-06T13:24:59Z2023-02-242023-02-24T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.18/8668engInt J Hyg Environ Health. 2023 Apr:249:114140. doi: 10.1016/j.ijheh.2023.114140. Epub 2023 Feb 24. Review1438-4639/10.1016/j.ijheh.2023.114140info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-14T01:31:33Zoai:repositorio.insa.pt:10400.18/8668Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:33:34.250865Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Implementation of effect biomarkers in human biomonitoring studies: A systematic approach synergizing toxicological and epidemiological knowledge
title Implementation of effect biomarkers in human biomonitoring studies: A systematic approach synergizing toxicological and epidemiological knowledge
spellingShingle Implementation of effect biomarkers in human biomonitoring studies: A systematic approach synergizing toxicological and epidemiological knowledge
Rodríguez-Carrillo, Andrea
Environmental Genotoxicity
Effect Biomarkers
Human Biomonitoring
Genotoxicidade Ambiental
title_short Implementation of effect biomarkers in human biomonitoring studies: A systematic approach synergizing toxicological and epidemiological knowledge
title_full Implementation of effect biomarkers in human biomonitoring studies: A systematic approach synergizing toxicological and epidemiological knowledge
title_fullStr Implementation of effect biomarkers in human biomonitoring studies: A systematic approach synergizing toxicological and epidemiological knowledge
title_full_unstemmed Implementation of effect biomarkers in human biomonitoring studies: A systematic approach synergizing toxicological and epidemiological knowledge
title_sort Implementation of effect biomarkers in human biomonitoring studies: A systematic approach synergizing toxicological and epidemiological knowledge
author Rodríguez-Carrillo, Andrea
author_facet Rodríguez-Carrillo, Andrea
Mustieles, Vicente
Salamanca-Fernández, Elena
Olivas-Martínez, Alicia
Suárez, Beatriz
Bajard, Lola
Baken, Kirsten
Blaha, Ludek
Bonefeld-Jørgensen, Eva Cecilie
Couderq, Stephan
D'Cruz, Shereen Cynthia
Fini, Jean-Baptiste
Govarts, Eva
Gundacker, Claudia
Hernández, Antonio F.
Lacasaña, Marina
Laguzzi, Federica
Linderman, Birgitte
Long, Manhai
Louro, Henriqueta
Neophytou, Christiana
Oberemn, Axel
Remy, Sylvie
Rosenmai, Anna Kjerstine
Saber, Anne Thoustrup
Schoeters, Greet
Silva, Maria João
Smagulova, Fatima
Uhl, Maria
Vinggaard, Anne Marie
Vogel, Ulla
Wielsøe, Maria
Olea, Nicolás
Fernández, Mariana F.
author_role author
author2 Mustieles, Vicente
Salamanca-Fernández, Elena
Olivas-Martínez, Alicia
Suárez, Beatriz
Bajard, Lola
Baken, Kirsten
Blaha, Ludek
Bonefeld-Jørgensen, Eva Cecilie
Couderq, Stephan
D'Cruz, Shereen Cynthia
Fini, Jean-Baptiste
Govarts, Eva
Gundacker, Claudia
Hernández, Antonio F.
Lacasaña, Marina
Laguzzi, Federica
Linderman, Birgitte
Long, Manhai
Louro, Henriqueta
Neophytou, Christiana
Oberemn, Axel
Remy, Sylvie
Rosenmai, Anna Kjerstine
Saber, Anne Thoustrup
Schoeters, Greet
Silva, Maria João
Smagulova, Fatima
Uhl, Maria
Vinggaard, Anne Marie
Vogel, Ulla
Wielsøe, Maria
Olea, Nicolás
Fernández, Mariana F.
author2_role author
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dc.contributor.none.fl_str_mv Repositório Científico do Instituto Nacional de Saúde
dc.contributor.author.fl_str_mv Rodríguez-Carrillo, Andrea
Mustieles, Vicente
Salamanca-Fernández, Elena
Olivas-Martínez, Alicia
Suárez, Beatriz
Bajard, Lola
Baken, Kirsten
Blaha, Ludek
Bonefeld-Jørgensen, Eva Cecilie
Couderq, Stephan
D'Cruz, Shereen Cynthia
Fini, Jean-Baptiste
Govarts, Eva
Gundacker, Claudia
Hernández, Antonio F.
Lacasaña, Marina
Laguzzi, Federica
Linderman, Birgitte
Long, Manhai
Louro, Henriqueta
Neophytou, Christiana
Oberemn, Axel
Remy, Sylvie
Rosenmai, Anna Kjerstine
Saber, Anne Thoustrup
Schoeters, Greet
Silva, Maria João
Smagulova, Fatima
Uhl, Maria
Vinggaard, Anne Marie
Vogel, Ulla
Wielsøe, Maria
Olea, Nicolás
Fernández, Mariana F.
dc.subject.por.fl_str_mv Environmental Genotoxicity
Effect Biomarkers
Human Biomonitoring
Genotoxicidade Ambiental
topic Environmental Genotoxicity
Effect Biomarkers
Human Biomonitoring
Genotoxicidade Ambiental
description Review
publishDate 2023
dc.date.none.fl_str_mv 2023-10-06T13:24:59Z
2023-02-24
2023-02-24T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.18/8668
url http://hdl.handle.net/10400.18/8668
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Int J Hyg Environ Health. 2023 Apr:249:114140. doi: 10.1016/j.ijheh.2023.114140. Epub 2023 Feb 24. Review
1438-4639/
10.1016/j.ijheh.2023.114140
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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