Comparative Carcinogenic Risk Assessment of Polycyclic Aromatic Hydrocarbons Accumulation in Normal and Cancerous Lung Tissues of Patients from Northern Thailand
Aug 2026· Toxics· Vol 14· 0 citations· 47 references
Medicine
TL;DR
High-molecular-weight carcinogens significantly accumulate in human lungs in Northern Thailand, reflecting substantial environmental exposure, while tissue lipid content modulates toxin bioaccumulation, underscores an urgent need for targeted public health strategies addressing both environmental pollution and tobacco use.
Abstract
Lung cancer mortality is a critical issue in Northern Thailand, where incidence rates significantly exceed the national average. Key risk factors include tobacco smoking and seasonal air pollution from biomass burning, which releases carcinogenic polycyclic aromatic hydrocarbons (PAHs). This study aims to analyze the accumulation of 16 priority PAHs in human lung tissues to explore links between environmental exposure, smoking habits, and cancer development. Tissue samples (normal, para-cancerous, and adenocarcinoma) were collected from 30 surgical participants (15 lung cancer patients, 15 non-cancer controls) at Chiang Mai University Hospital. Compounds were extracted via ultrasonication and quantified using gas chromatography-mass spectrometry. Carcinogenic potency was evaluated using Benzo[a]pyrene equivalents, with concentrations compared across tissue types and patient groups using generalized estimating equations. High-molecular-weight PAHs were the dominant species, accounting for over 50% of total accumulation in all tissues, aligning with regional biomass burning profiles. Total concentrations and carcinogenic potency were significantly higher in smokers, particularly within normal lung tissues. Furthermore, high-molecular-weight PAH concentrations positively correlated with tissue cholesterol levels (R = 0.66). Source analysis indicated exposure primarily from pyrogenic sources, alongside petroleum emissions. In conclusion, high-molecular-weight carcinogens significantly accumulate in human lungs in Northern Thailand, reflecting substantial environmental exposure, while tissue lipid content modulates toxin bioaccumulation. Smoking facilitates compound retention in normal tissues, underscoring an urgent need for targeted public health strategies addressing both environmental pollution and tobacco use.
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Communities residing near petrochemical complexes are chronically exposed to complex volatile organic compound (VOC) mixtures, but routine surveillance is often restricted to limited sentinel panels, which may lead to the underestimation of true health risks. This study assessed age-stratified probabilistic carcinogenic and noncarcinogenic inhalation risks near the Map Ta Phut Industrial Estate, Thailand, the world’s eighth-largest petrochemical hub.
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The mean ELCRs were low at the community stations (4.10 × 10
− 7
to 3.08 × 10
− 6
) but increased markedly at the fence-line station (3.18 × 10
− 5
to 2.32 × 10
− 4
) and increased further under the expanded 20-VOC panel (5.00 × 10
− 5
to 3.61 × 10
− 4
). While the mean HI remained below 1.0 for the routine panel at all the stations, it exceeded 1.0 for all the age groups under the expanded 20-VOC panel (ranging from 2.04 to 4.83). Preschool children had the greatest noncarcinogenic burden, with a 95th -percentile HI of 10.8. Benzene and ethylbenzene were the main carcinogenic contributors at the two community stations, whereas vinyl chloride dominated both the carcinogenic and noncarcinogenic risks at the industrial fence line. The estimated number of adult VOC-attributable excess cancer cases increased from 2.79 in 2015 to 3.15 in 2023, accounting for 0.36% of the regional cancer burden.
Limited routine VOC monitoring may substantially underestimate petrochemical-related carcinogenic and noncarcinogenic risks. Age-stratified probabilistic assessment using an expanded VOC panel revealed substantial fence-line risks driven by specialty monomers, highlighting preschool children as a priority population for strengthened surveillance and site-specific risk management.
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