Introduction
Pesticides are chemical or biological substances that inhibit the growth of living organisms or prevent and destroy pests for improving product yields. The effects of pesticide exposure include respiratory, neurological, gastrointestinal, and skin problems (Azaroff and Neas, 1999; Hoppin et al., 2002; Salameh et al., 2006). Pesticides cause biochemical changes, leading to clinical health signs (Balani et al., 2011; Jonnalagadda et al., 2010). These biochemical changes result from the destructive and degenerative effects of pesticides on the organs (Khan et al., 2013; Mossalam et al., 2011). Farm workers exposed to pesticides were found to have significantly increased serum concentrations of urea and creatinine (CREA) (Haghighizadeh et al., 2015; Ritu et al., 2013). Pesticides are used globally for improving yields and the quality of agricultural products (Eddleston et al., 2008; Songa and Okonkwo, 2016; Yan et al., 2018).
However, the abuse of pesticides has led to food and environmental contamination (Carvalho, 2017; Li et al., 2019; Liu et al., 2016).
Pesticides are effective to increasing agricultural yields, but it is not easy to management and monitoring (Khan et al., 2008; Peshin and Zhang, 2014; Peshin et al., 2009). For increasing crop yield and quality, pesticides are classified according to their purpose, such as herbicides, pesticides, and fungicides. Pesticides can also be classified according to the pest's origin or structure or activity site, such as fungicides, fumigants, herbicides, and insecticides (EPA, 2020). Therefore, global regions (e.g., Codex, EU, US, Canada, India, Australia) have established policies on maximum residual limits in food and feedstuff to limit pesticide residues in human and animals (Handford et al., 2015).
Triazole fungicides (e.g., flutriafol, propiconazole, tebuconazole, and tetraconazole) are used on different types of plants to protect against different fungal diseases (Lass-Flörl, 2011). Among these fungicides, flutriafol [(R, S)-1-(2-fluorophenyl)-1-(4- fluorophenyl)-2-(1H-1, 2, 4-triazol-1-yl) ethanol] is commonly used to control leaf and ear diseases in cereal crop and in seed treatment (FAO, 2011). It is a chiral triazole fungicide employed to control plant pathogens. The fungicidal mechanism of such pesticides inhibits ergosterol biosynthesis and cell wall synthesis (Song et al., 2019; Yang et al., 2020).
Several studies have found that fibrosis is caused by pesticide exposure. Exposure to ethylated dialkylphosphates, which are known to have immunomodulatory potential, can induce long-term damage to the heart, leading to fibrosis (Medina-Buelvas et al., 2019). Exposure to residual pesticides increased liver fibrosis and nonalcoholic fatty liver disease in HepG2 cells and rat liver (Kwon et al., 2021a; Kwon et al., 2021b). Furthermore, meta-analysis revealed that the risk of idiopathic pulmonary fibrosis increased in agricultural workers exposed to pesticides (Park et al., 2021; Ramani et al., 2021). Pesticide residues have a substantial influence on growth and health of livestock and humans (Abou-donai, 2003; Cordes and Foster, 1988; Moses, 1989). Although flutriafol has been detected in cells (e.g., HepG2, Neuro2A, NIH/3T3, SH-SY5Y, VERO), humans, and laboratory animals, studies on pig meat and related products are scarce. Therefore, this study investigated the potential effects of flutriafol residues in pork and related products.
Materials and Methods
Ethics statement
All experimental procedures were reviewed and approved by the Institutional Animal Care and Use Committee of the National Institute of Animal Science, Korea (No. 2019-1576).
Animal care and experimental design
Pigs were purchased from the Darby (Anseong, Korea). Twenty castrated male pigs (Landrace×Yorkshire, 72.0±2.2 kg) were housed in individual pens (2.1×1.4 m). For the experimental period including acclimatization, the housing conditions were: a light-dark cycle of 12:12 h and a constant temperature (22±2℃) and relative humidity (55±5%). The pigs were divided into six groups according to acceptable daily intake on OECD test guideline 505: control (n=3), T1 (0.313 mg/kg bw/d; n=3), T2 (0.625 mg/kg bw/d; n=3), T3 (3.125 mg/kg bw/d; n=3), T4 (6.25 mg/kg bw/d; n=4), and T5 (12.5 mg/kg bw/d; n=4). Animals were fed according to the Korean feeding standards for pig (2017). Flutriafol (NH chemical, Ulsan, Korea) was thoroughly mixed into the feed according to the concentrations per body weight. Animals were treated a diet exposed to flutriafol twice daily for 28 d. At the end of the experimental period, all pigs were anesthetized with the T61 agent. After exsanguination, the blood, liver, kidney, ileum, muscle, and fat tissues were quickly removed. These tissues were immediately frozen in liquid nitrogen for residue analysis and then stored at −80℃. Some tissues were fixed with 10% neutral buffered formalin (NBF; Sigma-Aldrich, St. Louis, MO, USA) for histological analysis. Average daily weight gain (ADG), average daily feed intake (ADFI), and feed conversion ratio (FCR) were calculated as follows: ADG = (finish weight – start weight) / age (days), ADFI = provide feed amount - residual feed amount, FCR = feed intake / average daily gain.
Biochemical analysis
Blood samples were collected with a suitable vacutainer tube containing no anticoagulants. The serum was extracted using centrifugation (700×g for 15 min at 4℃) and then kept at −80℃. A total of 15 parameters, consisting of glucose (GLU), CREA, blood urea nitrogen (BUN), phosphate (PHOS), calcium (CA), total protein (TP), albumin globulin (ALB), alanine aminotransferase (ALT), alkalinephosphate (ALKP), gamma glutamyl transpeptidase (GGT), total bilirubin (TBIL), cholesterol (CHOL), amylase (AMYL), and lipase (LIPA) were determined using the VetTest chemistry analyzer (IDEXX, Westbrook, ME, USA), following the manufacturer’s procedure.
Pesticide residue analysis
To quantify flutriafol, the collected samples (2.0 g tissue or 2.0 mL blood) were mixed with distilled water (10 mL), set for 10 min, and mixed with acetonitrile and sodium chloride (20 mL and 5 g, respectively). The samples were stirred using a vortex for 10 s and shaken for 60 min. The extract was centrifuged at 3, 500×g for 5 min. Primary-secondary amine (PSA) and octadecylsilane (C18) were used for analyzing the samples. The filtered samples were injected and the peak area was compared to estimate the residue levels. The samples (5 µL each of plasma, liver, kidney, muscle, and fat) were injected into a liquid chromatography-tandem mass spectrometer (LC-MS/MS). The quantitative limit of the assay was 0.01 mg/kg. Residue analysis was conducted by an ExionLC system with a QTRAP 4500 mass spectrometer (SCIEX, Framingham, MA, USA). The conditions were: columns (100×2.0 mm, 3.0 µm) maintained at 40℃, mobile phase composition of 10 mM ammonium acetate and methanol, linear gradient mode from 20% to 90% methanol, and flow rate of 0.1 mL/min.
Histological analysis
The tissue (i.e., liver, kidney, muscle, fat, and ileum) samples were fixed with 10% NBF and then dehydrated (from 70% to 100% EtOH), embedded, cut (5 μm-thick), mounted, and heated (40℃) for 1 h on a hot plate. For staining, the sections were dewaxed with xylene, rehydrated (from 100% to 70% EtOH), and washed with distilled water. The sections were stained using Masson’s trichrome (MT) staining reagents following the manufacturer’s protocol. The slices were observed under 100× magnification in an optical microscope.
Statistical analysis
All results including growth performance and biochemical analysis were analyzed using one-way ANOVA (Prism 5.01, GraphPad Software, San Diego, CA, USA), followed by Tukey’s multiple comparison post-hoc test. Results are showed as mean and SEM. A p‑value of less than 0.05 between the control and treatment groups was considered to be significant.
Results and Discussion
Growth performance of flutriafol-treated pig
The growth performances of flutriafol-exposed pigs were not significantly different between control and treatment groups (data not shown). Briefly, the difference in initial (72.0±2.36 kg) and final (96.9±4.48 kg) body weights was not statistically significant. Furthermore, no significant differences were detected in ADG, ADFI, and FCR of flutriafol treated pigs as compared to control, despite its acute toxicity. Body weight of flutriafol treated rats was increased compared to control at 1 and 2 wk. However, the body weights at 3 wk were not significantly different (Kwon et al., 2021a). No significant effects of tebuconazole treatment were observed on body condition, growth, and sex ratio of chicks (Lopez-Antia et al., 2021). In this study, flutriafol exposure did not affect the growth performances in pigs, similar to the observations of previous studies.
Blood biochemical analysis
Table 1 presents the effect of pesticide exposure on biochemical properties of pig serum. The parameters are as follows: GLU, CREA, BUN, PHOS, CA, TP (TP = ALB + GLOB), ALB, ALT, ALKP, GGT, TBIL, CHOL, AMYL, LIPA. CREA, BUN, BUN/CREA ratio, TP, ALB, GLOB, ALB/GLOB ratio, ALT, GGT, AMYL, and LIPA showed significant differences from those of the control (p<0.05). In particular, CREA decreased significantly in the T4 and T5 treatment groups compared with control (p<0.05). BUN, ALT, and LIPA showed a significant increase in treatment groups than that of control (p<0.05). No significant differences were detected in the other biochemical parameters (i.e., GLU, PHOS, CA, ALKP, TBIL, and CHOL). The principal component analysis did not show a difference between control and treatment groups (data not shown).
Table 1. Changes of blood biochemical characteristics by exposed to flutriafol in finishing pigs
Values are mean±SEM. n=20.
All traits in the table were analyzed by one-way ANOVA with Tukey's multiple comparison test.
Reference ranges: GLU (85–160), CREA (0.5–2.1), BUN (6–30), PHOS (3.6–9.2), CA (6.5–11.4), TP (6.0–8.0), ALB (1.8–3.3), GLOB (2.5–4.5), ALT (9–43), ALKP (92–294), GGT (16–30), TBIL (0.1–0.3), CHOL (18–79), AMYL (271–1, 198), LIPA (10–44). GLU, glucose; CREA, creatinine; BUN, blood urea nitrogen; PHOS, phosphate; CA, calcium; TP, total protein (TP=ALB+GLOB); ALB, albumin globulin; GLOB, globulin; ALT, alanine aminotransferase; ALKP, alkalinephosphatase; GGT, gamma glutamyl transpeptidase; TBIL, total bilirubin; CHOL, cholesterol; AMYL, amylase; LIPA, lipase.
Blood biochemistry values provides important biological information to humans and animals. The results of our study showed that pesticide exposure affects pigs, resulting in significant differences in parameters such as CREA, BUN, ALT, and LIPA. These biochemical changes can lead to destructive and degenerative changes in the renal corpuscles based on pesticides (Khan et al., 2013; Mossalam et al., 2011). Farmers exposed to pesticides had significantly higher serum levels of urea and CREA (Haghighizadeh et al., 2015; Ritu et al., 2013). The urea and CREA levels showed significant differences between control and treatment groups. However, CREA levels in the T5 group were lower than those in control. Urea is formed by ammonia produced in the liver and is excreted through the kidney. Urea and CREA excreted by the kidneys are used as biomarkers to determine kidney damage (Singh et al., 2011). Organophosphates are widely used pesticides. The organophosphate pesticides increase CREA levels because of impaired glomerular function and damage to the renal tubules (Mohssen, 2001). ALT, also known as transaminases, provide important information about damaged hepatocytes (Hernandez et al., 2013). The ALT levels caused by pesticide-induced stress are associated with the production of reactive oxygen species and oxidative tissue damage (Patil et al., 2009, Singh et al., 2011). In particular, increase in blood GLU, insulin, triglycerides, and LIPAs exposed to organophosphorus pesticides have been reported in several studies (Gangemi et al., 2016; Kamath and Rajini, 2007; Rodrigues et al., 1986; Romero-Navarro et al., 2006). Immobilized LIPA is used as a biosensor to determine TG due to its accuracy and efficiency (Chandra et al., 2020; Escamilla-Mejía et al., 2014). Significant elevations were observed in urea and CREA concentrations of serum samples exposed to pesticides. These elevations correspond to renal impairment and renal dysfunction (Pandya et al., 2016). Serum CREA and urea, known as renal biochemical markers, were significantly different between control and treatment groups. The elevated serum urea observed in response to pesticide exposure in this study could be explained by impaired synthesis and protein metabolism due to hepatic dysfunction. Together, CREA, BUN, ALT, and LIPA can act as potential biomarkers to detect exposure to flutriafol.
Flutriafol residue analysis
The linear and quadratic equations of flutriafol exposure concentrations were used for determining maximum residue limits in liver (Fig. 1A), kidney (Fig. 1B), fat (Fig. 1C), muscle (Fig. 1D), and blood (Fig. 1E). The residual levels of all tissues increased with an increase in flutriafol concentration. The quadratic equations for liver (r2=0.9982, p<0.001), kidney (r2=0.9960, p<0.01), muscle (r2=0.9928, p<0.05), and blood (r2=0.9856, p<0.01) showed significant differences between control and treatment groups (Fig. 1). The linear equations of liver (r2=0.9951), kidney (r2=0.9599), muscle (r2=0.9092), and blood (r2=0.9847) were concentration dependent (Fig. 1B–D). However, although the residual levels increased according to treated flutriafol concentrations in fat, there was no significant differences between the treatment groups (Fig. 1C).
Flutriafol, known as conazole fungicide, is used to control leaf and ear diseases in cereals (FAO, 2011) and to prevent fungal diseases (Bhuiyan et al., 2015; Lass-Flörl, 2011). Exposure to pesticides through oral, dermal, or inhalation routes is associated with low or moderate toxicity (Kwon et al., 2021b; Shahinasi et al., 2017; Toumi et al., 2017). The high performance liquid chromatography method was used to establish the maximum residue limits of flutriafol exposure in wheat and soil (Yu et al., 2012; Zhang et al., 2014). Therefore, our results suggest that the residual values for different tissues showed variations according to pesticide concentrations. Taken together, the equations for graded levels of flutriafol will help predict the risk assessment and maximum residue limits in pig production and meat safety.
Fig. 1. Residue levels in different tissues of pigs fed on a flutriafol-exposed diet.
Histological analysis
In this study, the histological changes in liver, kidney, muscle, fat, and ileum tissues of pig due to exposure to flutriafol were assessed using MT staining (Fig. 2). Fibrosis deposition and tissue destruction at different flutriafol concentrations were observed for all treatment groups. Fibrosis in treatment groups was measured by MT staining on the portal areas and lobular boundary of the liver. The glomeruli, tubules, and vasculature in kidney tissues were stained blue. Kidneys showed interstitial fibrosis and glomerulosclerosis at different flutriafol concentrations. Villus and lamina propria in ileum were deteriorated and exhibited prominent blue staining after flutriafol exposure as compared to that in control. Muscle and fat tissues were stained with blue after being exposed to flutriafol. Collagen fibrosis also showed concentration-dependent effects in the treatment groups compared to control. The ethylated dialkylphosphates, known as metabolites of organophosphorus pesticides, are known to aggravate heart fibrosis and inflammation (Medina-Buelvas et al., 2019). In our study, the flutriafol also showed changes in vacuoles of the proximal tubules causing necrosis and hepatocyte damage in the liver and kidney. Fibrosis lead to ectopic fat accumulation, resulting in non-alcoholic fatty liver disease (Byrne, 2013; Kwon et al., 2021b; Pafili and Roden, 2021). These histological changes were also observed in our study. Fibrosis due morphological characteristics in liver, kidney, muscle, fat, and ileum tissue of pigs.
Fig. 2. Histology of flutriafol exposure in pig liver, kidney, muscle, fat, and ileum tissues as represented by Masson’s trichrome staining.
Original magnification at 100× (scale bar=100 µm).
Conclusion
The results of the present study suggest that flutriafol exposure affects pig tissues (e.g., muscle, fat, blood, liver, kidney, and ileum), causing significant alterations in some biochemical parameters including BUN, CREA, ALT, and LIPA. In particular, the linear and quadratic equations for liver and blood showed a significant increase (p<0.05) after exposure to different flutriafol concentrations. Flutriafol also can lead to morphological changes related to fibrosis in several tissues. Therefore, these results indicate that pesticides such as flutriafol can provide the basis for risk assessment and safety based on maximum residue limits in pig meat and related products.
Conflicts of Interest
The authors declare no potential conflicts of interest.
Acknowledgements
This study was carried out with the support of the “Cooperative Research Program for Agriculture Science and Technology to exposure to flutriafol affected the Development (Project No. PJ01426303)” Rural Development Administration, Korea.
Author Contributions
Conceptualization: Jeong JY. Data curation: Kim BH, Baek YC. Formal analysis: Ji SY, Park SH. Methodology: Kim MJ. Software: Ji SY. Validation: Kim BH, Jung HJ. Investigation: Baek YC, Park SH. Writing - original draft: Jeong JY. Writing - review & editing: Jeong JY, Kim BH, Ji SY, Baek YC, Kim MJ, Park SH, Jung HJ.
Ethics Approval
This study was approved by IACUC of Rural Development Administration (No. NIAS-2019-1576).
참고문헌
- Abou-donai MB. 2003. Organophosphorus ester-induced chronic neurotoxicity. Arch Environ Health 58:484-497. https://doi.org/10.3200/AEOH.58.8.484-497
- Azaroff LS, Neas LM. 1999. Acute health effects associated with nonoccupational pesticide exposure in rural El Salvador. Environ Res 80:158-164. https://doi.org/10.1006/enrs.1998.3878
- Balani T, Agrawal S, Thaker AM. 2011. Hematological and biochemical changes due to short-term oral administration of imidacloprid. Toxicol Int 18:2-4. https://doi.org/10.4103/0971-6580.75843
- Bhuiyan SA, Croft BJ, Tucker GR, James R. 2015. Efficacy of flutriafol compared to other triazole fungicides for the control of sugarcane smut. Proc Aust Soc Sugar Cane Technol 37:68-75.
- Byrne CD. 2013. Ectopic fat, insulin resistance and non-alcoholic fatty liver disease. Proc Nutr Soc 72:412-419. https://doi.org/10.1017/S0029665113001249
- Carvalho FP. 2017. Pesticides, environment, and food safety. Food Energy Secur 6:48-60. https://doi.org/10.1002/fes3.108
- Chandra P, Enespa, Singh R, Arora PK. 2020. Microbial lipases and their industrial applications: A comprehensive review. Microb Cell Fact 19:169. https://doi.org/10.1186/s12934-020-01428-8
- Cordes DH, Foster D. 1988. Health hazards of farming. Am Farm Phys 38:233-244.
- Eddleston M, Buckley NA, Eyer P, Dawson AH. 2008. Management of acute organophosphorus pesticide poisoning. Lancet 371:597-607. https://doi.org/10.1016/S0140-6736(07)61202-1
- Environmental Protection Agency [EPA]. 2020. Types of pesticide ingredients. U.S. Environmental Protection Agency, Washington, DC. Available from: https://www.epa.gov/ingredients-used-pesticide-products/types-pesticide-ingredients Accessed at Sep 3, 2021.
- Escamilla-Mejia JC, Rodriguez JA, Alvarez-Romero GA, Galan-Vidal CA. 2015. Monoenzymatic lipase potentiometric biosensor for the food analysis based on a pH sensitive graphite-epoxy composite as transducer. J Mex Chem Soc 59:19-23.
- Food and Agriculture Organisation of the United Nations [FAO]. 2011. Flutriafol. In: Pesticide residues in food 2011. Available from: https://apps.who.int/iris/bitstream/handle/10665/75147/9789241665278_eng.pdf
- Gangemi S, Gofita E, Costa C, Teodoro M, Briguglio G, Nikitovic D, Tzanakakis G, Tsatsakis AM, Wilks MF, Spandidos DA, Fenga C. 2016. Occupational and environmental exposure to pesticides and cytokine pathways in chronic diseases (Review). Int J Mol Med 38:1012-1020. https://doi.org/10.3892/ijmm.2016.2728
- Haghighizadeh MH, Salehcheh M, Emam SJ, Jazayeri SM, Bakhtiari N. 2015. Biochemical effects of pesticides commonly used among agricultural workers among arabs of southwestern, Iran. Trends Life Sci 4:420-425.
- Handford CE, Elliott CT, Campbell K. 2015. A review of the global pesticide legislation and the scale of challenge in reaching the global harmonization of food safety standards. Integr Environ Assess Manag 11:525-536. https://doi.org/10.1002/ieam.1635
- Hernandez AF, Gil F, Lacasana M, Rodriguez-Barranco M, Tsatsakis AM, Requena M, Parron T, Alarcon R. 2013. Pesticide exposure and genetic variation in xenobiotic-metabolizing enzymes interact to induce biochemical liver damage. Food Chem Toxicol 61:144-151. https://doi.org/10.1016/j.fct.2013.05.012
- Hoppin JA, Umbach DM, London SJ, Alavanja MCR, Sandler DP. 2002. Chemical predictors of wheeze among farmer pesticide applicators in the Agricultural Health Study. Am J Respir Crit Care Med 165:683-689. https://doi.org/10.1164/ajrccm.165.5.2106074
- Jonnalagadda PR, Prasad AYE, Reddy KA, Suresh C, Rao MVV, Ramya G, Rao DR. 2010. Biochemical alterations of certain health parameters in cotton growing farmers exposed to organophosphorous and pyrethroid insecticides. Afr J Biotechnol 9:8369-8377.
- Kamath V, Rajini PS. 2007. Altered glucose homeostasis and oxidative impairment in pancreas of rats subjected to dimethoate intoxication. Toxicology 231:137-146. https://doi.org/10.1016/j.tox.2006.11.072
- Khan DA, Bhatti MM, Khan FA, Naqvi ST, Karam A. 2008. Adverse effects of pesticides residues on biochemical markers in pakistani tobacco farmers. Int J Clin Exp Med 1:274-282.
- Khan MD, Mei L, Ali B, Chen Y, Cheng X, Zhu SJ. 2013. Cadmium-induced upregulation of lipid peroxidation and reactive oxygen species caused physiological, biochemical, and ultrastructural changes in upland cotton seedlings. Biomed Res Int 2013:374063.
- Kwon HC, Sohn H, Kim DH, Jeong CH, Kim DW, Han SG. 2021a. Effects of flutriafol fungicide on the lipid accumulation in human liver cells and rat liver. Foods 10:1346. https://doi.org/10.3390/foods10061346
- Kwon HC, Sohn H, Kim DH, Shin DM, Jeong CH, Chang YH, Yune JH, Kim YJ, Kim DW, Kim SH, Han SG. 2021b. In vitro and in vivo study on the toxic effects of propiconazole fungicide in the pathogenesis of liver fibrosis. J Agric Food Chem 69:7399-7408. https://doi.org/10.1021/acs.jafc.1c01086
- Lass-Florl C. 2011. Triazole antifungal agents in invasive fungal infections: A comparative review. Drugs 71:2405-2419. https://doi.org/10.2165/11596540-000000000-00000
- Li AJ, Martinez-Moral MP, Kannan K. 2019. Temporal variability in urinary pesticide concentrations in repeated-spot and first-morning-void samples and its association with oxidative stress in healthy individuals. Environ Int 130:104904. https://doi.org/10.1016/j.envint.2019.104904
- Liu P, Wu C, Chang X, Qi X, Zheng M, Zhou Z. 2016. Adverse associations of both prenatal and postnatal exposure to organophosphorous pesticides with infant neurodevelopment in an agricultural area of jiangsu province, China. Environ Health Perspect 124:1637-1643. https://doi.org/10.1289/ehp196
- Lopez-Antia A, Ortiz-Santaliestra ME, Mougeot F, Camarero PR, Mateo R. 2021. Birds feeding on tebuconazole treated seeds have reduced breeding output. Environ Pollut 271:116292. https://doi.org/10.1016/j.envpol.2020.116292
- Medina-Buelvas DM, Estrada-Muniz E, Rodriguez-Sosa M, Shibayama M, Vega L. 2019. Increased heart fibrosis and acute infection in a murine Chagas disease model associated with organophosphorus pesticide metabolite exposure. Sci Rep 9:17539. https://doi.org/10.1038/s41598-019-54218-7
- Mohssen M. 2001. Biochemical and histopathological changes in serum creatinine and kidney induced by inhalation of Thimet (Phorate) in male Swiss albino mouse, Mus musculus. Environ Res 87:31-36. https://doi.org/10.1006/enrs.2001.4285
- Moses M. 1989. Pesticide-related health problems and farmworkers. AAOHN J. 37:115-130. https://doi.org/10.1177/216507998903700304
- Mossalam HH, Abd-El Aty AO, Morgan EN, Youssaf SMS, Mackawy AMH. 2011. Biochemical and ultra-structure studies of the antioxidant effect of aqueous extract of Hibiscus sabdariffa on the nephrotoxicity induced by organophosphorous pesticide (malathion) on the adult albino rats. J Am Sci 7:407-421.
- Pafili K, Roden M. 2021. Nonalcoholic fatty liver disease (NAFLD) from pathogenesis to treatment concepts in humans. Mol Metab 50:101122. https://doi.org/10.1016/j.molmet.2020.101122
- Pandya D, Nagrajappa AK, Ravi KS. 2016. Assessment and correlation of urea and creatinine levels in saliva and serum of patients with chronic kidney disease, diabetes and hypertension- a research study. J Clin Diagn Res 10:ZC58-ZC62.
- Park Y, Ahn C, Kim TH. 2021. Occupational and environmental risk factors of idiopathic pulmonary fibrosis: A systematic review and meta-analyses. Sci Rep 11:4318. https://doi.org/10.1038/s41598-021-81591-z
- Patil JA, Patil AJ, Sontakke AV, Govindwar SP. 2009. Occupational pesticides exposure of sprayers of grape gardens in western Maharashtra (India): Effects on liver and kidney function. J Basic Clin Physiol Pharmacol 20:335-355. https://doi.org/10.1515/JBCPP.2009.20.4.335
- Peshin R, Bandral RS, Zhang W, Wilson L, Dhawan AK. 2009. Integrated pest management: A global overview of history, programs and adoption. In Integrated pest management: Innovation-development process. Peshin R, Dhawan AK (eds). Springer, Dordrecht, Netherlands. pp 1-49.
- Peshin R, Zhang W. 2014. Integrated pest management and pesticide use. In Integrated pest management: Pesticide problems, D. Pimentel, R. Peshin (ed). Springer, Dordrecht, The Netherlands. vol 3, pp 1-46.
- Ramani S, Recharla N, Hwang O, Jeong J, Park S. 2021. Meta-analysis identifies the effect of dietary multi-enzyme supplementation on gut health of pigs. Sci Rep 11:7299. https://doi.org/10.1038/s41598-021-86648-7
- Ritu A, Nidhi T, Anjali C, Shiva A. 2013. Biochemical alterations among spray farmers due to chronic exposure to chlorpyrifos, an organophosphate pesticides. Int J Curr Microbiol App Sci 2:415-418.
- Rodrigues MA, Puga FR, Chenker E, Mazanti MT. 1986. Short-term effect of malathion on rats' blood glucose and on glucose utilization by mammalian cells in vitro. Ecotoxicol Environ Saf 12:110-113. https://doi.org/10.1016/0147-6513(86)90046-1
- Romero-Navarro G, Lopez-Aceves T, Rojas-Ochoa A, Mejia CF. 2006. Effect of dichlorvos on hepatic and pancreatic glucokinase activity and gene expression, and on insulin mRNA levels. Life Sci 78:1015-1020. https://doi.org/10.1016/j.lfs.2005.06.010
- Salameh P, Waked M, Baldi I, Brochard P, Saleh BA. 2006. Respiratory diseases and pesticide exposure: A case-control study in Lebanon. J Epidemiol Community Health 60:256-261. https://doi.org/10.1136/jech.2005.039677
- Shahinasi E, Brahushi F, Devolli A, Kodra M. 2017. The ecotoxicology of pesticides group of triazole and their use to control apple scab (Venturia inaequalis). J Hyg Eng Des 18:36-42.
- Singh S, Kumar V, Thakur S, Dev Banerjee B, Chandna S, Rautela RS, Grover SS, Rawat DS, Pasha ST, Jain SK, Ichhpujani RL, Rai A. 2011. DNA damage and cholinesterase activity in occupational workers exposed to pesticides. Environ Toxicol Pharmacol 31:278-285. https://doi.org/10.1016/j.etap.2010.11.005
- Song X, Zhu X, Li T, Liang C, Zhang M, Shao Y, Tao J, Sun R. 2019. Dehydrozingerone inspired discovery of potential broad-spectrum fungicidal agents as ergosterol biosynthesis inhibitors. J Agric Food Chem 67:11354-11363. https://doi.org/10.1021/acs.jafc.9b04231
- Songa EA, Okonkwo JO. 2016. Recent approaches to improving selectivity and sensitivity of enzyme-based biosensors for organophosphorus pesticides: A review. Talanta 155:289-304. https://doi.org/10.1016/j.talanta.2016.04.046
- Toumi K, Joly L, Vleminckx C, Schiffers B. 2017. Risk assessment of florists exposed to pesticide residues through handling of flowers and preparing bouquets. Int J Environ Res Public Health 14:526. https://doi.org/10.3390/ijerph14050526
- Yan D, Zhang Y, Liu L, Shi N, Yan H. 2018. Pesticide exposure and risk of Parkinson's disease: Dose-response meta-analysis of observational studies. Regul Toxicol Pharmacol 96:57-63. https://doi.org/10.1016/j.yrtph.2018.05.005
- Yang H, Zu G, Liu Y, Xie D, Gan X, Song B. 2020. Tomato chlorosis virus minor coat protein as a novel target to screen antiviral drugs. J Agric Food Chem 68:3425-3433. https://doi.org/10.1021/acs.jafc.9b08215
- Yu P, Jia C, Song W, Liu F. 2012. Dissipation and residues of flutriafol in wheat and soil under field conditions. Bull Environ Contam Toxicol 89:1040-1045. https://doi.org/10.1007/s00128-012-0810-9
- Zhang Q, Hong B, Liu J, Mu G, Cong H, Li G, Cai D 2014. Multiwalled-carbon-nanotubes-based matrix solid-phase dispersion extraction coupled with high-performance liquid chromatography for the determination of honokiol and magnolol in magnoliae cortex. J Sep Sci 37:1330-1336. https://doi.org/10.1002/jssc.201301046