Search Results (4,741)

Background: Access to safe drinking water remains a critical public health concern in rural Ghana, particularly in climatically vulnerable and underserved settings. This study assessed the microbiological and chemical quality of drinking water and evaluated nitrate-related health risks in the North Gonja and North-East Gonja Districts of the Savannah Region. Methods: A cross-sectional study was conducted between January and March 2025. A total of 460 water samples were collected from groundwater sources and household storage containers. Microbial analyses targeted total coliforms and Escherichia coli. Physicochemical and chemical parameters included nitrate-nitrogen, pH, residual chlorine, major ions, and trace metals. Data was analyzed using descriptive statistics, chi-square tests, spatial interpolation, and non-carcinogenic health risk assessment based on the hazard quotient (HQ) approach. Results: Widespread microbial contamination was observed, with 91.5% of household water samples positive for total coliforms and 46.6% for E. coli. Contamination of source water was significantly higher in North Gonja than in North-East Gonja. Overall, 49.1% (n = 55) of groundwater sources exceeded the World Health Organization guideline value for nitrate-nitrogen, with exceedances predominantly occurring in North Gonja. Additionally, 67.0% (n = 75) of samples were outside the acceptable pH range (6.5–8.5), including 74 samples below 6.5 and one above 8.5. Residual chlorine was not detected in any of the samples. Health risk assessment indicated potential non-carcinogenic risks associated with nitrate exposure, particularly among infants and children. Conclusions: The study demonstrates significant microbial contamination and nitrate-related health risks in the study area, particularly in North Gonja. Interventions such as improved source protection, routine water quality monitoring, chlorination, household water treatment, and implementation of Water Safety Plans are recommended to enhance drinking water safety and reduce associated public health risks. Full article

Oral squamous cell carcinoma (OSCC) frequently develops within chronically injured oral mucosa and may be preceded by clinically recognizable oral potentially malignant disorders (OPMDs), which provide an important window for cancer interception. This review examines how etiological exposures, persistent inflammation, and lesion-specific epithelial–stromal–immune interactions cooperate during the transition from mucosal injury to dysplasia, carcinoma in situ, and invasive OSCC. Major carcinogenic exposures, including tobacco, alcohol, and areca nut, are considered together with context-dependent contributors such as microbial dysbiosis, viral infection, and immune-mediated epithelial injury. At the molecular level, inflammation-driven oral carcinogenesis involves cytokine and chemokine amplification, oxidative and nitrosative stress, NF-κB and STAT3 activation, the COX-2/PGE₂ axis, genomic instability, field cancerization, epithelial–stromal crosstalk, angiogenesis, immune dysregulation, and epigenetic and non-coding RNA-mediated reprogramming. Emerging tools such as molecular risk assessment, liquid biopsy, optical imaging, spatially resolved profiling, and artificial intelligence-assisted models may improve identification of high-risk lesions, although most biomarkers require further prospective validation. Prevention should therefore integrate exposure control, biopsy-based diagnosis, local treatment when indicated, long-term surveillance, and trial-based precision strategies according to lesion risk, intervention window, and safety profile. This review supports a shift from lesion-centered management toward risk-adapted precision prevention in inflammation-driven oral carcinogenesis. Full article

Heavy metal(loid) pollution in watersheds surrounding mining areas originates from multiple and complex sources, posing persistent threats to terrestrial–aquatic ecosystems and human dietary safety. This study systematically investigated the pollution characteristics, spatial distribution, ecological risks and human health hazards of seven typical heavy metal(loid)s (As, Pb, Cr, Cd, Cu, Zn, and Ni) in the integrated water–soil–vegetable continuum of a mining-affected watershed in Southwest China. Field sampling was carried out in three functional zones with different mining disturbance intensities, and inductively coupled plasma mass spectrometry (ICP-MS) was used to detect heavy metal(loid) concentrations in all samples. Multiple pollution evaluation indices and the USEPA human health risk assessment model were adopted for comprehensive quantitative analysis. The results showed that 44.0% of surface water samples exceeded national permissible limits, with high-pollution areas concentrated in intensive mining zones, presenting moderate overall aquatic heavy metal(loid) pollution. Although the average concentrations of seven heavy metal(loid)s in riparian soils complied with Chinese agricultural soil screening standards, localized significant enrichment was observed for As (1.98 times), Cd (4.62 times), Cu (1.81 times), and Zn (2.72 times) compared with regional background values, causing mild comprehensive soil pollution. Farmland soils exhibited prominent Cu and Zn accumulation, and leafy vegetables in the study area suffered severe Pb and Cd pollution, with potential dietary exposure risks. Health risk assessment indicated that children face higher non-carcinogenic and carcinogenic risks than adults via soil hand-to-mouth exposure; dietary intake of vegetables leads to moderate carcinogenic risks for children caused by As and Ni exposure. Overall, this study clarifies the migration and enrichment rules of heavy metal(loid)s in the water–soil–vegetable system of mining watersheds, confirms the prominent ecological and human health risks of Cd, As and Pb in the study area, and provides targeted basic data for regional heavy metal(loid) pollution prevention and food safety management. Full article

Areas where mining activities overlap with agricultural production may promote the mobilization of potentially toxic elements (PTEs) into soils and water resources, thereby creating exposure pathways for populations living or working in these environments. This study analyzes the concentration of PTEs in agricultural soils and irrigation water from Santa Rosa, southern Ecuador, and assesses the associated health risks for exposed agricultural workers. For this purpose, 35 soil samples were collected from farms and 12 water samples from the irrigation canal during the dry season of 2025. The concentration of PTEs in soil and water was determined using X-ray fluorescence (XRF) and inductively coupled plasma mass spectrometry (ICP-MS), respectively. The PTE concentration in both matrices was compared with the maximum permissible limits (MPL) established by Ecuadorian regulations. Non-carcinogenic hazard indices ($\mathrm{H}\mathrm{I}$) and carcinogenic risk ($\mathrm{T}\mathrm{C}\mathrm{R}$) were estimated following the U.S. EPA methodology. In soil, As and Cr were the PTEs of greatest concern, exceeding the MPL in 93% of the samples and by up to 4.4 and 2.4 times, respectively, while in water, all PTEs were below the MPL. Non-carcinogenic risk was below the recommended limit for soil and water ($\mathrm{H}{\mathrm{I}}_{\mathrm{s}\mathrm{o}\mathrm{i}\mathrm{l}}$ = 3.00 × 10⁻² and $\mathrm{H}{\mathrm{I}}_{\mathrm{w}\mathrm{a}\mathrm{t}\mathrm{e}\mathrm{r}}$ = 2.00 × 10⁻³), with As as the dominant contributor. Cancer risk was tolerable in soil ($\mathrm{T}\mathrm{C}{\mathrm{R}}_{\mathrm{s}\mathrm{o}\mathrm{i}\mathrm{l}}$ = 4.34 × 10⁻⁵), while in water it remained at a low level ($\mathrm{T}\mathrm{C}{\mathrm{R}}_{\mathrm{w}\mathrm{a}\mathrm{t}\mathrm{e}\mathrm{r}}$ = 1.65 × 10⁻⁶). These findings identify As and Cr as priority contaminants and support targeted monitoring and source-control measures in mining-influenced agricultural areas. Overall, by integrating agricultural soil and irrigation water quality with an occupational health risk assessment in Santa Rosa, this study contributes evidence to support future research in mining–agriculture coexistence areas. Full article

The incidence of cancer in young adults has risen worldwide. Women comprise a disproportionate share of young-onset cases, among whom breast cancer predominates. This shift parallels globalization and urbanization, including the wider adoption of Western-pattern diets. Although hereditary syndromes explain a minority of cases, the secular rise underscores the impact of modifiable exposures, particularly diet. Prenatal life, neonatal life, childhood, adolescence, and early adulthood are critical periods during which dietary exposures may shape long-term mammary development. Mammary tissue undergoes rapid proliferation and differentiation during development, creating windows of heightened susceptibility to carcinogenic insults. However, most existing studies emphasize dietary exposures during a single developmental period; the entire span of critical developmental windows plays a formative role in shaping young-onset breast cancer (YoBC) risk, and the mechanisms underlying this life-course shaping remain insufficiently characterized. This review comprehensively synthesizes evidence on how nutrition across sensitive developmental windows shapes the risk of YoBC. We evaluate protective and adverse dietary factors within these stages and examine mechanistic pathways linking early-life nutrition to carcinogenesis, focusing on hormonal regulation, epigenetic programming, chronic inflammation, and the gut microbiome. A structured literature search was conducted in PubMed, Embase, and Web of Science for English-language articles published from 1990 through May 2026, supplemented by hand-searching of relevant reviews and key primary studies. By framing nutrition and breast cancer through a life-course lens, this review provides an integrated foundation for stage-specific prevention strategies and identifies priority directions for future research on early-life dietary determinants of YoBC. Full article

Atmospheric wet deposition represents a major pathway for the transfer of organic micropollutants into terrestrial and aquatic ecosystems. This study investigates the occurrence and spatial distribution of polycyclic aromatic hydrocarbons (PAHs), phthalate esters (PAEs), and BTEX compounds in rainwater across Northern Serbia (Vojvodina region). Rainwater samples were collected during the 2025–2026 heating season at three locations: a petrochemical site in Kikinda, a traffic- and residentially influenced site in Sremska Mitrovica, and an urban background site in Sombor. Total concentrations showed pronounced spatial variability, with the highest ΣBTEX and ΣPAE levels recorded in Kikinda (∑BTEX = 2.818 μg L^∑1; ∑PAE = 0.930 μg L^∑1). Diagnostic ratios identified a dominant petrogenic signature in Kikinda (LMW/HMW > 1), while pyrogenic sources prevailed in Sremska Mitrovica and Sombor ((Fla/Fla + Pyr) > 0.5). BTEX profiles across all sites were characterised by the absence of benzene and elevated toluene and xylene levels (B/T ≈ 0; T/X > 1). Health risk assessment indicated an acceptable but non-negligible carcinogenic risk from PAHs, particularly for children in industrial areas. These findings highlight the role of precipitation as an efficient scavenger of organic pollutants and emphasise the need for integrated atmospheric–hydrological monitoring frameworks in industrialised regions. Full article

Oncogenic viruses are responsible for between 12% and 20% of human cancers worldwide. They trigger tumorigenesis by integrating into host-cell genomes, altering cell cycle pathways, and evading immune detection. Oncoviral cancers exhibit low rates of mutation, implicating alternative splicing as an underappreciated alternative mechanism for oncogene and oncogenic pathway activation in oncoviral pathogenesis and progression. In order to create alternatively spliced viral proteins for replication and viral genome maintenance, oncoviruses take advantage of host-cell splicing machinery. Some of these proteins inhibit major host-cell tumor suppressors to promote the proliferation of DNA-damaged host-cells in order to facilitate persistent infection, whilst others interact with and de-regulate the expression and activity of host-cell splicing factors to alter host transcript splice site selection. The latter reprograms host-cell transcriptomes to express aberrant, sometimes oncogenic protein isoforms, which interact with oncoviral proteins to promote host-cell transformation and subsequent tumor progression to metastatic disease. In this article, we review oncovirus-induced alternative splicing as a fundamental, underappreciated, oncogenic and tumor-promoting mechanism. We compare how different oncoviruses hijack host-cell splicing mechanisms and how specific aberrant alternatively spliced host-cell protein isoforms, induced by different oncoviruses, influence tumor pathogenesis and progression, organized with respect to the hallmarks of cancer. We follow this with more detailed descriptions of each individual oncovirus and a section on therapeutic perspectives. This approach not only crystallizes the complexity of how oncovirus-induced host-cell alternative splicing can influence cancer pathogenesis and progression but also reveals novel potential therapeutic opportunities. Full article

Excessive fluoride intake from drinking water remains a public health concern in geogenic high-fluoride regions, yet direct evidence linking environmental fluoride levels to internal exposure in remote high-altitude areas is limited. This study integrated environmental monitoring with human biomonitoring to assess fluoride exposure and health risks in the Taruo Lake region of the Tibetan Plateau. Surface water (n = 45 for Taruo Lake; n = 8 for its tributaries) and groundwater samples (n = 4) were collected and analyzed for fluoride concentrations, and blood ionic fluoride (BIF) levels were measured in 122 local residents (47 adults, 75 children). The results showed that fluoride concentrations in most surface water tributaries of Taruo Lake and groundwater sources were below China’s drinking water standard, whereas those in Taruo Lake exceeded this limit (routine monitoring mean 2.54 mg/L; multi-site mean 2.79 mg/L). BIF levels were significantly higher in adults (0.126 ± 0.041 mg/L) than in children (0.075 ± 0.032 mg/L) and showed a positive correlation with age (r = 0.533, p < 0.001). Notably, 23.4% of adults and 1.3% of children exceeded 0.15 mg/L, an empirical threshold typical for healthy populations in non-endemic areas. Based on the hazard quotient (HQ) model recommended by the US EPA, most drinking water sources posed acceptable non-carcinogenic risks (HQ < 1). In contrast, Taruo Lake water presented an elevated risk (HQ > 1) in 2024 primarily due to the regional geological background, and although not used for daily drinking, this finding offers an indicative reference for local water management and risk prevention. This preliminary monitoring and biomonitoring assessment provides baseline data for future studies and underscores the necessity of continuous surveillance and evaluation of total dietary fluoride intake to protect the health of this vulnerable high-altitude population. Full article

Per- and polyfluoroalkyl substances (PFASs) present a critical challenge to global public health and environmental integrity due to the exceptional stability of the carbon–fluorine (C–F) bond. This review synthesizes current knowledge on PFAS physicochemical properties, exposure pathways, and toxicological outcomes, while evaluating global regulatory efficacy. A central problem addressed in this review is the widening discrepancy between rigid, yet deeply fragmented, international regulatory frameworks and the increasingly complex, non-linear epidemiological data regarding PFAS health risks. While historical paradigms focused heavily on direct carcinogenicity, recent high-resolution data reveal significant heterogeneity and methodological inconsistencies in cancer links. Instead, robust evidence points to severe systemic toxicities—including hepatotoxicity, immunotoxicity, and maternal–fetal disruptions—frequently driven by mixture co-exposures and sex-specific metabolic dimorphisms. Furthermore, the industrial transition to short-chain substitutes has inadvertently compounded the crisis due to their high environmental mobility and resistance to conventional water treatment. By critically evaluating these toxicological and regulatory contradictions, this review demonstrates that current substance-by-substance legislative models fail to mitigate real-world pollution trends. Ultimately, we emphasize the urgent need to transition to holistic mixture modeling, implement unified class-based global regulations, and accelerate advanced destructive remediation technologies to mineralize the resilient C–F bond. Full article

Acrylamide (AA) is a contaminant with carcinogenic and genotoxic properties that occur in heat-produced food products. This study aimed to evaluate the occurrence of AA in different coffee products commercially sold in retail markets of Costa Rica and to develop a probabilistic exposure assessment model to assess the potential human health risk due to its consumption. The average AA concentration in the coffee samples analyzed (n = 110) was 110.29 ± 151.61 µg kg⁻¹. The mean dietary exposure (DE) values, for the middle-bound (MB) approach, varied from 0.025 to 0.083 µg kg⁻¹ BW per day. The margin of exposure (MOE) was calculated with a BDML₁₀: 430 μg kg⁻¹ BW day⁻¹ for neurotoxicity and 170 μg kg⁻¹ BW day⁻¹ for cancer effect, according to EFSA (2015). No neurotoxicity risk was identified as MOE values ranged from 4291 to 467,984 for the adult male population, from 4566 to 477,203 for the adult females, from 4265 to 506,062 for the male minors and from 2512 to 495,151 for the female minors. On the other hand, MOE values for the carcinogenic risk were below 10,000 for the mean and P95th coffee consumers, denoting a possible health concern. The values ranged from 1696 to 6717 for the adult male population, from 1805 to 7201 for the female adults, from 1686 to 6304 for the male minors and from 993 to 2155 for the female minors. The mean incremental lifetime cancer risk (ILCR) values for male adult, female adult, male minor, and female minor were 1.7 × 10⁻⁵, 1.6 × 10⁻⁵, 1.9 × 10⁻⁵, and 3.9 × 10⁻⁵, respectively, for the MB approach. These results denote a potential or considerable risk in consumption of coffee due to AA intake. Thus, no neurotoxicity risk was identified; however, a potential carcinogenic risk was observed based on MOE and ILCR results. Full article

Polycyclic aromatic hydrocarbons (PAHs) in farmland soils pose potential ecological and human health risks, yet their contamination characteristics and source-related risks in farmland soils across different river basins in China remain insufficiently understood. This present study analyzed 84 farmland soil samples from northeast (primarily the middle and lower reaches of the Songhua River and Liao River basin), central (primarily the middle reaches of the Yellow River basin and Dongting Lake system), northwest (primarily the middle and upper reaches of the Yellow River and Yarlung Zangbo River basin), and southern (primarily the upper reaches of the Pearl River and Yangtze River basin) China in order to assess the contamination characteristics, sources, ecological risks, and human health risks associated with 16 US EPA priority PAHs in the samples. The findings suggest that the 16 aggregate PAHs’ concentrations in Chinese farmland soils varied from 63.9 to 9637.7 μg/kg, with an average of 1919.3 μg/kg. A gradual decline was observed from north to south, with dibenz[a,h]anthracene (DahA) accounting for the highest proportion at 14.3%. Correlation analysis, principal component analysis, and positive matrix factorization jointly indicated that fossil fuel combustion, high-temperature combustion, and traffic-related emissions were the main PAH inputs to farmland soils. The results of the ecological risk assessment indicated that the northeastern region exhibited the highest PAH ecological risk, with 41.2% of sample plots demonstrating severe PAH contamination. Conversely, the southern region exhibited the lowest PAH ecological risk, with 73.9% of the sample plots demonstrating no ecological risk. The human health risk assessment found that non-carcinogenic risks for both children and adults were within safe limits, while carcinogenic risks for both groups were relatively high. DahA was identified as the primary carcinogen, accounting for 45.9% and 70.3% of the total carcinogenic risk for children and adults, respectively. Oral ingestion was the primary route of exposure. This study provides an integrated basin-scale assessment of PAH contamination and source-related risks in Chinese farmland soils, supporting targeted management of PAH inputs in agricultural environments. Full article

Background: In May 2011 the IARC (International Agency for Research on Cancer) classified radiofrequency electromagnetic fields as a possible human carcinogen mainly based on epidemiological studies about the association between mobile phone (MP) use and brain tumors. Considering that brain tumors have long latencies of around 30 years, it is unlikely that this association is due to an ‘initiating’ activity of MPs since virtually all studied brain tumor cases must have had already a covertly growing tumor when they started MP use. But there could be other adverse effects exerted by a MP when acting on later stages of malignant development. We propose that MP use acts adversely by increasing tumor growth rate and model it by an impact on the latency distribution shifting the age-incidence function to younger age. Methods: We calculate (1) relative risks (RRs) for MP use in comparison to the meta-analytic RR estimate for glioma in adults; (2) RRs for neuroepithelial childhood brain tumors in comparison to the findings of the MOBIkids study; and (3) hazard ratios in comparison to the results of the Million Women Study (MWS). Results: The meta-analytical odds ratio for glioma and long-term MP use in adults of 1.22 (95% confidence-interval: 1.02–1.46) could be explained by a shift in the age-incidence function by 32% of MP usage duration. Applying a 20% shift for childhood neuroepithelial brain tumors reproduced the ORs that were predominantly less than 1 in the MOBIkids study. For glioma risk in perimenopausal women in relation to long-term MP use in the MWS we found hazard-ratios close to 1 applying a 32% shift in the age-incidence function. Conclusions: The standard interpretation of relative risk estimates must be revised if exposure to the agent commenced after the malignant development has already started. All reported RR estimates of MP use can be reproduced by positing MP use increased tumor growth rate. However, since these results are obtained applying a modeling approach, further tests using epidemiological methods, which will be difficult or hardly feasible, or utilizing more promising laboratory methods are needed. Full article

Electrification of public transit is central to sustainable urban development, yet it introduces passenger exposure to extremely low-frequency magnetic fields (ELF-MFs), which the International Agency for Research on Cancer (IARC) classifies as possibly carcinogenic to humans (Group 2B). This study presents a systematic cross-platform comparison of ELF-MF exposure in direct current (DC) light rail and alternating current (AC) heavy rail systems operating under a single national regulatory framework. A total of 9100 continuous measurements were collected across 28 trips on the Tel Aviv Red Line light rail transit (1500 V DC) and the Israel Railways Tel Aviv–Binyamina corridor (25 kV, 50 Hz AC) during 23–26 November 2025, using calibrated Tenmars TM-192D gaussmeters. Mean passenger seat magnetic flux density was 0.226 ± 0.147 µT (2.26 ± 1.47 mG) for the DC system and 0.900 ± 0.606 µT (9.00 ± 6.06 mG) for the AC system. The difference was highly significant (Welch’s t = −73.06, p < 0.001). DC light rail exposure remained consistently below Israel’s precautionary 0.4 µT (4 mG) threshold for continuous public exposure, whereas AC heavy rail mean levels exceeded this threshold in every monitored trip while remaining far below ICNIRP general public reference levels. These findings highlight a “Green Dilemma” in sustainable transport policy: the environmental benefits of rail electrification must be balanced with prudent electromagnetic exposure management in jurisdictions applying strict precautionary limits. Full article

Endocrine-disrupting chemicals (EDCs) are important environmental risk factors for urogenital malignancies, but the shared molecular mechanisms underlying their carcinogenic effects remain poorly understood. Here, we systematically investigated the common pro-tumorigenic mechanisms of 12 prevalent EDCs, including anthracene, benzo[a]pyrene (BaP), bisphenol A, clofenotane, di(2-ethylhexyl) phthalate, diazinon, dibutyl phthalate, glyphosate, malathion, perfluorooctanoic acid, polychlorinated biphenyls, and triclosan, across four urogenital cancers, including bladder cancer (BLCA), renal cell carcinoma (RCC), prostate adenocarcinoma (PRAD), and testicular germ cell tumor (TGCT). By integrating network toxicology and protein–protein interaction analysis, we identified shared hub targets linking EDC exposure to tumor progression. EGFR and CASP3 were identified as core targets in BLCA, EGFR and CASP9 in RCC, and CASP3, ESR1, and EGFR in PRAD, whereas KIT emerged as a broadly relevant target in TGCT. Molecular docking and molecular dynamics simulations supported the stable binding of EDCs to these targets. Among the predicted interactions, BaP showed strong binding affinity for CASP9 (ΔG = −9.8 kcal/mol) and was therefore selected for experimental validation. Analysis of TCGA data showed that elevated CASP9 expression was significantly associated with poorer overall survival in patients with RCC. In 786-O and ACHN cells, chronic exposure to an environmentally relevant concentration of BaP significantly increased CASP9 protein stability without altering its mRNA expression, suggesting post-transcriptional regulation. Collectively, these findings identify shared molecular targets of EDCs across urogenital cancers and provide new mechanistic insight into EDC-driven tumor progression, prioritizing potential biomarkers and therapeutic targets for environmentally related malignancies. Full article

More than 500 unreclaimed mines and about 1100 associated waste sites remain on the Navajo Nation as a result of uranium (U) mining. This study evaluated the impact of U-mining water contamination in a region of Northwestern New Mexico. The goal of this study was to determine historical baseline concentrations of selected metal(loid)s: those found to be highly associated with cancer (arsenic (As), cadmium (Cd), lead (Pb)) and other associated metals: cesium (Cs), molybdenum (Mo), selenium (Se), thorium (Th), U, and vanadium (V), using inductively coupled plasma-mass spectrometry. Cadmium drinking water concentrations (10.64 μg/L) exceeded the United States Environmental Protection Agency Maximum Contaminant Levels (MCLs) of 5 μg/L. Overall, water mean concentration levels were 11.04 μg/L of Pb, 4.21 μg/L of As, 3.53 μg/L of U, 278.67 μg/L for Mo, 21.70 μg/L for V, 2.39 μg/L for Cs, and 7.75 μg/L for Se. These findings underscore the importance of improving access to safer water sources and highlight the need for continued environmental monitoring and research on exposure pathways associated with carcinogenicity and other negative health outcomes. Full article