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Biomarkers. 2021 Nov;26(7):656-664. doi: 10.1080/1354750X.2021.1970809. Epub 2021 Sep 02.

Characterization of the association between cigarette smoking intensity and urinary concentrations of 2-hydroxyethyl mercapturic acid among exclusive cigarette smokers in the National Health and Nutrition Examination Survey (NHANES) 2011-2016.

Biomarkers : biochemical indicators of exposure, response, and susceptibility to chemicals

Brandon M Kenwood, Caitlyn McLoughlin, Luyu Zhang, Wanzhe Zhu, Deepak Bhandari, Víctor R De Jesús, Benjamin C Blount

Affiliations

  1. Tobacco and Volatiles Branch, Division of Laboratory Sciences, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.

PMID: 34409911 PMCID: PMC8517914 DOI: 10.1080/1354750X.2021.1970809

Abstract

BACKGROUND: 2-Hydroxyethyl mercapturic acid (2HEMA, N-acetyl-S-(2-hydroxyethyl)-L-cysteine) is a urinary metabolite of several volatile organic compounds including acrylonitrile and ethylene oxide, which are found in cigarette smoke.

METHODS: We measured 2HEMA concentrations in urine specimens collected during the National Health and Nutrition Examination Survey (2011-2016) from eligible participants aged >12 years (

RESULTS: We detected 2HEMA in 85% of samples tested among exclusive cigarette smokers, and only 40% of specimens from non-smokers. When compared to exclusive cigarette smokers who smoked 1-9 CPD, smoking 10-19 CPD was associated with 36% higher 2HEMA (

CONCLUSIONS: This study demonstrates that cigarette smoking intensity is associated with higher urinary 2HEMA concentrations and is likely a major source of acrylonitrile and/or ethylene oxide exposure.

Keywords: N-acetyl-S-(2-hydroxyethyl)-L-cysteine; acrylonitrile; biomonitoring; ethylene oxide; tobacco smoke exposure; vinyl chloride

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