Organic solvents as risk factor for autoimmune diseases: a systematic review and meta-analysis.

<h4>Background</h4>Genetic and epigenetic factors interacting with the environment over time are the main causes of complex diseases such as autoimmune diseases (ADs). Among the environmental factors are organic solvents (OSs), which are chemical compounds used routinely in commercial in...

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Main Authors: Carolina Barragán-Martínez, Cesar A Speck-Hernández, Gladis Montoya-Ortiz, Rubén D Mantilla, Juan-Manuel Anaya, Adriana Rojas-Villarraga
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23284705/pdf/?tool=EBI
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author Carolina Barragán-Martínez
Cesar A Speck-Hernández
Gladis Montoya-Ortiz
Rubén D Mantilla
Juan-Manuel Anaya
Adriana Rojas-Villarraga
author_facet Carolina Barragán-Martínez
Cesar A Speck-Hernández
Gladis Montoya-Ortiz
Rubén D Mantilla
Juan-Manuel Anaya
Adriana Rojas-Villarraga
author_sort Carolina Barragán-Martínez
collection DOAJ
description <h4>Background</h4>Genetic and epigenetic factors interacting with the environment over time are the main causes of complex diseases such as autoimmune diseases (ADs). Among the environmental factors are organic solvents (OSs), which are chemical compounds used routinely in commercial industries. Since controversy exists over whether ADs are caused by OSs, a systematic review and meta-analysis were performed to assess the association between OSs and ADs.<h4>Methods and findings</h4>The systematic search was done in the PubMed, SCOPUS, SciELO and LILACS databases up to February 2012. Any type of study that used accepted classification criteria for ADs and had information about exposure to OSs was selected. Out of a total of 103 articles retrieved, 33 were finally included in the meta-analysis. The final odds ratios (ORs) and 95% confidence intervals (CIs) were obtained by the random effect model. A sensitivity analysis confirmed results were not sensitive to restrictions on the data included. Publication bias was trivial. Exposure to OSs was associated to systemic sclerosis, primary systemic vasculitis and multiple sclerosis individually and also to all the ADs evaluated and taken together as a single trait (OR: 1.54; 95% CI: 1.25-1.92; p-value<0.001).<h4>Conclusion</h4>Exposure to OSs is a risk factor for developing ADs. As a corollary, individuals with non-modifiable risk factors (i.e., familial autoimmunity or carrying genetic factors) should avoid any exposure to OSs in order to avoid increasing their risk of ADs.
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spelling doaj.art-e4decee6653e49ae8a56d567e25bba462022-12-21T22:42:05ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-01712e5150610.1371/journal.pone.0051506Organic solvents as risk factor for autoimmune diseases: a systematic review and meta-analysis.Carolina Barragán-MartínezCesar A Speck-HernándezGladis Montoya-OrtizRubén D MantillaJuan-Manuel AnayaAdriana Rojas-Villarraga<h4>Background</h4>Genetic and epigenetic factors interacting with the environment over time are the main causes of complex diseases such as autoimmune diseases (ADs). Among the environmental factors are organic solvents (OSs), which are chemical compounds used routinely in commercial industries. Since controversy exists over whether ADs are caused by OSs, a systematic review and meta-analysis were performed to assess the association between OSs and ADs.<h4>Methods and findings</h4>The systematic search was done in the PubMed, SCOPUS, SciELO and LILACS databases up to February 2012. Any type of study that used accepted classification criteria for ADs and had information about exposure to OSs was selected. Out of a total of 103 articles retrieved, 33 were finally included in the meta-analysis. The final odds ratios (ORs) and 95% confidence intervals (CIs) were obtained by the random effect model. A sensitivity analysis confirmed results were not sensitive to restrictions on the data included. Publication bias was trivial. Exposure to OSs was associated to systemic sclerosis, primary systemic vasculitis and multiple sclerosis individually and also to all the ADs evaluated and taken together as a single trait (OR: 1.54; 95% CI: 1.25-1.92; p-value<0.001).<h4>Conclusion</h4>Exposure to OSs is a risk factor for developing ADs. As a corollary, individuals with non-modifiable risk factors (i.e., familial autoimmunity or carrying genetic factors) should avoid any exposure to OSs in order to avoid increasing their risk of ADs.https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23284705/pdf/?tool=EBI
spellingShingle Carolina Barragán-Martínez
Cesar A Speck-Hernández
Gladis Montoya-Ortiz
Rubén D Mantilla
Juan-Manuel Anaya
Adriana Rojas-Villarraga
Organic solvents as risk factor for autoimmune diseases: a systematic review and meta-analysis.
PLoS ONE
title Organic solvents as risk factor for autoimmune diseases: a systematic review and meta-analysis.
title_full Organic solvents as risk factor for autoimmune diseases: a systematic review and meta-analysis.
title_fullStr Organic solvents as risk factor for autoimmune diseases: a systematic review and meta-analysis.
title_full_unstemmed Organic solvents as risk factor for autoimmune diseases: a systematic review and meta-analysis.
title_short Organic solvents as risk factor for autoimmune diseases: a systematic review and meta-analysis.
title_sort organic solvents as risk factor for autoimmune diseases a systematic review and meta analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23284705/pdf/?tool=EBI
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