title: Adverse health effects in humans exposed to 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD).
abstract: The environmental contaminant 2,3,7,8-tetrachlordibenzo-p-dioxin (TCDD) belongs to the category of highly toxic, persistent organic pollutants that accumulate in animal fat and plant tissues. Today, background TCDD levels in human fat are showing a decreasing trend. The food chain is the main source of exposure in the human population. TCDD regulates the expression of a wide range of drug-metabolizing enzymes and has an impact on a large number of biological systems. The most pronounced effects have occurred in occupational settings following the uncontrolled formation of TCDD after industrial accidents, as well as in rare intentional intoxications. Although the acute effects of TCDD exposure are well described in the literature, the long-term consequences have been underevaluated. The most well-known symptoms of severe acute intoxication are chloracne, porphyria, transient hepatotoxicity, and peripheral and central neurotoxicity. Because of the long-term persistence of TCDD in the human body, atherosclerosis, hypertension, diabetes, vascular ocular changes, and signs of neural system damage, including neuropsychological impairment, can be present several decades after massive exposure. Such chronic effects are nonspecific, multifactorial, and may be causally linked to TCDD only in heavily intoxicated subjects. This opinion is supported by the dose-dependent effect of TCDD found in exposed workers and by experimental animal studies.
authors.affiliation: Department of Occupational Medicine, Ist Medical Faculty, Charles University and General Faculty Hospital, Prague, Czech Republic. daniela.pelclova@LF1.cuni.cz
authors.forename: Daniela
authors.initials: D
authors.lastname: Pelclová
authors.forename: Pavel
authors.initials: P
authors.lastname: Urban
authors.forename: Jan
authors.initials: J
authors.lastname: Preiss
authors.forename: Edgar
authors.initials: E
authors.lastname: Lukás
authors.forename: Zdenka
authors.initials: Z
authors.lastname: Fenclová
authors.forename: Tomás
authors.initials: T
authors.lastname: Navrátil
authors.forename: Zora
authors.initials: Z
authors.lastname: Dubská
authors.forename: Zdenka
authors.initials: Z
authors.lastname: Senholdová
mesh_terms: D050197:Atherosclerosis / Q000139:chemically induced; D003920:Diabetes Mellitus / Q000139:chemically induced; D004781:Environmental Exposure / Q000009:adverse effects*; D004785:Environmental Pollutants / Q000633:toxicity*; D005128:Eye Diseases / Q000139:chemically induced; D006801:Humans; D006973:Hypertension / Q000139:chemically induced; D009422:Nervous System Diseases / Q000139:chemically induced; D000072317:Polychlorinated Dibenzodioxins / Q000633:toxicity*
chemical_list: D004785:Environmental Pollutants; D000072317:Polychlorinated Dibenzodioxins