Coal-mining has a negative impact on human health and causes irreparable damage to natural ecosystems (Feng et al., 2020). Studying the cytotoxic and genotoxic effects of coal-mining on exposed populations should be a relevant issue for understanding the agents released into the environment and their consequences on organisms (León et al., 2007; León-Mejia et al., 2011; Rohr et al., 2013; Zocche et al., 2013).
In this study, the results showed a significant increase in MN, NPB, and NBUD in the exposed group compared with the control group. Several studies have demonstrated the genotoxic risk due to chronic exposure to coal-mining (Rohr et al., 2013; Sinitsky et al., 2017; Souza et al., 2021). In our findings, the frequency of APOP was also significant. When DNA damage is tolerable, it can lead to different responses, such as cell cycle arrest and DNA repair; however, when the damage is excessive or irreparable, it can lead to cell death to counteract the damage caused by carcinogens (Jarvis et al., 2014; Matt and Hofmann, 2016). Regarding the NDI biomarker, which measures cytostasis and the proliferative state of the viable cell fraction, no significant differences were observed between the exposed and non-exposed groups (León-Mejía et al., 2019; Quintana-Sosa et al., 2021).
In this study, a significant increase in the concentration of DNA/RNA bases was detected; creatinine, polysaccharides and fatty acids in the urine of the population exposed to coal mining compared to the control group. These alterations can be attributed to the complex mixture released during coal-mining activities to which the inhabitants of that region are continuously exposed (León-Mejía et al., 2014). Compounds such as metals (Angelé-Martínez et al., 2014), PAHs (Lin et al., 2022), oxides (Liou et al., 2017) have the capacity to induce the formation of ROS, in addition the inhalation of these particles can induce inflammatory effects in the lung, which leads to oxidative damage in macromolecules such as proteins (de Oliveira Alves et al., 2020), lipids (Niu et al., 2020) and nucleic acids (Niu et al., 2020). The increase in biomarkers detected may be related to the oxidation of these macromolecules which leads to cell death and its elimination can be evidenced in the urine.
Regarding sexual differences, in the CBMN-Cyt assay, women had a significantly higher frequency of MN than men. Several studies corroborate the high frequencies of MN in women due to multiple factors, such as X chromosome inactivation. Women have two copies of the chromosome compared with men who have only one copy, and it is probably lost as MN in relation to other chromosomes (Donmez-Altuntas and Bitgen, 2012; Fenech and Bonassi, 2011; Gajski et al., 2018) and hormonal effects, which contribute to further DNA oxidative damage and cancer development (Hsu et al., 2010; Zhang et al., 2022).
In the BM-Cyt assay, the results revealed no significant difference in MN formation between the exposed and control groups. The frequency of the formation of micronuclei is lower in the oral mucosa than in peripheral blood (Bonassi et al., 2011; Holland et al., 2008). However, a significant increase in NBUD formation was found. NBUD formation indicates gene amplification, and this has great biological relevance if we consider that the number of copies of a part of the genome is increased, which leads to a greater expression of the genes located in the amplified region, and that this plays an important role in the development of cancer (Mondello et al., 2010).
Additionally, significant increases in the biomarkers of cell death, including KRX, KRL, and CC, and in cytokinesis were found in BN cells. Similar results were obtained in other studies, such as the studies by Rohr et al. (2013), León-Mejia et al. (2014), and Anlar et al. (2019). It is to be assumed that when there is an increase in cell death, the organism attempts to meet that need and cell proliferation increases, which results in many cases these cells becoming defective due to alterations in cell division and signaling proteins (Petsalaki and Zachos, 2020). Interestingly, a significant correlation was found between APOP frequency in lymphocytes and KRX in buccal cells, which can indicate that cell death has a systemic effect, regardless of the tissue (Fenech et al., 2011).
The analysis of the sociodemographic characteristics of the participants showed a significant correlation between CBMN-Cyt-NBUD and vitamin consumption, between CBMN-Cyt-MN and meat consumption, and between CBMN-Cyt-APOP and meat consumption. In the analysis of the BM-Cyt biomarkers, a significant correlation was found between BM-Cyt-KRL and vitamin consumption and between BM-Cyt-BN and alcohol consumption. As observed, the low consumption of vitamins is an unfavorable factor because many of these compounds are cofactors for proteins involved in the repair of genetic damage (Fenech and Bonassi, 2011). Fruits and vegetables are rich in antioxidant cytoprotective components that can counteract the action of ROS and protect cells against oxidant-induced damage (Fenech and Bonassi, 2011; Gajski et al., 2018). Furthermore, the general population has considerable consumption of red and fatty meats. Red meat is an important source of N-nitroso compounds and that these compounds can induce oxidative damage to DNA, increasing the risk of cancer (León-Mejía et al., 2019, p.; Steinberg, 2019).
It is also important to mention that the population had low socioeconomic status, unbalanced eating habits, and considerable alcohol consumption. Alcohol consumption can cause DNA damage and is considered a risk factor for cancer (Fenech and Bonassi, 2011; Rumgay et al., 2021).
As could be seen in the results, the average exposure time was 20.8 years, a time that shows a high chronic exposure and can be fundamentally associated with the effects found in individuals who live in this locality. Finally, this study demonstrated that these biomarkers can be used as early predictors of carcinogenesis, and these results contribute to the discussion on the effects of coal-mining from the perspective of implementing prevention strategies in populations exposed to pollutants in developing countries.