Human serum paraoxonase gene polymorphisms and association with chronic symptoms of pesticide toxicity in Indian farmers

The association between PON1 (serum paraoxonase) genotype and symptoms of pesticide toxicity was examined in a total of 268 farm workers in Andhra Pradesh, India. Approximately 140 of the farm workers who did not report at least two of the symptoms of chronic toxicity, such as abdominal pain, nausea, dizziness, headache, drowsiness, fatigue, tremors of fingers, numbness, or limb weakness were categorized as controls. The remaining 128 farmers showed 2 or more of the above symptoms. All the farm workers were genotyped for polymorphisms of PON1 gene at amino acid positions 55 (exon 3) and 192 (exon 6). A decrease in the percentage of high-activity genotypes at both L55M and Q192R was observed in the farm workers reporting symptoms of pesticide toxicity. When combined genotype distribution at both exons was analyzed, a marked increase in the percentage of low-activity genotypes LLQQ, LMQQ, MMQQ, and MMQR was also observed in symptomatic farmers compared to controls. Age, working years, smoking, duration of exposure, and alcoholism were not statistically significant when compared to symptoms of chronic toxicity. Our findings suggest that L55M and Q192R gene polymorphisms influence the variable susceptibility of farmers to pesticide; and thus may be considered a useful biomarker of genetic susceptibility in assessing an individual's risk of pesticide exposures.