BackgroundExposure to disinfection by-products (DBPs) in drinking water has been associated with cancer risk. A recent study (Villanueva et al. 2007; Am J Epidemiol 165:148–156) found an increased bladder cancer risk among subjects attending swimming pools relative to those not attending.ObjectivesWe evaluated adults who swam in chlorinated pools to determine whether exposure to DBPs in pool water is associated with biomarkers of genotoxicity.MethodsWe collected blood, urine, and exhaled air samples from 49 nonsmoking adult volunteers before and after they swam for 40 min in an indoor chlorinated pool. We estimated associations between the concentrations of four trihalomethanes (THMs) in exhaled breath and changes in micronuclei (MN) and DNA damage (comet assay) in peripheral blood lymphocytes before and 1 hr after swimming; urine mutagenicity (Ames assay) before and 2 hr after swimming; and MN in exfoliated urothelial cells before and 2 weeks after swimming. We also estimated associations and interactions with polymorphisms in genes related to DNA repair or to DBP metabolism.ResultsAfter swimming, the total concentration of the four THMs in exhaled breath was seven times higher than before swimming. The change in the frequency of micronucleated lymphocytes after swimming increased in association with higher exhaled concentrations of the brominated THMs (p = 0.03 for bromodichloromethane, p = 0.05 for chlorodibromomethane, p = 0.01 for bromoform) but not chloroform. Swimming was not associated with DNA damage detectable by the comet assay. Urine mutagenicity increased significantly after swimming, in association with the higher concentration of exhaled bromoform (p = 0.004). We found no significant associations with changes in micronucleated urothelial cells.ConclusionsOur findings support potential genotoxic effects of exposure to DBPs from swimming pools. The positive health effects gained by swimming could be increased by reducing the potential health risks of pool water.

Swimming and hot tub bathing are popular exercises and diversions. Disinfection of recreational pools is essential to prevent outbreaks of infectious disease. Recent research demonstrated an association between the application of disinfectants to recreational pools and adverse health outcomes. These pool waters represent extreme cases of disinfection that differ from disinfecting drinking waters. Pool waters are continuously exposed to disinfectants over average residence times extending to months. Disinfection byproduct (DBP) precursors include natural humic substances plus inputs from bathers through urine, sweat, hair, skin, and consumer products including cosmetics and sunscreens. This study presents a systematic mammalian cell genotoxicity analysis to evaluate different recreational waters derived from a common tap water source. The data demonstrated that all disinfected recreational pool water samples induced more genomic DNA damage than the source tap water. The type of disinfectant and illumination conditions altered the genotoxicity of the water. Accordingly, care should be taken in the disinfectant employed to treat recreational pool waters. The genotoxicity data suggest that brominating agents should be avoided. Combining chlorine with UV may be beneficial as compared to chlorination alone. During the recycling of pool water the organic carbon could be removed prior to disinfection. Behavior modification by swimmers may be critical in reducing the genotoxicity of pool water. Actions such as showering before entering the water and informing patrons about the potential harm from urinating in a pool could reduce the precursors of toxic DBPs.

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In general, water for human consumption is chemically disinfected, usually by adding chlorine. As well as producing safe drinking water however, the chlorine treatment, also results in a number of disinfection byproducts (DBPs). One important class of these DBPs is made up of hydroxyfuranones (HFs). In this article, we report the results of a recent investigation to assess the genotoxicity of two HFs, namely mucobromic acid (MBA) and mucochloric acid (MCA), in cultured human cells. The comet assay is used to measure the induction of primary DNA damage and to determine the DNA repair kinetics and the ability of the tested compounds to cause oxidative damage. In addition, the micronucleus (MN) assay is applied to evaluate chromosome damage. The results of the comet assay reveal that both HFs are clearly genotoxic leading to high levels of DNA breaks, and that MBA is more effective than MCA. According to the comet results, the DNA damage induced by MBA repairs well over time, but not the one induced by MCA. Furthermore, HFs produce high levels of oxidized bases. In contrast, the results from the MN assay, which measures the induction of clastogenic and/or aneugenic effects, are mainly negative for the two HFs tested, although MCA is able to increase significantly the frequency of micronuclei in binucleated TK cells, at the concentration of 10 microM.