Table 1. The multi-component mixtures of PAHs (benzo[a]pyrene (B[a]P), naphthalene (Nap), phenanthrene (Phe), and pyrene (Pyr)) and heavy metal/loid(s) (arsenic (As), cadmium (Cd), lead (Pb)) on activation of Nrf2 antioxidant pathway in ARE reporter-HepG2 cells.
| Chemical mixtures | ECIR1.5 exp (μM) | 95% CI | ECIR1.5 CA (μM) | 95% CI | IPQ | Observed maximum induction ratio |
| Binary mixtures | ||||||
| As + Cd | 0.70 ± 0.24 | 0.09–1.3 | 0.90 ± 0.21 | 0.39–1.4 | 0.29 | 2.4 |
| As + Pb* | 1.63 ± 0.31 | 0.87–2.4 | 2.33 ± 0.21 | 1.8–2.9 | 0.43 | 2.4 |
| Cd + Pb | 2.2 ± 0.44 | 1.17–3.2 | 2.0 ± 0.21 | 1.52–2.6 | –0.09 | 1.7 |
| B[a]P + As | 0.67 ± 0.25 | 0.05–1.3 | 1.04 ± 0.31 | 0.27–1.8 | 0.78 | 3.3 |
| B[a]P + Cd | 0.45 ± 0.16 | 0.04–0.9 | 0.80 ± 0.34 | 0.04–1.7 | 0.81 | 3.0 |
| B[a]P + Pb | 1.11 ± 0.34 | 0.26–2.0 | 2.13 ± 0.25 | 1.5–2.8 | 0.92 | 3.3 |
| B[a]P + Nap | 1.86 ± 0.45 | 0.70–3.0 | 1.76 ± 0.45 | 0.64–2.9 | –0.06 | 2.5 |
| B[a]P + Phe | 2.1 ± 0.74 | 0.25–3.9 | 1.73 ± 0.37 | 0.81–2.7 | –0.21 | 2.4 |
| B[a]P + Pyr | 1.56 ± 0.80 | 0.17–3.5 | 1.88 ± 0.54 | 0.54–3.2 | 0.21 | 3.3 |
| Ternary mixtures | ||||||
| As + Cd + Pb | 1.87 ± 0.55 | 0.50–3.2 | 1.70 ± 0.36 | 0.80–2.6 | –0.09 | 2.3 |
| B[a]P + As + Cd* | 0.45 ± 0.16 | 0.05–0.9 | 0.79 ± 0.19 | 0.29–1.3 | 0.74 | 5.0 |
| B[a]P + As + Pb* | 1.22 ± 0.33 | 0.41–2.0 | 1.77 ± 0.32 | 0.97–2.6 | 0.45 | 3.4 |
| B[a]P + Cd + Pb | 1.00 ± 0.09 | 0.77–1.2 | 1.60 ± 0.27 | 0.93–2.3 | 0.60 | 3.3 |
| B[a]P + Nap + Phe | 1.5 ± 0.16 | 0.02–3.0 | 2.1 ± 0.83 | 0.6–3.5 | 0.39 | 4.4 |
| B[a]P + Nap + Pyr | 1.37 ± 0.23 | 0.13–3.4 | 1.94 ± 0.14 | 0.66–3.2 | 0.42 | 4.7 |
| B[a]P + Phe + Pyr | 1.34 ± 0.22 | 0.02–3.3 | 1.87 ± 0.05 | 1.4–2.33 | 0.40 | 4.8 |
| Quaternary mixtures | ||||||
| B[a]P + As + Cd + Pb* | 0.77 ± 0.12 | 0.46–1.1 | 1.47 ± 0.25 | 0.84–2.1 | 0.91 | 5.1 |
| B[a]P + Nap + Phe + Pyr | 1.96 ± 0.07 | 1.31–2.6 | 2.06 ± 0.29 | 0.14–4.6 | 0.05 | 4.6 |
| All seven chemicals | 2.06 ± 0.40 | 0.18–3.7 | 1.87 ± 0.06 | 1.3–2.4 | –0.09 | 6.0 |