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接触六氯苯和八氯苯乙烯的铝铸造工人的卟啉状态

Porphyrin status in aluminum foundry workers exposed to hexachlorobenzene and octachlorostyrene.

作者信息

Seldén A I, Floderus Y, Bodin L S, Westberg H B, Thunell S

机构信息

Department of Occupational and Environmental Medicine, Orebro Medical Centre Hospital, Sweden.

出版信息

Arch Environ Health. 1999 Jul-Aug;54(4):248-53. doi: 10.1080/00039899909602482.

Abstract

The possible interference of hexachlorobenzene and octachlorostyrene (i.e., thermal byproducts from hexachloroethane in aluminum degassing) with porphyrin metabolism was investigated in exposed workers. Urine specimens from 9 male aluminum foundry workers (i.e., smelters) at 6 different companies and from 18 controls-matched for sex, age, residence, and socioeconomic status-were analyzed for total porphyrins and porphyrin isomers. Workers exposed to hexachlorobenzene and octachlorostyrene had a statistically significant increase in urinary total porphyrins, compared with controls (mean +/- standard deviation: 13.63 +/- 11.13 micromol/mol creatinine and 6.24 +/- 3.84 micromol/mol creatinine, respectively; p = .02). The authors attributed the results mainly to differences in excretion of coproporphyrins-notably coproporphyrin III. Erythrocyte uroporphyrinogen decarboxylase activity was similar in both groups. There was a high correlation between levels of hexachlorobenzene and octachlorostyrene, respectively, in plasma and urinary excretion of porphyrins; these findings, however, relied heavily on 1 subject for whom extreme values were obtained. The results indicated that occupational exposure to hexachlorobenzene and octachlorostyrene in aluminum degassing with hexachloroethane may affect porphyrin metabolism in a manner consistent with early secondary coproporphyrinuria-the first recognized step in the development of chronic hepatic porphyria. It was also noted that changes remained detectable some years after exposure ceased.

摘要

研究了六氯苯和八氯苯乙烯(即铝脱气过程中六氯乙烷的热副产物)对接触工人卟啉代谢可能产生的干扰。分析了来自6家不同公司的9名男性铝铸造工人(即冶炼工人)以及18名在性别、年龄、居住地和社会经济地位方面与之匹配的对照者的尿液样本中的总卟啉和卟啉异构体。与对照组相比,接触六氯苯和八氯苯乙烯的工人尿中总卟啉有统计学意义的增加(平均值±标准差:分别为13.63±11.13微摩尔/摩尔肌酐和6.24±3.84微摩尔/摩尔肌酐;p = 0.02)。作者将结果主要归因于粪卟啉排泄的差异——尤其是粪卟啉III。两组的红细胞尿卟啉原脱羧酶活性相似。血浆中六氯苯和八氯苯乙烯水平与尿中卟啉排泄量之间分别存在高度相关性;然而,这些发现很大程度上依赖于1名获得极端值的受试者。结果表明,在使用六氯乙烷进行铝脱气过程中职业接触六氯苯和八氯苯乙烯可能以与早期继发性粪卟啉尿症(慢性肝卟啉症发展中第一个被认识到的阶段)一致的方式影响卟啉代谢。还注意到,接触停止数年之后,变化仍可检测到。

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