Seaton C L, Lasman J, Smith D R
Environmental Toxicology, University of California, Santa Cruz, California, 95064, USA.
Toxicol Appl Pharmacol. 1999 Sep 15;159(3):153-60. doi: 10.1006/taap.1999.8725.
Studies have demonstrated the efficacy of CaNa(2)EDTA for reducing lead (Pb) levels in blood and soft tissues, including brain. However, a concern remains that a single dose of CaNa(2)EDTA may cause a significant increase in brain Pb levels due to a redistribution of endogenous Pb. Here we utilized a rodent model of Pb exposure in combination with a sensitive stable Pb isotope tracer methodology to assess the effects of CaNa(2)EDTA chelation treatment on the redistribution of Pb in brain, blood, kidney, and bone tissues. Thirty-two adult female albino rats (n = 6-7 animals/group) were exposed to 100 microg Pb/mL in drinking water for 4 weeks. Stable (204)Pb tracer was administered via i.p. injection over 2 days prior to chelation. CaNa(2)EDTA was administered i.p. at a dose of 150 mg/kg/day for 1 to 5 days. Statistical differences were evaluated with univariate ANOVA. Under the Pb exposure and chelation treatment regimens utilized here, there was no evidence of a measurable redistribution of endogenous Pb (as total Pb or labile (204)Pb tracer) into the brain after a single CaNa(2)EDTA dose. Further, CaNa(2)EDTA was not efficacious in measurably reducing brain or bone Pb levels, although brain levels of labile (204)Pb tracer were significantly reduced after 5 days of chelation. CaNa(2)EDTA treatment was effective in significantly reducing both blood and kidney Pb levels. Overall, these data substantiate the efficacy of CaNa(2)EDTA for reducing soft tissue Pb levels, but not total brain Pb, and they do not support concern for a transient increase in brain Pb levels with treatment.
研究已证明CaNa₂EDTA在降低血液和包括脑在内的软组织中的铅(Pb)水平方面具有疗效。然而,仍存在一个担忧,即由于内源性铅的重新分布,单次剂量的CaNa₂EDTA可能会导致脑铅水平显著升高。在此,我们利用铅暴露的啮齿动物模型结合灵敏的稳定铅同位素示踪方法,来评估CaNa₂EDTA螯合治疗对铅在脑、血液、肾脏和骨组织中重新分布的影响。32只成年雌性白化大鼠(每组n = 6 - 7只动物)饮用含100微克Pb/mL的水4周。在螯合治疗前2天通过腹腔注射给予稳定的²⁰⁴Pb示踪剂。以150毫克/千克/天的剂量腹腔注射CaNa₂EDTA,持续1至5天。采用单因素方差分析评估统计学差异。在本文所采用的铅暴露和螯合治疗方案下,没有证据表明单次给予CaNa₂EDTA剂量后内源性铅(作为总铅或不稳定的²⁰⁴Pb示踪剂)会重新分布到脑中。此外,CaNa₂EDTA在显著降低脑或骨铅水平方面无效,尽管螯合5天后脑内不稳定的²⁰⁴Pb示踪剂水平显著降低。CaNa₂EDTA治疗在显著降低血液和肾脏铅水平方面是有效的。总体而言,这些数据证实了CaNa₂EDTA在降低软组织铅水平方面的疗效,但不能降低脑内总铅水平,并且不支持治疗会导致脑铅水平短暂升高的担忧。