Salpietro Carmelo D, Gangemi Sebastiano, Minciullo Paola L, Briuglia Silvana, Merlino Maria V, Stelitano Annunziato, Cristani Mariateresa, Trombetta Domenico, Saija Antonella
Operative Unit of Pediatric Genetics and Immunology, School of Medicine, University of Messina, Italy.
J Perinat Med. 2002;30(5):395-9. doi: 10.1515/JPM.2002.061.
The aim of our study was to measure, at delivery, maternal and cord blood cadmium levels (by means of atomic absorption spectrometry) in 45 healthy non-smoking pregnant women exposed to a low cadmium challenge, and to evaluate the relationship between these cadmium levels and the birth weight of the infants. Our results showed fairly low cadmium levels in maternal blood, in accordance with the fact that all women enrolled in this study lived in areas with low toxic metal contamination and that they did not smoke during their pregnancy. Furthermore, a highly significant direct correlation was found between maternal and cord blood cadmium concentrations. Since cadmium concentration appeared of the same order of magnitudine both in cord and maternal serum, one could speculate that cadmium is transferred easily from the mother to the fetus through the placenta. Finally, we found that birth weight is inversely correlated with maternal and cord blood cadmium concentrations; thus birth weight might be negatively influenced by cadmium levels as a result of the toxic effects of the metal on the placenta. Although preliminary, our data show that (also not-predictable) prenatal exposure to even low cadmium levels might be a risk factor for developmental impairment in infants.
我们研究的目的是在分娩时,通过原子吸收光谱法测量45名接触低镉挑战的健康非吸烟孕妇的母血和脐血镉水平,并评估这些镉水平与婴儿出生体重之间的关系。我们的结果显示母血中的镉水平相当低,这与参与本研究的所有女性都生活在有毒金属污染低的地区且孕期不吸烟这一事实相符。此外,母血和脐血镉浓度之间存在高度显著的直接相关性。由于脐带血和母血血清中的镉浓度似乎处于同一数量级,因此可以推测镉很容易通过胎盘从母亲转移到胎儿体内。最后,我们发现出生体重与母血和脐血镉浓度呈负相关;因此,由于金属对胎盘的毒性作用,出生体重可能会受到镉水平的负面影响。尽管我们的数据是初步的,但表明(即使是不可预测的)产前接触即使是低镉水平也可能是婴儿发育受损的一个风险因素。