Vermeulen R, Bos R P, Pertijs J, Kromhout H
Environmental and Occupational Health Division, Institute of Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.
Occup Environ Med. 2003 Feb;60(2):97-103. doi: 10.1136/oem.60.2.97.
To determine the relation of the inhalation and dermal exposure routes and mutagenic activity in the urine of rubber workers (n = 105).
Mutagenic activity of ambient total suspended particulate matter (TSPM), surface contamination wipes, and Sunday and weekday urine samples was assessed with S typhimurium YG1041 in the presence of a metabolic activation system. Each subject was grouped into one of two exposure categories for dermal exposure (high (>/=25 revertants/cm(2)), low (<25 revertants/cm(2))) based on the mutagenic activity detected on likely skin contact surfaces and into two airborne mutagenic exposure categories (high (>/=210 revertants/m(3)), low (<210 revertants/m(3))). The potential influence of skin aberrations and acetylation status (NAT2) on urinary mutagenicity levels was also evaluated.
A non-significant increase of +1605 revertants/g creatinine in urinary mutagenicity during the workweek relative to levels observed on Sunday was observed for the total population. Subsequent multivariate regression analyses, with the subjects' weekday urinary mutagenicity levels as the dependent variable, revealed associations with environmental and mainstream tobacco smoke exposure, with the level of mutagenic contamination on surfaces with which the subjects had likely contact, with the subjects' inhalable particulate exposure level, with observed mild skin aberrations, and when the subjects had a slow acetylation phenotype. Similar associations, although weaker were observed with Sunday urinary mutagenicity levels as well, except for the association with slow acetylation phenotype. Based on measured exposure levels it could be estimated that a high potential for exposure to surface contamination with mutagenic activity increased weekday urinary mutagenicity by about 62% when compared to low exposed workers, while high inhalable particulate exposure levels increased weekday urinary mutagenicity levels by about 21%. Subjects with mild skin aberrations had an additional, non-significant, increase in weekday urinary mutagenic activity compared to subjects without any skin aberrations.
Results suggest that the dermal exposure route may contribute more to the level of genotoxic compounds in urine of rubber workers than the inhalation route. Although the study was limited in size, the results warrant further investigation in the importance of and ways to effectively control the dermal exposure route in the rubber industry.
确定橡胶工人(n = 105)的吸入和皮肤接触暴露途径与尿液中诱变活性之间的关系。
在代谢活化系统存在的情况下,用鼠伤寒沙门氏菌YG1041评估环境总悬浮颗粒物(TSPM)、表面污染擦拭物以及周日和工作日尿液样本的诱变活性。根据在可能的皮肤接触表面检测到的诱变活性,将每名受试者分为皮肤接触暴露的两个类别之一(高(≥25回复突变体/cm²),低(<25回复突变体/cm²)),并分为两个空气传播诱变暴露类别(高(≥210回复突变体/m³),低(<210回复突变体/m³))。还评估了皮肤异常和乙酰化状态(NAT2)对尿液诱变水平的潜在影响。
观察到整个人群在工作日期间尿液诱变活性相对于周日观察到的水平有不显著的增加,每克肌酐增加1605个回复突变体。随后的多变量回归分析以受试者工作日尿液诱变水平作为因变量,揭示了与环境和主流烟草烟雾暴露、与受试者可能接触的表面上的诱变污染水平、与受试者的可吸入颗粒物暴露水平、与观察到的轻度皮肤异常以及受试者具有慢乙酰化表型之间的关联。周日尿液诱变水平也观察到类似的关联,尽管较弱,但与慢乙酰化表型的关联除外。根据测量的暴露水平,可以估计,与低暴露工人相比,具有诱变活性的表面污染的高暴露可能性使工作日尿液诱变率增加约62%,而高可吸入颗粒物暴露水平使工作日尿液诱变水平增加约21%。与没有任何皮肤异常的受试者相比,有轻度皮肤异常的受试者在工作日尿液诱变活性方面有额外的、不显著的增加。
结果表明,皮肤接触暴露途径对橡胶工人尿液中遗传毒性化合物水平的贡献可能比吸入途径更大。尽管该研究规模有限,但结果值得进一步研究橡胶行业中皮肤接触暴露途径的重要性以及有效控制该途径的方法。