Chlebda Ewa, Antonowicz-Juchniewicz Jolanta, Andrzejak Ryszard
Z Katedry i Zakladu Farmakologii, Akademii Medycznej, Wrocławiu.
Med Pr. 2004;55(5):389-401.
The aim of the project was to analyze the effect of occupational exposure to heavy metals on the efficiency of antioxidative defensive mechanisms, represented by the concentration of carotenoids (KTND) in serum.
The study involved 96 workers exposed to heavy metals in a copper foundry. Two subgroups of workers--those exposed only to lead and those to the combination of lead and arsenic--were analyzed. The control group consisted of 81 subjects not exposed to heavy metals. We measured concentrations of lead and cadmium in whole blood, selenium, manganese, copper, zinc, calcium, magnesium and carotenoids in serum, arsenic in urine and free erythrocyte protoporphyrin (FEP).
Serum carotenoids concentration was significantly lower in workers exposed to heavy metals than in the control group (48.76 +/- 15.32 vs. 68.36 +/- 21.46 microg/dl; p < 0.001). There were no significant differences between serum concentrations of carotenoids in the subgroup exposed only to lead and the subgroup exposed to both lead and arsenic ((48.62 +/- 16.64 vs. 48.86 +/- 14.41 microg/dl). We found significant positive correlation between blood cadmium levels and serum carotenoids in the control group (r = -0.3406, p < 0.05). In the multiple regression analysis (optimal model), there was significant negative influence of blood lead on serum KTND levels and positive influence of blood cadmium on serum KTND concentrations in the subgroup of workers exposed only to lead (R(2) A = 0.9102; p < 0.001). In smelters exposed to both lead and arsenic, we observed significant negative influence of FEP and positive influence of arsenic on KTND concentrations in serum in the optimal model of multiple regression (R(2) A = 0.9249; p < 0.001).
Occupational exposure to lead and arsenic in moderate doses affects serum carotenoids concentration in exposed humans.
该项目的目的是分析职业性接触重金属对以血清中类胡萝卜素(KTND)浓度为代表的抗氧化防御机制效率的影响。
该研究涉及96名在铜铸造厂接触重金属的工人。分析了两个工人群体——仅接触铅的工人和同时接触铅和砷的工人。对照组由81名未接触重金属的受试者组成。我们测量了全血中铅和镉的浓度、血清中硒、锰、铜、锌、钙、镁和类胡萝卜素的浓度、尿中砷的浓度以及游离红细胞原卟啉(FEP)。
接触重金属的工人血清类胡萝卜素浓度显著低于对照组(48.76±15.32对68.36±21.46微克/分升;p<0.001)。仅接触铅的亚组和同时接触铅和砷的亚组血清类胡萝卜素浓度之间无显著差异((48.62±16.64对48.86±14.41微克/分升)。我们发现对照组血镉水平与血清类胡萝卜素之间存在显著正相关(r = -0.3406,p<0.05)。在多元回归分析(最优模型)中,仅接触铅的工人群体中,血铅对血清KTND水平有显著负面影响,血镉对血清KTND浓度有正面影响(R(2) A = 0.9102;p<0.001)。在同时接触铅和砷的冶炼工人中,在多元回归最优模型中,我们观察到FEP对血清KTND浓度有显著负面影响,砷有正面影响(R(2) A = 0.9249;p<0.001)。
职业性中等剂量接触铅和砷会影响接触人群的血清类胡萝卜素浓度。