Liberda Eric N, Tsuji Leonard J S, Wainman Bruce C
Department of Environment and Resource Studies, University of Waterloo, Waterloo, ON.
Can J Public Health. 2007 Sep-Oct;98(5):407-11. doi: 10.1007/BF03405429.
This article assesses if there is a need to revise Health Canada's polychlorinated biphenyl (PCB) guidelines for whole blood given that plasma is typically favoured over whole blood for analysis, technological advancements in analytical methods have occurred, and the congener profiles of PCBs in the environment continue to change due to degradation and re-compartmentalization.
Canadian epidemiological and exposure studies within the last 11 years were examined in order to determine the dominant method of PCB reporting and the human tissues or fluids analyzed.
In all but one study, PCBs were analyzed on a congener basis. In the cases where an Aroclor equivalency was reported, the result was calculated using an Aroclor estimation equation based on several PCB congeners. To date, a wide variety of tissues and fluids are still being analyzed; however, only one study performed the analysis using whole blood, the basis of Health Canada's guidelines. Additionally, congener profiles in the environment are changing due to degradation and re-compartmentalization; therefore, guidelines should reflect this change.
The reporting of whole blood PCB levels in Canada is a rare practice, and reporting PCBs solely as an Aroclor mixture can result in false non-detection; however, the Health Canada guidelines are based on Aroclor 1260 levels in whole blood. PCB congener analysis by gas chromatography/mass spectroscopy results in greater accuracy with greater sensitivity and limit of detection for the samples when compared to gas chromatography alone. Further, Aroclor equivalency can be estimated from congener analysis results. No other nation has yet prescribed PCB guidelines in human fluids or tissues; this is likely due to the uncertainty associated with PCB health risk assessment. Given the findings, whole blood PCB guidelines must be revised in order to reflect advances in the medical sciences.
鉴于在分析中血浆通常比全血更受青睐、分析方法有了技术进步,且由于降解和重新分配,环境中多氯联苯(PCB)的同系物分布持续变化,本文评估了是否有必要修订加拿大卫生部关于全血中多氯联苯的指南。
对过去11年加拿大的流行病学和暴露研究进行审查,以确定多氯联苯报告的主要方法以及所分析的人体组织或液体。
除一项研究外,所有研究均对多氯联苯同系物进行了分析。在报告艾氏剂等效值的情况下,结果是使用基于几种多氯联苯同系物的艾氏剂估算方程计算得出的。迄今为止,仍在分析各种各样的组织和液体;然而,只有一项研究使用全血进行分析,而全血是加拿大卫生部指南的基础。此外,由于降解和重新分配,环境中的同系物分布正在发生变化;因此,指南应反映这一变化。
在加拿大报告全血中的多氯联苯水平是一种罕见的做法,仅将多氯联苯报告为艾氏剂混合物可能导致错误的未检出结果;然而,加拿大卫生部的指南是基于全血中艾氏剂1260的水平制定的。与单独的气相色谱法相比,气相色谱/质谱联用对多氯联苯同系物进行分析,可提高样品的准确性、灵敏度和检测限。此外,可以从同系物分析结果估算艾氏剂等效值。尚无其他国家制定人体液体或组织中的多氯联苯指南;这可能是由于多氯联苯健康风险评估存在不确定性。鉴于这些研究结果,必须修订全血多氯联苯指南,以反映医学科学的进展。