Malekirad Ali Akbar, Oryan Shahrbanoo, Fani Ali, Babapor Vahab, Hashemi Mehrdad, Baeeri Maryam, Bayrami Zahra, Abdollahi Mohammad
Science and Research Branch, Islamic Azad University (IAU), Tehran, Iran.
Toxicol Ind Health. 2010 Jul;26(6):331-7. doi: 10.1177/0748233710365697. Epub 2010 Apr 6.
The aim of this study was to determine oxidative stress status as well as blood lead (Pb) and zinc (Zn) levels and clinical markers in workers of a Zn-Pb mine. A comparative cross-sectional analysis was performed in 67 mine workers who have been in contact with Zn and Pb in comparison to a control group containing 67 healthy subjects with the same age and sex. Lipid peroxidation, superoxide dismutase, catalase, glutathione reductase, myleoperoxidase, DNA damage, total antioxidant capacity, Zn, and Pb levels were measured in blood of workers and controls. Clinical examination was accomplished to record any abnormal sign or symptoms. Comparing with controls, the workers showed higher blood levels of superoxide dismutase, myleoperoxidase, glutathione reductase, lipid peroxidation, Pb, and Zn. Workers showed lower DNA-damage as compared with controls. Workers showed clinical symptoms such as memory impairment, less of concentration, insomnia, headache, claudication, epigasteric, inappetence, agitation, tremor, decreasing of reflection of deep tendon, conduction deafness of ear, and fatigue. The workers had extra normal levels of Pb (0.9-3 microg/dL) and showed oxidative stress. Taken together, the results indicate that exposure to combination of Pb and Zn in mine elevates total antioxidant capacity of body in a reflex to overcome to oxidative stress. Especially, in the present case, it seems that toxic effect of Pb has been greater than positive effects of Zn, but the combination exposure has resulted in not such a critical toxicity situation.
本研究旨在确定锌铅矿工人的氧化应激状态、血铅(Pb)和锌(Zn)水平以及临床指标。对67名接触锌和铅的矿工与67名年龄和性别相同的健康对照者进行了比较横断面分析。检测了工人和对照者血液中的脂质过氧化、超氧化物歧化酶、过氧化氢酶、谷胱甘肽还原酶、髓过氧化物酶、DNA损伤、总抗氧化能力、锌和铅水平。进行临床检查以记录任何异常体征或症状。与对照组相比,工人的超氧化物歧化酶、髓过氧化物酶、谷胱甘肽还原酶、脂质过氧化、铅和锌的血水平较高。与对照组相比,工人的DNA损伤较低。工人出现了记忆力减退、注意力不集中、失眠、头痛、跛行、上腹部不适、食欲不振、烦躁、震颤、腱反射减弱、耳传导性耳聋和疲劳等临床症状。工人的血铅水平超出正常范围(0.9 - 3微克/分升)并表现出氧化应激。综上所述,结果表明,在矿井中接触铅和锌的组合会提高身体的总抗氧化能力,以应对氧化应激。特别是在本案例中,铅的毒性作用似乎大于锌的积极作用,但联合暴露并未导致如此严重的毒性情况。