Erfurth E M, Schütz A, Nilsson A, Barregård L, Skerfving S
Department of Internal Medicine, University Hospital, Lund, Sweden.
Br J Ind Med. 1990 Sep;47(9):639-44. doi: 10.1136/oem.47.9.639.
Exposure to elemental mercury (Hg) vapour results in an accumulation of Hg in the pituitary, the thyroid, and the testis. In this study, basal serum concentrations of pituitary hormones (thyrotrophin (TSH), prolactin (PRL), follicle stimulating hormone (FSH), and luteinising hormone (LH] or their response after administration of thyrotrophin and gonadotrophin releasing hormones did not differ between 11 male workers (mean urinary Hg (U Hg) concentration 26 nmol/mmol creatinine) and nine male dentists (U Hg concentration 1.3 nmol/mmol creatinine) exposed to elemental Hg vapour when compared with matched referent groups (U Hg concentration 0.6 and 0.4 nmol/mmol creatinine). Thus there was no evidence of an effect of Hg on the pituitary. Neither was there any association between exposure to Hg and serum concentrations of free thyroid hormones (S FT3, S FT4), testosterone, or cortisol. Increased plasma concentrations of selenium (Se) were associated with increased basal serum concentrations of TSH, decreased concentrations of basal serum cortisol, and decreased release of FSH.
接触元素汞(Hg)蒸气会导致汞在垂体、甲状腺和睾丸中蓄积。在本研究中,11名男性工人(平均尿汞(U Hg)浓度为26 nmol/mmol肌酐)和9名接触元素汞蒸气的男性牙医(U Hg浓度为1.3 nmol/mmol肌酐),与匹配的对照组(U Hg浓度分别为0.6和0.4 nmol/mmol肌酐)相比,其垂体激素(促甲状腺激素(TSH)、催乳素(PRL)、促卵泡激素(FSH)和促黄体生成素(LH))的基础血清浓度或在给予促甲状腺激素和促性腺激素释放激素后的反应并无差异。因此,没有证据表明汞对垂体有影响。汞暴露与游离甲状腺激素(S FT3、S FT4)、睾酮或皮质醇的血清浓度之间也没有关联。血浆硒(Se)浓度升高与基础血清TSH浓度升高、基础血清皮质醇浓度降低以及FSH释放减少有关。