Campo Laura, Calisti R, Polledri Elisa, Barretta F, Stopponi Roberta, Massacesi Stefania, Bertazzi P A, Fustinoni Silvia
Dipartimento di Medicina del Lavoro e dell'Ambiente, Università degli Studi di Milano e Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano.
Med Lav. 2011 Nov-Dec;102(6):484-93.
Asphalt workers are potentially exposed to polycyclic aromatic hydrocarbons (PAHs). As some PAHs are classified as carcinogenic, the assessment of occupational exposure to these agents is of the utmost importance in preventing toxic effects.
To assess exposure to PAHs by urinary 1-hydroxypyrene (1-OHPyr).
We studied 22 asphalt workers (14 smokers) and 5 control subjects (1 smoker). Multiple samples of urine (up to 4per subject) were collected at the end of the shift for the measurement of 1-OHPyr by LCMS/MS. Univariate and multivariate linear models for repeated measurements were used to evaluate the differences between groups and to identify the variables influencing of exposure.
The median urinary excretion of 1-OHPyr in asphalt workers was low, but higher than that of control subjects (184 vs. <20 ng/L, or 106 vs. <20 ng/g creatinine, p < 0.001); cigarette smoking marginally increased 1-OHPyr in smoking asphalt workers in comparison to non-smokers (129 vs. 208 ng/L p= 0.09 or 94 vs. 121 ng/g creatinine, p = 0.06). The number of consecutive days at work significantly influenced the urinary excretion of l-OHPyr [+59% every day, CI: (2, 147), p = 0.04]. Subjects using paving machines had the highest exposure. A strong association between 1-OHPyr and urinary creatinine was observed.
urinary 1-OHPyr is a useful indicator of occupational exposure to low levels of PAHs, such as those found in the subjects studied; in using this biomarker it is recommended to collect urine samples at the end of the working week and to express levels of the biomarker corrected for urinary creatinine.
沥青工人有可能接触多环芳烃(PAHs)。由于一些多环芳烃被归类为致癌物,因此评估这些物质的职业暴露对于预防毒性作用至关重要。
通过尿中1-羟基芘(1-OHPyr)评估多环芳烃暴露情况。
我们研究了22名沥青工人(14名吸烟者)和5名对照对象(1名吸烟者)。在轮班结束时收集多个尿样(每位受试者最多4份),通过液相色谱-串联质谱法(LCMS/MS)测定1-OHPyr。使用重复测量的单变量和多变量线性模型来评估组间差异,并确定影响暴露的变量。
沥青工人尿中1-OHPyr的排泄中位数较低,但高于对照对象(分别为184 vs. <20 ng/L,或106 vs. <20 ng/g肌酐,p < 0.001);与不吸烟者相比,吸烟的沥青工人中吸烟略微增加了1-OHPyr水平(分别为129 vs. 208 ng/L,p = 0.09;或94 vs. 121 ng/g肌酐,p = 0.06)。连续工作天数显著影响1-OHPyr的尿排泄量[每天增加59%,置信区间:(2, 147),p = 0.04]。使用铺路机的受试者暴露水平最高。观察到1-OHPyr与尿肌酐之间存在强关联。
尿中1-OHPyr是职业性低水平多环芳烃暴露的有用指标,如在本研究对象中发现的情况;使用该生物标志物时,建议在工作周结束时收集尿样,并以校正尿肌酐后的生物标志物水平表示。