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接触二氧化硅或石棉粉尘的工人血浆中的脂质过氧化物。

Plasma lipid peroxides among workers exposed to silica or asbestos dusts.

作者信息

Kamal A A, Gomaa A, el Khafif M, Hammad A S

机构信息

Department of Community, Environmental and Occupational Medicine, Ein Shams University, Cairo, Egypt.

出版信息

Environ Res. 1989 Aug;49(2):173-80. doi: 10.1016/s0013-9351(89)80062-3.

Abstract

Plasma malondialdehyde (MDA) (an indicator of lipid peroxidation) was determined in random samples of workers (age range 25-60 years) exposed to silica dust (n = 31, mean exposure duration 21.3 +/- 8.3 years) or asbestos dust (n = 59, mean exposure duration 15.6 +/- 4.5 years) and in 52 age-matched healthy male controls. MDA levels of both exposed groups were significantly higher than that of the controls and were significantly higher among workers exposed to asbestos than among those exposed to silica dusts. Neither age nor smoking was related to MDA levels among both controls and exposed workers; among the latter group MDA was not significantly correlated with duration of exposure. Mean MDA levels of exposed workers with radiographic signs of lung fibrosis or pleural thickening and of those without such signs were not significantly different, except in the case of asbestos-exposed workers where it was significantly less than that of those without such signs. Differences between mean durations of dust exposure of workers with radiographic signs of lung fibrosis and those without such signs were statistically insignificant. The results suggest the possible involvement of lipid peroxidation on exposure to silica or asbestos dusts in humans and possible development of antioxidant mechanism(s) on prolonged dust exposure and support the opinion that development of pneumoconiosis depends on susceptibility factor(s).

摘要

在接触二氧化硅粉尘(n = 31,平均接触时长21.3 +/- 8.3年)或石棉粉尘(n = 59,平均接触时长15.6 +/- 4.5年)的工人(年龄范围25 - 60岁)的随机样本以及52名年龄匹配的健康男性对照中,测定了血浆丙二醛(MDA,脂质过氧化指标)。两个暴露组的MDA水平均显著高于对照组,且接触石棉的工人中的MDA水平显著高于接触二氧化硅粉尘的工人。在对照组和暴露工人中,年龄和吸烟与MDA水平均无关联;在后者中,MDA与接触时长无显著相关性。有肺部纤维化或胸膜增厚影像学征象的暴露工人与无此类征象的暴露工人的平均MDA水平无显著差异,但石棉暴露工人的情况除外,前者显著低于后者。有肺部纤维化影像学征象的工人与无此类征象的工人的平均粉尘接触时长差异无统计学意义。结果表明,脂质过氧化可能参与了人类接触二氧化硅或石棉粉尘的过程,长期接触粉尘可能会产生抗氧化机制,这支持了尘肺病的发生取决于易感因素的观点。

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