Goullé Jean-Pierre, Le Roux Pascal, Castanet Mireille, Mahieu Loïc, Guyet-Job Stéphanie, Guerbet Michel
Laboratoire de Toxicologie, ABTE ToxEMAC EA 4651, Faculté de Médecine et de Pharmacie, 22 boulevard Gambetta, 76183 Rouen Cedex 1, France Laboratoire de Pharmacocinétique et de Toxicologie Cliniques, Groupe Hospitalier du Havre, BP 24, 76083 Le Havre Cedex, France
Service de Pédiatrie, Groupe Hospitalier du Havre, BP 24, 76083 Le Havre Cedex, France.
J Anal Toxicol. 2015 Nov-Dec;39(9):707-13. doi: 10.1093/jat/bkv088. Epub 2015 Aug 10.
In recent years, special emphasis has been put on heavy metals. Children are very sensitive to accumulation of metals. Furthermore, as regards elements, the reference values in children are scarce in the literature as it is difficult to obtain the large quantity of blood necessary to analyze many metals by the conventional atomic absorption spectrometry technique. An inductively coupled plasma mass spectrometry (ICP-MS) procedure that uses a reduced sample of 0.3 mL whole blood or plasma is adapted to multielemental determinations. We applied a previously validated technique for adults that simultaneously quantifies 25 elements by ICP-MS in whole blood and 23 in plasma in a series of 99 healthy children ranging from under 5 years to <18 years, without exposure to metal or drug-containing metals. The aims of the study were to compare metallic concentrations according to the age among children and metallic concentration differences between children and adults. The blood and plasma pediatric metallic profile is a practical useful tool for many purposes in clinical toxicology, forensic toxicology and any cases of metal environmental exposure.
近年来,重金属受到了特别关注。儿童对金属的积累非常敏感。此外,就元素而言,由于采用传统原子吸收光谱技术分析多种金属需要大量血液,文献中儿童的参考值很少。一种电感耦合等离子体质谱(ICP-MS)程序采用0.3 mL全血或血浆的减少样本,适用于多元素测定。我们应用了一种先前在成人中验证过的技术,通过ICP-MS对一系列99名年龄从5岁以下到<18岁、未接触金属或含金属药物的健康儿童的全血中的25种元素和血浆中的23种元素进行同时定量。该研究的目的是比较儿童中不同年龄的金属浓度以及儿童与成人之间的金属浓度差异。血液和血浆中的儿科金属谱在临床毒理学、法医毒理学以及任何金属环境暴露病例中,都是用于多种目的的实用工具。