Nagaya T, Ishikawa N, Hata H
Department of Public Health, Gifu University School of Medicine, Japan.
Environ Res. 1989 Oct;50(1):86-92. doi: 10.1016/s0013-9351(89)80050-7.
Chlorinated solvents are thought to be more nephrotoxic than nonchlorinated solvents in humans. Many workers have been exposed to trichloroethylene (TCE) because TCE is one of the most useful chlorinated solvents in some industries. Thus, to detect adverse effects of human exposure to TCE on kidneys, urinary total protein (U-TP) and beta-2-microglobulin (U-B2M) were determined in 104 male workers occupationally exposed to TCE and 102 male nonexposed controls. The workers have been probably exposed to 15 ppm TCE in air. The U-TP level of the workers, rather than the U-B2M level, was slightly higher than those of the controls. The differences of the U-TP level or the U-B2M level between the two groups, however, were not significant excluding an exception. (The mean U-TP level for 35- to 44-year-old workers was significantly higher than that for corresponding controls.) These results suggest that adverse effects of occupational exposure to TCE on kidney is very mild and glomerular rather than tubular.
在人类中,氯化溶剂被认为比非氯化溶剂更具肾毒性。许多工人接触过三氯乙烯(TCE),因为TCE是某些行业中最有用的氯化溶剂之一。因此,为了检测人类接触TCE对肾脏的不良影响,对104名职业性接触TCE的男性工人和102名未接触的男性对照者测定了尿总蛋白(U-TP)和β2-微球蛋白(U-B2M)。这些工人可能接触到空气中15 ppm的TCE。工人的U-TP水平略高于对照组,而非U-B2M水平。然而,两组之间U-TP水平或U-B2M水平的差异不显著(有一个例外)。(35至44岁工人的U-TP平均水平显著高于相应对照组)。这些结果表明,职业性接触TCE对肾脏的不良影响非常轻微,且主要影响肾小球而非肾小管。