Lipińska-Ojrzanowska Agnieszka, Marcinkiewicz Andrzej, Walusiak-Skorupa Jolanta
Department of Occupational Diseases and Environmental Health, Nofer Institute of Occupational Medicine, 8 St. Teresy, 91-348 Lodz, Poland.
Curr Treat Options Allergy. 2017;4(2):181-190. doi: 10.1007/s40521-017-0121-9. Epub 2017 May 11.
Determination of biomarkers may be useful in the surveillance of occupational exposure and workers' health. The possibility of predicting development/clinical course of specific disorders or current disease, diagnosing in early steps, and health condition monitoring is a real necessity. Various agents present in the workplace environment (or their metabolites) can be measured in samples possessed from human body (blood and urine, saliva, etc.). On the other hand, inhalant exposure may induce specific or non-specific, local or systemic, acute or chronic biological response expressed by synthesis or releasing specific or non-specific substances/mediators that also can be determined in blood, nasal and bronchial lavage or sputum, tear fluid, exhaled breath, etc. The least is known about genetic markers which may predict individual susceptibility to develop some work-related disorders under the influence of occupational exposure. Due to common exposure to inhalant agents at workplace, researches on biomarkers that allow to inspect the impact of exposure to humans' health are still needed. The authors of this article summarize the utility of biomarkers' determination in work-related airway diseases in a recent clinical approach.
生物标志物的测定可能有助于职业暴露和工人健康的监测。预测特定疾病的发展/临床进程或当前疾病、早期诊断以及健康状况监测的可能性是切实必要的。工作场所环境中存在的各种物质(或其代谢物)可在人体样本(血液、尿液、唾液等)中进行测量。另一方面,吸入性暴露可能会引发特异性或非特异性、局部或全身、急性或慢性的生物学反应,这些反应通过合成或释放特定或非特异性物质/介质来体现,而这些物质/介质也可在血液、鼻腔和支气管灌洗液或痰液、泪液、呼出气体等中测定。对于可能预测个体在职业暴露影响下患某些与工作相关疾病易感性的遗传标志物,人们了解得最少。由于在工作场所普遍接触吸入性物质,仍需要开展关于能够检测暴露对人类健康影响的生物标志物的研究。本文作者以近期的临床方法总结了生物标志物测定在与工作相关的气道疾病中的作用。