Jennings A M, Wild G, Ward J D, Ward A M
Department of Medicine, Royal Hallamshire Hospital, Sheffield, UK.
Br J Ind Med. 1988 Oct;45(10):701-4. doi: 10.1136/oem.45.10.701.
Eighteen workers were reviewed 17 years after accidental exposure to 2,3,7,8-tetrachlorodibenzo-p-dioxin (dioxin). Clinical assessment showed that they were in good health. A study of several biochemical and immunological parameters in these subjects and in 15 carefully matched controls showed no difference in serum concentrations of hepatic enzymes between exposed workers and controls. Although mean serum concentrations of cholesterol and triglyceride were higher in exposed subjects than in controls, the results did not reach statistical significance. Antinuclear antibodies and immune complexes were detected significantly more frequently in the peripheral blood of workers exposed to dioxin. There was no significant difference between exposed workers and controls in the number of T lymphocytes, B lymphocytes, and helper and suppressor T cell counts in peripheral blood, but the number of natural killer cells identified by the monoclonal antibody Leu-7 was significantly higher in workers exposed to dioxin.
18名工人在意外接触2,3,7,8 - 四氯二苯并 - 对 - 二恶英(二恶英)17年后接受了复查。临床评估显示他们健康状况良好。对这些受试者以及15名精心匹配的对照组进行的多项生化和免疫参数研究表明,接触二恶英的工人与对照组之间血清肝酶浓度没有差异。尽管接触二恶英的受试者的血清胆固醇和甘油三酯平均浓度高于对照组,但结果未达到统计学显著性。在接触二恶英的工人外周血中,抗核抗体和免疫复合物的检测频率明显更高。接触二恶英的工人与对照组在外周血中T淋巴细胞、B淋巴细胞以及辅助性T细胞和抑制性T细胞计数方面没有显著差异,但通过单克隆抗体Leu - 7鉴定的自然杀伤细胞数量在接触二恶英的工人中明显更高。