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参与加勒比环境与职业健康研究联盟(CCREOH)环境流行病学队列研究的苏里南孕妇中汞和铅暴露与肝肾功能之间的关联。

The Association between Mercury and Lead Exposure and Liver and Kidney Function in Pregnant Surinamese Women Enrolled in the Caribbean Consortium for Research in Environmental and Occupational Health (CCREOH) Environmental Epidemiologic Cohort Study.

作者信息

Kort Sheila A R, Wickliffe Jeffrey, Shankar Arti, Shafer Martin, Hindori-Mohangoo Ashna D, Covert Hannah H, Lichtveld Maureen, Zijlmans Wilco

机构信息

Faculty of Medical Sciences, Anton de Kom University of Suriname, Paramaribo, Suriname.

Department of Environmental Health Sciences, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294, USA.

出版信息

Toxics. 2022 Oct 4;10(10):584. doi: 10.3390/toxics10100584.

Abstract

Exposure to mercury (Hg) and lead (Pb) may have an effect on pregnant women. We assessed the effect of exposure to mercury and lead on liver and kidney functions in a subcohort of pregnant women who participated in the Caribbean Consortium for Research in Environmental and Occupational Health (CCREOH)—Meki Tamara, study. From 400 women aged 16−46 living in rural, urban, and interior regions of Suriname, we measured blood mercury and blood lead levels. Creatinine, urea, and cystatin C were measured to assess kidney function, and aspartate amino transferase (AST), alanine amino transferase (ALT), and gamma-glutamyl transferase (GGT) were measured to assess liver function. Education, region, and ethnicity showed significant differences for both blood mercury and lead levels, which all had p-values < 0.001. Creatinine and urea were elevated with higher mercury blood levels. Our findings also suggest a relationship between high mercury blood levels and potential harmful effects on liver and kidney function.

摘要

接触汞(Hg)和铅(Pb)可能会对孕妇产生影响。我们在参与加勒比环境与职业健康研究联盟(CCREOH)——梅基·塔玛拉研究的一组孕妇中,评估了接触汞和铅对肝脏和肾脏功能的影响。我们对苏里南农村、城市和内陆地区的400名年龄在16至46岁的女性进行了血汞和血铅水平测量。测量了肌酐、尿素和胱抑素C以评估肾功能,测量了天冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)和γ-谷氨酰转移酶(GGT)以评估肝功能。教育程度、地区和种族在血汞和血铅水平方面均显示出显著差异,所有p值均<0.001。血汞水平升高时,肌酐和尿素也会升高。我们的研究结果还表明,高血汞水平与对肝脏和肾脏功能的潜在有害影响之间存在关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79b0/9607478/4aaa803109a3/toxics-10-00584-g001.jpg

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