Department of Internal Diseases, Karaganda Medical University, 40 Gogol street, Karaganda 100008, Kazakhstan.
Institute of Public Health and Professional Health, Karaganda Medical University, 15 Mustafin street, Karaganda 100008, Kazakhstan.
Int J Environ Res Public Health. 2022 Nov 7;19(21):14603. doi: 10.3390/ijerph192114603.
The purpose of this research was to study the particularities of the immune status of workers in the field of chrysotile asbestos production, depending on their work experience and professional risk of being affected by chrysotile dust. The research covered 125 men, who were workers at the only enterprise dealing with the extraction and beneficiation of chrysotile ores in Kazakhstan. Indicants of cell immunity were detected by flow cytometry; IgA, IgM, and IgG were detected by a multiplex immunological assay. It was found that, among workers impacted by chrysotile asbestos for more than 15 years, compared with individuals who were not impacted by asbestos dust, the level of CD3+ T-cells was decreased ( = -8.76, < 0.001), as well as the number of CD4+ T-cells (U = 1246.0, < 0.001). Moreover, CD8+ T-cells increased ( = 5.308, = 0.001), and neutrophil phagocytic activity also increased, by 1.2 times (U = 305.5, < 0.001). It was found that working under the condition of professional contact with chrysotile asbestos dust modifies the indicants of humoral immunity, IgA, IgM, and IgG, to a lesser extent than those of cellular immunity.
本研究旨在研究接触温石棉工人的免疫状态特点,研究对象为哈萨克斯坦唯一一家从事温石棉矿石开采和选矿的企业中的 125 名男性工人,他们的工作经验和职业受温石棉粉尘影响的风险各不相同。通过流式细胞术检测细胞免疫指标,采用多重免疫分析检测 IgA、IgM 和 IgG。结果发现,在接触温石棉超过 15 年的工人中,与未接触石棉粉尘的个体相比,CD3+T 细胞水平下降( = -8.76, < 0.001),CD4+T 细胞数量减少(U = 1246.0, < 0.001)。此外,CD8+T 细胞增加( = 5.308, = 0.001),中性粒细胞吞噬活性增加 1.2 倍(U = 305.5, < 0.001)。研究结果表明,在职业接触温石棉粉尘的条件下工作,会在一定程度上改变体液免疫的指标,如 IgA、IgM 和 IgG,但程度小于细胞免疫。