Rader J I, Celesk E M, Peeler J T, Mahaffey K R
Drug Nutr Interact. 1982;1(2):131-42.
Nutritional factors such as deficiencies of calcium, iron, and protein alter susceptibility to the toxic effects of lead. While the suggestion has been made that vitamins may also influence lead toxicity, possible interactions have not been well documented. The present studies were performed to determine if a dietary deficiency of folic acid enhances the susceptibility to rats of the toxic effects of lead acetate. Lead exposure during the development of folate deficiency resulted in alterations in two of the parameters diagnostic of the individual conditions. Decreases in erythrocyte mean corpuscular volume (MCV) occur during lead poisoning, while increases occur during the development of folate deficiency. In the present study, significant reductions in MCV were observed in both the control + lead and in the low folate + lead groups. The increased MCV characteristic of folate deficiency was prevented by the concomitant lead exposure. Elevations in free erythrocyte protoporphyrin (FEP) levels are characteristic of lead intoxication; in contrast, FEP levels decline during folate deficiency. In the present study, FEP levels were significantly elevated only in the control + lead group. Values in the low folate + lead group were intermediate between those of the control and the control + lead groups, but did not differ significantly from those in the low folate group. The expected lead-induced elevation in FEP levels was diminished by the reduced erythropoiesis characteristic of folate deficiency.
钙、铁和蛋白质缺乏等营养因素会改变机体对铅毒性作用的易感性。虽然有人提出维生素也可能影响铅毒性,但相关的可能相互作用尚未得到充分记录。本研究旨在确定膳食中叶酸缺乏是否会增强大鼠对醋酸铅毒性作用的易感性。在叶酸缺乏发展过程中接触铅会导致在诊断个体状况的两个参数上出现改变。铅中毒期间红细胞平均体积(MCV)会降低,而叶酸缺乏发展过程中MCV会升高。在本研究中,对照组 + 铅组和低叶酸 + 铅组的MCV均显著降低。同时接触铅可防止叶酸缺乏所特有的MCV升高。游离红细胞原卟啉(FEP)水平升高是铅中毒的特征;相反,叶酸缺乏期间FEP水平会下降。在本研究中,仅对照组 + 铅组的FEP水平显著升高。低叶酸 + 铅组的值介于对照组和对照组 + 铅组之间,但与低叶酸组的值无显著差异。叶酸缺乏所特有的红细胞生成减少减弱了铅诱导的FEP水平升高。