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居住在镉电池厂附近人群中的酶尿症。

Enzymuria in a population living near a cadmium battery plant.

作者信息

Järup L, Carlsson M D, Elinder C G, Hellström L, Persson B, Schütz A

机构信息

Department of Environmental Health and Infectious Diseases Control, Karolinska Hospital, Stockholm, Sweden.

出版信息

Occup Environ Med. 1995 Nov;52(11):770-2. doi: 10.1136/oem.52.11.770.

DOI:10.1136/oem.52.11.770
PMID:8535498
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1128359/
Abstract

OBJECTIVES

To study the body burden of cadmium and signs of tubular dysfunction in a rural population living near a closed nickel cadmium battery plant.

METHODS

Cadmium and N-acetyl-beta-glucosaminidase (NAG) in urine were measured in 72 subjects who lived close to the plant.

RESULTS

Residents living close to the plant had higher median urinary cadmium concentrations than those living farther away (1.01 v 0.46 nmol/mmol creatinine) and than a control group (0.2 nmol/mmol creatinine). There was a significant correlation between urinary cadmium and the excretion of NAG in urine as well as signs of tubular dysfunction in residents who excreted urinary cadmium above 0.5 nmol/mmol creatinine.

CONCLUSION

Tubular dysfunction may appear in environmentally exposed subjects at lower cadmium body burdens than previously anticipated.

摘要

目的

研究居住在一家已关闭的镍镉电池厂附近的农村人口体内镉的负荷及肾小管功能障碍迹象。

方法

对72名居住在该厂附近的受试者进行尿镉和N - 乙酰 - β - 氨基葡萄糖苷酶(NAG)检测。

结果

居住在该厂附近的居民尿镉浓度中位数高于居住在较远地区的居民(分别为1.01对0.46纳摩尔/毫摩尔肌酐)以及对照组(0.2纳摩尔/毫摩尔肌酐)。在尿镉排泄量高于0.5纳摩尔/毫摩尔肌酐的居民中,尿镉与尿中NAG排泄量以及肾小管功能障碍迹象之间存在显著相关性。

结论

与之前预期相比,在环境暴露人群中,较低的镉体内负荷可能就会出现肾小管功能障碍。

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Environ Sci Pollut Res Int. 2016 Oct;23(20):20528-20538. doi: 10.1007/s11356-016-7214-z. Epub 2016 Jul 27.
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Effects of exposure to low levels of environmental cadmium on renal biomarkers.低水平环境镉暴露对肾脏生物标志物的影响。
Environ Health Perspect. 2002 Feb;110(2):151-5. doi: 10.1289/ehp.02110151.
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Cadmium, mercury, and lead in kidney cortex of the general Swedish population: a study of biopsies from living kidney donors.瑞典普通人群肾皮质中的镉、汞和铅:一项对活体肾捐献者活检样本的研究。
Environ Health Perspect. 1999 Nov;107(11):867-71. doi: 10.1289/ehp.107-1566723.
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New approaches for detecting thresholds of human nephrotoxicity using cadmium as an example.以镉为例检测人类肾毒性阈值的新方法。
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本文引用的文献

1
Renal function and historical environmental cadmium pollution from zinc smelters.锌冶炼厂的肾功能与历史环境镉污染
Lancet. 1994 Jun 18;343(8912):1523-7. doi: 10.1016/s0140-6736(94)92936-x.
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Dose-response relations between urinary cadmium and tubular proteinuria in cadmium-exposed workers.
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Association between NAG-B and cadmium in urine with no evidence of a threshold.尿中NAG-B与镉之间的关联且无阈值证据。
Occup Environ Med. 1995 Mar;52(3):177-80. doi: 10.1136/oem.52.3.177.
4
Characterization of cadmium proteinuria in man and rat.人和大鼠镉蛋白尿的特征分析。
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Urinary N-acetyl-beta-D-glucosaminidase and beta 2-microglobulin in 'itai-itai' disease.
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Assessment of urinary protein 1 and transferrin as early markers of cadmium nephrotoxicity.评估尿蛋白1和转铁蛋白作为镉肾毒性早期标志物的情况。
Br J Ind Med. 1990 Aug;47(8):559-65. doi: 10.1136/oem.47.8.559.
7
Renal effects of cadmium body burden of the general population.一般人群镉体内负荷的肾脏效应。
Lancet. 1990 Sep 22;336(8717):699-702. doi: 10.1016/0140-6736(90)92201-r.
8
[Results of multicenter determination of preliminary reference values for beta-N-acetylglucosaminidase in urine of adults].[成人尿β-N-乙酰氨基葡萄糖苷酶初步参考值的多中心测定结果]
Wien Klin Wochenschr Suppl. 1991;189:50-1.
9
Dose-response analysis of cadmium-induced tubular proteinuria: a study of urinary beta2-microglobulin excretion among workers in a battery factory.镉诱导肾小管蛋白尿的剂量反应分析:一项关于电池厂工人尿β2-微球蛋白排泄的研究
Environ Res. 1977 Apr;13(2):303-17. doi: 10.1016/0013-9351(77)90106-2.