Sakai T
Center of Occupational Medicine, Tokyo Labor Accident Hospital, Japan.
Sangyo Eiseigaku Zasshi. 1996 May;38(3):119-37.
Among the biological exposure indices of lead, lead in plasma was the most direct indicator of current exposure. Lead mobilized into plasma as well as in urine could be used as an indicator of the internal dose of lead. The ratio of non-treated to restored activity of delta-aminolevulinic acid dehydratase (ALA-D) was a more specific index than ALA-D activity itself at low levels of lead exposure, excluding the familial or genetic variation in the activity. The methods using HPLC for determining heme intermediate improved the evaluation of the lead effect: delta-aminolevulinic acid in plasma, blood, and urine (ALA-P, ALA-B, and ALA-U), coproporphyrin in urine, and zinc protoporphyrin in blood (ZP). ROC (Receiver operating characteristic) curve analyses indicated that the diagnostic values for lead exposure decreased in the order ALA-D ratio > ALA-D activity = ALA-P > ALA-U = ZP. Pyrimidine 5'-nucleotidase activity or pyrimidine nucleotide concentrations in blood was also useful for the monitoring or diagnosis of lead intoxication. Using the HPLC method with inclusion compounds in the mobile phase, hippuric acid, methylhippuric acids, mandelic acid and phenylglyoxylic acid could be simultaneously determined in the urine of workers exposed to a mixture of toluene, xylenes, and ethylbenzene. The correction of the urinary metabolite concentration for specific gravity or creatinine allowed the more specific evaluation of the solvent exposure. In the biological monitoring of chlorinated hydrocarbons such as trichloroethylene, prolonged excretion of the metabolites resulted in a bias between metabolite concentrations and TWA levels of the solvent in a day. The background levels of 2,5-hexanedione (HD) were affected by acid hydrolysis conditions, age, sex and lipid metabolism. Substances hydrolyzed to HD in urine from non-exposed subjects were different from HD detected in the workers exposed to n-hexane. Urinary concentrations of N-acetyl-S-(N-methylcarbamoyl) cysteine (AMCC) served as an index of the average exposure to N, N-dimethylformamide during several preceding work days and may indicate the internal dose, while N-methylformamide may be an index of daily exposure. A simple and rapid method for the determination of urinary alkoxyacetic acids was recently developed for the biological monitoring of workers exposed to glycolethers and their acetates. Urinary butoxy acetic acid (free plus conjugated ones) could be simply determined by gaschromatography after acid hydrolysis of urine. The urinary acetone or methanol concentration determined by the head space technique was also useful for the biological monitoring of workers exposed to isopropanol and/or acetone, or methanol, respectively. Evaluation of exposure to the solvents described above could be carried out by comparing the urinary metabolite concentrations with reference values and the biological exposure index values which were defined as the urinary metabolite concentration corresponding to the threshold value for each solvent.
在铅的生物暴露指标中,血浆中的铅是当前暴露的最直接指标。动员到血浆以及尿液中的铅可作为铅内剂量的指标。在低水平铅暴露时,δ-氨基乙酰丙酸脱水酶(ALA-D)未处理活性与恢复活性的比值比ALA-D活性本身更具特异性,可排除该活性的家族性或遗传变异。使用高效液相色谱法测定血红素中间体的方法改善了对铅效应的评估:血浆、血液和尿液中的δ-氨基乙酰丙酸(ALA-P、ALA-B和ALA-U)、尿液中的粪卟啉以及血液中的锌原卟啉(ZP)。ROC(受试者工作特征)曲线分析表明,铅暴露的诊断价值按以下顺序降低:ALA-D比值>ALA-D活性 = ALA-P>ALA-U = ZP。血液中的嘧啶5'-核苷酸酶活性或嘧啶核苷酸浓度也有助于铅中毒的监测或诊断。使用流动相中含有包合化合物的高效液相色谱法,可同时测定接触甲苯、二甲苯和乙苯混合物的工人尿液中的马尿酸、甲基马尿酸、扁桃酸和苯乙酮酸。通过尿比重或肌酐校正尿代谢物浓度可更具体地评估溶剂暴露情况。在对三氯乙烯等氯代烃进行生物监测时,代谢物的长期排泄导致代谢物浓度与一天内溶剂的时间加权平均水平之间存在偏差。2,5-己二酮(HD)的背景水平受酸水解条件、年龄、性别和脂质代谢的影响。未接触者尿液中水解生成HD的物质与接触正己烷的工人尿液中检测到的HD不同。尿中N-乙酰-S-(N-甲基氨基甲酰)半胱氨酸(AMCC)的浓度可作为前几个工作日平均接触N,N-二甲基甲酰胺的指标,可能表明内剂量,而N-甲基甲酰胺可能是每日接触的指标。最近开发了一种简单快速的方法用于测定尿中烷氧基乙酸,以对接触乙二醇醚及其乙酸酯的工人进行生物监测。尿液经酸水解后,尿中丁氧基乙酸(游离和结合形式)可通过气相色谱法简单测定。通过顶空技术测定的尿中丙酮或甲醇浓度也分别有助于对接触异丙醇和/或丙酮或甲醇的工人进行生物监测。通过将尿代谢物浓度与参考值以及生物暴露指数值进行比较,可对上述溶剂的暴露情况进行评估,生物暴露指数值定义为每种溶剂对应阈值的尿代谢物浓度。