Antonowicz J, Andrzejak R, Lepetow T, Skoczyńska A, Smolik R
Katedry i Kliniki Chorób Wewnetrznych i Zawodowych Akademii Medycznej we Wrocławiu.
Med Pr. 1996;47(3):207-15.
A group of 120 male workers, employed in copperworks (mean age = 41.5 years; mean exposure duration = 17,9 years) at workposts with the highest level of exposure to lead, were covered by the study. Blood levels of the following heavy metals were measured in all workers: Pb, Cd, Mn, Cu, Zn, Ca, Mg as well as concentrations of FEP and GSH, SOD activity in erythrocytes, parameters of lipid metabolism: total cholesterol, HDL2- HDL3-cholesterol, triglycerides, lipid peroxides (LPO), and lecithin-cholesterol acyltransferase (LCAT) activity. Mean blood lead level accounted for 251,86 micrograms/l, and mean level of FEP was slightly above normal. That may indicate moderate lead deposits in smelters. Concentrations of other metals remained within normal limits. No significant disturbances in lipid metabolism were observed. Along with expected positive correlation between lead blood level and FEP, a significant negative correlation between lead and cholesterol levels as well as between FEP and serum cholesterol was found. Moreover, a significant negative correlation between FEP and serum LPO, as well as a significant positive correlation between concentration and HDL2-cholesterol level and between FEP concentration and SOD activity in erythrocytes were noted. We believe that unexpected outcome of our investigations could result from the adaptation of healthy smelters to the environmental conditions. It is assumed that further exposure could weak antioxidant mechanisms and lead, in consequence, to the manifestation of symptoms induced by harmful effect of free radicals.
一组120名男性工人参与了该研究,他们受雇于炼铜厂(平均年龄 = 41.5岁;平均暴露时长 = 17.9年),工作岗位的铅暴露水平最高。对所有工人的以下重金属血液水平进行了测量:铅、镉、锰、铜、锌、钙、镁,以及游离原卟啉(FEP)和谷胱甘肽(GSH)的浓度、红细胞中超氧化物歧化酶(SOD)活性、脂质代谢参数:总胆固醇、高密度脂蛋白2 - 高密度脂蛋白3胆固醇、甘油三酯、脂质过氧化物(LPO)和卵磷脂胆固醇酰基转移酶(LCAT)活性。血液中铅的平均水平为251.86微克/升,FEP的平均水平略高于正常范围。这可能表明冶炼工人有中度铅沉积。其他金属的浓度仍在正常范围内。未观察到脂质代谢有明显紊乱。除了铅血水平与FEP之间预期的正相关外,还发现铅与胆固醇水平之间以及FEP与血清胆固醇之间存在显著负相关。此外,还注意到FEP与血清LPO之间存在显著负相关,以及浓度与高密度脂蛋白2胆固醇水平之间、FEP浓度与红细胞中SOD活性之间存在显著正相关。我们认为,我们研究中意外的结果可能是健康冶炼工人对环境条件适应的结果。据推测,进一步暴露可能会削弱抗氧化机制,进而导致自由基有害作用所引发症状的显现。