Kivistö H, Pekari K, Peltonen K, Svinhufvud J, Veidebaum T, Sorsa M, Aitio A
Department of Industrial Hygiene and Toxicology, Institute of Occupational Health, Helsinki, Finland.
Sci Total Environ. 1997 Jun 20;199(1-2):49-63. doi: 10.1016/s0048-9697(97)05481-8.
The purpose of this study was to compare different biological methods in current use to assess benzene exposure. The methods involved in the study were: benzene in blood, urine and exhaled air, and the urinary metabolites t,t-muconic acid (MA) and S-phenylmercapturic acid (S-PMA). Blood, urine and exhaled air samples were collected from workers in a benzene plant (pure benzene exposure) and cokery (mixed exposure, e.g. polycyclic aromatic hydrocarbons--PAHs) in an Estonian shale oil petrochemical plant. The benzene in these samples was analysed with a head-space gas chromatograph, and the metabolites MA and S-PMA with a liquid chromatograph using methods developed from published procedures. Some of the values measured in the Estonian shale oil area were high in comparison with those published during the last few years, whereas the values measured in the control group did not show any exposure to benzene except in the smokers group. The highest median exposure was in the benzene factory, 0.9 cm3/m3 TWA (2.9 mg/m3) and the highest individual value was 15 cm3/m3 TWA (49 mg/m3). All biological measurements in this study gave the same assessment about exposure to benzene and correlated highly significantly with each other and with the air measurements (r = 0.8 or more). In the benzene factory the correlation was good even when calculated from samples with air concentration < 1 cm3/m3 (3.2 mg/m3) in the case of blood benzene and urinary MA. However, for S-PMA it was weak (r = 0.4) and for benzene in urine and exhaled air it did not exist any more. In the cokery, with mixed exposure, the correlation at low levels was weaker even for blood benzene and urinary MA (r = 0.6). According to the results in the benzene factory the exposure to pure benzene at the level 1 cm3/m3 (3.25 mg/m3) TWA gave: the blood benzene value about 110 nmol/l (8.6 micrograms/l), MA 23 mumol/l (3.3 micrograms/l) or 2.0 mg/g creatinine, S-PMA 58 micrograms/g creatinine or 0.4 mumol/l (95.7 micrograms/l), benzene in urine 499 nmol/l (39 micrograms/l), and benzene in the exhaled air 2.8 nmol/l (0.2 microgram/l). In general, the measurement of benzene in blood and in exhaled air, as well as benzene and its metabolites MA and S-PMA in urine, all gave similar results. However, at low exposure level (< 1 cm3/m3) the most reliable analyses were MA in urine and benzene in blood.
本研究的目的是比较当前用于评估苯暴露的不同生物学方法。该研究涉及的方法有:血液、尿液和呼出气体中的苯,以及尿液代谢物反式,反式-粘糠酸(MA)和S-苯基巯基尿酸(S-PMA)。从爱沙尼亚页岩油石化厂的一家苯厂(纯苯暴露)和炼焦厂(混合暴露,如多环芳烃——PAHs)的工人中采集血液、尿液和呼出气体样本。这些样本中的苯用顶空气相色谱仪进行分析,代谢物MA和S-PMA用液相色谱仪采用已发表程序中开发的方法进行分析。与过去几年公布的值相比,爱沙尼亚页岩油地区测得的一些值较高,而对照组测得的值除吸烟者组外未显示任何苯暴露。最高中位暴露量出现在苯厂,为0.9 cm³/m³ 时间加权平均浓度(2.9 mg/m³),最高个体值为15 cm³/m³ 时间加权平均浓度(49 mg/m³)。本研究中的所有生物学测量对苯暴露的评估结果相同,且彼此之间以及与空气测量结果高度显著相关(r = 0.8或更高)。在苯厂,即使从空气浓度<1 cm³/m³(3.2 mg/m³)的样本计算,血液苯和尿液MA的相关性也很好。然而,对于S-PMA,相关性较弱(r = 0.4),对于尿液和呼出气体中的苯则不再存在相关性。在炼焦厂,由于混合暴露,即使对于血液苯和尿液MA,低水平时的相关性也较弱(r = 0.6)。根据苯厂的结果,时间加权平均浓度为1 cm³/m³(3.25 mg/m³)的纯苯暴露给出:血液苯值约为110 nmol/l(8.6 μg/l),MA为23 μmol/l(3.3 μg/l)或2.0 mg/g肌酐,S-PMA为58 μg/g肌酐或0.4 μmol/l(95.7 μg/l),尿液中的苯为499 nmol/l(39 μg/l),呼出气体中的苯为2.8 nmol/l(0.2 μg/l)。总体而言,血液和呼出气体中苯的测量,以及尿液中苯及其代谢物MA和S-PMA的测量,都给出了相似的结果。然而,在低暴露水平(<1 cm³/m³)时,最可靠的分析是尿液中的MA和血液中的苯。