Casale G P, Scott D M, Anderson J R, Vitzthum E F, Gold R E
Eppley Institute for Cancer Research, University of Nebraska Medical Center, Omaha 68198-6805, USA.
J Toxicol Clin Toxicol. 1998;36(3):183-94. doi: 10.3109/15563659809028938.
Laboratory studies have documented a wide range of pesticide-induced changes in the hematopoietic and lymphoreticular systems. Some of these are expressed as altered serum values, blood cell counts, and leucocyte functions. The goal of the present study was to determine whether these alterations were evident in peripheral blood of Nebraska farmers who applied pesticides to their fields.
An invitation to participate was mailed to 100 residents (70 farmers; 30 controls) of Butler County, Nebraska. All respondents (51 farmers and 21 controls) were enrolled and surveyed by written questionnaire for health status and pesticide use. Our analysis included 45 farmers and 18 controls. The farmers were divided into a high (n = 23) and a low (n = 22) pesticide use group. Statistical correlations of ten blood values with both pesticide use and age were evaluated, since pesticide use correlated with age.
Four of the ten blood values correlated with pesticide use and age (Spearman Rho). In a multiple regression model, pesticide use (not age) proved to be a predictor of red blood cell count and hematocrit. In the same model, pesticide use was not a predictor of mean red cell volume or candida antigen-induced T-lymphocyte proliferation. Serum complement activity did not correlate with pesticide use among the farmers (n = 45) but was significantly reduced (ANOVA) in the high pesticide use group, compared to controls.
A preliminary study of blood values in a small cohort of Nebraska farmers found no pesticide-associated effects on 1) leucocyte count, 2) antigen- and mitogen-stimulated T-cell proliferation, 3) mitogen-stimulated B-cell proliferation, and 4) concentrations of serum IgG and IgM. The study found small but statistically significant pesticide-associated effects on red blood cells and serum complement.
实验室研究已记录了农药对造血和淋巴网状系统造成的广泛变化。其中一些表现为血清值、血细胞计数和白细胞功能的改变。本研究的目的是确定这些改变在向内布拉斯加州农田施用农药的农民的外周血中是否明显。
向内布拉斯加州巴特勒县的100名居民(70名农民;30名对照者)邮寄了参与邀请。所有受访者(51名农民和21名对照者)均登记入组,并通过书面问卷对健康状况和农药使用情况进行了调查。我们的分析纳入了45名农民和18名对照者。农民被分为高农药使用组(n = 23)和低农药使用组(n = 22)。由于农药使用与年龄相关,因此评估了十个血液值与农药使用和年龄之间的统计相关性。
十个血液值中的四个与农药使用和年龄相关(斯皮尔曼等级相关系数)。在多元回归模型中,农药使用(而非年龄)被证明是红细胞计数和血细胞比容的预测指标。在同一模型中,农药使用不是平均红细胞体积或念珠菌抗原诱导的T淋巴细胞增殖的预测指标。农民(n = 45)中血清补体活性与农药使用无关,但与对照组相比,高农药使用组的血清补体活性显著降低(方差分析)。
对内布拉斯加州一小群农民血液值的初步研究发现,农药对以下方面无相关影响:1)白细胞计数;2)抗原和丝裂原刺激的T细胞增殖;3)丝裂原刺激的B细胞增殖;4)血清IgG和IgM浓度。该研究发现农药对红细胞和血清补体有微小但具有统计学意义的相关影响。