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[作为生态铅暴露参数的人胎盘铅水平。与新生儿及其母亲的血铅水平、δ-氨基乙酰丙酸脱水酶活性和游离红细胞卟啉浓度相比的有效性(作者译)]

[The human placenta's lead level as a parameter of the ecological lead exposure. Its validity in comparison to the lead level in blood, the activity of the delta-aminolevulinic acid dehydratase and the concentration of the free erythrocyte porphyrins of newborns and their mothers (author's transl)].

作者信息

Engelhardt E, Schaller K H, Schiele R, Valentin H

出版信息

Zentralbl Bakteriol Orig B. 1976 Aug;162(5-6):528-43.

PMID:983547
Abstract

In order to estimate the ecological exposure of lead, placenta- and blood-investigations were made at four collectives from variously industrialized regions (Ruhrregion, Middle Frankonia Centre, Bavarian Forest). 148 normal births and 19 premature births (in each case mothers and newborns) were listed as well as twelve abortions. We investigated the lead-level in blood, the activity of delta-aminolaevulinic acid dehydratase (ALA-D) the concentration of free erythrocyte porphyrine (FEP) and the placentas' lead concentration. Though in the Ruhrregion (Dortmund) significantly higher lead levels in blood were found compared to the Bavarian Forest, the results together, were in the normal range, less than 35 mug%. In an average the mothers' lead level in blood was around 1.4 times (ca. 5 mug%) above that of their newborns; analysing this statistically, highly significant correlations were found. However for the ALA-D activity and the FEP-results no direct dependence of the lead levels in blood could be found. In the placentas mean lead concentrations between 1.94 mug and 2.23 mug per gram dry-weight (30.6 mug-38.9 mug/100 g wet-weight) were gained. In the contrary to the measured results of lead in blood the average placentas' lead level of the most and least industrialized regions were almost identical. A correlation between the mothers' respectively their children's lead levels in blood and the placental lead concentrations could not be proved. No relation could be found between the results and the gestation ages. As final results: 1. The placenta is no ideal investigation object concerning the environment's lead exposure. 2. It has no special barriere - or depot - function in lead metabolism. 3. In order to estimate the environment's lead exposure the determination of the lead level in blood will also be in future the optimal method. This investigation is of special value because of its validity of the results and the practicability of winning the samples compared to other parameters and biological materials.

摘要

为了评估铅的生态暴露情况,我们对来自不同工业化地区(鲁尔区、中弗兰肯行政区中心、巴伐利亚森林)的四个群体进行了胎盘和血液调查。记录了148例正常分娩和19例早产(每种情况均包括母亲和新生儿)以及12例流产。我们调查了血液中的铅水平、δ-氨基乙酰丙酸脱水酶(ALA-D)的活性、游离红细胞卟啉(FEP)的浓度以及胎盘的铅浓度。尽管与巴伐利亚森林相比,在鲁尔区(多特蒙德)发现血液中的铅水平明显更高,但总体结果仍在正常范围内,低于35μg%。平均而言,母亲血液中的铅水平比其新生儿高约1.4倍(约5μg%);经统计分析,发现存在高度显著的相关性。然而,对于ALA-D活性和FEP结果,未发现与血液中的铅水平有直接关联。在胎盘中,每克干重的平均铅浓度在1.94μg至2.23μg之间(30.6μg - 38.9μg/100克湿重)。与血液中铅的测量结果相反,工业化程度最高和最低地区的胎盘平均铅水平几乎相同。无法证明母亲及其孩子血液中的铅水平与胎盘铅浓度之间存在相关性。未发现结果与妊娠年龄之间存在关联。最终结果如下:1. 就环境铅暴露而言,胎盘并非理想的调查对象。2. 它在铅代谢中没有特殊的屏障或储存功能。3. 为了评估环境铅暴露,未来测定血液中的铅水平仍将是最佳方法。由于该调查结果的有效性以及与其他参数和生物材料相比获取样本的实用性,其具有特殊价值。

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