Biomarker Of Lead Exposure Research Articles

Racialized experience, biomarkers of lead exposure, and later-life cognition: a mediation analysis.

We evaluated the role of the neurotoxicant lead (Pb) in mediating racial disparities in later-life cognition in 1,085 non-Hispanic Black and 2,839 non-Hispanic white participants in NHANES (1999-2002, 2011-2014) 60+ years of age. We operationalized Black race as a marker for the experience of racialization and exposure to systemic racism. We estimated patella bone Pb via predictive models using blood Pb and demographics. Concurrent cognition (processing speed, sustained attention, working memory) was measured by the Digit Symbol Substitution Test (DSST) and a global measure combining four cognitive tests. To obtain the portion mediated, we used regression coefficients (race on Pb * Pb on cognitive score)/(race on cognitive score), adjusting for age, NHANES cycle, and sample weights. Other confounder adjustment (education, poverty income ratio, smoking) was limited to the mediator-outcome (i.e., Pb-cognition) pathway because these factors do not lie upstream of race and so cannot confound associations with race. Pb was estimated to mediate 0.6% of the association between race and global cognition, and 4% of the DSST. Our results suggest that later-life cognitive health disparities may be impacted by avoidable lead exposure driven by environmental injustice, noting that a large proportion of the pathway of systemic racism harming cognition remains.

Screening for elevated blood lead levels using single hair strands: Accounting for external contamination

Hair has long been explored as a potential biomarker of lead exposure since lead is readily adsorbed into hair's keratinous matrix; however, the utility of hair as a biomarker for lead exposure is hampered by its susceptibility to external contamination: lead particles attach to the exposed hair surface, confounding estimates of endogenous concentrations. This study describes the development of a hair screening tool, in which the confounding influence of external contamination are mitigated by focusing on the unexposed hair root, to predict elevated blood lead levels (BLLs). This tool requires a single strand of scalp hair, which is analyzed using laser ablation inductively coupled plasma mass spectrometry (LA-ICP-MS). Forty-four (44) workers with high potential for lead exposure, and 63 reference individuals (with no known lead exposure) volunteered for the study. Hair lead level (HLL) thresholds were developed using methods from clinical assessment to screen exceedances of BLL thresholds at 10 and 15 µg/dL. Hair from both groups showed significantly lower lead concentrations in below-scalp portions compared to above the scalp (above-scalp was 11.2 times higher in workers, and 3.7 times higher in reference group). Hair lead concentrations below the scalp in workers significantly predicted BLLs. HLL thresholds for screening BLLs were 0.60 mg/kg and 0.75 mg/kg for BLLs of 10 µg/dL and 15 µg/dL, respectively. These HLL thresholds yielded high sensitivity (>85%), and slightly lower specificity (67% and 33%, for BLL thresholds of 10 µg/dL and 15 µg/dL, respectively). This study provides reference HLLs in non-contaminated portions of hair (<0.097 mg/kg), shows the significance of external contamination on exposed portions of hair even in a reference population, and assesses the effectiveness of below-scalp hair as a biomarker of elevated lead exposure. This hair screening tool effectively predicted BLL exceedances and could be considered as a non-invasive alternative to blood sampling.

Occupational lead exposure health risk assessment and heme biosynthesis: A study on batik artisans in yogyakarta, Indonesia

This study aims to assess dermal and inhalation lead exposure levels among batik industry workers and evaluate noncarcinogenic and carcinogenic health risks associated with lead exposure. We investigate potential relationships between lead exposure (dermal average daily dose and inhalation exposure concentration) and the workers' blood hemoglobin levels (Hb), as well as their urinary ALA (u-ALA) concentrations. Additionally, we explore any possible associations between Hb and u-ALA levels among the workers and identify various factors influencing lead exposure levels. A total of 30 workers were recruited for the study. Interviews and exposure sampling were conducted to measure dermal and inhaled lead exposure. Sample analysis methods include XRF for exposure samples, spectrophotometry for u-ALA, and HiCN colorimetric for Hb. Carcinogenic and noncarcinogenic risk assessments, correlation analysis, as well as ANOVA for factors analysis, were performed. The average dermal exposure dose and inhalation exposure concentration of lead were 6.53 ± 3.2 ng/kg/day and 0.021 ± 0.015 μg/m3, respectively. Hazard Index (HI) values for all workers were below 1 (average: 0.372 ± 0.155), indicating no expected noncarcinogenic health effects due to lead exposure. The average Excess Lifetime Cancer Risk (ELCR) was (5.18 ± 3.84) × 10−8, significantly below acceptable limits. Correlation analysis revealed a significant negative correlation between Hb and u-ALA (r = −0.519, p = 0.058 for male workers and r = −0.531, p = 0.034 for female workers), supporting their use as lead exposure biomarkers. The factors analysis demonstrated a significant impact of working conditions on inhalation exposure (p = 0.018), with outdoor workers experiencing lower lead inhalation. This research provides crucial insights into potential dangers faced by batik workers due to lead exposure, emphasizing the importance of targeted interventions. The strong correlation between Hb and u-ALA indicates their combined effectiveness in detecting lead exposure, even at low levels. The study underscores the significance of outdoor work as a protective measure against inhaling heavy metals, such as lead, present in the air. The assessment of health risks associated with lead exposure in the batik industry lays the groundwork for informed decision-making and interventions to protect workers' well-being, particularly in informal sectors workplaces where health risks are often overlooked.

Lead Levels in Hair and Blood of Container Truck Drivers at PT. Trans Indo Sakti Surabaya

Lead is one of the heavy metals used as an additive in gasoline to enhance lubrication and combustion efficiency in motor vehicles, such as container truck drivers, and is commonly found on highways. Truck drivers have a higher tendency to inhale air containing lead while on the road, which can lead to poisoning. Hair and blood can serve as biomarkers of lead exposure in the body. The purpose of this research is to determine the lead levels in the hair and blood of container truck drivers at PT. Trans Indo Sakti Surabaya using Atomic Absorption Spectrophotometry (AAS). This research is a descriptive study conducted at the Analytical Chemistry Laboratory of the Department of Medical Laboratory Technology, Health Polytechnic Ministry of Health Surabaya and the Standardization and Industrial Services Center Laboratory in Surabaya from October 2022 to May 2023. The samples used in the study are 15 container truck drivers, selected using purposive sampling technique. This study demonstrates results of the lowest hair lead level value at 0.1936 µg/g and the highest at 3.026 µg/g. Among the respondents, 9 were categorized as having normal levels, while 6 respondents were categorized as having abnormal levels. For the blood samples, the lowest lead level obtained was 0.146 µg/dL and the highest was 3.81 µg/dL. The lead levels are still categorized as normal. The presence of lead in the body is influenced by age, length of employment, duration of work, and smoking habits.

Association between Blood Lead Levels and Heme Synthesis Process in Paint Industry Workers

Lead is a heavy metal that can pose various health risks to humans. One of the effects of lead exposure is the inhibition of the delta-ALAD enzyme which plays a role in the heme synthesis process. Blood lead levels and delta-aminolevulinic acid dehydratase (ALAD) activity are considered biomarkers of lead exposure and lead toxicity respectively. The inhibition of ALAD can cause in accumulation of ALA in urine and also inhibit the heme synthesis pathway that plays a role in hemoglobin production. The present study was designed to investigate the association between the BLLs and the heme synthesis process, which is detected by the accumulation of urinary ALA (ALA-U) and decreasing hemoglobin, in paint industry workers from Indonesia. A total of 52 paint industry workers participated in this study. Blood lead was measured using ICP-MS and ALA-U was measured using spectrophotometer method. Mean blood lead was 4.213±1.6 mg/L; and 17 workers (32.7%) crossed the recommended level of 5 mg/L. Mean urinary ALA level was 3.712±2.5 mg/L; and 11 workers (11.54%) crossed the normal level of 6 mg/L but still classified as acceptable. Mean hemoglobin level was 15.273±1.03 g/L. The correlation between the BLL and ALA-U was found to be positive but not significant. Meanwhile, the correlation between the ALA-U and the hemoglobin levels was found to be negative but also not significant.

Epigenetic Biomarkers of Lead Exposure and Cardiovascular Disease: Prospective Evidence in the Strong Heart Study.

Background Lead is a cardiotoxic metal with a variety of adverse health effects. In the absence of data on bone lead exposure, epigenetic biomarkers can serve as indicators of cumulative lead exposure and body burden. Herein, we leveraged novel epigenetic biomarkers of lead exposure to investigate their association with cardiovascular disease (CVD) incidence and mortality. Methods and Results Blood DNA methylation was measured using the Illumina MethylationEPIC BeadChip among 2231 participants of the Strong Heart Study (SHS) at baseline (1989-1991). Epigenetic biomarkers of lead levels in blood, patella, and tibia were estimated using previously identified cytosine-guanine dinucleotide (CpG) sites. CVD incidence and mortality data were available through 2017. Median concentrations of lead epigenetic biomarkers were 13.8 μg/g, 21.3 μg/g, and 2.9 μg/dL in tibia, patella, and blood, respectively. In adjusted models, the hazard ratio (HR) (95% CI) of CVD mortality per doubling increase in lead epigenetic biomarkers were 1.42 (1.07-1.87) for tibia lead, 1.22 (0.93-1.60) for patella lead, and 1.57 (1.16-2.11) for blood lead. The corresponding HRs for incident CVD were 0.99 (0.83-1.19), 1.07 (0.89-1.29), and 1.06 (0.87-1.30). The association between the tibia lead epigenetic biomarker and CVD mortality was modified by sex (interaction P value: 0.014), with men at increased risk (HR, 1.42 [95% CI, 1.17-1.72]) compared with women (HR, 1.04 [95% CI, 0.89-1.22]). Conclusions Tibia and blood epigenetic biomarkers were associated with increased risk of CVD mortality, potentially reflecting the cardiovascular impact of cumulative and recent lead exposures. These findings support that epigenetic biomarkers of lead exposure may capture some of the disease risk associated with lead exposure.

Epigenetic biomarkers of lead exposure and cardiovascular disease: prospective evidence in the Strong Heart Study

Epigenetic biomarkers of lead exposure and cardiovascular disease: prospective evidence in the Strong Heart Study

Variability of lead in urine and blood in healthy individuals

BackgroundLead is a non-essential toxic trace element. Lead in blood (BPb) is the most common biomarker of lead exposure but lead in urine (UPb) has also been used. There is, however, limited data on the variability of UPb in the general population and the association with BPb. ObjectivesOur aims were to assess variability of lead in repeated blood and urine samples. The diurnal variation of UPb was also examined as well as associations with BPb. MethodsWe established an openly available biobank including 60 healthy non-smoking individuals, 29 men and 31 women, 21–64 years of age (median 31 years), with repeated sampling of blood and urine. Timed urine samples were collected at six fixed time points in two 24 h periods, about one week apart, and adjusted for creatinine and specific gravity (SG). BPb and UPb were analyzed by inductively coupled plasma mass spectrometry. The within- and between-individual variabilities and intra-class correlation coefficients (ICCs; ratios of the between-individual to total observed variances) were calculated using mixed-effects models. ResultsThe ICCs for UPb samples were mostly above 0.5, when adjusted for creatinine or SG, and higher for overnight samples compared with daytime samples. The highest ICCs were obtained for BPb (ICC = 0.97) and for urine samples corrected for dilution by SG or creatinine. The ICC was 0.66 for overnight samples adjusted for creatinine. High correlations with BPb were found for 24 h UPb (rs = 0.77) and overnight samples, e.g. rs = 0.74 when adjusted for SG. There was diurnal variation of UPb with lowest excretion rate in overnight samples. There was also a significant association between the Pb excretion rate and urinary flow rate. ConclusionsIn addition to BPb, UPb adjusted for creatinine or SG seems to be a useful biomarker for exposure assessment in epidemiological studies.

Occupational lead exposure and survival with amyotrophic lateral sclerosis

Objective: Lead exposure has been hypothesized to increase the risk of ALS, but only two studies have examined the association with ALS survival, and with inconsistent results. The use of occupational history to assess lead exposure can avoid reverse causation that may occur in epidemiologic analyses that use biomarkers of lead exposure collected after ALS onset. Methods: We evaluated the relationship of occupational lead exposure to ALS survival among 135 cases from an international ALS cohort that included deep phenotyping, careful follow-up, and questionnaires to quantify participants’ occupation history. ALS patients were recruited in 2015–2019. We determined occupational lead exposure using a job-exposure matrix. We estimated hazard ratios (HR) and 95% confidence intervals (CI) for survival using Cox proportional hazard analysis with adjustment for covariates. Results: A total of 135 ALS patients completed the environmental questionnaires, among whom 38 reached a survival endpoint (death or permanent assisted ventilation). The median survival was 48.3 months (25th–75th percentile, 30.9–74.1). Older patients and those with initial symptom other than limb onset had shorter survival time. There were 36 ALS cases with occupational lead exposure. After adjusting for age, sex, site of onset, smoking, and military service, lead exposure was associated with an HR of 3.26 (95%CI 1.28–8.28). Results with adjustment for subsets of these covariates were similar. Conclusions: These results suggest that lead exposure prior to onset of ALS is associated with shorter survival following onset of ALS, and this association is independent of other prognostic factors.

The Association between Lead Exposure and Bone Mineral Density in Childhood and Adolescence: Results from NHANES 1999-2006 and 2011-2018.

There are few studies on lead’s effect on bone mineral density (BMD) in childhood. In this study, we examined the association between lead exposure and BMD among 13,951 children and adolescents aged 8–19 years from NHANES 1999–2006 and 2011–2018. The whole blood lead levels (BLLs) were used as lead exposure biomarkers, and total BMD, subtotal BMD, lumbar spine BMD and limb BMD were used as outcome variables. The survey weighted multivariable generalized additive models (GAMs) with smoothing terms were used to explore the association between blood lead levels and BMDs, adjusted for age, sex, race/ethnicity, height, weight, family-income-to-poverty ratio and blood cadmium. Subgroup analyses stratified by sex and bony sites were further performed. We found an N-shaped curve association between BLLs and total BMD, subtotal BMD and limb BMD for males and females, whereas the association between BLLs and lumbar spine BMD was only significantly negative for females. The findings suggested that lead exposure had different effects on BMD of different bony sites (highly cortical or trabecular regions) in childhood and adolescence and had different effects on the same bone among different ages population and/or at different levels.

Estimation of urinary delta aminolevulinic acid levels in gasoline and petrol pump workers as an index of lead exposure

Lead poisoning is a phenomenon which with growing globalization is being a subject of worry.ALA i.e Amino levulinic acid is a precursor of hemoglobin, which is synthesized in mitochondria by two main components succinyl Co-A and glycine in presence of ALA-S i.e. amino levulinic acid-synthase. Urinary ALA (ALA-U) has been a recommended biomarker for lead exposure. Inhibition of Amino levulinic acid-dehydratase (ALA-D) results into activation of ALA-S which further synthesizes ALA, excess of ALA is accumulated in the blood, plasma, urine. Present manuscript is focused on the estimation of levels of ALA in the urine of gasoline and pertol pump workers, by acidifying the urine to extract out ALA and reading it colorimetrically as they are exposed to fumes released by gasoline, petrol, and petroleum products which contains lead. Awareness and safety measures such as protective masks and gears should be provided by the respective organisations to the workers.

Effect of occupational lead exposure on the family members of lead based industrial workers

Introduction: A comparative study of family members of persons working in lead based industries and non-lead based industries were undertaken to evaluate the effect of lead on family members of lead based industrial workers and its effect on their liver function tests. As lead can be brought home though the shoes and dresses of lead based industrial workers, this study was done to evaluate the extent of lead exposure and its ill effects on liver functions on their family members as there were very few studies available to show the ill effects of lead on family members of lead based industrial workers. Materials and Methods: Subjects were classified as. Group-A: Controls- individuals who were working in non-lead based industries. Group B: Adult Family members of individuals who were working in lead based industries. Biomarkers of lead exposure estimated were BLL, ?-ALAD, Hb and ZPP. Liver function tests conducted were- estimation of serum enzymes like AST, ALT, ALP, GGT, serum bilirubin, serum total proteins and A/G ratio. Results: The study showed statistically significant increase in BLL (p Conclusions: This study shows that lead brought home through the shoes and dresses of lead based industrial workers affects their family members. This could be prevented by taking simple precautionary measures such as changing clothes and taking shower before reaching home. Keywords: Occupational lead, Family members, Liver function tests, Preventive measures.

Are fingernail lead levels a reliable biomarker of lead internal dose?

BackgroundPotentially toxic elements, such as lead, can bioaccumulate and alter human physiology. Human biomonitoring is an essential tool to evaluate chemical exposures in different biological matrices (blood, urine, saliva, nails, and hair). Of these biological matrices, nails are favorable for their ease of sampling, transport and storage. The aim of this study was to investigate possible correlations between blood lead levels (BLL) and washed and non-washed fingernail lead levels (FLL) in 55 adults living in a lead-contaminated area. MethodVenous blood and fingernail (thumbs and forefingers) samples were collected. Nails from the left hand were washed with Triton X-100 (0.5 % m/v) and HNO3 solution, while nails from the right hand were not submitted to the pre-analytical procedures. Samples were analyzed by graphite furnace atomic absorption spectrometry, and pairwise correlations were used to correlate lead concentrations between BLL and FLL; nails from fingers of the same hand and between washed and unwashed fingernails. Principal component analysis was performed and scatter diagrams were plotted to investigate correlations. ResultsA non-significant positive correlation was found between BLL and washed forefinger nails lead (r = 0.219, p = 0.112) and between BLL and thumbnail lead levels (r = 0.182, p = 0.191). Comparison of fingernails from the same hand (thumb and forefinger), showed that lead concentrations of non-washed nails varied widely, even on analyses of transversal fragments from the same nail. Lead levels in non-washed forefinger nails were not correlated with non-washed thumbnails (r = 0.169, p = 0.219). Conversely, washed thumb and forefinger nails were found to be correlated (r = 0.39, p = 0.003). Washed and non-washed nails were also found to be correlated (p < 0.0001). ConclusionIn conclusion, the results showed that non-washed nails are not a reliable biomarker for lead exposure. Although washing nails before analysis may reduce external contamination, the correlation of lead concentrations between fingers is poor for fingernail lead levels to serve as an internal dose biomarker to lead exposure. In addition, levels in washed nails were not significantly correlated with blood lead levels. Fingernail lead levels seem to serve as an indicator of lead exposure sources in contact with the individual, but not as a reliable biomarker of internal dose.

The Blood Lead, Blood Pressure Connection: An Evaluation of Apparently Healthy Lead Exposed Workers in Nigeria

Objective: There is a paucity of evidence on the lead exposure and blood pressure association in Nigeria where lead exposure is still prevalent and poorly regulated. The objective of this study was to evaluate the association between lead exposure using blood lead level and blood pressure in Port Harcourt Nigeria. Methodology: A prospective cross sectional comparative study of adult subjects with occupational lead exposure and controls, performed in Port Harcourt, South-south Nigeria. Blood lead measured by atomic absorption spectrophotometry was used as the biomarker of lead exposure while systolic and diastolic blood pressures and other relevant variables were measured and analysed. Results: The mean systolic blood pressure was significantly higher in lead exposed subjects 118.49 (14.67) mmHg compared to controls 113.62 (11.31) mmHg (p = 0.008). No difference was observed in the mean diastolic blood pressure. A higher proportion of subjects had systolic and diastolic pressure > 140 mmHg and >90 mmHg compared to controls 9.47% vs. 1.25% and 10.51% vs. 2.54%, with (p = 0.016), OR = 8.27 , RR = 1.38 and (p = 0.028), OR = 4.59 , RR = 1.33 respectively. There was no significant statistical correlation between blood lead and blood pressure. Conclusion: The results of this study indicate a significant systolic blood pressure elevation and prevalence of hypertension among lead exposed workers in Port Harcourt Nigeria. Lager longitudinal research is needed to evaluate lead exposure and elevated blood pressure association in Nigeria. The findings call for better regulation of occupational lead exposure in Nigeria.

Blood lead, bone lead and child attention-deficit-hyperactivity-disorder-like behavior

Background and objectiveMounting evidence showed that lead exposure increased the risk of child attention-deficit-hyperactivity disorder (ADHD). Epidemiologic studies have typically used the blood-lead as a biomarker of lead exposure; blood-lead levels mostly reflect recent lead exposure. However, few studies have examined the relationship between bone-lead, a biomarker of cumulative exposure, and ADHD. Therefore, we aimed to compare the associations of bone-lead vs blood-lead levels with child ADHD symptoms and comorbidities. MethodsA total of 164 children aged 3–15 years were enrolled during 2014–2015. The Vanderbilt-ADHD-Diagnostic-Parent-Rating Scale (VADPRS) was used to evaluate the children's ADHD symptoms and comorbidities. Children's blood and bone lead concentrations were assessed, the latter using a non-invasive K-X-ray-fluorescence technique. According to blood-lead levels, children were classified into high (blood-lead ≥ 10.0 μg/dL) and low (blood-lead < 10.0 μg/dL) blood-lead groups. According to bone-lead levels, children were classified into high (bone-lead ≥ 2.66 μg/g) and low (bone-lead < 2.66 μg/g) bone-lead groups. We associated blood/bone lead with VADPRS data using multi-variable binary logistic regression models. ResultsChildren in the high blood-lead group had higher hyperactivity/impulsivity (P = 0.02) scores than the corresponding low blood-lead group. Children in the high bone-lead group had higher hyperactivity/impulsivity (P = 0.02) and oppositional-defiant-disorder (ODD) (P = 0.03) scores than the corresponding low bone-lead group. After adjusting for relevant confounders, children in the high bone-lead group were more likely to have ODD-behavior than the low group (OR = 6.7, 95%CI: 1.2–36.5). However, no adjusted association was observed between blood-lead and any ADHD-domain score. ConclusionHigh levels of cumulative lead exposure in children may be an independent risk factor of ODD-behavior.

Extending Tests of Random Effects to Assess for Measurement Invariance in Factor Models.

Factor analysis models are widely used in health research to summarize hard to measure predictor or outcome variable constructs. For example, in the ELEMENT study, factor models are used to summarize lead exposure biomarkers which are thought to indirectly measure prenatal exposure to lead. Classic latent factor models are fitted assuming that factor loadings are constant across all covariate levels (e.g., maternal age in ELEMENT); that is, measurement invariance (MI) is assumed. When the MI is not met, measurement bias is introduced. Traditionally, MI is examined by defining subgroups of the data based on covariates, fitting multi-group factor analysis, and testing differences in factor loadings across covariate groups. In this paper, we develop novel tests of measurement invariance by modeling the factor loadings as varying coeffcients, i.e., letting the factor loading vary across continuous covariate values instead of groups. These varying coeffcients are estimated using penalized splines, where spline coeffcients are penalized by treating them as random coeffcients. The test of MI is then carried out by conducting a likelihood ratio test for the null hypothesis that the variance of the random spline coeffcients equals zero. We use a Monte-Carlo EM algorithm for estimation, and obtain the likelihood using Monte-Carlo in tegration. Using simulations, we compare the Type I error and power of our testing approach and the multi-group testing method. We apply the proposed methods to to summarize data on prenatal biomarkers of lead exposure from the ELEMENT study and find violations of MI due to maternal age.

Lead exposure biomarkers in the Common Loon

Lead in fishing tackle is a significant source of exposure to the environment, wildlife, and potentially humans. Common Loons (Gavia immer) are exposed to lead by eating fish which have lead tackle, or ingesting fishing weights or spent ammunition when they ingest small stones to aid in digestion. Blood lead is traditionally used as a biomarker of exposure in loons, but it only reflects recent exposures. Cumulative exposure measured via bone lead may better reflect the overall health of loons and their aquatic habitat. This study compared a portable x-ray fluorescence (XRF) device for measurement of bone lead with and without tissue overlying the bone on loon cadavers with measurements made by inductively coupled plasma mass spectrometry (ICP-MS) of different tissues from the loons. For this study we had 75 bone samples, 19 body fluid samples, and 17 liver lead samples. We found significant correlations between portable XRF bone lead measurements made with overlying tissue and ICP-MS measures of bone lead (R = 0.88), body fluid lead (R = 0.65), and liver lead (R = 0.71). Bone lead was found to be higher in loons collected from non-coastal regions. In assessing lead-related cause of death, bone lead proved more predictive than liver lead. Future studies should investigate the value of these biomarkers for both aquatic health and loon health to further validate our findings.

БИОМАРКЕРЫ ВОЗДЕЙСТВИЯ СВИНЦА ПРИ ЕГО ХРОНИЧЕСКОМ ПОСТУПЛЕНИИ С РАЦИОНОМ В ОРГАНИЗМ ОВЕЦ

Based on the literature and experimental data, the most informative biomarkers of lead exposure in chronic intake with diet in the organism of the sheep. The choice of biomarkers of exposure was based on the mechanism of action of lead and the regularities of income distribution, accumulation and elimination from the orgsnism, as well as the specificity, sensitivity and informative value of laboratory parameters. Comparative analysis of biomarkers of effect of lead on the criteria of specificity, sensitivity, information content and complexity allows to highlight the following several laboratory parameters: the activity of δ-ALAD in peripheral blood &gt; the contents of metallothioneins in peripheral blood lymphocytes &gt; the content of SH groups in plasma of peripheral blood. Of the above biomarkers of effect are reversible, which reduces their information content. At the same time of biomarkers of exposure considered priority lead concentrations in the peripheral blood. Scientific justification for critical limits of lead exposure for mammals is focused on the estimation of the dependence of the biological effects from its concentration in the peripheral blood. Therefore, the most informative biomarkers of exposure are the activity of δ-ALAD and the concentration of the metal in the peripheral blood.

Oxidative damage of DNA in subjects occupationally exposed to lead.

Exposure to lead (Pb) in environmental and occupational settings continues to be a serious public health problem and may pose an elevated risk of genetic damage. The aim of this study was to assess the level of oxidative stress and DNA damage in subjects occupationally exposed to lead. We studied a population of 78 male workers exposed to lead in a lead and zinc smelter and battery recycling plant and 38 men from a control group. Blood lead levels were detected by graphite furnace atomic absorption spectrophotometry and plasma lead levels by inductively coupled plasma-mass spectrometry. The following assays were performed to assess the DNA damage and oxidative stress: comet assay, determination of 8-hydroxy-2'-deoxyguanosine (8-OHdG), lipid peroxidation and total antioxidant status (TAS). The mean concentration of lead in the blood of the exposed group was 392 ± 103 μg/L and was significantly higher than in the control group (30.3 ± 29.4 μg/L, p < 0.0001). Oxidative DNA damages measured by comet assay showed no significant differences between populations. The concentration of 8-OHdG was about twice as high as in the control group. We found a significant positive correlation between the level of biomarkers of lead exposure [lead in blood, lead in plasma, zinc protoporphyrin (ZPP)] and urine concentration of 8-OHdG. The level of oxidative damage of DNA was positively correlated with the level of lipid peroxidation (TBARS) and negatively with total anti-oxidative status (TAS). Our study suggests that occupational exposure causes an increase in oxidative damage to DNA, even in subjects with relatively short length of service (average length of about 10 years). 8-OHdG concentration in the urine proved to be a sensitive and non-invasive marker of lead induced genotoxic damage.

Association between Blood Lead Levels and Delta-Aminolevulinic Acid Dehydratase in Pregnant Women.

Blood lead levels (BLLs) and delta-aminolevulinic acid dehydratase (ALAD) activity are considered biomarkers of lead exposure and lead toxicity, respectively. The present study was designed to investigate the association between BLLs and ALAD activity in pregnant women from Durango, Mexico. A total of 633 pregnant women aged 13–43 years participated in this study. Blood lead was measured by a graphite furnace atomic absorption spectrometer. ALAD activity was measured spectrophotometrically. Mean blood lead was 2.09 ± 2.34 µg/dL; and 26 women (4.1%) crossed the Centers for Disease Control (CDC) recommended level of 5 µg/dL. ALAD activity was significantly lower in women with levels of lead ≥5 µg/dL compared to those with BLLs < 5 µg/dL (p = 0.002). To reduce the influence of extreme values on the statistical analysis, BLLs were analyzed by quartiles. A significant negative correlation between blood lead and ALAD activity was observed in the fourth quartile of BLLs (r = −0.113; p < 0.01). Among women with blood lead concentrations ≥2.2 µg/dL ALAD activity was negatively correlated with BLLs (r = −0.413; p < 0.01). Multiple linear regression demonstrated that inhibition of ALAD in pregnant women may occur at levels of lead in blood above 2.2 µg/dL.