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Assessment of renal function of workers exposed to inorganic lead, cadmium or mercury vapor

Journal Article · · J. Occup. Med.; (United States)
OSTI ID:7055785
The renal function of workers occupationally exposed to cadmium (n = 148), to mercury vapor (n = 63) or to inorganic lead (n = 25) has been compared with that of workers with no occupational exposure to heavy metals (n = 88). A moderate exposure to lead (Pb-B < 62 ..mu..g/100 ml) does not seem to alter renal function. Excessive exposure to cadmium increases the urinary excretion of both low- and high-molecular-weight proteins and of tubular enzymes. These changes are mainly observed in workers excreting more than 10 ..mu..g Cd/g creatinine or with Cd-B above 1 ..mu..g Cd/100 ml whole blood. Occupational exposure to mercury vapor induces glomerular dysfunction as evidenced by an increased urinary excretion of high-molecular-weight proteins and a slightly increased prevalence of higher ..beta../sub 2/-microglobulin concentration in plasma without concomitant change in urinary ..beta../sub 2/-microglobulin concentration. ..beta..-galactosidase activity in blood and in urine is also increased. The likelihood of these findings is greater in workers with Hg-B and Hg-U exceeding 3 ..mu..g/100 ml whole blood and 50 ..mu..g/g creatinine, respectively. The hypothesis is put forward that the glomerular dysfunction induced by cadmium and mercury might result from an autoimmune mechanism.
Research Organization:
Univ. of Louvain, Brussels, Belgium
OSTI ID:
7055785
Journal Information:
J. Occup. Med.; (United States), Journal Name: J. Occup. Med.; (United States) Vol. 22:11; ISSN JOCMA
Country of Publication:
United States
Language:
English

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