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Biological Monitoring of Lead Exposure in Children: Overview of Selected Biokinetic and Toxicological Issues

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Lead Exposure and Child Development

Summary

The biological monitoring of lead exposure in paediatric and adult human populations has usually involved one of two approaches: (1) measurement of the internal or systemic dose of lead itself in some indicator medium, or (2) quantification of some ‘subcritical’ effect of lead. The extent to which biological monitoring in humans accurately states both exposure risk and relative health risk remains the subject of much research. Of particular interest are (1) the biokinetic characteristics of the common indicators of exposure, (2) the development and use of kinetic models of lead metabolism, and (3) the relative merits of the use of biological effect indicators versus measurement of the toxicant in some medium.

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References

  • Al-Naimi, T., Edmonds, M.I. and Fremlin, J.H. (1980) The distribution of lead in human teeth, using charged particle activation analysis. Phys. Med. Biol, 25, 719–726

    Article  PubMed  CAS  Google Scholar 

  • Araki, S. (1973) On the behaviour of ‘active deposit of lead (Teisinger)’ in the Japanese free from occupational exposure to lead. Ind Health, 11, 203–224

    Article  CAS  Google Scholar 

  • Araki, S. and Ushio, K. (1982) Assessment of the body burden of chelatable lead: a model for application to workers. Br. J. Ind. Med, 39, 157–160

    PubMed  CAS  Google Scholar 

  • Brudevold, F., Aasenden, R., Srinivasien, B.N. and Bakhos, Y. (1977) Lead in enamel and saliva, dental caries and the use of enamel biopsis for measuring past exposure to lead. J. Dental Res, 56, 1165–1171

    Article  CAS  Google Scholar 

  • Carroll, K.G., Needleman, H.L., Tuncay, O.C. and Shapiro, I.M. (1972) The distribution of lead in human deciduous teeth. Experientia, 28, 434–445

    Article  PubMed  CAS  Google Scholar 

  • Chamberlain, A.C. (1985) Prediction of response of blood lead to airborne and dietary lead from volunteer experiments with lead isotopes. Proc. R. Soc. Lond., B, 224, 149–182

    Article  CAS  Google Scholar 

  • Chamberlain, A.C., Heard, M.J., Newton, D., Wells, A.C. and Wiffen, R.D. (1978) Investigations into Lead from Motor Vehicles. AERE Report 9198 (London: HMSO)

    Google Scholar 

  • Chisolm, J.J., Jr and Barltrop, D. (1979) Recognition and management of children with increased lead absorption. Arch. Dis. Childk, 54, 249–262

    Article  Google Scholar 

  • Christoffersson, J.O., Schutz, A., Ahlgren, L., Haeger-Aronsen, B., Mattsson, S. and Skerfving, S. (1984) Lead in finger-bone analyzed in-vivo in active and retired lead workers. Am. J. Ind. Med, 6, 447–457

    Article  PubMed  CAS  Google Scholar 

  • Delves, H.T., Clayton, B.E., Carmichael, A., Bubear, M. and Smith, M. (1982) An appraisal of the analytical significance of tooth-lead measurements as possible indices of environmental exposure of children to lead. Ann. Clin. Biochem, 19, 329–337

    PubMed  CAS  Google Scholar 

  • Delves, H.T., Sherlock, J.C. and Quinn, M.J. (1984) Temporal stability of blood lead concentrations in adults exposed only to environmental lead. Human Toxicol, 3, 279–288

    Article  CAS  Google Scholar 

  • DeSilva, P.E. (1981) Determination of lead in plasma and studies on its relationship to lead in erythrocytes. Br. J. Ind. Med, 38, 209–217

    PubMed  CAS  Google Scholar 

  • Ewers, U., Brockhaus, A., Winneke, G., Freier, I., Jermann, E. and Krämer, U. (1982) Lead in deciduous teeth of children living in a non-ferrous smelter area and a rural area of the FRG. Int. Arch. Occup. Environ. Health, 50, 139–151

    Article  PubMed  CAS  Google Scholar 

  • Fischbein, A., Thornton, J., Blumberg, W.E., Bernstein, J., Valciukas, J.A., Moses, M., Davidow, B., Kaul, B., Sirstas, M. and Selikoff, I.J. (1980) Health status of cable splicers with low-level exposure to lead: results of a clinical survey. Am. J. Public Health, 70, 697–700

    Article  PubMed  CAS  Google Scholar 

  • Grandjean, P., Hansen, O.N. and Lyngbye, G. (1984) Analysis of lead in circumpulpal dentine of deciduous teeth. Ann. Clin. Iah. Sci, 14, 270–275

    CAS  Google Scholar 

  • Griffin, T.B., Coulston, F., Wills, H., Russell, J.C. and Knelson, J.H. (1975) Clinical studies on men continuously exposed to airborne particulate lead, in Griffin, T.B. and Knelson, J.H. (eds), Lead (New York: Academic Press)

    Google Scholar 

  • Haavikko, K., Antilla, A., Helle, A. and Vuori, E. (1984) Lead concentrations of enamel and dentine of deciduous teeth of children from two Finnish towns. Arch. Environ. Health, 39, 78–84

    PubMed  CAS  Google Scholar 

  • Hammond, P.B. (1971) The effects of chelating agents on the tissue distribution and excretion of lead. Toxicol. Appl. Pharmacol, 18, 296–310

    Article  PubMed  CAS  Google Scholar 

  • Hammond, P.B. (1973) The effects of D-penicillamine on the tissue distribution and excretion of lead. Toxicol. Appl Pharmacol, 26, 241–246

    Article  PubMed  CAS  Google Scholar 

  • Hammond, P.B., Lerner, S.I., Gartside, P.S., Hanenson, I.B., Roda, S.B., Foulkes, E.C., Johnson, D.R. and Pesce, A.J. (1980) The relationship of biological indices of lead exposure to the health status of workers in a secondary lead smelter. J. Occup. Med, 22, 475–484

    PubMed  CAS  Google Scholar 

  • Hammond, P.B., Bornschein, R.L. and Succop, P. (1985) Dose-effect and dose-response relationships of blood lead to erythrocytic protoporphyrin in young children. Environ. Res, 38, 187–196

    Article  PubMed  CAS  Google Scholar 

  • Harley, N.H. and Kneip, T.H. (1984) An Integrated Metabolic Model for Lead in Humans of All Ages. Final Report to the US Environmental Protection Agency: Contract No. B44899 with New York University School of Medicine, 30 December, 1984

    Google Scholar 

  • Hryhorczuk, D.O., Rabinowitz, M.B., Hessl, S.M., Hoffman, D., Hogan, M.M., Mallin, K., French, H., Arris, P. and Berman, E. (1985) Elimination kinetics of blood lead in workers with chronic lead intoxication. Am. J. Ind. Med, 8, 33–42

    Article  PubMed  CAS  Google Scholar 

  • Kang, H.K., Infante, P.F. and Carra, J.S. (1983) Determination of blood-lead elimination patterns of primary lead smelter workers. J. Toxicol. Environ. Health, 11, 199–210

    Article  CAS  Google Scholar 

  • Kneip, T.J., Mallon, R.P. and Harley, N.H. (1983) Biokinetic modelling for mammalian lead metabolism. Neurotoxicology, 4, 189–192

    PubMed  CAS  Google Scholar 

  • Lansdown, R., Yule, W., Urbanowicz, M.-A. and Hunter, J. (1986). The relationship between blood-lead concentrations, intelligence, attainment and behaviour in a school population. The second London study. Int. Arch. Occup. Environ. Health, 57, 225–235

    Article  PubMed  CAS  Google Scholar 

  • Mackie, A.C., Stephens, R., Townsend, A. and Waldron, H.A. (1977) Tooth lead levels in Birmingham children. Arch. Environ. Health, 32, 178–185

    PubMed  CAS  Google Scholar 

  • Manton, W.I. (1985) Total contribution of airborne lead to blood lead. Br. J. Ind. Med, 42, 168–172

    PubMed  CAS  Google Scholar 

  • Manton, W.I. and Cook, J.D. (1984) High accuracy (stable isotope dilution) measurements of lead in serum and cerebrospinal fluid. Br. J. Ind. Med, 41, 313–319

    PubMed  CAS  Google Scholar 

  • Marcus, A.H. (1985a) Multicompartment kinetic models for lead. I. Bone diffusion models for long term retention. Environ. Res, 36, 441–458

    Article  PubMed  CAS  Google Scholar 

  • Marcus, A.H. (1985b) Multicompartment kinetic models for lead. II. Linear kinetics and variable absorption in humans without excessive lead exposures. Environ. Res, 36, 459–472

    Article  PubMed  CAS  Google Scholar 

  • Marcus, A.H. (1985c) Multicompartment kinetic models for lead. III. Lead in blood plasma and erythrocytes. Environ. Res, 36, 473–489

    Article  PubMed  CAS  Google Scholar 

  • Marlowe, M. and Errrera, J. (1982) Low lead levels and behaviour problems in children. Behav. Disorders, 7, 163–172

    Google Scholar 

  • Mitchell, R.A., Drake, J.E., Wittlin, C.A. and Rejent, T.A. (1977) Erythrocyte porphobilinogen synthase (delta-aminolevulinate dehydratase) activity: a reliable and quantitative indicator of lead exposure in humans. Clin. Chem, 23, 105–111

    PubMed  CAS  Google Scholar 

  • Needleman, H.L., Gunnoe, C., Leviton, A., Reed, R., Peresie, H., Maher, C. and Barrett, P. (1979) Deficits in psychologic and classroom performance of children with elevated dentine lead levels. N. Engl. J. Med, 300, 689–695

    Article  PubMed  CAS  Google Scholar 

  • O’Flaherty, E.J., Hammond, P.B. and Lerner, S.I. (1982) Dependence of apparent blood lead half-life on the length of previous lead exposure in humans. Fund. Appl. Toxicol, 2, 49–54

    Article  Google Scholar 

  • Pinchin, M.J., Newham, J. and Thompson, R.P.J. (1978) Lead, copper and cadmium in teeth of normal and mentally retarded children. Clin. Chim. Acta, 85, 89–94

    Article  PubMed  CAS  Google Scholar 

  • Piomelli, S., Seaman, C., Zullon, D., Currin, A. and Davidow, B. (1982) Threshold for lead damage to heme synthesis in urban children. Proc. Natl. Acad. Sci. USA, 79, 3335–3339

    Article  PubMed  CAS  Google Scholar 

  • Piomelli, S., Rosen, J.F., Chisolm, J.J., Jr and Graef, J.W. (1984) Management of childhood lead poisoning. J. Pediat, 105, 523–532

    Article  PubMed  CAS  Google Scholar 

  • Rabinowitz, M.B., Wetherill, G.W. and Kopple, J.D. (1976) Kinetic analysis of lead metabolism in healthy humans. J. Clin. Invest, 58, 260–270

    Article  PubMed  CAS  Google Scholar 

  • Rabinowitz, M.B., Wetherill, G.W. and Kopple, J.D. (1977) Magnitude of lead intake from respiration by normal man. J. Lab. Clin. Med, 90, 238–248

    PubMed  CAS  Google Scholar 

  • Rabinowitz, M.B., Leviton, A. and Needleman, H. (1984) Variability of blood lead concentrations during infancy. Arch. Environ. Health, 39, 74–77

    PubMed  CAS  Google Scholar 

  • Rosen, J.F. and Markowitz, M.E. (1980) D-penicillamine: its actions on lead transport in bone organ culture. Pediat. Res, 14, 330–335

    Article  PubMed  CAS  Google Scholar 

  • Saenger, P., Rosen, J.F. and Markowitz, M.E. (1982) Diagnostic significance of edetate disodium calcium testing in children with increased lead absorption. Am. J. Dis. Child, 136, 312–315

    PubMed  CAS  Google Scholar 

  • Schroeder, S.R., Hawk, B., Otto, D.A., Mushak, P. and Hicks, R.E. (1985) Separating the effects of lead and social factors on IQ. Environ. Res, 38, 144–154

    Article  PubMed  CAS  Google Scholar 

  • Shapiro, I.M., Needleman, H.L. and Tuncay, O.C. (1972) The lead content of human deciduous and permanent teeth. Environ. Res, 5, 467–470

    Article  PubMed  CAS  Google Scholar 

  • Shapiro, I.M., Dobkin, B., Tuncay, O.C. and Needleman, H.L. (1973) Lead levels in dentine and circumpulpal dentine of deciduous teeth of normal and lead poisoned children. Clin. Chim. Acta, 46, 119–123

    Article  PubMed  CAS  Google Scholar 

  • Shapiro, I.M., Mitchell, G., Davidson, I. and Katz, S.H. (1975) The lead content of teeth. Evidence establishing new minimal levels of exposure in a living preindustrialized human population. Arch. Environ. Health, 30, 483–486

    PubMed  CAS  Google Scholar 

  • Smith, M., Delves, T., Lansdown, R., Clayton, B. and Graham, P. (1983) The effects of lead exposure on urban children: The Institute of Child Health/Southampton study. Dev. Med. Child Neurol, 25 (Suppl. 47), 1–54

    Google Scholar 

  • Steenhout, A. and Pourtois, M. (1981) Lead accumulation in teeth as a function of age with different exposures. Br. J. Ind. Med, 38, 297–303

    PubMed  CAS  Google Scholar 

  • Thatcher, R.W., Lester, M.L., McAlaster, R. and Horst, R. (1982) Effects of low levels of cadmium and lead and cognitive functions in children. Arch. Environ. Health, 37, 159–166

    PubMed  CAS  Google Scholar 

  • Thomas, H.F., Elwood, P.C., Welsby, A. and St Leger, A.S. (1979) Relationship of blood lead in women and children to domestic water lead. Nature, 282, 712–713

    Article  PubMed  CAS  Google Scholar 

  • Tola, S., Hernberg, S., Asp, S. and Nikkanen, J. (1973) Parameters indicative of absorption and biological effect in new lead exposure: a prospective study. Br. J. Ind. Med, 30, 134–141

    PubMed  CAS  Google Scholar 

  • US Centers for Disease Control (1985) Preventing Lead Poisoning in Young Children: A statement by the Centers for Disease Control — January 1985. US Department of Health and Human Services, Public Health Service, Atlanta, Ga.

    Google Scholar 

  • US Environmental Protection Agency (1977) Air Quality Criteria for Lead. Criteria and Special Studies Office, Research Triangle Park, N.C. EPA Report No. EPA-600/8-77-017, December

    Google Scholar 

  • Wielpolski, L., Rosen, J.F., Slatkin, D.N., Vartsky, D., Ellis, K.J. and Cohn, S.H. (1983) Feasibility of noninvasive analysis of lead in the human tibia by soft X-ray fluorescence. Med. Phys, 10, 248–251

    Article  Google Scholar 

  • Winneke, E., Beginn, U., Ewers, T., Havestadt, C., Kraemer, U., Krause, C., Thron, H.L. and Wagner, H.M. (1985) Comparing the effects of perinatal and later childhood lead exposure on neuropsychological outcome. Environ. Res, 38, 155–167

    Article  PubMed  CAS  Google Scholar 

  • World Health Organization (1977) Environmental Health Criteria, 3 (Geneva, Switzerland)

    Google Scholar 

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Mushak, P. (1989). Biological Monitoring of Lead Exposure in Children: Overview of Selected Biokinetic and Toxicological Issues. In: Smith, M.A., Grant, L.D., Sors, A.I. (eds) Lead Exposure and Child Development. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0847-5_4

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  • DOI: https://doi.org/10.1007/978-94-009-0847-5_4

  • Publisher Name: Springer, Dordrecht

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