0000000000223703

AUTHOR

Antonio Mutti

Interest of genotyping and phenotyping of drug-metabolizing enzymes for the interpretation of biological monitoring of exposure to styrene

In the field of occupational and/or environmental toxicology, the measurement of specific metabolites in urine may serve to assess exposure to the parent compounds (biological monitoring of exposure). Styrene is one of the chemicals for which biological monitoring programs have been validated and implemented in environmental and occupational medicine. However, inter-individual differences in the urinary excretion exist both for the main end-products (mandelic acid and phenylglyoxylic acid) and for its specific mercapturic acids (phenylhydroxyethylmercapturic acids, PHEMA). This limits to a certain extent the use of these metabolites for an accurate assessment of styrene exposure. In a group…

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Renal and neurologic effects of cadmium, lead, mercury, and arsenic in children: evidence of early effects and multiple interactions at environmental exposure levels.

We read with great interest the article by de Burbure et al. (2006) on health effects in children who live near nonferrous smelters in France, the Czech Republic, and Poland. We were especially interested in the inverse relationship found between levels of urinary mercury and serum prolactin. We found a similar result in an Italian multicenter crosssectional survey with adult subjects (Alessio et al. 2002) using a different statistical approach based on regression analysis with mixed linear models. We found that serum prolactin decreased as a function of both urinary mercury and occupational exposure to inorganic mercury (Lucchini et al. 2003). In another study (Carta et al. 2003), our grou…

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