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KMID : 0377519750010010037
Chung-Ang Journal of Medicine
1975 Volume.1 No. 1 p.37 ~ p.46
¥ä-Aminolevulinic acid Dehydratase Activity as an indication of Lead Absorption
Chung Kyou-Chull

Chang Im-Won
Abstract
This study was conducted in an attempt to clarify the interrelationship among blood lead level, erythrocyte ¥ä-aminolevulinic acid dehydratase (¥ä-ALAD) activity and urinary ¥ä-aminolevulinic acid (¥ä-ALA) excretion as an indication of lead absorption in lead workers in Korea. Blood lead level, ¥ä-ALAD activity and urinary ¥ä-ALA excretion were measured with samples obtained from 37 lead workers and 33 non-lead workers (coal miners) as a control group. Analytical methods used for this study were atomic spectrophotometric method using Jarrel-Ash 82-500 atomic absorption spectrophotometer (Fisher Scientific Co.) by Hessel¡¯s method (1968) for blood lead level, Bonsignore¡¯s method modified by Weissberg (1971) for erythrocyte ¥ä-ALAD activity, and Mauzerall and Granick¡¯s method modified by Wada et al (1969) for urinary ¥ä-ALA excretion. Erythrocyte ¥ä-ALAD activity in relation to blood lead level and urinary ¥ä-ALA excretion was discussed as a measure of lead absorption. The following results were obtained: 1. There was no difference in blood lead level among workers of different age groups, and on the other hand, there was a definite tendency of increase in blood lead level with duration of working years at lead workplaces. 2. Mean erythrocyte ¥ä-ALAD activity was 70.9¡¾12.00 units for the non-lead workers and the value decreased sharply to 45.6¡¾14.25 units and to 19.6¡¾9.00 units as the blood lead levels increased to 10-19 §¶% and 20-39 §¶%, respectively. The rate of decrease of the erythrocyte ¥ä-ALAD activity was lessened when the blood lead level increased higher than 40 §¶%. 3. Mean urinary ¥ä-ALA excretion amounted to 2.6¡¾1.36 §·/g creatinine on an average in non-lead workers, and increased proportionally with blood lead level showing linear regressional relationship of urinary ¥ä-ALA excretion (Y: §·/g creatinine) on blood lead level (X: §¶%) expressed by equation: Y=0.3627 X-0.3974 (r=0.8853). 4. Regressional relationship of erythrocyte ¥ä-ALAD activity (Y: unit) on blood lead level (X: §¶%) was expressed by the equation log Y=log226-0.689 logX (r=-0.8257), and that of erythrocyte ¥ä-ALAD activity (Y: unit) on urinary ¥ä-ALA excretion (X: §·/g creatinine) by logY=log109-0.728 logX (r=-0.7003).
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