Correlation between cadmium and blood counts in workers exposed to urban stressor

Contamination levels and source apportionment of potentially toxic elements in size-fractionated road dust of Moscow

The distributions of potentially toxic elements (PTEs) among PM₁, PM_1-10, PM_10-50, and PM_50-1000 fractions of the road dust were studied in the western and eastern parts of Moscow, impacted mainly by the road transport and the industrial sector, respectively. The partitioning of PTEs in road dust can provide more precise information on pollution sources and its further interpretation regarding human health risks. The concentrations of PTEs were analyzed by mass and atomic emission inductively coupled plasma spectrometry. Differences in the results between the western and eastern parts of the city were caused by the dissimilarity between traffic and industrial emissions. The source apportionment of the PTEs was carried out using absolute principal component analysis with multiple linear regressions (PCA/APCS-MLR). The contribution from anthropogenic sources was significant to PM₁ and PM_1-10 particles. In coarser fractions (PM_10-50, PM_50-1000), it decreased due to the input with the wind-induced resuspension of soil and rock particles. In the eastern part of the city, the accumulation of PTEs (especially Mo, Sb, Cd, Sn, Bi, Co, and As) is the most active in PM_1-10, while in the western part, it is most pronounced in PM₁ (especially Pb, Cu, Cr, and W) which is associated with differences in the size of particles coming from traffic and industrial sources. In the eastern part of Moscow, in comparison with the western part, the contribution from industrial sources to the accumulation of PTEs in all particle size fractions was higher by 10-30%. In the western part of Moscow, the finest particles PM₁ and PM_1-10 demonstrate the trend of rising pollution levels with the increase in road size, while in the eastern part of the city, only coarse particles PM_50-1000 show the same trend. In the fractions PM₁ and PM_1-10 of road dust, a significant contribution was made by anthropogenic sources; however, its role decreased in the coarse fractions-PM_10-50 and especially in PM_50-1000- due to the influence of roadside soils and their parent material.

Biomarkers of effect as determined in human biomonitoring studies on hexavalent chromium and cadmium in the period 2008-2020

A number of human biomonitoring (HBM) studies have presented data on exposure to hexavalent chromium [Cr(VI)] and cadmium (Cd), but comparatively few include results on effect biomarkers. The latter are needed to identify associations between exposure and adverse outcomes (AOs) in order to assess public health implications. To support improved derivation of EU regulation and policy making, it is of great importance to identify the most reliable effect biomarkers for these heavy metals that can be used in HBM studies. In the framework of the Human Biomonitoring for Europe (HBM4EU) initiative, our study aim was to identify effect biomarkers linking Cr(VI) and Cd exposure to selected AOs including cancer, immunotoxicity, oxidative stress, and omics/epigenetics. A comprehensive PubMed search identified recent HBM studies, in which effect biomarkers were examined. Validity and applicability of the markers in HBM studies are discussed. The most frequently analysed effect biomarkers regarding Cr(VI) exposure and its association with cancer were those indicating oxidative stress (e.g., 8-hydroxy-2'-deoxyguanosine (8-OHdG), malondialdehyde (MDA), glutathione (GSH)) and DNA or chromosomal damage (comet and micronucleus assays). With respect to Cd and to some extent Cr, β-2-microglobulin (B2-MG) and N-acetyl-β-D-glucosaminidase (NAG) are well-established, sensitive, and the most common effect biomarkers to relate Cd or Cr exposure to renal tubular dysfunction. Neutrophil gelatinase-associated lipocalin (NGAL) and kidney injury molecule (KIM)-1 could serve as sensitive biomarkers of acute kidney injury in response to both metals, but need further investigation in HBM studies. Omics-based biomarkers, i.e., changes in the (epi-)genome, transcriptome, proteome, and metabolome associated with Cr and/or Cd exposure, are promising effect biomarkers, but more HBM data are needed to confirm their significance. The combination of established effect markers and omics biomarkers may represent the strongest approach, especially if based on knowledge of mechanistic principles. To this aim, also mechanistic data were collected to provide guidance on the use of more sensitive and specific effect biomarkers. This also led to the identification of knowledge gaps relevant to the direction of future research.

Indoor particulate matter and blood heavy metals in housewives: A repeated measured study

BACKGROUND

Particulate matter (PM) less than 2.5 μm in diameter and 10 μm (PM₁₀) contains heavy metals, but whether exposure to PM is significantly associated with the burden of heavy metal exposure in the population is unknown. We investigated the association between exposure to PM and blood concentrations of lead (Pb), cadmium (Cd), and mercury (Hg) in Korean housewives.

MATERIALS & METHODS

From July 2017 to January 2020, we recruited 115 housewives in Ulsan, Republic of Korea. After excluding participants with missing information, we finally included 88 Korean housewives in our study. We measured the concentrations of indoor PM using a gravimetric method 24 h before blood sampling and the concentrations of Cd, Pb, and Hg in blood, twice at a 1-year interval. We used a linear mixed effect model to estimate the associations between indoor PM and blood heavy metals.

RESULTS

Exposure to PM₁₀ was significantly associated with blood concentrations of Cd among Korean housewives. A 10 μg/m³ increase of PM₁₀ the previous day was associated with a 2.8% (95% confidence interval (CI) = 1.1%, 4.6%) and a 1.5% (95% CI = -0.1%, 3.1%) increase in blood concentrations of Cd and Pb in the linear mixed effect model, respectively.

CONCLUSION

There was a significant association between indoor PM exposure and blood Cd concentrations among Korean housewives. This result suggests that the body burden of heavy metals is significantly associated with air pollution.

Unchanged Pulmonary Function and Increased Prevalence of Subjective Respiratory Symptoms in Non-smoking Workers with Low Cadmium Body Burden

The study investigated the effects of low cadmium (Cd) burden on the respiratory symptoms and pulmonary function in occupational workers. The study population consisted of 98 nickel-cadmium battery workers. Levels of urine cadmium, urinary creatinine (Cr), and data on the adverse respiratory symptoms and pulmonary function of the participants were measured and collected respectively. The urinary cadmium level in cadmium-exposed workers (n = 53) was within the normal range but greater than 2.4 times than those of the control group (n = 45). Compared with the control group, the cadmium-exposed workers had higher prevalence of all subjective respiratory symptoms studied in the study. The prevalence of cough (30%), phlegm (23%), and upper respiratory tract infection (URTI) (79%) in the exposure group was significantly (P < 0.05) higher than the prevalence of cough (11%), phlegm (7%), and URTI (31%) in the control group respectively. There was no significant difference between the Cd-exposed workers and control group in pulmonary function test. Our findings suggested that adverse subjective respiratory symptoms were increased and pulmonary function were unchanged in low Cd burden workers. Unchanged pulmonary function may be related to age, exposure duration, and distribution of Cd in tissue. These workers need to continue being monitored in longitudinal studies.

Environmental cadmium exposure is associated with elevated risk of chronic otitis media in adults

Objectives

Chronic otitis media (COM) is caused by an infection of the middle ear, although it may also be associated with environmental pollutants. Recent reports found that cadmium exposure could be toxic to middle ear cell lines, but the role of cadmium in the development of COM in humans has not been examined to date. We hypothesised that environmental cadmium exposure was associated with an increased risk of COM in the general population.

Methods

We analysed cross-sectional data for 5331 adults of 20 years of age or above, obtained from the Korea National Health and Nutrition Examination Survey 2010–2012. We examined the association between blood cadmium levels and COM diagnosed by an otolaryngologist.

Results

The highest quartile group of cadmium blood concentration was associated with an OR of 3.33 (95% CI 1.78 to 7.53) for COM, after adjusting for potential confounding factors. Doubling blood cadmium concentration resulted in an OR of 1.58 (95% CI 1.19 to 2.08) for COM. These associations were robust on sensitivity analyses after excluding current smokers and former smokers and after excluding subjects with a potential history of occupational exposure to cadmium.

Conclusions

The results of our study suggest that environmental cadmium exposure is associated with increased risk of COM, and further studies are warranted to understand the pathogenetic mechanism by which COM is caused by cadmium exposure.

Alteration of the number and percentage of innate immune cells in preschool children from an e-waste recycling area

Heavy metal lead (Pb) and cadmium (Cd) are widespread environmental contaminants and exert detrimental effects on the immune system. We evaluated the association between Pb/Cd exposures and innate immune cells in children from an electronic waste (e-waste) recycling area. A total number of 294 preschool children were recruited, including 153 children from Guiyu (e-waste exposed group), and 141 from Haojiang (reference group). Pb and Cd levels in peripheral blood were measured by graphite furnace atomic absorption spectrophotometer, NK cell percentages were detected by flow cytometer, and other innate immune cells including monocytes, eosinophils, neutrophils and basophils were immediately measured by automated hematology analyzer. Results showed children in Guiyu had significantly higher Pb and Cd levels than in reference group. Absolute counts of monocytes, eosinophils, neutrophils and basophils, as well as percentages of eosinophils and neutrophils were significantly higher in the Guiyu group. In contrast, NK cell percentages were significantly lower in Guiyu group. Pb elicited significant escalation in counts of monocytes, eosinophils and basophils, as well as percentages of monocytes, but decline in percentages of neutrophils in different quintiles with respect to the first quintile of Pb concentrations. Cd induced significant increase in counts and percentages of neutrophils in the highest quintile compared with the first quintile of Cd concentrations. We concluded alteration of the number and percentage of innate immune cells are linked to higher levels of Pb and Cd, which indicates Pb and Cd exposures might affect the innate and adaptive immune response in Guiyu children.

Blood cadmium by race/hispanic origin: The role of smoking

BACKGROUND

There have been increasing concerns over health effects of low level exposure to cadmium, especially those on bones and kidneys.

OBJECTIVE

To explore how age-adjusted geometric means of blood cadmium in adults varied by race/Hispanic origin, sex, and smoking status among U.S. adults and the extent to which the difference in blood cadmium by race/Hispanic origin and sex may be explained by intensity of smoking, a known major source of cadmium exposure.

METHODS

Our sample included 7,368 adults from National Health and Nutrition Examination Survey (NHANES) 2011-2014. With direct age adjustment, geometric means of blood cadmium and number of cigarettes smoked per day were estimated for subgroups defined by race/Hispanic origin, smoking status, and sex using interval regression, which allows mean estimation in the presence of left- and right-censoring.

RESULTS

Among never and former smoking men and women, blood cadmium tended to be higher for non-Hispanic Asian adults than adults of other race/Hispanic origin. Among current smokers, who generally had higher blood cadmium than never and former smokers, non-Hispanic white, black, and Asian adults had similarly elevated blood cadmium compared to Hispanic adults. A separate analysis revealed that non-Hispanic white adults tended to have the highest smoking intensity regardless of sex, than adults of the other race/Hispanic origin groups.

CONCLUSIONS

The observed pattern provided evidence for smoking as a major source of cadmium exposure, yet factors other than smoking also appeared to contribute to higher blood cadmium of non-Hispanic Asian adults.

Determinants of serum cadmium levels in a Northern Italy community: A cross-sectional study

INTRODUCTION

Cadmium (Cd) is a heavy metal and a serious environmental hazard to humans. Some uncertainties still exist about major sources of Cd exposure in non-occupationally exposed subjects in addition to cigarette smoking, such as diet and outdoor air pollution. We sought to determine the influence of these sources on a biomarker of exposure, serum Cd concentration.

METHODS

We recruited 51 randomly selected residents from an Italian urban community, from whom we obtained detailed information about dietary habits and smoking habits, and a blood sample for serum Cd determination. We also assessed outdoor air Cd exposure, by modeling outdoor air levels of particulate matter ≤10µm (PM10) from motorized traffic at geocoded subjects' residence.

RESULTS

In crude analysis, regression beta coefficients for dietary Cd, smoking and PM10 on serum Cd levels were 0.03 (95% CI -0.83 to 0.88), 6.96 (95% CI -0.02 to 13.95) and 0.62 (95% CI -0.19 to 1.43), respectively. In the adjusted analysis, regression beta coefficients were -0.34 (95% CI -1-40 to 0.71), 5.81 (95% CI -1.43 to 13.04) and 0.47 (95% CI -0.35 to 1.29), respectively.

CONCLUSION

Cigarette smoking was the most important factor influencing serum Cd in our non-occupationally exposed population, as expected, while dietary Cd was not associated with this biomarker. Outdoor air pollution, as assessed through exposure to particulate matter generated by motorized traffic, was an additional source of Cd exposure.

Selective removals of heavy metals (Pb(2+), Cu(2+), and Cd(2+)) from wastewater by gelation with alginate for effective metal recovery

A novel method that uses the aqueous sodium alginate solution for direct gelation with metal ions is developed for effective removal and recovery of heavy metals from industrial wastewater. The experimental study was conducted on Pb(2+), Cu(2+), and Cd(2+) as the model heavy metals. The results show that gels can be formed rapidly between the metals and alginate in less than 10 min and the gelation rates fit well with the pseudo second-order kinetic model. The optimum dosing ratio of alginate to the metal ions was found to be between 2:1 and 3:1 for removing Pb(2+) and around 4:1 for removing Cu(2+) and Cd(2+) from wastewater, and the metal removal efficiency by gelation increased as the solution pH increased. Alginate exhibited a higher gelation affinity toward Pb(2+) than Cu(2+) and Cd(2+), which allowed a selective removal of Pb(2+) from the wastewater in the presence of Cu(2+) and Cd(2+) ions. Chemical analysis of the gels suggests that the gelation mainly occurred between the metal ions and the -COO(-) and -OH groups on alginate. By simple calcination of the metal-laden gels at 700 °C for 1 h, the heavy metals can be well recovered as valuable resources. The metals obtained after the thermal treatment are in the form of PbO, CuO, and CdO nanopowders with crystal sizes of around 150, 50, and 100 nm, respectively.