Plomo y nefropatía: Biomarcadores urinarios en la detección de daño renal precoz



Título del documento: Plomo y nefropatía: Biomarcadores urinarios en la detección de daño renal precoz
Revista: Revista médica de Chile
Base de datos: PERIÓDICA
Número de sistema: 000396405
ISSN: 0034-9887
Autores: 1
2
2
2
Instituciones: 1Universidad Católica Nuestra Señora de la Asunción, Asunción. Paraguay
2University of Amberes, Faculty of Medicine and Life Sciences, Amberes. Bélgica
Año:
Periodo: Jun
Volumen: 144
Número: 6
Paginación: 704-709
País: Chile
Idioma: Español
Tipo de documento: Artículo
Enfoque: Experimental, aplicado
Resumen en inglés The role of lead (Pb) as an environmental cause of nephropathy is difficult to ascertain due to the difficulty to determine clinically its exposure. Aim: To assess lead levels and renal function in a group of males working in mechanical workshops. Material and Methods: Blood and urine samples were obtained from 100 mechanical workshop workers aged 38 ± 16 years and 95 non-exposed office clerks aged 37 ± 17 years. Blood lead and creatinine levels were determined. In exposed workers, urinary excretion of intestinal alkaline phosphatases (IAP) and N-acetyl-glucosaminidase (NAG) were measured as early markers of renal failure. Results: Blood lead levels were 66.4 ± 43 and 33.6 ± 18 µg/L among mechanical workshop workers and non-exposed controls, respectively, p < 0.01. The figures for serum creatinine were 0.9 ± 0.1 and 0.9 ± 0.1 respectively, p = NS. Among exposed workers urinary excretion of IAP was 0.47 ± 0.6 U/L and of NAG, 0.92 ± 1.1 U/L. There was a positive correlation between blood lead levels and NAG excretion (r = 0.284) and IAP excretion (r = 0.346). Conclusions: Exposed workers had higher blood lead levels and there was a weak positive association between these levels and the urinary excretion of NAG and IAP
Disciplinas: Medicina
Palabras clave: Diagnóstico,
Nefrología,
Toxicología,
Plomo,
Exposición ambiental,
Insuficiencia renal crónica (IRC),
Biomarcadores,
Orina
Keyword: Medicine,
Diagnosis,
Nephrology,
Toxicology,
Lead,
Environmental exposure,
Chronic renal failure (CRF),
Biomarkers,
Urine
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