Dental amalgam, low-dose exposure to mercury, and urinary proteins in young Swedish men.

Chronic exposure to inorganic mercury can cause kidney injury. Evidence gained from occupational medicine indicates that individuals who are exposed to only environmental sources, including amalgam tooth fillings, are at very little risk. Animal experiments, however, have revealed glomerular lesions of immunologic origin after low-dose exposure to inorganic mercury. In this study, the association between the number of amalgam tooth surfaces, urinary mercury, and proteinuria was explored in a sample of 48 randomly selected, apparently healthy male students who were 17-22 y of age. Presence of any of the following proteins in two separate urine samples was considered to be potentially indicative of any tubular and/or glomerular lesion: albumin, alpha-1-microglobulin (HC-protein), kappa and lambda light chains, and N-acetyl-beta-D-glucosaminidase. No significant relationship was found between any of the proteins and amalgam or urinary mercury. The results of this study did not suggest that amalgam fillings cause kidney dysfunction in humans.

Immune factors, dental amalgam, and low-dose exposure to mercury in Swedish adolescents.

Occupational high-dose exposure to metallic mercury can cause immune disturbances in sensitive individuals. Whether low-dose exposure to inorganic mercury from dental amalgam has this effect in humans is one of the issues related to the concept of oral galvanism and is supported by results of animal studies. This study explored some cellular immune factors (B- and T-lymphocytes, T4, T8, monocytes, neutrophilic, eosinophilic, and basophilic granulocytes, and large unstained cells) and some humoral immune factors (immunoglobulins IgG, IgG1, IgG2, IgG3, IgG4, IgA, IgM, IgE, albumin, alfa-1-antitrypsin, orosomucoid, haptoglobin, and antinuclear antibodies) in 41 healthy 15-y-old schoolchildren. The relationship between these factors and amalgam fillings and mercury concentrations in plasma (P-Hg) were investigated. A low, but significant correlation (r = 0.40, p < .05) was found between the number of amalgam surfaces and the P-Hg values, which were low for both sexes (median value = 1.8 nmol/l). There was no significant influence of the number of amalgam surfaces or P-Hg on the immune factors tested, except random findings. The girls had significantly higher values of T8, IgG, and IgG1 than the boys.

Increased frequency of micronuclei in lymphocytes of Swedish chimney sweeps.

Forty-five Swedish chimney sweeps and 49 controls were investigated with micronuclei stimulated by phytohemagglutinin and pokeweed mitogen and by analysis of lymphocyte subgroups and neutrophilic leukocytes. There was a statistically significant effect among sweeps with respect to both micronuclei variables and neutrophilic leukocytes. The effect on lymphocyte micronuclei was most prominent in pokeweed mitogen-stimulated cells, which may imply that the T4 lymphocytes were preferentially damaged by the occupational exposure.

Gasoline pump mechanics had increased frequencies and sizes of micronuclei in lymphocytes stimulated by pokeweed mitogen.

Fifteen gasoline pump mechanics and 15 controls were investigated with the lymphocyte micronucleus assay and also with differential count of leukocytes in the peripheral blood. The lymphocytes were stimulated with phytohemagglutinin and pokeweed mitogen in parallel cultures. The pump mechanics had increased frequencies and sizes of micronuclei in the pokeweed mitogen-stimulated cultures but not in those stimulated with phytohemagglutinin. The difference in effect between the 2 mitogens is probably due to an increased sensitivity of the B-lymphocytes to mutagens. The leukocyte count was significantly higher in the gasoline-exposed group. The effect of the occupational exposure was probably caused by the benzene content of the gasoline. The time-weighted average for 8 h was around 1 mg/m3 of benzene, but there were peak levels of 20 mg/m3.

Biological effects in a chemical factory with mutagenic exposure. I. Cytogenetic and haematological parameters.

Analysis in two independent laboratories demonstrated no significant differences in chromosome aberrations or micronuclei in lymphocytes from peripheral blood between workers in a chemical factory (exposed to a mixture of chemicals, such as piperazine, low levels of ethylene oxide and formaldehyde, aromatic nitrogen compounds, and other aromatic compounds) compared to unexposed control subjects. The chemical workers had significantly higher counts of lymphocytes (3.57 vs. 2.82 X 10(9)/l; P less than 0.001), eosinophils (0.27 vs. 0.20 X 10(9)/l; P = 0.005), and basophils (0.06 vs. 0.05 X 10(9)/l; P = 0.01) than the controls. Twenty workers exposed to piperazine had higher total numbers of B-lymphocytes than control subjects.