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研究生: 李宜娟
Li, Yi-Chuan
論文名稱: 以職場勞工與動物實驗探討鉻(VI/III)暴露下尿中鉻之排除情形與動力學
The investigation of urinary chromium and excretory chromium kinetics from occupationally exposed workers and animal experiments
指導教授: 張火炎
Chang, Ho-Yuan
學位類別: 碩士
Master
系所名稱: 醫學院 - 環境醫學研究所
Department of Environmental and Occupational Health
論文出版年: 2003
畢業學年度: 91
語文別: 中文
論文頁數: 81
中文關鍵詞: 動物實驗價數生物偵測皮膚暴露動力學
外文關鍵詞: dermal exposure, valence, chromium, kinetics, animal experiment, biological monitoring
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  • 一般在自然界中暴露到鉻的來源除了包括職業場所的工作暴露(空氣暴露、皮膚暴露)外,飲食中的蔬菜、肉類也會有微量鉻的存在,因此鉻也會經由口服的途徑進入到體內。而目前尿中的總鉻濃度往往被當作是鉻的生物暴露指標。文獻中大多假設尿中鉻是以三價型式存在,對於尿中是否有Cr(VI)的存在則尚未有實際量測資料,此外、過去對於鉻暴露之尿中鉻動力學探討有限。因此本研究利用職業暴露與動物實驗探討不同價數鉻(VI/III)暴露下,尿中鉻濃度之分布與動力學資料,因此,本研究目的為:(1)利用離子色層分析儀(IC)來測試高鉻暴露之實驗動物與職業鉻暴露員工之尿中六價鉻的存在與否(2)探討兩種鉻暴露職業(色料及皮革廠)下生物偵測研究及尿中六價鉻是否存在 (3)利用口服途徑的動物實驗方式,來建立不同價數鉻暴露下鼠尿中總鉻的動力學模式,以了解鉻在體內的分佈情形(4)利用皮膚暴露途徑的動物實驗方式,來比較在不同價數鉻暴露下,剃毛與否對皮膚吸收的影響及鼠尿中總鉻的變化情形。
    本研究採集了兩種職業(色料及皮革廠)鉻暴露工廠之勞工的空氣、皮膚以及尿液樣本來作為一般職場的監測。另外再利用動物實驗的方式,在兩種價數(Cr(III)及Cr(VI))鉻暴露的情形下,給予口服與皮膚兩種不同途徑的暴露,並以Inductively Coupled Plasma-Mass Spectrometer(ICP-MS)和Ion Chromatography(IC)來進行尿液樣本的分析。結果顯示,兩家工廠空氣中的幾何平均濃度明顯低於法定的容許濃度值(PEL=100μg/m3),而皮膚樣本的幾何平均濃度範圍分別為0.12~0.32μg/cm2(色料廠中)及0.04~0.16μg/cm2(皮革廠中)。經統計分析後發現,皮膚暴露方面以手部的暴露濃度顯著高於身體其他部位(P<0.05)。在尿液總鉻濃度中則發現色料廠皆低於偵測下限(即<0.126μg/L)而皮革廠員工之幾何平均上班前、下班前之濃度分別為6.71  1.78μg/g creatinine及13.84  1.57μg/g creatinine皆低於ACGIH之BEI值(工作前後尿中總鉻的差異量為10 μg/g creatinine)。另外,利用IC來進行尿液分析後發現,在此種暴露情形下,尿中並無可測得之六價鉻。在Wistar rat之實驗中,分別進行皮膚浸泡100 mg/L (分成剃毛及未剃毛兩種)35分鐘及灌食3 mg(口服)方式,給予Cr(VI)、Cr(III)單獨和兩者混合之暴露,結果發現口服Cr(VI)與Cr(III)+Cr(VI),尿中總鉻之排除曲線符合First-order kinetics。並且發現共同Cr(III)+Cr(VI) 暴露與Cr(VI)單獨暴露相較時,在實驗動物體內之尿中總鉻排除曲線之半衰期、AUC與Cl等動力學參數值,前者皆較後者為高,故推論一般人在六價鉻的職業暴露下,同時有其他諸如口服之三價鉻暴露,可能會增加鉻暴露的危險性。而在濃度100 mg/L的皮膚暴露途徑下亦發現,同時暴露到Cr(VI)+Cr(III)時,尿中的總鉻平均濃度明顯的高於未進行實驗前的尿中總鉻濃度,故可推知共同暴露到Cr(VI)+Cr(III)時,可能較個別暴露易於經由皮膚吸收而進入到體內。此外,利用IC來針對高劑量的口服實驗下之尿液測試,結果發現尿中無法測得六價鉻,此與過去文獻的發現一致。

    Two main routes of exposure to chromium for humans are from occupation and from diet. Currently, total chromium concentration in urine has been used as the biomarker of chromium exposure. Chromium III was assumed the only form existing in urine. Chromium VI, however, has not been conclusively excluded from its existence in urine. Moreover, very limited studies have been conducted in excretory chromium kinetics. The objectives of this study were : 1. to verify whether there is chromium VI in urine by using ion chromatography (IC), a more sensitive analytical tool; 2. to explore the biological monitoring of occupational exposure to chromium in pigment and leather industries; 3. to establish the kinetics of excretory chromium after oral administration in animal experiments; 4. to compare the dermal absorption between intact skin and stripped skin on the total urinary chromium.
    This study was completed by two approaches. First of all, the exposure assessment of air and skin as well as biological monitoring were performed in the workers from pigment and leather industries. Secondly, Wistar rats were exposed to two valance-specific forms of chromium by both oral and dermal routes. The urinary chromium concentrations collected before and after the exposure, along with the airborne and dermal monitoring samples, were determined by Inductively coupled plasma-mass spectrometer (ICP-MS) and IC, respectively. We found the airborne exposure concentrations of chromium in two chromium-exposed manufacturing workers were far below current exposure limit (PEL=100 μg/m3) and the geometric mean of skin exposure concentrations of chromium were 0.12~0.32μg/cm2 (in pigment) and 0.04~0.16μg/cm2 (in leather), respectively. Skin exposure on hands, however, showed significantly higher than that on the rest of other body sites. The total chromium concentration of urine were all below detection limit (<0.126μg/L) in pigment. The urinary chromium concentrations were 6.71  1.78μg/g creatinine and 13.84  1.57μg/g creatinine among pre-shift and post-shift for leather manufacturing workers although all of them were far below the current BEI setting of chromium exposure (= 10 μg/g creatinine). None of any detectable chromium VI forms were found by IC.
    In animal experiments, Wistar rats were exposed to chromium III and chromium VI at the dose of 3mg separately and together by oral route, respectively. For dermal exposure, Wistar rats with intact skin and with stripped skin were exposed to chromium III and chromium VI at 100 mg/L separately and together at 100 mg/L, respectively. We found, in oral exposure experiments, the excretory total chromium in urine followed the first-order kinetics curve for the groups of chromium VI and chromium VI+III. The half-life, area under curve (AUC) and clearance (Cl) in urine were higher when simultaneous exposure to chromium VI and chromium III. It suggests that people simultaneously exposed to chromium VI and chromium III might have higher risk of chromium-related diseases.
    In skin exposure experiment, we found urinary chromium concentrations in post-exposure overtly higher than that in pre-exposure when Wistar rats were exposed to chromium VI and chromium III at 100 mg/L simultaneously. Moreover, none of any chromium VI could be detected in the urine samples collected from oral exposure at the experimentally highest dose of chromium, indicating the findings of no existing chromium III could not be rejected.

    中文摘要 II 英文摘要 IV 誌 謝 VI 目 錄 VIII 表 目 錄 X 圖 目 錄 XI 第一章 緒論 1 第一節 前言 1 第二節 研究目的 3 第三節 研究架構 4 第二章 文獻回顧 5 第一節 鉻的相關特性 5 2-1-1. 物化特性及使用情形 5 2-1-2. 三價鉻及其化合物 5 2-1-3. 六價鉻及其化合物 6 第二節 現行法令標準 7 2-2-1. 國內法規標準 7 2-2-2. 國外法規標準 7 2-2-3. 口服劑量之規範 8 2-2-4. 生物偵測的標準值 8 第三節 職業現場之相關研究 9 第四節 皮膚採樣方式之探討 10 第五節 動物實驗之相關研究 11 第六節 動力學參數之推估 11 第七節 現存定量液體中鉻濃度所使用之分析儀器 13 第三章 研究材料與方法 15 第一節 一般職業現場 15 3-1-1. 研究對象 15 3-1-2. 空氣樣本的採樣 16 3-1-3. 皮膚樣本的收集 16 3-1-4. 尿液樣本的收集 17 3-1-5. 問卷收集 17 第二節 動物實驗 17 3-2-1. 實驗對象 17 3-2-2. 灌食(Gavage) 18 3-2-3. 皮膚暴露(未剃毛) 18 3-2-4. 皮膚暴露(剃毛) 18 3-2-5. 尿液收集 19 第三節 化學試劑 19 第四節 分析儀器及分析方法 20 3-4-1. 樣品前處理及分析方法 20 3-4-2. 分析儀器及條件 21 第五節 其他儀器及設備 22 第六節 實驗室分析之品保品管 22 第七節 資料分析之方法 26 第四章 研究結果與討論 27 第一節 一般職業現場 27 4-1-1. 勞工基本資料 27 4-1-2. 空氣濃度的採樣結果 27 4-1-3. 皮膚濃度的採樣結果 29 4-1-4. 尿液液本的採樣結果 30 4-1-5. 尿液樣本與暴露之相關性探討 31 第二節 動物實驗 31 4-2-1. 口服實驗 32 4-2-2. 皮膚暴露實驗 34 4-2-3. 以IC測定尿中是否含有可測得之六價鉻 35 第五章 結論與建議 37 第六章 參考文獻 40 附 錄 一 72 附 錄 二 77 表 目 錄 表1. 空氣及皮膚樣本總鉻含量回收率(%)測試 47 表2. 勞工尿液樣本總鉻含量回收率(%) 48 表3. Wistar rat 尿液樣本總鉻含量回收率(%) 48 表4. 研究對象基本資料及問卷調查結果(皆男性) 49 表5. 兩廠間的空氣樣本(區域)的濃度分布情形 50 表6. 色料廠個人空氣樣本的濃度分布情形(N=10) 50 表7. 兩廠間的研究對象之皮膚暴露濃度 51 表8. 色料廠與皮革廠廠的研究對象尿中總鉻濃度(μg/g creatinine) 52 表9. 以Spearman rank correlation來探討兩廠員工生物偵測與金屬鉻暴露的關係 53 表10.暴露前尿中總鉻之平均濃度 54 表11.應用First-order kinetics推估Wistar大鼠在六價鉻與六價鉻及三價鉻口服暴露後之 48小時內尿中排出鉻濃度之情形 55 表12.動物實驗之相關動力學參數值 56 圖 目 錄 圖1. 色料廠生產流程圖 57 圖2. 皮革廠生產流程圖 58 圖3. 皮膚採樣方式 59 圖4. 動物實驗灌食部份 59 圖5. 動物皮膚浸泡方式 60 圖6. 動物皮膚剃毛圖 60 圖7. 暴露前動物體內之尿中總鉻濃度值 61 圖8. 口服三價鉻之暴露前尿中濃度與暴露後48小時及12小時之尿中加權平均 濃度比較 61 圖9. 口服六價鉻之暴露前尿中濃度與暴露後48小時及12小時之尿中加權平均 濃度比較 62 圖10. 口服三價鉻及六價鉻之暴露前尿中濃度與暴露後48小時及12小時之尿 中加權平均濃度比較 63 圖11. 口服實驗48小時後尿中總鉻濃度曲線圖(六價鉻) 64 圖12. 口服實驗48小時後尿中總鉻濃度曲線圖(三價鉻及六價鉻) 65 圖13. 六價鉻口服實驗之動力學公式 66 圖14. 三價鉻及六價鉻口服實驗動力學公式 67 圖15. 不同皮膚暴露型態及暴露種類下之尿中平均加權總鉻的比較 68 圖16-A. 六價鉻水溶液(10 ppb)之IC測試圖譜 69 圖16-B. 人尿(Blank)之IC測試圖譜 69 圖16-C. 人尿(spike10 ppb 六價鉻溶液)之IC測試圖譜 70 圖16-D. 色料工廠下班前尿中總鉻濃度最高之勞工尿液樣本(即尿中總鉻濃度為 139.15μg/g creatinine) 之IC測試圖譜 70 圖16-E. 鼠尿(blank) 之IC測試圖譜 71 圖16-F. 口服三價鉻與六價鉻之高劑量暴露的真實老鼠尿液樣本(總鉻濃度為2559.20μg/L) 之IC測試圖譜 71

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