Effect of Occupational Cadmium Exposure on Parathyroid Gland

Authors

  • Khadiga S. Ibrahim Environmental and Occupational Medicine Department, National Research Centre, Dokki – Giza
  • Safia Beshir Environmental and Occupational Medicine Department, National Research Centre, Dokki – Giza
  • Eman M. Shahy Environmental and Occupational Medicine Department, National Research Centre, Dokki – Giza
  • Weam Shaheen Environmental and Occupational Medicine Department, National Research Centre, Dokki – Giza

DOI:

https://doi.org/10.3889/oamjms.2016.042

Keywords:

cadmium, parathyroid hormone, calcium, magnesium, phosphorus, workers

Abstract

BACKGROUND: Cadmium (Cd) is used in many industries. High-level exposure is associated with severe kidney and bone damage.

AIM: This study investigates the possible effect of occupational cadmium exposure on parathyroid gland and some minerals in workers.

METHODS: Environmental air monitoring of cadmium was done. Serum and urine cadmium levels, kidney function, some minerals, and plasma parathormone were estimated in the studied groups.

RESULTS: The exposed workers had significantly higher Cd concentration in serum and urine than controls. The mean levels of plasma parathyroid hormone, serum phosphorus and magnesium were significantly lower among the exposed group. However, the mean levels of serum creatinine and calcium were significantly higher in the same group when compared to referents. There was a significant positive correlation between Cd concentration in the serum and urine for the exposed group. The biological Cd exposure indices correlated positively with serum calcium and negatively with plasma PTH level. The prevalence of musculoskeletal complaints, bone ache, joint pain and muscle spasm were more prevalent among the exposed workers compared with the controls with odds ratio 4.316, 3.053 and 3.103 respectively.

CONCLUSIONS: Occupational cadmium exposure has an adverse effect on PTH level and serum human minerals.

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References

Akerstrom M, Barregard L, Lundh T, Sallsten G. The relationship between cadmium in kidney and cadmium in urine and blood in an environmentally exposed population. Toxicol Appl Pharmacol. 2013;268:286-293.

http://dx.doi.org/10.1016/j.taap.2013.02.009

PMid:23454399

ATSDR. Agency for Toxic Substances and Disease Registry. Toxicological Profile for Cadmium. Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service, 2012.

Consensus development conference. Diagnosis, prophylaxis and treatment of osteoporosis. Am J Med. 1993;94: 646-650.

http://dx.doi.org/10.1016/0002-9343(93)90218-E

Ã…kesson A, Barregard L, Bergdahl IA, Nordberg GF, Nordberg M, Skerfving S. Non-renal effects and the risk assessment of environmental cadmium exposure. Environ Health Perspect. 2014;122:431-438.

http://dx.doi.org/10.1289/ehp.1307110

Wang H, Zhu G, Shi Y, Weng S, Jin T, Kong Q, Nordberg GF. Influence of Environmental Cadmium Exposure on Forearm Bone Density. J Bone Miner Res. 2003;18(3): 553-560.

http://dx.doi.org/10.1359/jbmr.2003.18.3.553

PMid:12619941

Berglund M, Akesson A, Bjellerup P, Vahter M. Metal-bone interactions. Toxicol Lett. 2000;15:219-225.

http://dx.doi.org/10.1016/S0378-4274(99)00272-6

Piłat-Marcinkiewicz B, Brzóska M. M, Moniuszko-Jakoniuk J. Thyroid and Parathyroid Function and Structure in Male Rats Chronically Exposed to Cadmium. Polish J Environ Stud. V2008; 17(1):113-120.

Herber RFM. Cadmium. In: Seiler HG, Sigel A, Sigel H eds. Handbook on Metals in Clinical and Analytical Chemistry. New York, NY, Marcel Dekker, 1994: 283-297.

Patton CJ, Crouch SR. Enzymatic method for determination of urea (urease-modified Bethelot reaction. Anal Chem. 1977; 49:464-469.

http://dx.doi.org/10.1021/ac50011a034

Bartels H. Determination of serum and urinary creatinine by Jaffe s method without deproteinsation in a 2-point reaction rate measurement in 2 minutes. Clin Chim Acta. 1971;32:81-84.

PMid:5096431

Doumas BT, Watson WA, Biggs HC. Albumin standards and Management of serum albumin with bromocresol green. Chin Chim Acta. 1971;31: 87-92.

http://dx.doi.org/10.1016/0009-8981(71)90365-2

Barnett RN, Skodon SB, Goldberg MH. Performance of "kits" used for clinical chemical analysis of calcium in serum. Am J Clin Pathol. 1973; 59(6):836-845. PMid:4709082

Goodmin JF. Quantification of SerumInorganic Phosphorus, Phosphatase, and Urinary Phosphate without Preliminary Treatment. Clin Chem. 1970;16: 776-780.

Belfield A, Goldberg DM. Revised assay for serum phenyl phosphatase activity using 4-amino-antipyrine. Enzyme. 1971;12(5):561-573.

PMid:5169852

Vassault A, Grafmeyer D, Naudun C, Dumont G, Belly M, Henny J, et al. Protocole de validation de techniques. Ann Biol Clin. 1986;44: 686-745.

Endres DB, Villanueva R, Sharp CF Jr, Singer FR. Measurement of parathyroid hormone. Endocrinol. Metab. Clin North Am. 1989;18(3): 611-629.

PMid:2673765

OSHA. Lead and cadmium standards – recirculation of exhaust air. Private e-mail message from Sven Rundman (rundman.sven@dol.gov) to Echt A (ase0@cdc.gov), 2013;February 25.

Satarug S, Garrett SH, Sens MA, Sens DA. Cadmium, environmental exposure, and health outcomes. Environ. Health. Perspect. 2010;118(2):182-190

http://dx.doi.org/10.1289/ehp.0901234

PMid:20123617 PMCid:PMC2831915

Chia KS, Ong CN, Ong HY, Endo G. Renal tubular function of workers exposed to low levels of cadmium. Br J Ind Med. 1989;46(3):165-170.

http://dx.doi.org/10.1136/oem.46.3.165

Bulat PZ, Äukić-Ćosić D, Äokić M, Bulat P, Matović V. Blood and urine cadmium and bioelements profile in nickel-cadmium battery workers in Serbia. Toxicol Ind Health. 2009; 25:129-135.

http://dx.doi.org/10.1177/0748233709104488

PMid:19458135

Abrahim KS, Abdel-Gawad NB, Mahmoud AM, El-Gowaily MM, Emara AM, Hwaihy MM. Genotoxic effect of occupational exposure to cadmium. Toxicol Ind Health. 2011; 27(2):173-179.

http://dx.doi.org/10.1177/0748233710383743

PMid:20870694

El-Okda E, Sarhan I, Abd-Elaziz KM. Prevalence of Cadmium induced nephropathy among Cadmium exposed smelting workers in Cairo, Egypt. Egyptian J Community Med. 2011; 29(4): 13-25.

Klotz K, Weistenhöfer W, Drexler H.Determination of cadmium in biological samples. Met Ions Life Sci. 2013;11:85-98.

http://dx.doi.org/10.1007/978-94-007-5179-8_4

PMid:23430771

Moe S, Drueke T, Cunningham J, Goodman W, Martin K, Olgaard K, Ott S, Sprague S, Lameire N and Eknoyan G. Definition, evaluation, and classification of renal osteodystrophy: a position statement from Kidney Disease: Improving Global Outcomes (KDIGO). Kidney Int. 2006;69:1945-1953.

http://dx.doi.org/10.1038/sj.ki.5000414

PMid:16641930

Nawrot T, Geusens P, Nulens TS, Nemery B.Occupational cadmium exposure and calcium excretion, bone density and osteoporosis in men. J Bone Miner Res. 2010;25:1441–1445.

http://dx.doi.org/10.1002/jbmr.22

PMid:20200937

Goodman WG, Salusky IB, Juppner H. New lessons from old assays: parathyroid hormone (PTH), its receptors, and the potential biological relevance of PTH fragments. Nephrol Dial Transplant. 2002;17:1731-1736.

http://dx.doi.org/10.1093/ndt/17.10.1731

PMid:12270977

Felsenfeld AJ, Rodriguez M. Phosphorus, regulation of plasma calcium, and secondary hyperthyroidism: A hypothesis to integrate a historical and modern perspective. J Am Soc Nephrol. 1999;10: 878-890. PMid:10203374

Lambers TT, Bindels RJ, Hoenderop JGJ. Coordinated control of renal Ca2+ handling. Kidney Int. 2006;69: 650-654.

http://dx.doi.org/10.1038/sj.ki.5000169

PMid:16518325

Hindié E, Urenã P, Jeanguillaume C, Mellière D, Berthelot J M, Menoyo-Calonge V, et al. Preoperative imaging of parathyroid glands with technetium-99m-labelled sestamibi and iodine-123 subtraction scanning in secondary hyperparathyroidism. Lancet. 1999;353: 2200-2204.

http://dx.doi.org/10.1016/S0140-6736(98)09089-8

Heaf JG, Løkkegård H. Parathyroid hormone during maintenance dialysis: influence of low calcium dialysate, plasma albumin and age. J Nephrol. 1998;11(4): 203-210.

PMid:9702872

Soldatović D, Matović V, Vujanović D, Stojanović Z. Contribution to interaction between magnesium and toxic metals: the effect of prolonged cadmium intoxication on magnesium metabolism in rabbits. Magnes Res. 1998;11: 283-288.

PMid:9884986

Lévesque M, Martineau C, Jumarie C, Moreau R. Characterization of cadmium uptake and cytotoxicity in human osteoblast-like MG-63 cells. Toxciol Appl pharm. 2008 ;231: 308–317. http://dx.doi.org/10.1016/j.taap.2008.04.016

PMid:18538363

Matović V, Plamenac Bulat Z, Djukić-Ćosić D, Soldatović D. Antagonism between cadmium and magnesium: a possible role of magnesium in therapy of cadmium intoxication. Magnes Res. 2010;23 (1):19-26. PMid:20228012

Published

2016-03-21

How to Cite

1.
Ibrahim KS, Beshir S, Shahy EM, Shaheen W. Effect of Occupational Cadmium Exposure on Parathyroid Gland. Open Access Maced J Med Sci [Internet]. 2016 Mar. 21 [cited 2024 Apr. 23];4(2):302-6. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2016.042

Issue

Section

E - Public Health