The Immunotoxicity of Chronic Exposure to High Levels of Lead: An Ex Vivo Investigation

Lead (Pb) is a toxic metal known for its wide-ranging adverse health effects. However, a compound of Pb is still used in the caulking process to repair wooden fishing boats. The present study aimed to measure Pb exposure and its immunologic effects in boatyard workers in Nakhon Si Thammarat province...

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Main Authors: Kawinsaya Pukanha, Supabhorn Yimthiang, Wiyada Kwanhian
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:Toxics
Subjects:
Online Access:https://www.mdpi.com/2305-6304/8/3/56
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author Kawinsaya Pukanha
Supabhorn Yimthiang
Wiyada Kwanhian
author_facet Kawinsaya Pukanha
Supabhorn Yimthiang
Wiyada Kwanhian
author_sort Kawinsaya Pukanha
collection DOAJ
description Lead (Pb) is a toxic metal known for its wide-ranging adverse health effects. However, a compound of Pb is still used in the caulking process to repair wooden fishing boats. The present study aimed to measure Pb exposure and its immunologic effects in boatyard workers in Nakhon Si Thammarat province, Thailand, in comparison with an age-matched control group of farmers. The age, body mass index, and smoking history in workers (<i>n</i> = 14) and controls (<i>n</i> = 16) did not differ. The median blood Pb concentration was 8.7-fold higher in workers than controls (37.1 versus 4.3 µg/dL, <i>p</i> < 0.001). Workers had 8.4% lower phagocytic active cells than controls (89.9% versus 98.1%, <i>p</i> = 0.019). In response to a mitogen stimulation, the peripheral blood mononuclear cells (PBMCs) from workers produced 2-fold higher ratios of interleukin-4 (IL-4) to interferon-γ than the PBMCs from controls (<i>p</i> = 0.026). Furthermore, Pb-exposed workers had 33.9% lower cytotoxic T (Tc) cells than controls (24.3% versus 36.8%, <i>p</i> = 0.004). In stark contrast, the percentage of regulatory T (Treg) cells in workers was 2.7-fold higher than controls (6.1% versus 2.3%, <i>p</i> < 0.001). In all subjects, blood Pb showed positive correlations with the percentages of Treg cells (<i>r</i> = 0.843, <i>p</i> < 0.001) and IL-4 (<i>r</i> = 0.473, <i>p</i> = 0.041) while showing an inverse correlation with the percentages of Tc cells (<i>r</i> = −0.563, <i>p</i> = 0.015). These findings indicate that chronic high Pb exposure may cause a shift towards humoral immune response, together with a suppression of cellular immunity, thereby suggesting an elevation in cancer risk in Pb-exposed workers.
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spelling doaj.art-ffcd4c4dd3ee4326a6dcb993244a37412023-11-20T10:04:51ZengMDPI AGToxics2305-63042020-08-01835610.3390/toxics8030056The Immunotoxicity of Chronic Exposure to High Levels of Lead: An Ex Vivo InvestigationKawinsaya Pukanha0Supabhorn Yimthiang1Wiyada Kwanhian2Department of Medical Technology, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80161, ThailandSchool of Public Health, Walailak University, Nakhon Si Thammarat 80160, ThailandDepartment of Medical Technology, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80161, ThailandLead (Pb) is a toxic metal known for its wide-ranging adverse health effects. However, a compound of Pb is still used in the caulking process to repair wooden fishing boats. The present study aimed to measure Pb exposure and its immunologic effects in boatyard workers in Nakhon Si Thammarat province, Thailand, in comparison with an age-matched control group of farmers. The age, body mass index, and smoking history in workers (<i>n</i> = 14) and controls (<i>n</i> = 16) did not differ. The median blood Pb concentration was 8.7-fold higher in workers than controls (37.1 versus 4.3 µg/dL, <i>p</i> < 0.001). Workers had 8.4% lower phagocytic active cells than controls (89.9% versus 98.1%, <i>p</i> = 0.019). In response to a mitogen stimulation, the peripheral blood mononuclear cells (PBMCs) from workers produced 2-fold higher ratios of interleukin-4 (IL-4) to interferon-γ than the PBMCs from controls (<i>p</i> = 0.026). Furthermore, Pb-exposed workers had 33.9% lower cytotoxic T (Tc) cells than controls (24.3% versus 36.8%, <i>p</i> = 0.004). In stark contrast, the percentage of regulatory T (Treg) cells in workers was 2.7-fold higher than controls (6.1% versus 2.3%, <i>p</i> < 0.001). In all subjects, blood Pb showed positive correlations with the percentages of Treg cells (<i>r</i> = 0.843, <i>p</i> < 0.001) and IL-4 (<i>r</i> = 0.473, <i>p</i> = 0.041) while showing an inverse correlation with the percentages of Tc cells (<i>r</i> = −0.563, <i>p</i> = 0.015). These findings indicate that chronic high Pb exposure may cause a shift towards humoral immune response, together with a suppression of cellular immunity, thereby suggesting an elevation in cancer risk in Pb-exposed workers.https://www.mdpi.com/2305-6304/8/3/56blood leadcellular immunityphagocytosishumoral munityimmunosuppression
spellingShingle Kawinsaya Pukanha
Supabhorn Yimthiang
Wiyada Kwanhian
The Immunotoxicity of Chronic Exposure to High Levels of Lead: An Ex Vivo Investigation
Toxics
blood lead
cellular immunity
phagocytosis
humoral munity
immunosuppression
title The Immunotoxicity of Chronic Exposure to High Levels of Lead: An Ex Vivo Investigation
title_full The Immunotoxicity of Chronic Exposure to High Levels of Lead: An Ex Vivo Investigation
title_fullStr The Immunotoxicity of Chronic Exposure to High Levels of Lead: An Ex Vivo Investigation
title_full_unstemmed The Immunotoxicity of Chronic Exposure to High Levels of Lead: An Ex Vivo Investigation
title_short The Immunotoxicity of Chronic Exposure to High Levels of Lead: An Ex Vivo Investigation
title_sort immunotoxicity of chronic exposure to high levels of lead an ex vivo investigation
topic blood lead
cellular immunity
phagocytosis
humoral munity
immunosuppression
url https://www.mdpi.com/2305-6304/8/3/56
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