Saf Health Work.  2015 Dec;6(4):312-316. 10.1016/j.shaw.2015.07.008.

Early Liver and Kidney Dysfunction Associated with Occupational Exposure to Sub-Threshold Limit Value Levels of Benzene, Toluene, and Xylenes in Unleaded Petrol

Affiliations
  • 1Research Center for Health Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. neghabm@sums.ac.ir
  • 2Student's Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
  • 3Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

Abstract

BACKGROUND
Unleaded petrol contains significant amounts of monocyclic aromatic hydrocarbons such as benzene, toluene, and xylenes (BTX). Toxic responses following occupational exposure to unleaded petrol have been evaluated only in limited studies. The main purpose
of this study was to ascertain whether (or not) exposure to unleaded petrol, under normal working conditions, is associated with any hepatotoxic or nephrotoxic response.
METHODS
This was a cross-sectional study in which 200 employees of Shiraz petrol stations with current exposure to unleaded petrol, as well as 200 unexposed employees, were investigated. Atmospheric concentrations of BTX were measured using standard methods. Additionally, urine and fasting blood samples were taken from individuals for urinalysis and routine biochemical tests of kidney and liver function.
RESULTS
The geometric means of airborne concentrations of BTX were found to be 0.8 mg m-3, 1.4 mg m-3, and 2.8 mg m-3, respectively. Additionally, means of direct bilirubin, alanine aminotransferase, aspartate aminotransferase, blood urea and plasma creatinine were significantly higher in exposed individuals than in unexposed employees. Conversely, serum albumin, total protein, and serum concentrations of calcium and sodium were significantly lower in petrol station workers than in their unexposed counterparts.
CONCLUSION
The average exposure of petrol station workers to BTX did not exceed the current threshold limit values (TLVs) for these chemicals. However, evidence of subtle, subclinical and prepathologic early liver and kidney dysfunction was evident in exposed individuals.

Keyword

blood biochemical tests; benzene, toluene, and xylenes; hepatotoxicity; nephrotoxicity; unleaded petrol
Full Text Links
  • SHAW
Share
  • Twitter
  • Facebook
Copyright © 2020 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr