Renal function parameters and hematological indices among artisans occupationally exposed to lead in Suleja metropolis, Nigeria

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Aliyu Haruna Sani
Collins Obinna Keke
Florence Harvey
Ama Konamah
Tasallah Huawa Muhammad

Abstract

Lead exposure at work has been linked to significant health impacts, including a detrimental impact on organ functions, including nephrotoxicity and hematologic impairment. The above cross-sectional study was carried out to examine renal function status and hematological indicators of artisans working in the Suleja metropolis who had occupational lead exposure. There was a maximum of 137 persons studied: 67 artisans (car mechanics, generator repairers, petrol attendants, battery chargers, and spray painters) compared with 70 age-matched healthy control subjects between 17 and 50 years. Everyone had a 10ml venous blood sample drawn in order to determine biological markers (potassium, sodium, urea, uric acid, chloride and creatinine levels) and the complete blood count using standard laboratory methods. Results revealed that occupationally exposed artisans have significantly elevated blood lead of (82.25%, 37.6±0.8 µg/dL), White blood cell count (WBC) 8.5±1.4 x109/L and decreased heamoglobin (Hb) (72.51%, 9.8±1.1 g/dL, P<0.05), mean corpuscular volume (MCV) (76.2 ± 5.4 fL P<0.05), mean corpuscular hemoglobin (MCH) (25.3±1.9 pg, P<0.05) as compared with unexposed subjects (lead: 12.7±1.8 µg/dL, Hb: 14.3 ± 1.5 µg/dL.  WBC: 6.5±1.8 x109/L, MCV: 83.4 ± 2.7 fL, MCH: 28.7±1.4 pg; p<0.05 in all cases). Significant elevations were also observed in the mean concentrations of serum urea (8.1±1.6 mmol/L), creatinine (1.3±0.3 mg/dL), sodium (163±32 mmol//L), potassium (6.1±1.3 mEq/L), as well as a considerable decrease in the mean serum chloride levels (86.7±18 mmol/L) of occupationally exposed artisans compared to unexposed subjects (110.5±21 mmol/L), indicating impaired renal and hematologic functions in occupationally exposed individuals.

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How to Cite
Sani, A. H., Keke, C. O., Harvey, F., Konamah, A., & Muhammad, T. H. (2022). Renal function parameters and hematological indices among artisans occupationally exposed to lead in Suleja metropolis, Nigeria. Research Journal in Medical and Health Sciences, 3(1), 1-11. https://doi.org/10.58256/rjmhs.v3i1.860
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Articles

How to Cite

Sani, A. H., Keke, C. O., Harvey, F., Konamah, A., & Muhammad, T. H. (2022). Renal function parameters and hematological indices among artisans occupationally exposed to lead in Suleja metropolis, Nigeria. Research Journal in Medical and Health Sciences, 3(1), 1-11. https://doi.org/10.58256/rjmhs.v3i1.860

References

Alasia, D. D., Emem-Chioma, P. C., & Wokoma, S. F. (2010). Occupational and environmental lead exposure in Port Harcourt, Nigeria: analysis of its association with renal function indices. Nigerian Journal of Medicine, 19(4), 407-414.

Alessio, L. (1988). Relationship between “chelatable lead” and the indicators of exposure and effect in current and past occupational exposure. Science of The Total Environment, 71(3), 293-299.

Appel, L. J., Wright, J. T., Greene, T., Kusek, J. W., Lewis, J. B., Wang, X., & Agodoa, L. Y. (2008). Long-term effects of renin-angiotensin system–blocking therapy and a low blood pressure goal on progression of hypertensive chronic kidney disease in african americans. Archives of Internal Medicine, 168(8), 832-839.

Babalola, O. O., & Babajide, S. O. (2009). Selected heavy metals and electrolyte levels in blood of workers and residents of industrial communities. African Journal of Biochemistry Research, 3(3), pp-037.

Babalola, O. O., Ojo, L. O., & Aderemi, M. O. (2005). Lead levels in some biological samples of auto-mechanics in Abeokuta, Nigeria.

Cave, M., Appana, S., Patel, M., Falkner, K. C., McClain, C. J., & Brock, G. (2010). Polychlorinated biphenyls, lead, and mercury are associated with liver disease in American adults: NHANES 2003–2004. Environmental health perspectives, 118(12), 1735-1742.

CDC. Preventing lead poisoning in young children. Atlanta, GA: CDC [Accessed June 5, 2014] http://www.cdc.gov/nceh/lead/publications/prevleadpoisoning.pdf

Centers for Diseases Control and Prevention 2015. http:// www.cdc.gov/niosh/topics/ABLES/description.html. Accessed July, 2018. 9. Keramati MR, Ghasemi MN, Mood MB. Correlation between iron deficiency and lead intoxication in the workers of a car b

Centers for Diseases Control and Prevention 2015. http://www.cdc.gov/niosh/topics /ABLES/description. html. [Accessed July,2018].9.Keramati.

Cornelis, R., Heinzow, B., Herber, R. F. M., Christensen, J. M., Poulsen, O. M., Sabbioni, E., ... & Vesterberg, O. (1995). Sample collection guidelines for trace elements in blood and urine (technical report). Pure and applied chemistry, 67(8-9), 1575-1608.

Dioka, C. E., Orisakwe, O. E., Adeniyi, F. A. A., & Meludu, S. C. (2004). Liver and renal function tests in artisans occupationally exposed to lead in mechanic village in Nnewi, Nigeria. International Journal of Environmental Research and Public Health, 1(1), 21-25.

Dongre Nilima, N., & Rathi, S. A. P. A. J. (2010). Occupational Lead Exposure In Automobile Workers In North Karnataka (India): Effect On Liver And Kidney Functions.

Dumková, J., Smutná, T., Vrlíková, L., Le Coustumer, P., Večeřa, Z., Dočekal, B., ... & Buchtová, M. (2017). Sub-chronic inhalation of lead oxide nanoparticles revealed their broad distribution and tissue-specific subcellular localization in target organs. Particle and fibre toxicology, 14(1), 1-19.

Ekong, E. B., Jaar, B. G., & Weaver, V. M. (2006). Lead-related nephrotoxicity: a review of the epidemiologic evidence. Kidney international, 70(12), 2074-2084.

Evans, M., & Elinder, C. G. (2011). Chronic renal failure from lead: myth or evidence-based fact?. Kidney international, 79(3), 272-279.

Fathabadi, B., Dehghanifiroozabadi, M., Aaseth, J., Sharifzadeh, G., Nakhaee, S., Rajabpour-Sanati, A., ... & Mehrpour, O. (2018). Comparison of blood lead levels in patients with Alzheimer’s disease and healthy people. American Journal of Alzheimer's Disease & Other Dementias®, 33(8), 541-547.

Galadima, A., & Garba, Z. N. (2012). Heavy metals pollution in Nigeria: causes and consequences. Elixir pollution, 45(1), 7917-7922.

Ghaemi, K., Ghoreishi, A., Rabiee, N., Alinejad, S., Farzaneh, E., Zadeh, A. A., ... & Mehrpour, O. (2017). Blood lead levels in asymptomatic opium addict patients; a case control study. Emergency, 5(1).

Jakubowski, M. A. R. E. K. (2005). Influence of occupational exposure to organic solvents on kidney function. International Journal of Occupational Medicine and Environmental Health, 18(1), 5-14.

Jung, K. Y., Lee, S. J., Kim, J. Y., Hong, Y. S., Kim, S. R., KIM, D. I., & Song, J. B. (1998). Renal dysfunction indicators in lead exposed workers. Journal of occupational health, 40(2), 103-109.

Karrari, P., Mehrpour, O., & Abdollahi, M. (2012). A systematic review on status of lead pollution and toxicity in Iran; Guidance for preventive measures. DARU Journal of Pharmaceutical Sciences, 20(1), 1-17.

Kasiske, B. L. (2000). Laboratory assessment of renal disease: clearance, urinalysis, and renal biopsy. The kidney.

Kim, Y., & Lee, B. K. (2013). Increased erythrocyte lead levels correlate with decreased hemoglobin levels in the Korean general population: analysis of 2008–2010 Korean National Health and Nutrition Examination Survey data. International archives of occupational and environmental health, 86(7), 741-748.

Kshirsagar, M., Patil, J., Patil, A., Ghanwat, G., Sontakke, A., & Ayachit, R. K. (2015). Biochemical effects of lead exposure and toxicity on battery manufacturing workers of Western Maharashtra (India): with respect to liver and kidney function tests. Al Ameen J Med Sci, 8(2), 107-114.

Leaf, A., & Santos, R. F. (1961). Physiologic mechanisms in potassium deficiency. New England Journal of Medicine, 264(7), 335-341.

Liao, L. M., Friesen, M. C., Xiang, Y. B., Cai, H., Koh, D. H., Ji, B. T., ... & Purdue, M. P. (2016). Occupational lead exposure and associations with selected cancers: the shanghai Men’s and Women’s health study cohorts. Environmental health perspectives, 124(1), 97-103.

Loghman-Adham, M. (1997). Renal effects of environmental and occupational lead exposure. Environmental health perspectives, 105(9), 928-939.

Mazumdar, I., & Goswami, K. (2014). Chronic exposure to lead: a cause of oxidative stress and altered liver function in plastic industry workers in Kolkata, India. Indian Journal of Clinical Biochemistry, 29(1), 89-92.

Mehrpour, O., Karrari, P., & Abdollahi, M. (2012). Chronic lead poisoning in Iran; a silent disease. DARU Journal of pharmaceutical Sciences, 20(1), 1-2.

Moayyedi, S. N., Mehbod, A. S. A., Fanei, A., & Mohajerani, H. R. (2008). The relationship between blood lead levels and clinical syndromes. Research in Medicine, 32(1), 75-79

Nakhaee, S., & Mehrpour, O. (2018). Opium addiction as new source of lead poisoning: an emerging epidemic in Iran. EXCLI journal, 17, 513.

Ochei, J., & Kolhatkar, J. (2007). Estimation of plasma urea by Berthelot reaction. Medical Laboratory Science, Theory and Practice, 6th reprint, Tata McGraw Hill Publishing Company Limited, New Delhi, 114-115.

Okpogba, A. N., Ogbodo, E. C., Dike, C. C., Nwoko, S. O., Ugwu, E. C., Amah, A. K., ... & Onyeneke, E. C. (2019). Evaluation of heavy metal levels in blood of cable manufacturing factory workers in Nnewi. Int J Clin Biochem Res, 6(3), 430-436.

Okpogba, A. N., Ogbodo, E. C., Okpogba, J. C., Analike, R. A., Amah, A. K., Odeghe, B. O., ... & Onyeneke, C. E. (2018). Assessment of kidney function status in chickens (Gallus gallus domestica) in rural (Elele) and urban (Nnewi) Areas. J Med Sci Clin Res, 6(12), 1048-52.

Orisakwe, O. E. (2009). Environmental pollution and blood lead levels in Nigeria: who is unexposed?. International journal of occupational and environmental health, 15(3), 315-317.

Sabath, E., & Robles-Osorio, M. L. (2012). Renal health and the environment: heavy metal nephrotoxicity. Nefrología (English Edition), 32(3), 279-286.

Sani, A. H., & Amanabo, M. (2021). Lead: A concise review of its toxicity, mechanism and health effect. GSC Biological and Pharmaceutical Sciences, 15(1), 055-062.

Shaik, A. P., & Jamil, K. (2009). Polymorphisms in MGP gene and their association with lead toxicity. Toxicology Mechanisms and Methods, 19(3), 209-213.

Soderland, P., Lovekar, S., Weiner, D. E., Brooks, D. R., & Kaufman, J. S. (2010). Chronic kidney disease associated with environmental toxins and exposures. Advances in chronic kidney disease, 17(3), 254-264.

Stoleski, S., Karadžinska-Bislimovska, J., Stikova, E., Risteska-Kuc, S., Mijakoski, D., & Minov, J. (2008). Adverse effects in workers exposed to inorganic lead. Arhiv za Higijenu rada i Toksikologiju, 59(1), 19-29.

US Department of Health and Human Services. (1999). Agency for Toxic Substances and Disease Registry-ATSDR.

Weaver, V. M., Lee, B. K., Ahn, K. D., Lee, G. S., Todd, A. C., Stewart, W. F., ... & Schwartz, B. S. (2003). Associations of lead biomarkers with renal function in Korean lead workers. Occupational and environmental medicine, 60(8), 551-562.

Zaki, A., El Shazly, M., Abdel Fattah, M., El Said, K., & Curtale, F. (1998). Lead toxicity among working children and adolescents in Alexandria, Egypt. EMHJ-Eastern Mediterranean Health Journal, 4 (3), 520-529, 1998.

Zinat, A., Hossain, M., Bhowmik, S., Khanom, M., Islam, L. N., & Nabi, A. H. M. N. (2012). Modulation of renal function indices of the occupationally lead exposed Bangladeshi automobile workers. International Journal of Environmental Sciences, 3(2), 910.