Airway symptoms and biological markers in nasal lavage fluid in subjects exposed to metalworking fluids

Occurrence of airway irritation among industrial metal workers was investigated. The aims were to study the association between exposures from water-based metal working fluids (MWF) and the health outcome among the personnel, to assess potential effects on the proteome in nasal mucous membranes, and...

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Veröffentlicht in:PloS one 2013-12, Vol.8 (12), p.e83089
Hauptverfasser: Fornander, Louise, Graff, Pål, Wåhlén, Karin, Ydreborg, Kjell, Flodin, Ulf, Leanderson, Per, Lindahl, Mats, Ghafouri, Bijar
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container_start_page e83089
container_title PloS one
container_volume 8
creator Fornander, Louise
Graff, Pål
Wåhlén, Karin
Ydreborg, Kjell
Flodin, Ulf
Leanderson, Per
Lindahl, Mats
Ghafouri, Bijar
description Occurrence of airway irritation among industrial metal workers was investigated. The aims were to study the association between exposures from water-based metal working fluids (MWF) and the health outcome among the personnel, to assess potential effects on the proteome in nasal mucous membranes, and evaluate preventive actions. The prevalence of airway symptoms related to work were examined among 271 metalworkers exposed to MWF and 24 metal workers not exposed to MWF at the same factory. At the same time, air levels of potentially harmful substances (oil mist, morpholine, monoethanolamine, formaldehyde) generated from MWF was measured. Nasal lavage fluid was collected from 13 workers and 15 controls and protein profiles were determined by a proteomic approach. Airway symptoms were reported in 39% of the workers exposed to MWF although the measured levels of MWF substances in the work place air were low. Highest prevalence was found among workers handling the MWF machines but also those working in the same hall were affected. Improvement of the ventilation to reduce MWF exposure lowered the prevalence of airway problems. Protein profiling showed significantly higher levels of S100-A9 and lower levels of SPLUNC1, cystatin SN, Ig J and β2-microglobulin among workers with airway symptoms. This study confirms that upper airway symptoms among metal workers are a common problem and despite low levels of MWF-generated substances, effects on airway immune proteins are found. Further studies to clarify the role of specific MWF components in connection to airway inflammation and the identified biological markers are warranted.
doi_str_mv 10.1371/journal.pone.0083089
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source Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; SWEPUB Freely available online; Free Full-Text Journals in Chemistry
subjects Adult
Air Pollutants, Occupational - adverse effects
Air Pollutants, Occupational - analysis
beta 2-Microglobulin - analysis
Biological markers
Biology
Biomarkers
Biomarkers - analysis
Calgranulin B - analysis
Case-Control Studies
Councils
Cross-Sectional Studies
Cystatins
Environmental health
Ethanolamines
Exposure
Factories
Female
Fluids
Formaldehyde
Glycoproteins - analysis
Health aspects
Health sciences
Humans
Immunoglobulin J-Chains - analysis
Immunoglobulins
Inhalation Exposure
Irritants - adverse effects
Irritants - analysis
Irritation
Machinery
Male
Medicine
Membranes
Metallurgy
Metalworking fluids
Metalworking industry
Middle Aged
Mist
Monoethanolamine (MEA)
Morpholine
Nasal Lavage Fluid - chemistry
Neutrophils
Nitric Oxide - analysis
Occupational exposure
Occupational Exposure - adverse effects
Occupational Exposure - prevention & control
Occupational health
Oil mist
Otolaryngology
Personnel management
Phosphoproteins - analysis
Proteins
Proteomics
Questionnaires
Respiratory tract
Respiratory tract diseases
Salivary Cystatins - analysis
Trends
Tumor Necrosis Factor-alpha - biosynthesis
Ventilation
VOCs
Volatile organic compounds
Work environment
title Airway symptoms and biological markers in nasal lavage fluid in subjects exposed to metalworking fluids
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