Clinical Evaluation of a Lead Mobilization Test Using the Chelating Agent Dimercaptosuccinic Acid
The lead mobilization test reflects the mobilizable and likely toxicologically active fraction of the lead body burden. We propose a safe and convenient protocol for this test, to assess concomitant copper and zinc excretion and to determine the size of the chelatable lead pool in nonoccupationally...
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Veröffentlicht in: | Clinical chemistry (Baltimore, Md.) Md.), 2006-01, Vol.52 (1), p.88-96 |
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creator | Hoet, Perrine Buchet, Jean-Pierre Decerf, Laurence Lavalleye, Benoit Haufroid, Vincent Lison, Dominique |
description | The lead mobilization test reflects the mobilizable and likely toxicologically active fraction of the lead body burden. We propose a safe and convenient protocol for this test, to assess concomitant copper and zinc excretion and to determine the size of the chelatable lead pool in nonoccupationally exposed adults.
The study population included 80 white adults: 40 controls [median blood lead concentration (PbB), 25 microg/L] and 40 lead-exposed individuals (315 microg/L). After collection of 4- and 24-h baseline urine specimens and a blood sample, dimercaptosuccinic acid (DMSA) was administered orally (1 g), and additional 4- and 24-h urine specimens were obtained. Determinants of the chelatable urinary lead (DMSA-PbU) were traced by linear regression analysis.
Urinary DMSA and lead excretion peaked within 2-3 h after DMSA administration. The amounts of DMSA, lead, copper, and zinc recovered in the 4-h urinary collections were highly correlated with those in 24-h collections (r = 0.857, 0.859, 0.958, and 0.757, respectively). At PbB concentrations >300 microg/L, the relationship between DMSA-PbU and PbB showed a steep increase and a widespread dispersion of DMSA-PbU around the regression line. After DMSA, copper and zinc excretion rates were increased up to 91- and 33-fold, respectively. No side effects were reported after DMSA.
Determination of DMSA-PbU in a 4-h collection after DMSA is convenient, apparently safe, and inexpensive. An upper reference limit value of 22 microg/4 h is proposed for Belgian reference individuals. The diagnostic value of DMSA-PbU is likely to be contributive for PbB >300 microg/L. |
doi_str_mv | 10.1373/clinchem.2005.051128 |
format | Article |
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The study population included 80 white adults: 40 controls [median blood lead concentration (PbB), 25 microg/L] and 40 lead-exposed individuals (315 microg/L). After collection of 4- and 24-h baseline urine specimens and a blood sample, dimercaptosuccinic acid (DMSA) was administered orally (1 g), and additional 4- and 24-h urine specimens were obtained. Determinants of the chelatable urinary lead (DMSA-PbU) were traced by linear regression analysis.
Urinary DMSA and lead excretion peaked within 2-3 h after DMSA administration. The amounts of DMSA, lead, copper, and zinc recovered in the 4-h urinary collections were highly correlated with those in 24-h collections (r = 0.857, 0.859, 0.958, and 0.757, respectively). At PbB concentrations >300 microg/L, the relationship between DMSA-PbU and PbB showed a steep increase and a widespread dispersion of DMSA-PbU around the regression line. After DMSA, copper and zinc excretion rates were increased up to 91- and 33-fold, respectively. No side effects were reported after DMSA.
Determination of DMSA-PbU in a 4-h collection after DMSA is convenient, apparently safe, and inexpensive. An upper reference limit value of 22 microg/4 h is proposed for Belgian reference individuals. The diagnostic value of DMSA-PbU is likely to be contributive for PbB >300 microg/L.</description><identifier>ISSN: 0009-9147</identifier><identifier>EISSN: 1530-8561</identifier><identifier>DOI: 10.1373/clinchem.2005.051128</identifier><identifier>PMID: 16239340</identifier><identifier>CODEN: CLCHAU</identifier><language>eng</language><publisher>Washington, DC: Am Assoc Clin Chem</publisher><subject>Adult ; Analytical, structural and metabolic biochemistry ; Biological and medical sciences ; Blood levels ; Body burden ; Chelating agents ; Chelating Agents - pharmacokinetics ; Copper ; Copper - urine ; Environmental Pollutants - urine ; Excretion ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Lead - urine ; Lead Poisoning - urine ; Male ; Medical sciences ; Middle Aged ; Occupational Diseases - urine ; Regression analysis ; Succimer - pharmacokinetics ; Zinc ; Zinc - urine</subject><ispartof>Clinical chemistry (Baltimore, Md.), 2006-01, Vol.52 (1), p.88-96</ispartof><rights>2006 INIST-CNRS</rights><rights>Copyright American Association for Clinical Chemistry Jan 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-e0af21bb666cf3af207cfc15c159ade9c6d9fd9ac00ab03950904e9af734776d3</citedby><cites>FETCH-LOGICAL-c468t-e0af21bb666cf3af207cfc15c159ade9c6d9fd9ac00ab03950904e9af734776d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17492675$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16239340$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hoet, Perrine</creatorcontrib><creatorcontrib>Buchet, Jean-Pierre</creatorcontrib><creatorcontrib>Decerf, Laurence</creatorcontrib><creatorcontrib>Lavalleye, Benoit</creatorcontrib><creatorcontrib>Haufroid, Vincent</creatorcontrib><creatorcontrib>Lison, Dominique</creatorcontrib><title>Clinical Evaluation of a Lead Mobilization Test Using the Chelating Agent Dimercaptosuccinic Acid</title><title>Clinical chemistry (Baltimore, Md.)</title><addtitle>Clin Chem</addtitle><description>The lead mobilization test reflects the mobilizable and likely toxicologically active fraction of the lead body burden. We propose a safe and convenient protocol for this test, to assess concomitant copper and zinc excretion and to determine the size of the chelatable lead pool in nonoccupationally exposed adults.
The study population included 80 white adults: 40 controls [median blood lead concentration (PbB), 25 microg/L] and 40 lead-exposed individuals (315 microg/L). After collection of 4- and 24-h baseline urine specimens and a blood sample, dimercaptosuccinic acid (DMSA) was administered orally (1 g), and additional 4- and 24-h urine specimens were obtained. Determinants of the chelatable urinary lead (DMSA-PbU) were traced by linear regression analysis.
Urinary DMSA and lead excretion peaked within 2-3 h after DMSA administration. The amounts of DMSA, lead, copper, and zinc recovered in the 4-h urinary collections were highly correlated with those in 24-h collections (r = 0.857, 0.859, 0.958, and 0.757, respectively). At PbB concentrations >300 microg/L, the relationship between DMSA-PbU and PbB showed a steep increase and a widespread dispersion of DMSA-PbU around the regression line. After DMSA, copper and zinc excretion rates were increased up to 91- and 33-fold, respectively. No side effects were reported after DMSA.
Determination of DMSA-PbU in a 4-h collection after DMSA is convenient, apparently safe, and inexpensive. An upper reference limit value of 22 microg/4 h is proposed for Belgian reference individuals. The diagnostic value of DMSA-PbU is likely to be contributive for PbB >300 microg/L.</description><subject>Adult</subject><subject>Analytical, structural and metabolic biochemistry</subject><subject>Biological and medical sciences</subject><subject>Blood levels</subject><subject>Body burden</subject><subject>Chelating agents</subject><subject>Chelating Agents - pharmacokinetics</subject><subject>Copper</subject><subject>Copper - urine</subject><subject>Environmental Pollutants - urine</subject><subject>Excretion</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lead - urine</subject><subject>Lead Poisoning - urine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Occupational Diseases - urine</subject><subject>Regression analysis</subject><subject>Succimer - pharmacokinetics</subject><subject>Zinc</subject><subject>Zinc - urine</subject><issn>0009-9147</issn><issn>1530-8561</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkNFq2zAUhsVYWdNubzCGGOvunEmWLFmXIevWQspu2mtxLEuximxnkr2wPf0UnFEYCKRz9J2fw4fQe0rWlEn2xQQ_mM7265KQak0qSsv6FVrRipGirgR9jVaEEFUoyuUlukrpOZdc1uINuqSiZIpxskKwzTHeQMC3vyDMMPlxwKPDgHcWWvwwNj74P0v70aYJPyU_7PHUWbztbMgfudrs7TDhr7630cBhGtNszCkVb4xv36ILByHZd-f7Gj19u33c3hW7H9_vt5tdYbiop8IScCVtGiGEcSy_iTTO0CofBa1VRrTKtQoMIdAQpiqiCLcKnGRcStGya_R5yT3E8eecV9W9T8aGAIMd56Sp5JJyVmfw43_g8zjHIe-mS8pPziTJEF8gE8eUonX6EH0P8bemRJ_863_-9cm_XvznsQ_n7LnpbfsydBaegZszAClbdxEG49MLJ7kqhawy92nhOr_vjj5anXoIIcdSfTweq1JTXdfsL1-DnPE</recordid><startdate>20060101</startdate><enddate>20060101</enddate><creator>Hoet, Perrine</creator><creator>Buchet, Jean-Pierre</creator><creator>Decerf, Laurence</creator><creator>Lavalleye, Benoit</creator><creator>Haufroid, Vincent</creator><creator>Lison, Dominique</creator><general>Am Assoc Clin Chem</general><general>American Association for Clinical Chemistry</general><general>Oxford University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4U-</scope><scope>7QO</scope><scope>7RV</scope><scope>7TM</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>BKSAR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PCBAR</scope><scope>PDBOC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>RC3</scope><scope>S0X</scope></search><sort><creationdate>20060101</creationdate><title>Clinical Evaluation of a Lead Mobilization Test Using the Chelating Agent Dimercaptosuccinic Acid</title><author>Hoet, Perrine ; Buchet, Jean-Pierre ; Decerf, Laurence ; Lavalleye, Benoit ; Haufroid, Vincent ; Lison, Dominique</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c468t-e0af21bb666cf3af207cfc15c159ade9c6d9fd9ac00ab03950904e9af734776d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Analytical, structural and metabolic biochemistry</topic><topic>Biological and medical sciences</topic><topic>Blood levels</topic><topic>Body burden</topic><topic>Chelating agents</topic><topic>Chelating Agents - pharmacokinetics</topic><topic>Copper</topic><topic>Copper - urine</topic><topic>Environmental Pollutants - urine</topic><topic>Excretion</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. 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We propose a safe and convenient protocol for this test, to assess concomitant copper and zinc excretion and to determine the size of the chelatable lead pool in nonoccupationally exposed adults.
The study population included 80 white adults: 40 controls [median blood lead concentration (PbB), 25 microg/L] and 40 lead-exposed individuals (315 microg/L). After collection of 4- and 24-h baseline urine specimens and a blood sample, dimercaptosuccinic acid (DMSA) was administered orally (1 g), and additional 4- and 24-h urine specimens were obtained. Determinants of the chelatable urinary lead (DMSA-PbU) were traced by linear regression analysis.
Urinary DMSA and lead excretion peaked within 2-3 h after DMSA administration. The amounts of DMSA, lead, copper, and zinc recovered in the 4-h urinary collections were highly correlated with those in 24-h collections (r = 0.857, 0.859, 0.958, and 0.757, respectively). At PbB concentrations >300 microg/L, the relationship between DMSA-PbU and PbB showed a steep increase and a widespread dispersion of DMSA-PbU around the regression line. After DMSA, copper and zinc excretion rates were increased up to 91- and 33-fold, respectively. No side effects were reported after DMSA.
Determination of DMSA-PbU in a 4-h collection after DMSA is convenient, apparently safe, and inexpensive. An upper reference limit value of 22 microg/4 h is proposed for Belgian reference individuals. The diagnostic value of DMSA-PbU is likely to be contributive for PbB >300 microg/L.</abstract><cop>Washington, DC</cop><pub>Am Assoc Clin Chem</pub><pmid>16239340</pmid><doi>10.1373/clinchem.2005.051128</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Analytical, structural and metabolic biochemistry Biological and medical sciences Blood levels Body burden Chelating agents Chelating Agents - pharmacokinetics Copper Copper - urine Environmental Pollutants - urine Excretion Female Fundamental and applied biological sciences. Psychology Humans Investigative techniques, diagnostic techniques (general aspects) Lead - urine Lead Poisoning - urine Male Medical sciences Middle Aged Occupational Diseases - urine Regression analysis Succimer - pharmacokinetics Zinc Zinc - urine |
title | Clinical Evaluation of a Lead Mobilization Test Using the Chelating Agent Dimercaptosuccinic Acid |
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