[en] In a cross-sectional population study to assess whether environmental exposure to cadmium associated with renal dysfunction, 1699 subjects aged 20-80 years were studied as a random sample of four areas of Belgium with varying degrees of cadmium pollution. After standardisation fo several possible confounding factors, five variables (urinary excretion of retinol-binding protein, N-acetyl-ß-glucosaminidase, ß2-microglobulin, aminoacids, and calcium) were significantly associated with the urinary excretion of cadmium (as a marker of cadmium body burden) suggesting the presence of tubular dysfunction. There was a 10% probablility of values of these variables being abnormal when cadmium excretion exceeded 2-4 µg/24h. Excretion reached also evidence that diabetic patients may be more susceptible to the toxic effect of cadmium on the renal proximal tubule.
Disciplines :
Urology & nephrology Public health, health care sciences & services
Author, co-author :
Buchet, J. P.; Université Catholique de Louvain - UCL > Industrial Toxicology and Occupational Medicine Unit
Lauwerys, R.; Université Catholique de Louvain - UCL > Industrial Toxicology and Occupational Medicine Unit
Roels, H.; Université Catholique de Louvain - UCL > Industrial Toxicology and Occupational Medicine Unit
Bernard, A.; Université Catholique de Louvain - UCL > Industrial Toxicology and Occupational Medicine Unit
Bruaux, P.; Ministry of Health and Social Affairs, Brusels, Belgium > Institute of Hygiene and Epidemiology
Claeys, F.; Ministry of Health and Social Affairs, Brusels, Belgium > Institute of Hygiene and Epidemiology
Ducoffre, G.; Ministry of Health and Social Affairs, Brusels, Belgium > Institute of Hygiene and Epidemiology
De Plaen, P.; Ministry of Health and Social Affairs, Brusels, Belgium > Institute of Hygiene and Epidemiology
Staessen; Katholieke Universiteit Leuven - KUL > Pathophysiology > Hypertension nd Cardiovascular Rehabilitation Unit
Amery, A.; Katholieke Universiteit Leuven - KUL > Pathophysiology > Hypertension and Cardiovascular Rehabilitation Unit
Lijnen, P.; Katholieke Universiteit Leuven - KUL > Pathophysiology > Hypertension and Cardiovascular Rehabilitation Unit
Thijs, L.; Katholieke Universiteit Leuven - KUL > Pathophysiology > Hypertension and Cardiovascular Rehabilitation Unit
Rondia, D.; Université de Liège - ULiège > Environmental Toxicology Unit
Sartor, F.; Université de Liège - ULiège > Environmental Toxicology Unit
Saint-Remy, Annie ; Université de Liège - ULiège > Département des sciences cliniques > Néphrologie
Nick, L.; Université de Liège - ULiège > Environmental Toxicology Unit
Friberg, Elinder, Kjellstrom, Nordberg Cadmium and health: a toxicological and epidemiological appraisal, CRC Press, Florida; 1985.
Bernard, Lauwerys (1986) Effects of cadmium exposure in humans. Handbook of experimental pharmacology , Ec Foulkes, Springer-Verlag, Heidelberg; 135-177.
Drasch (1983) An increase of cadmium body burden for this century. An investigation on human tissues. Sci Total Environ 26:111-119.
Roels, Lauwerys, Buchet (1981) In vivo measurement of liver and kidney cadmium in workers exposed to this metal: its significance with respect to cadmium in blood and urine. Environ Res 26:217-240.
.
Lauwerys, Dewals (1981) Environmental pollution by cadmium and mortality from renal diseases. The Lancet 1:383.
Lauwerys, Hardy, Job (1984) Environmental pollution by cadmium and cadmium body burden: an autopsy study. Toxicol Lett 23:287-289.
Roels, Lauwerys, Buchet, Bernard (1981) Environmental exposure to cadmium and renal function of aged women in three areas of Belgium. Environ Res 24:117-130.
Staessen, Bulpitt, Fagard, Joossens, Lijnen, Amery (1988) Salt intake and blood pressure in the general population: a controlled intervention trial in two towns. J Hypertens 6:965-973.
SAS/STAT Guide for Personal Computers, Version 6, SAS Institute Inc, Cary, North Carolina; 1987.
Flanagan, McLellan, Haist, Cherian, Chamberlain, Valberg (1978) Increased dietary cadmium absorption in mice and human subjects with iron deficiency. Gastroenterology 74:841-846.
Lauwerys, Buchet, Roels (1976) The relationship between cadmium exposure or body burden and the concentration of cadmium in blood and urine in man. Int Arch Occup Environ Health 36:275-285.
Scott, Patterson, Burns (1978) Hypercalciuria related to cadmium exposure. Urology 11:462-465.
Buchet, Roels, Bernard, Lauwerys (1980) Assessment of renal function of workers exposed to inorganic lead, cadmium or mercury vapor. J Occup Med 22:741-750.
Roels, Lauwerys, Buchet, Bernard, Vos, Oversteyns (1989) Health significance of cadmium-induced renal dysfunction: a five year follow-up. Br J Industr Med 46:755-764.
Morgan, Simms (1988) The Shipham Report: discussion and conclusions. Sci Total Environ 75:135-143.
Buchet, Lauwerys, Vandevoorde, Pycke (1983) Oral daily intake of cadmium, lead, manganese, copper, chromium, mercury, calcium, zinc and arsenic in Belgium: a duplicate meal study. Fd Chem Toxicol 21:19-24.