DOI QR코드

DOI QR Code

Estimation of Manganese Levels in Cord Blood of Pregnant Workers

임신 여성 근로자의 제대혈 중 망간 농도 추정

  • Lee, Aram (Department of Environmental Health Science, Soonchunhyang University) ;
  • Choi, Kyungho (School of Public Health, Seoul National University) ;
  • Kim, Hai-Joong (College of Medicine, Korea University) ;
  • Lee, Jeong Jae (College of Medicine, Soonchunhyang University) ;
  • Choi, Gyuyeon (College of Medicine, Soonchunhyang University) ;
  • Kim, Sungjoo (College of Medicine, Hallym University) ;
  • Kim, Su Young (College of Medicine, Jeju National University) ;
  • Cho, Geumjoon (College of Medicine, Korea University) ;
  • Kim, Youg Don (College of Medicine, Sungkyunkwan University) ;
  • Suh, Eunsook (College of Medicine, Soonchunhyang University) ;
  • Kim, Sung Koo (College of Medicine, Hallym University) ;
  • Eun, So-Hee (College of Medicine, Korea University) ;
  • Eom, Soyong (Yonsei University) ;
  • Kum, Seunghyo (College of Medicine, Jeju National University) ;
  • Kim, Gun-Ha (College of Medicine, Korea University) ;
  • Moon, Hyo-Bang (Department of Marine Sciences and Convergent Technology, Hanyang University) ;
  • Kim, Sungkyoon (School of Public Health, Seoul National University) ;
  • Choi, Sooran (College of Medicine, Inha University) ;
  • Park, Jeongim (Department of Environmental Health Science, Soonchunhyang University)
  • Received : 2018.07.18
  • Accepted : 2018.09.19
  • Published : 2018.09.30

Abstract

Objectives: This study aims to analyze manganese (Mn) concentrations in maternal and cord bloods at delivery and to estimate the Mn exposure risk for fetuses whose mothers were occupationally exposed to Mn. Materials and Methods: Forty-six pairs of maternal and cord blood samples were collected at delivery from mothers who were occupationally unexposed to Mn. Mn concentrations of blood were analyzed by graphite furnace atomic absorption spectrometer. Mn exposure levels for fetuses of female workers were estimated by simulating two working exposure scenarios. Results: The geometric mean concentration of Mn in maternal and cord blood were $27.0(1.34){\mu}g/L$, $46.6(1.25){\mu}g/L$, respectively. Transfer ratios of Mn from maternal to cord blood were $1.81{\pm}0.62$, which indicated that the Mn concentrations in cord blood were higher than those in maternal blood. Mn concentrations in cord blood for the worse or general scenarios were estimated to $22.3-1,881{\mu}g/L$ and $1.59-308{\mu}g/L$, respectively. The probabilities of exceeding $74{\mu}g/L$, which was adopted as a reference level reported in a previous study, were 95% and 44% for the two scenarios, respectively. Conclusions: Comparable levels of Mn exposure in maternal or cord blood to those in this study have shown various health effects in previous studies. This suggests that Mn exposure levels in mothers and fetuese in Korea need to be monitored and managed. In addition, female workers who are occupationally exposed to Mn should be protected from the exposure since their fetuses can be exposed to Mn at risky levels during their pregnancy.

Keywords

References

  1. Agency for Toxic Substances and Disease Registry (ATSDR). Toxicological profile for manganese. 2012. P. 3
  2. Arbuckle TE, Liang CL, Morisset AS, Fisher M, Weiler H et al. Maternal and fetal exposure to cadmium, lead, manganese and mercury: The MIREC stury. Chemosphere 2016; 163: 270-282 https://doi.org/10.1016/j.chemosphere.2016.08.023
  3. Aschner M, Guilarte TR, Schneider JS, Zheng W. Manganese: Recent advances in understanding its transport and neurotoxicity. Toxicol Appl Pharmacol 2007; 221: 131-47 https://doi.org/10.1016/j.taap.2007.03.001
  4. Audrey S. Takser L, Andre M, Martin S, Donna M et al. A comparative study of manganese and lead levels in human umbilical cords and maternal blood from two urban centers exposed to different gasoline additives. Sci Total Environ 2002; 290(1-3): 157-64 https://doi.org/10.1016/S0048-9697(01)01071-3
  5. Baeyens W, Vrijens J, Gao Y, Croes K, Schoeters G et al. Trace metals in blood and urine of newborn/mother pairs, adolescents and adults of the Flemish. Int J Hyg Environ Health 2014; 217(8): 878-890 https://doi.org/10.1016/j.ijheh.2014.06.007
  6. Bocca B, Madeddu R, Asara Y, Tolu P, Marchal JA et al. Assessment of reference ranges for blood Cu, Mn, Se and ZSn in a selected Italian population. J Trace Elem Med Biol 2011; 25(1): 19-26 https://doi.org/10.1016/j.jtemb.2010.12.004
  7. Chang Y, Kim Y, Woo ST, Song HJ, Kim SH et al. High signal intensity on magnetic resonance imaging is a better predictor of neurobehavioral performances than blood manganese in asymptomatic welders. Neurotoxicology 2009; 30: 555-563 https://doi.org/10.1016/j.neuro.2009.04.002
  8. Choi H, Park SK, Kim M. Risk assessment of mercury through food intake for korean population. Korean Journal of Food Science and Technology 2012; 44(1): 106-113 https://doi.org/10.9721/KJFST.2012.44.1.106
  9. Choi HC, Kim K, An SH, Hyun DW. Manganese concentration in blood and urine of manganese exposed welding workers. Korean J Occup Environ Med 1998; 10(4): 534-547
  10. Choi JH, Jang BK, Lee JW, Hong EJ, Lee MJ et al. Cerbral activity by motor task in welders exposed to mangnaese through fMRI. J Envrion Health Sci 2011; 37(2): 102-112
  11. Das K, Chowdhury AR. Metallic ion concentration during menstrual cycle in normally menstruating women. Indian J Med Sci 1997; 51(2): 52-4
  12. Davis CD, Greger JL. Longitudinal changes of manganesedependent superoxide dismutase and other indexes of manganese and iron status in women. Am J Clin Nutr 1992; 55: 747-52 https://doi.org/10.1093/ajcn/55.3.747
  13. Emara AM, el-Ghawabi SH, Madkour OI, el-Samra GH. Chronic manganese poisoning in the dry battery industry. Br J Ind Med 1971; 28: 78-82
  14. Freire C, Koifman RJ, Fujimoto D, de Oliveira Souza VC, Barbosa F Jf et al. Reference values of cadmium, arsenic and manganese in blood and factors associated with exposure levels among adult population of Rio Branco, Acre, Brazil. Chemosphere 2015; 128: 70-78 https://doi.org/10.1016/j.chemosphere.2014.12.083
  15. Guan H, Wang M, Li X, Piao F, Li Q, et al. Manganese concentrations in maternal and umbilical cord blood: related to birth size and environmental factors. European Journal of Public Health 2013; 24(1): 150157
  16. Hatano S, Nishi Y, Usui T. Eythrocyte manganese concentration in healthy japanese children, adults, and the elderly, and in cord blood. Am J Clin Nutr 1983; 37(3): 457-60 https://doi.org/10.1093/ajcn/37.3.457
  17. Health Canada. Second report on human biomonitoring of environmental chemicals in canada. 2013.
  18. Hong YS, Kim JI, Jung KY, Kim JY. Study on clinical significance of high signal intensity by brain magnetic resonance imaging in mild steel/arc welders. Korean J Occup Environ Med 1999; 11(3): 415-429
  19. Huang CC, Chu NS, Lu CS, Calne DB. Cock gait in manganese intoxication. Mov Disord 1997; 12(5): 807-8 https://doi.org/10.1002/mds.870120532
  20. Jung KS, Lee JD, Kim YB. Associations between airborne manganese and blood manganese in the korean general population according to KNHANES 2008-2009. Journal of Environmental Science International 2013; 22(12): 1589-1598 https://doi.org/10.5322/JESI.2013.22.12.1589
  21. Kim GH, Lim HS, Yu S. A study on manganese health hazards among experienced welders. Korean J. of Preventive Medicine 1998; 31(4): 644-665
  22. Kim JM, Ahn JM, Kim WS, Kim JI, Shin HR et al. Blood lead, manganese, aluminium and silicon concentrations in korean adults. Korean J Prev Med 2000; 33(2): 157-164
  23. Kim JY, Lim HS, Cheong HK, Paik NW. A study on the manganese exposure and health hazards among manganese manufacturing workers. The Kor J. of Occup. Med 1994; 6(1): 98-112
  24. Kim KW, Par SH, Won YL, Lee SK. Effects of low-level exposure to manganese and lead on immune function. Analytical Science&Technology 2014; 27(5): 248-253 https://doi.org/10.5806/AST.2014.27.5.248
  25. Kim Y. Health effects of manganese and some recent issues in manganese neurotoxicity research. Korean J Occup Environ Med 2009; 21(1): 87-105
  26. Klaassen CD. Biliary excretion of manganese in rats, rabbits, and dogs. Toxicol Appl Pharmacol 1974; 29: 458-68 https://doi.org/10.1016/0041-008X(74)90117-3
  27. Korea occupational safety & health agency, Health management guideline for manganese exposure worker, 2013. p. 5
  28. Korea occupational safety & health agency, Technological guideline about biological index of manganese material analysis, 2014. P.2-6
  29. Krachler M, Rossipal E, Micetic-Turk D. Trace element transfer from the mother to the newborn-investigations on triplets of colostrum, maternal and umbilical cord sera. Eur. J. Clin. Nutr 1999; 53(6): 486-494 https://doi.org/10.1038/sj/ejcn/1600781
  30. Lim HS, Kim JY, Cheong HK, Cheong HK. As study on the manganese exposure and healthe hazard among manganese manufacturing woman workers. Korean J. of Preventive Medicine 1995; 28(2): 406-420
  31. Lin CC, Chen YC, Su FC, Lin CM, Liao HF et al. In utero exposure to environmental lead and manganese and neurodevelopment at 2 year of age, Environmental Research 2013; 123: 52-57 https://doi.org/10.1016/j.envres.2013.03.003
  32. Lin YY, Hwang YH, Chen PC, Chen BY, Wen HJ et al. Contribution of gestational exposure to ambient traffic air pollutants to fetal cord blood manganese. Environmental Research 2012; 112: 1-7 https://doi.org/10.1016/j.envres.2011.11.006
  33. Mari M, Nadal M, Schuhmacher M, Domingo JL. Exposure to heavy metals and PCDD/Fs by the population living in the vicinity of a hazardous waste landfill in Catalonia, Spain: health risk assessment. Environment International 2009; 35(7): 1034-1039 https://doi.org/10.1016/j.envint.2009.05.004
  34. Mena I, Horiuchi K, Burke K, Cotzias G. Chronic manganese poisoning: individual susceptibility and absorption of iron. Neurology 1969; 19(10): 1000-6 https://doi.org/10.1212/WNL.19.10.1000
  35. Mena I, Marin O, Fuenzalida S, Cotzias GC. Chronic manganese poisoning. Clinical picture and manganese turnover. Neurology 1967; 17: 128-36 https://doi.org/10.1212/WNL.17.2.128
  36. Milner JA. Trace minerals in the nutrition of children. J Pediatr 1990; 117(2, Pt2): S147-S155 https://doi.org/10.1016/S0022-3476(05)80013-7
  37. Ministry of Environment (MOE). The first stage ('09-'11) 1st year annual report on korena national environmental health survey. 2009.
  38. Ministry of Environment, The frist('09-'11) integrated analysis of national environmental health foundation survey data and preparation of national statistical calculations, 2011
  39. Moon DH, Son BC, Kang DM. Manganese exposure and its health hazards of welders. Korean J Occup Environ Med 1999; 11(4): 476-491
  40. Mora AM, van Wendel de Joode B, Mergler D, Cordoba L, Cano C et al. Maternal blood and hair manganese concentrations, fetal growth, and length of gestation in ISA cohort in Costa Rica. Environmental Research 2015; 136: 47-56 https://doi.org/10.1016/j.envres.2014.10.011
  41. Pan Y, Ding C, Zhang A, Wu B, Huang H et al. Distribution of manganese,cobalt and molybdenum in blood and urine among general population in 8 provinces of China. Zhonghua Yu Fang Yi Xue Za Zhi 2014; 48(9): 784-90
  42. Park JS, Kim PG, Jeong JY. A Study on the Total, Particle Size-Selective Mass ncentration of Airborne Manganese, and Blood Manganese Concentration of Welders in a Shipbuilding Yard. 2015; J Korean Soc Occup Environ Hyg 25(4): 472-481 https://doi.org/10.15269/JKSOEH.2015.25.4.472
  43. Rodier J. Manganese poisoning in Moroccan miners. Br J Ind Med 1995; 12: 21-35
  44. Rossipal E, Krachler M, Li F, Micetic-Turk D. Investigation of the transport of trace elements across barriers in humans: studies of placental and mammary transfer. Acta Pediatr 2000; 89: 1990-5
  45. Schuler P, Oyanguren H, Maturana V, Valenzuela A, Cruz E et al. Manganese poisoning: Environmental and medical study at a Chilean mine. Ind Med Surg 1957; 26(4):167-173
  46. Statistics Korea, 2017, Survey on work status by employment type [Accessed 2017. 08.03]. Available from: URL:http://kosis.kr/statHtml/statHtml.do?orgId=118&tblId=DT_118N_PAYM31&conn_path=I2
  47. Takser L, Lafond J, Bouchard M, St-Amour G, Mergler D. Manganese levels during pregnancy and at birth: relation to environmental factors and smoking in a Southwest Quebec population. Environmental Research 2004; 95: 119-125 https://doi.org/10.1016/j.envres.2003.11.002
  48. Takser L, Mergler D, Hellier G, Sahuquillo J, Huel G. Manganese, Monoamine Metabolite Levels at Birth, and Child Psychomotor Development. Neuro Toxicology 2003; 24: 667-674
  49. Tholin K, Sandstrom B, Hallmans G. Changes in blood manganese levels during pregnancy in iron supplemented and non supplemented women. J Trace Elem Med Biol 1995; 9(1): 13-7 https://doi.org/10.1016/S0946-672X(11)80003-9
  50. Tsai MS, Liao KW, Chang CH, Chien LC, Mao IF et al. The critical fetal stage for maternal manganese exposure. Environmental Research 2015; 137: 215-221 https://doi.org/10.1016/j.envres.2014.12.010
  51. Vigeh M, Yokoyama K, Ramezanzadeh F, Dahaghin M, Fakhriazad E et al. Blood manganese concentrations and intrauterine growth restriction. Reproductive Toxicology 2008; 25: 219-223 https://doi.org/10.1016/j.reprotox.2007.11.011
  52. Wedler FC. Biochemical and nutritional role of manganese: An overview. In: Klimis-Tavantzis DJ, ed. Manganese in health and disease. CRC Press. 1994; 1-36
  53. World Health Organization (WHO). Concise international chemical assessment document 12. Manganese and its compounds. 1999. P. 7
  54. World Health Organization (WHO). Obesity: preventing and managing the global epidemic. Who Technical report serise 894, 2000. P. 8-9
  55. Wu W, Zhang Y, Zhang F. [Studies on the semen quality in workers exposed to manganese and electric welding.] Chin J Prev Med 1996; 30(5): 266-268
  56. Yazbeck C, Moreau T, Sahuquillo J, Takser L, Huel GL. Effect of maternal manganese blood levels on erythrocyte calcium-pump activity in newborn., Science of the Total Environment 2006; 354: 28-34 https://doi.org/10.1016/j.scitotenv.2004.12.012
  57. Zhang LL, Lu L, Pan YJ, Ding CG, Xu DY et al. Baseline blood levels of manganese, lead, cadmium, copper, and zinc in residents of Beijing suburb. Environmental Research 2015; 140: 10-17 https://doi.org/10.1016/j.envres.2015.03.008