Cn. Ong et al., BIOMARKERS OF EXPOSURE TO LOW CONCENTRATIONS OF BENZENE - A FIELD ASSESSMENT, Occupational and environmental medicine, 53(5), 1996, pp. 328-333
Objective-To carry out a comprehensive field investigation to evaluate
various conventional and recently developed biomarkers for exposure t
o low concentrations of benzene. Methods-Analyses were carried out on
environmental air, unmetabolised benzene in blood and urine, urinary t
rans, trans-muconic acid, and three major phenolic metabolites of benz
ene: phenol, catechol, and hydroquinone. Validations of these biomarke
rs were performed on 131 never smokers occupationally exposed to the t
ime weighted average benzene concentration of 0.25 ppm (range, 0.01 to
3.5 ppm). Results-Among the six biomarkers studied, unmetabolised ben
zene in urine correlated best with environmental benzene concentration
(correlation coefficient, r = 0.76), followed by benzene in blood (r
= 0.64). When urinary metabolites were compared with environmental ben
zene, trans, trans-muconic acid showed a close correlation (r = 0.53)
followed by hydroquinone (r = 0.44), and to a lesser extent with urina
ry phenol (r = 0.38). No correlation was found between catechol and en
vironmental benzene concentrations. Although unmetabolised benzene in
urine correlates best with benzene exposure, owing to serious technica
l drawbacks, its use is limited. Among the metabolites, trans, trans-m
uconic acid seems to be more reliable than other phenolic compounds. N
evertheless, detailed analyses failed to show that it is specific for
monitoring benzene exposures below 0.25 ppm. Conclusion-The overall re
sults suggest that most of the currently available biomarkers are unab
le to provide sufficient specificity for monitoring of low concentrati
ons of benzene exposure. If a lower occupational exposure limit for be
nzene is to be considered, the reliablity of the biomarker and the tec
hnical limitations of measurements have to be carefully validated.