Objective-To evaluate the relations between environmental benzene conc
entrations and various biomarkers of exposure to benzene. Methods-Anal
yses were carried out on environmental air, unmetabolised benzene in u
rine, trans, trans-muconic acid (ttMA), and three major phenolic metab
olites of benzene; catechol, hydroquinone, and phenol, in two field st
udies on 64 workers exposed to benzene concentrations from 0.12 to 68
ppm, the time weighted average (TWA). Forty nonexposed subjects were a
lso investigated. Results-Among the five urinary biomarkers studied, t
tMA correlated best with environmental benzene concentration (correlat
ion coefficient, r = 0.87). When urinary phenolic metabolites were com
pared with environmental benzene, hydroquinone correlated best with be
nzene in air. No correlation was found between unmetabolised benzene i
n urine and environmental benzene concentrations. The correlation coef
ficients for environmental benzene and end of shift catechol, hydroqui
none, and phenol were 0.30, 0.70, and 0.66, respectively. Detailed ana
lysis, however, suggests that urinary phenol was not a specific biomar
ker for exposure below 5 ppm. In contrast, ttMA and hydroquinone seeme
d to be specific and sensitive even at concentrations of below 1 ppm.
Although unmetabolised benzene in urine showed good correlation with a
tmospheric benzene (r = 0.50, P < 0.05), data were insufficient to sug
gest that it is a useful biomarker for exposure to low concentrations
of benzene. The results from the present study also showed that both t
tMA and hydroquinone were able to differentiate the background level f
ound in subjects not occupationally exposed and those exposed to less
than 1 ppm of benzene. This suggests that these two biomarkers are use
ful indices for monitoring low concentrations of benzene, Furthermore,
these two metabolites are known to be involved in bone marrow leukaem
ogenesis, their applications in biological monitoring could thus be im
portant in risk assessment. Conclusions-The good correlations between
ttMA, hydroquinone, and atmospheric benzene, even at concentrations of
less than 1 ppm, suggest that they are sensitive and specific biomark
ers for benzene exposure.