D. Wartenberg et al., HUMAN IMMUNOTOXICOLOGIC MARKERS OF CHEMICAL EXPOSURES - PRELIMINARY VALIDATION STUDIES, Journal of exposure analysis and environmental epidemiology, 3, 1993, pp. 51-61
The circulating cells of the immune system are sensitive to environmen
tal contaminants, and effects are often manifested as changes in the c
ell surface differentiation antigens of affected populations of cells,
particularly lymphocytes. In this investigation, we explore the likel
ihood that variation in the expression of the surface markers of immun
e cells can be used as all index of exposure to toxic chemicals. We re
cruited 38 healthy New Jersey men to study pesticides effects: 19 orch
ard farmers (high exposure); 13 berry farmers (low exposure); and 6 ha
rdware store owners (no exposure). Immunophenotyping was performed ass
aying the following cell surface antigens: CD2, CD4, CD8, CD14, CD20,
CD26, CD29, CD45R, CD56, and PMN. Data were analyzed using univariate
and multivariate methods. There were no significant differences among
the groups with respect to routine medical histories, physical examina
tions, or routine laboratory parameters. No striking differences betwe
en groups were seen in univariate tests. Multivariate.tests suggested
some differences among groups and limited ability to correctly classif
y individuals based on immunophenotyping results. Immunophenotyping re
presents a fruitful area of research for improved exposure classificat
ion. Work is needed both on mechanistic understanding of the patterns
observed and on the statistical interpretation of these patterns.