S. Fustinoni et al., ALBUMIN AND HEMOGLOBIN ADDUCTS AS BIOMARKERS OF EXPOSURE TO STYRENE IN FIBERGLASS-REINFORCED-PLASTICS WORKERS, International archives of occupational and environmental health, 71(1), 1998, pp. 35-41
Objective: The purpose of this work was to compare levels of styrene-7
,8-oxide (SO) adducts of albumin (Alb) and hemoglobin (Hb) with those
of two urinary metabolites of styrene, mandelic acid (MA) and phenylgl
yoxylic acid (PGA), among workers exposed to styrene in the reinforced
-plastics industry and in unexposed subjects. We also wished to determ
ine whether cigarette smoking influenced adduct levels among these sub
jects. Methods: A group of 22 male workers was selected on basis of an
expectedly high level of exposure to styrene, and a group of 15 contr
ols was selected from hospital blood donors and hospital staff. In the
exposed group, MA and PGA were quantified by high-performance liquid
chromatography (HPLC) analysis of urine samples collected prior to the
work shift. The SO adducts were cleaved from cysteine residues by rea
ction with Raney nickel to give 1-phenylethanol (1-PE) and 2-phenyleth
anol (2-PE), which, after derivatization, were measured using gas chro
matography-mass spectrometry (GC-MS) in the negative-chemical-ionizati
on (NCI) mode. Results: The estimated mean levels of MA and MA + PGA w
ere 74 and 159 mg/g creatinine, respectively. Using the levels of urin
ary metabolites, an average styrene concentration of about 100 mg/m(3)
in the workplace air was estimated. The mean levels of 2-PE and 1-PE
adducts in exposed workers were 2.84 and 0.60 nmol/g Alb and 5.44 and
0.43 nmol/g Hb, respectively. When subjects were stratified by level o
f urinary metabolites [zero (controls), low-level exposure (MA + PGA l
ess than or equal to 159 mg/g creatinine), and high-level exposure(MA
+ PGA > 159 mg/g creatinine)] and smoking status (smokers versus nonsm
okers), a difference in Alb adduct levels was found among the groups (
2-PE P = 0.002, 1-PE P = 0.052). The difference in 2-PE-Alb levels was
related to exposure category, to smoking status, and to their interac
tion. Correlations at or near a 0.05 level of significance were observ
ed among the workers (n = 22) between individual levels of SO-protein
adducts and MA + PGA (2-PE Alb, r = 0.54, 2-PE Hb, r = 0.40). Conclusi
on: Our data suggest that only exposure to relatively high levels of s
tyrene allows a clear relationship to be detected between styrene expo
sure and SO adducts, due in part to the effects of cigarette consumpti
on and to the high background levels of these adducts observed in unex
posed subjects.