[Trials of casual treatment of silicosis]. / Próby leczenia przyczynowego pylicy krzemowej.

Silica-induced lung injury and the development of silicosis is one of the major occupational diseases. Accumulation and deposition of respirable dust containing silica mineral particles in the lung produces chronic lung disease characterized by granulomatous and fibrotic lesions. Knowledge of precise mechanisms, which induce this process is still limited, hence problems faced in the treatment of silicosis, especially the casual one. This article describes various trials of casual silicosis treatment with tetrandrine (Tet), isolated from the root of Stephania tetrandra, tumor necrosis factor (TNF) antagonists, polyvinyl-pyridine-N-oxide (PVNO), aluminum compounds, corticosteroids or bronchoalveolar lavage (BAL). The existing methods are not sufficient, which warrants further investigations. At present, prevention of the disease and treatment of its complications are most important.

[The influence of occupational exposure to arsenic and heavy metals on the activity of catepsins and their inhibitors in blood serum of copper smelters]. / Wplyw zawodowego narazenia na arsen i metale ciezkie na aktywnosc katepsyn i ich inhibitorów w surowicy krwi pracowników huty miedzi.

BACKGROUND: Exposure to arsenic, lead, and cadmium poses the risk of cancer. Cathepsins (CP) and their natural inhibitors (CPI) in blood serum are markers of carcinogensis. The aim of this work was to verify the existence of relationships between the exposure to the airesaid elements and the activity of CP and CPL. MATERIALS AND METHODS: The levels of Pb and Cd in blood, Mn, Cu, Zn, Ca, Mg, Fe, Se CP as well as free and bound CPI in serum, FEP in erythrocytes, and As in urine were measured in 186 production workers of Legnica Copper Smelter (study group) and 56 administrative employees (control group) and then analyzed. RESULTS: CF levels were significantly elevated in both groups and CPI levels were elevated in the study group vs. the control group. There were no statistically significant relationships between CF and CPI levels and the remaining parameters in the study group. whereas they were found for CPI in the control group. The results indicate that occupational and environmental exposures to toxic metals (arsenic, lead, cadmium) may lead to the elevated levels of CF and CPI. CONCLUSIONS: The obtained results support the assumptions of the study.

[Effect of heavy metal ions on function of vascular endothelium in patients with ischemic heart disease]. / Wplyw jonów wybranych metali ciezkich na czynnosc sródblonka u pacjentów z choroba niedokrwienna serca.

UNLABELLED: Endothelium dysfunction is one of the first signs of atherosclerotic process. There are many factors known, which provoke such a dysfunction; many are still to be revealed. One of them may be a heavy metal ion. The aim of the study was to establish the link between heavy metal ions concentrations in blood and the endothelium dysfunction measured with the nitric oxide blood concentration in a population of patients with ischemic heart disease, not exposed occupationally to high concentrations of heavy metal ions. The study included 42 patients (24 men and 18 women, age 63.7 +/- 9.9 years) with angiography confirmed coronary artery disease. The study group was subdivided according to coronary artery atherosclerosis extent. Control included 18 patients (10 men and 8 women, age 58.7 +/- 9.4 years), where coronarography revealed no significant lesions in coronary arteries. In all persons blood for nitric oxide and heavy metal ions was collected. Heavy metal ions studied included: lead, copper, manganese, zinc, selenium, and cadmium. Heavy metal ions concentrations in studied and control group was within normal range for not exposed population and did not differ significantly with each other. No significant difference was observed between groups for nitric oxide concentration. Nitric oxide concentration correlated positively with zinc concentration in control group (p<0.001, Pearson r=0.70). Such a correlations was not present in studied group. After regression analysis there was still strong correlation between zinc and nitric oxide in control group (beta=0.43, p<0.01), the phenomenon not present in studied group. CONCLUSIONS: 1. In the group of patients with angiography confirmed ischemic heart disease heavy metal ions concentrations are within normal range for not exposed population and is not connected with coronary atherosclerosis extent. 2. From all heavy metal ions studied only zinc seams to have protective influence on endothelial function measured by nitric oxide production 3. No such a protective effect is observed in the group of patients with ischemic heart disease, which may be due to the relative zinc deficiency.

[The effect of occupational exposure to heavy metals and arsenic on serum concentrations of carotenoids in copper foundry workers]. / Wplyw ekspozycji zawodowej na olów i arsen na stezenie karotenoidów w surowicy u pracowników huty miedzi.

BACKGROUND: The aim of the project was to analyze the effect of occupational exposure to heavy metals on the efficiency of antioxidative defensive mechanisms, represented by the concentration of carotenoids (KTND) in serum. MATERIALS AND METHODS: The study involved 96 workers exposed to heavy metals in a copper foundry. Two subgroups of workers--those exposed only to lead and those to the combination of lead and arsenic--were analyzed. The control group consisted of 81 subjects not exposed to heavy metals. We measured concentrations of lead and cadmium in whole blood, selenium, manganese, copper, zinc, calcium, magnesium and carotenoids in serum, arsenic in urine and free erythrocyte protoporphyrin (FEP). RESULTS: Serum carotenoids concentration was significantly lower in workers exposed to heavy metals than in the control group (48.76 +/- 15.32 vs. 68.36 +/- 21.46 microg/dl; p < 0.001). There were no significant differences between serum concentrations of carotenoids in the subgroup exposed only to lead and the subgroup exposed to both lead and arsenic ((48.62 +/- 16.64 vs. 48.86 +/- 14.41 microg/dl). We found significant positive correlation between blood cadmium levels and serum carotenoids in the control group (r = -0.3406, p < 0.05). In the multiple regression analysis (optimal model), there was significant negative influence of blood lead on serum KTND levels and positive influence of blood cadmium on serum KTND concentrations in the subgroup of workers exposed only to lead (R(2) A = 0.9102; p < 0.001). In smelters exposed to both lead and arsenic, we observed significant negative influence of FEP and positive influence of arsenic on KTND concentrations in serum in the optimal model of multiple regression (R(2) A = 0.9249; p < 0.001). CONCLUSIONS: Occupational exposure to lead and arsenic in moderate doses affects serum carotenoids concentration in exposed humans.