Abstract
Inductively coupled plasma-mass spectrometry (ICP-MS) was used to determine the concentration of platinum (Pt) in silicone breast implant gel (range, 0.26–48.90 μg g−1 Pt; n=15), elastomer (range, 3.05–28.78 μg g−1 Pt; n=7), double lumen (range, 5.79–125.27 μg g−1 Pt; n=7), foam (range, 5.79–8.36 μg g−1 Pt; n=2), and capsular tissue (range, 0.003–0.272 μg g−1 Pt; n=15). The results show that very high levels of Pt are present in the encasing elastomer, double lumen, and foam envelope materials. Silicone breast implants can be a source of significant Pt exposure for individuals with these implants.
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References
Bridges AJ, Vasey FB (1993) Silicone breast implants: history, safety, and potential complications. Arch Intern Med 153:2638–2644
Braley S (1963) Use of silicones in plastic surgery. Archiv Otolaryngol 78:669–675
Deapen DM, Pike MC, Casagrande JT, Brody GS (1986) The relationship between breast cancer and augmentation mammaplasty: an epidemiologic study. Plast Reconstr Surg 77:361–368
May DS, Stroup NE (1991) The incidence of sarcomas of the breast among women in the United States, 1973–1986. Plast Reconstr Surg 87:193–194
Cook RR, Perkins LL (1996) The prevalence of breast implants among women in the United States. In: Potter M, Rose NR (eds) Immunology of silicones. Springer, Berlin Heidelberg New York, pp 419–425
Bolm-Audorff U, Bienfait HG, Burkhard J, Bury AH, Merget R, Pressel G, Schultze-Werninghaus G (1992) Prevalence of respiratory allergy in a platinum refinery. Int Arch Occ Env Hea 64:257–260
Niezborala M, Garnier R (1996) Allergy to complex platinum salts: a historical prospective cohort study. Occup Environ Med 53:252–257
Merget R, Reineke M, Rueckmann A, Bergmann E, Schultze-Werninghaus G (1994) Nonspecific and specific bronchial responsiveness in occupational asthma caused by platinum salts after allergen avoidance. Am J Resp Crit Care 150:1146–1149
Merget R, Caspari C, Kulzer R, Breitstadt R, Rueckmann A, Schultze-Werninghaus G (1995) The sequence of symptoms, sensitization and bronchial hyperresponsiveness in early occupational asthma due to platinum salts. Int Arch Allergy Imm 107:406–407
von Hoff DD, Slavik M, Muggia FM (1976) Allergic reactions to cis-platinum. Lancet 1:90–95
Sheard C (1955) Contact dermatitis from platinum and related metals: report of a case. Arch Dermatol 71:357–360
Levene GM (1971) Platinum sensitivity. Brit J Dermatol 85:590–593
Schuppe H, Haas-Raida D, Kulig J, Bomer U, Gleichmann E, Kind P (1992) T-cell-dependent popliteal lymph node reactions to platinum compounds in mice. Int Arch Allergy Imm 97:308–314
Agnew WF, Yuen TGH, Pudenz RH, Bullara LA (1977) Neuropathological effects of intracerebral platinum salt injections. J Neuropath Exp Neur 36:533–546
Bridges AJ, Conley C, Wang G, Burns DE, Vasey FB (1993) A clinical and immunologic evaluation of women with silicone breast implants and symptoms of rheumatic disease. Ann Int Med 118:929–936
Harbut MR, Churchill BC (1999) Asthma in patients with silicone breast implants: Report of a case series and identification of hexachloroplatinate contaminant as a possible etiologic agent. Isreal J Occup Health 3:73–82
El-Jammal A, Templeton DM (1995) Measurement of platinum in biomedical silicones by ICP-MS. Anal Proc Incl Anal Commun 32:293–295
Lykissa ED, Kala SV, Hurley JB, Lebovitz RM (1977) Release of low molecular weight silicones and platinum from silicone breast implants. Anal Chem 69:4912–4916
Brandon HJ, Young VL, Jerina KL, Wolf CJ (2001) Variability in the properties of silicone gel breast implants. Plast Reconstr Surg 108:647–655
Flassbeck D, Pfleiderer B, Klemens P, Heumann KG, Eltze E, Hirner AV (2003) Determination of siloxanes, silicon, and platinum in tissues of women with silicone gel-filled implants. Anal Bioanal Chem 375:356–362
Kazantzis G (1978) The role of hypersensitivity and the immune response in influencing susceptibility to metal toxicity. Environ Health Persp 25:111–118
Biagini RE, Bernstein IL, Gallagher JS, Moorman WJ, Brooks S, Gann PH (1985) The diversity of reaginic immune responses to platinum and palladium metallic salts. J Allergy Clin Immun 76:794–802
Merget R, Schultze-Werninghaus G, Muthorst T, Friedrich W, Mefer-Sydow J (1988) Asthma due to complex salts of platinum: a cross-sectional survey of workers in a platinum refinery. Clin Allergy 18:569–580
Pepys J, Pickering CAC, Hughes EG (1972) Asthma due to inhaled chemical agents: complex salts of platinum. Clin Allergy 2:391–396
Goering PL (1992) Platinum and related metals: palladium, iridium, osmium, rhodium, and ruthenium. In: Sullivan JB, Krieger GR (eds) Hazardous materials toxicology, clinical principles of environmental health. Williams and Wilkins, Baltimore, MD, pp 874–881
Arepalli SR, Bezabeh S, Brown SL (2002) Allergic reaction to platinum in silicone breast implants. J Long Term Eff Med 12:299–306
Acknowledgements
I thank Ms. Jessica Caplan and LT Dr. John W. Ejnik for assistance with the ICP-MS. COL Dr. Kip Hartman, Ms. Maggie A. Meitzler, Mr. Craig R. Morrissette, and several anonymous reviewers provided comments on an earlier version of this manuscript. I am grateful to Mr. Assen Assenov, Dr. Michael R. Harbut, and Ms. Marlene Keeling for discussions. Prof. Klaus Heumann and two anonymous referees provided constructive comments that greatly improved the manuscript, and are gratefully acknowledged. Partial support was provided by a grant from the American Registry of Pathology.
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Maharaj, S.V.M. Platinum concentration in silicone breast implant material and capsular tissue by ICP-MS. Anal Bioanal Chem 380, 84–89 (2004). https://doi.org/10.1007/s00216-004-2714-y
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DOI: https://doi.org/10.1007/s00216-004-2714-y