Skip to main content
Log in

Cumulative blood-cadmium and tubular proteinuria: a dose-response relationship

  • Original Articles
  • Published:
International Archives of Occupational and Environmental Health Aims and scope Submit manuscript

Summary

Biological monitoring, i.e. using individual measures of exposure such as cadmium in blood, is supposed to reflect the real dose better than the more commonly used external measures such as air-cadmium. In order to investigate this, cumulative cadmium doses were estimated individually for 440 workers in a battery factory. Cumulative air-cadmium dose as well as two different cumulative blood-cadmium doses were computed for each study individual. Forty workers had evidence of tubular proteinuria and a clear dose-response relationship was found for each of the dose estimates. Our results suggest that cumulative blood-cadmium is a more sensitive indicator of cadmium-induced renal dysfunction than cumulative air-cadmium.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Adamsson E (1979) Long-term sampling of airborne cadmium dust in an alkaline battery factory. Scand J Work Environ Health 5:178–187

    Google Scholar 

  2. Bernard A, Buchet JP, Roels JP, Masson P, Lauwerys R (1979) Renal excretion of proteins and enzymes in workers exposed to cadmium. Eur J Clin Invest 9:11–22

    Google Scholar 

  3. Buchet JP, Roels H, Bernard A, Lauwerys R (1980) Assessment of renal function of workers exposed to inorganic lead, cadmium or mercury vapor. J Occup Med 22:741–749

    Google Scholar 

  4. Elinder CG, Edling C, Lindberg E, Kagedal B, Vesterberg O (1985) Beta-2-microglobulinuria among workers previously exposed to cadmium. Follow-up and dose-response analysis. Am J Ind Med 8:553–564

    Google Scholar 

  5. Elinder CG, Edling C, Lindberg E, Kagedal B, Vesterberg O (1985) Assessment of renal function in workers previously exposed to cadmium. Br J Ind Med 42:754–760

    Google Scholar 

  6. Ellis KJ, Cohn SH, Smith TJ (1985) Cadmium inhalation exposure estimates: their significance with respect to kidney and liver cadmium burden. J Toxicol Environ Health 15:173–187

    Google Scholar 

  7. Finney DJ (1971) Probit analysis. Cambridge University Press, Cambridge

    Google Scholar 

  8. Friberg L (1950) Health hazards in the manufacture of alkaline accumulators with special reference to chronic cadmium poisoning. Doctoral Thesis. Karolinska Institute, Stockholm

    Google Scholar 

  9. Friberg L, Elinder CG, Kjellström T, Nordberg GF (1985) Cadmium and health: a toxicological and epidemiological appraisal, vol 1. In: Boca Raton, CRC Press, Boca Raton, FL, pp 159–160

    Google Scholar 

  10. Hassler E (1983) Exposure to cadmium and nickel in an alkaline battery factory. Thesis report. Karolinska Institute, Stockholm

    Google Scholar 

  11. Iwao S, Tsuchiya K, Sakurai H (1980) Serum and urinary beta-2-microglobulin among cadmium-exposed workers. J Occup Med 22:399–402

    Google Scholar 

  12. Järup L, Rogenfelt A, Elinder CG, Nogawa K, Kjellström T (1983) Biological half-time of cadmium in the blood of workers after cessation of exposure. Scand J Work Environ Health 9:327–331

    Google Scholar 

  13. Kjellström T (1977) Accumulation and renal effects of cadmium in man. Thesis Rep. Karolinska Institute, Stockholm

    Google Scholar 

  14. Kjellström T, Evrin PE, Rahnster B (1977) Dose-response analysis fo cadmium-induced tubular proteihuria. Environ Res 13:303–317

    Google Scholar 

  15. Kowal NE, Zirkes M (1983) Urinary cadmium and beta-2-microglobulin: normal values and concentration adjustment. J Toxicol Environ Health 11:607–624

    Google Scholar 

  16. Lauwerys R, Roels H, Regniers M, Buchet JP, Bernard A, Goret A (1979) Significance of cadmium concentration in blood and in urine in workers exposed to cadmium. Environ Res 20:375–391

    Google Scholar 

  17. Lauwerys R, Bernard A (1985) La surveillance biologique de l'exposition aux toxiques industriels (Present status and trends in biological monitoring of exposure to industrial chemicals) Scand J Work Environ Health 11:155–164

    Google Scholar 

  18. Lauwerys RR, Buchet JP, Roels H (1976) The relationship between cadmium exposure or body burden and the concentration of cadmium in blood and urine in man. Int Arch Occup Environ Health 36:275–285

    Google Scholar 

  19. Lind B, Elinder C-G, Friberg L, Nilsson B, Svartengren M, Vahter M (1988) Quality control in the analysis of lead and cadmium in blood. Anal Chem (in press)

  20. Nogawa K, Kobayashi E, Honda R (1979) A study of the relationship between cadmium concentrations in urine and renal effects of cadmium. Environ Health Persp 28:161–168

    Google Scholar 

  21. Nordberg GF (1976) Effect and dose-response relationships of toxic metals. Elsevier, Amsterdam

    Google Scholar 

  22. Piscator M (1966) Proteinuria in chronic cadmium poisoning. Thesis report. Karolinska Institute, Stockholm

    Google Scholar 

  23. Rogenfelt A, Elinder CG, Järup L (1984) A suggestion on how to use measurements of cadmium in blood as a cumulative dose estimate. Int Arch Occup Environ Health 55:43–48

    Google Scholar 

  24. Thun MJ, Schnorr TM, Smith AB, Halperin WE, Lemen RA (1985) Mortality among a cohort of US cadmium production workers—an update. J Nat Cancer Inst 74:325–333

    Google Scholar 

  25. Ulander A, Axelson O (1974) Measurements of blood-cadmium levels. Lancet 13:682–683

    Google Scholar 

  26. WHO (1981) Recommended health-based limits in occupational exposure to heavy metals. Report from a study group. Techn Rep Ser 647

Download references

Author information

Authors and Affiliations

Authors

Additional information

This work was carried out at the Department of Environmental Hygiene, the Karolinska Institute in Stockholm

Rights and permissions

Reprints and permissions

About this article

Cite this article

Järup, L., Elinder, C.G. & Spång, G. Cumulative blood-cadmium and tubular proteinuria: a dose-response relationship. Int Arch Occup Environ Health 60, 223–229 (1988). https://doi.org/10.1007/BF00378700

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00378700

Key words

Navigation