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Air Quality Criteria for Lead Volume II of II - (NEPIS)(EPA) - US ...

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AX5-33<br />

Table AX5-3.6. Key Studies Evaluating Chelation <strong>of</strong> Pb in Brain<br />

Subject Exposure Protocol Chelator Observed Effects Reference<br />

Rat, male, LE,<br />

PND 21<br />

Rat, male, LE,<br />

PND 21<br />

Rat, female,<br />

Wistar<br />

Group 1: 50 ppm Pb acetate in<br />

drinking water from PND 21<br />

<strong>for</strong> 3–4 mo, after which they<br />

were given i.p. injections <strong>of</strong><br />

75 or 150 mg/kg CaEDTA <strong>for</strong><br />

either 1, 2, 3, 4, or 5 days.<br />

Group 2: 25 or 500 ppm Pb<br />

acetate followed by a single<br />

injection <strong>of</strong> either 75 or<br />

150 mg/kg CaEDTA. Twentyfour<br />

hour urine samples were<br />

collected following CaEDTA<br />

injections.<br />

50 ppm Pb acetate from<br />

weaning until testing 3–4 mo<br />

later. The rats received either<br />

25 or 50 mg/kg DMSA <strong>for</strong> 1, 2,<br />

3, 4, or 5 days and tissues were<br />

evaluated 24 h following the<br />

last injection.<br />

Given 206 Pb-enriched drinking<br />

water at 210 ng Pb/mL <strong>for</strong><br />

36 h. Following an overnight<br />

fast, the rats were injected with<br />

one 0.25 mL i.p. injection <strong>of</strong><br />

0.11 mmol/kg DMSA. Pb<br />

levels in blood, kidney, brain,<br />

and tibia assessed 24 h later.<br />

CaEDTA Group 1: Blood Pb declined after the first CaEDTA injection, but did not drop<br />

further with subsequent CaEDTA and never dropped below control levels<br />

(5 µg/dL). Pb levels in urine increased similarly with both doses <strong>of</strong> CaEDTA.<br />

Pb was found to be mobilized from both bone and kidney and initially<br />

redistributed to brain and liver. Subsequent CaEDTA injections caused<br />

declines in brain and liver Pb levels, but no net loss <strong>of</strong> Pb.<br />

Group 2: a single injection <strong>of</strong> 150 mg/kg CaEDTA caused marked elevation<br />

<strong>of</strong> brain Pb, which called into question use <strong>of</strong> injections <strong>of</strong> CaEDTA in<br />

clinical diagnostic procedures.<br />

DMSA Blood Pb was decreased by DMSA dose-dependently, with levels dropping to<br />

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