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

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AX5-35<br />

Table AX5-3.6 (cont’d). Key Studies Evaluating Chelation <strong>of</strong> Pb in Brain<br />

Subject Exposure Protocol Chelator Observed Effects Reference<br />

Rat, female,<br />

LE<br />

Group 1: 325 µg/mL Pb<br />

acetate maternally through<br />

weaning, and then to 30 µg/mL<br />

until PND 30. Chelation<br />

treatment consisted <strong>of</strong> 7 days <strong>of</strong><br />

30 or 60 mg/kg/d DMSA.<br />

Group 2: 325 µg/dL<br />

maternally and through<br />

PND 40 and then treated to<br />

DMSA <strong>for</strong> 7 or 21 days.<br />

Rat, LE Exposed gestationally to<br />

600 µg/mL Pb acetate, then<br />

split into high and low dose<br />

groups.<br />

Low dose group: 20 µg/mL<br />

from PND 21–28, followed by<br />

30 µg/mL from PND 29–40.<br />

High dose group: 40 µg/mL<br />

from PND 21–28, followed by<br />

60 µg/mL from PND 29–40.<br />

DMSA treatment consisted <strong>of</strong><br />

50 mg/kg/d <strong>for</strong> 1 wk, then<br />

25 mg/kg/d <strong>for</strong> 2 wks. Rats<br />

received either 1 or<br />

2 treatments at PND 40 or<br />

40 and 70.<br />

DMSA Seven days <strong>of</strong> DMSA effectively removed Pb from both blood and brain.<br />

Treatment beyond 7 days further reduced brain Pb, but not blood Pb.<br />

Reductions in Pb were greater in the second group, which the authors attribute<br />

to the higher exposures used. The authors also hypothesize that DMSAmediated<br />

reduction in blood Pb are a poor indicator <strong>of</strong> reductions in brain Pb.<br />

DMSA One treatment lowered both blood Pb and brain Pb, but the brain reductions<br />

lagged the blood reductions both temporally and in magnitude. Following the<br />

second DMSA treatment, they observed a rebound in blood, but not brain Pb<br />

levels.<br />

Smith et al. (1998)<br />

Stangle et al. (2004)

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