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

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AX5-112<br />

Table AX5-7.1. Light Microscopic, Ultrastructural, and Functional Changes<br />

Author Animal Species <strong>Lead</strong> Dosage Blood <strong>Lead</strong> Findings<br />

Khalil-Manesh<br />

et al. (1992a)<br />

Khalil-Manesh<br />

et al. (1992b)<br />

Khalil-Manesh<br />

et al. (1993a)<br />

Sanchez-<br />

Fructuoso et al.<br />

(2002a)<br />

Sanchez-<br />

Fructuoso et al.<br />

(2002b)<br />

Papaioannou et al.<br />

(1998)<br />

Sprague-Dawley<br />

rat<br />

Sprague-Dawley<br />

rat<br />

Sprague-Dawley<br />

rat<br />

0.5% Pb acetate in drinking water<br />

<strong>for</strong> 12 mo<br />

0.5% Pb discontinued after 6 mo<br />

0.01% Pb discontinued after 6 mo<br />

DMSA 0.5% used in 1/2<br />

Max 125.4 µg/dL<br />

Mean 55 µg/dL<br />

Hi Pb @12 mo<br />

Disc 30.4 µg/dL<br />

Disc + DMSA 19.1 µg/dL<br />

Ctrl 3.1 µg/dL<br />

Lo Pb@12mo<br />

Disc 6.9 µg/dL<br />

DMSA5.5 µg/dL<br />

0.01% Pb acetate <strong>for</strong> 12 mo Max 29.4 µg/dL<br />

Range 9–34 µg/dL<br />

Wistar rat 500 ppm (0.05%) Pb acetate <strong>for</strong><br />

2 mo, then EDTA<br />

Wistar rat 500 ppm (0.05%) Pb acetate <strong>for</strong><br />

2 mo, then EDTA<br />

Dogs 12 mg Pb acetate i.p. H 10<br />

Max 52.9 µg/dL<br />

Day 90: 33.2<br />

Day 137: 22.8<br />

Ctrl: 5.90 µg/dL<br />

Max 52.9 µg/dL<br />

Day 90: 33.2<br />

Day 137: 22.8<br />

Ctrl: 5.90 µg/dL<br />

—<br />

Hyperfiltration at 3 mo. Decreased filtration at 12 mo.<br />

NAG and GST elevated.<br />

Nuclear inclusion bodies at all times.<br />

Tubulointerstitial scarring from 6 mo.<br />

No arterial or arteriolar pathology.<br />

High Pb:<br />

Nuclear inclusion bodies prominent.<br />

Tubulointerstitial disease severe but less than 12 mo<br />

continuous DMSA caused reduction in nuclear inclusion<br />

bodies and tubuloint decrease, and an increase in GFR.<br />

Low Pb:<br />

Neg pathology and increase in GFR with DMSA<br />

GFR increased at 1 and 3 mo.<br />

NAG increased but GST normal.<br />

Pathology neg except at 12 mo—mild tubular atrophy and<br />

interstitial fibrosis seen.<br />

Rats given Pb to day 90, then treated with EDTA or untreated<br />

to day 137.<br />

Marked decrease in kidney, liver, and brain Pb with EDTA but<br />

no change in femur Pb<br />

Hypertrophy and vacuolization <strong>of</strong> medium and small arteries,<br />

mucoid edema and muscular hypertrophy <strong>of</strong> arterioles, include<br />

bodies and fibrosis.<br />

EDTA slowed progression.<br />

Pb includes bodies intracytoplasmically in mesothelial and<br />

giant cells <strong>of</strong> peritoneum and in interstitial connective tissue<br />

cells <strong>of</strong> kidney. None in prox tubules <strong>of</strong> kidney.

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