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

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AX5-148<br />

Nature <strong>of</strong><br />

Exposure<br />

Table AX5-9.1 (cont’d). Studies on <strong>Lead</strong> Exposure and Immune Effects in Humans<br />

Dose or Blood <strong>Lead</strong> Levels<br />

(BLLs) Sample Population Reported Effects Reference<br />

Environmental 1.7–16.1 µg/dL<br />

(Range in 15 µg/dL<br />

>3 yrs <strong>of</strong> age–no differences.<br />

Sarasua et al.<br />

(2000)<br />

Correlation <strong>of</strong> blood Pb levels and serum IgE levels in Missouri children. Lutz, et al.<br />

(1999)<br />

No major effects; only subtle effects.<br />

Elev. B cells elevated CD4+/CD45RA+ cells.<br />

Decr. Serum IgG.<br />

T cell populations,<br />

Naïve T cells correlated positively with blood PB levels. Memory T cells<br />

reduced with Pb.<br />

Absolute and relative numbers <strong>of</strong> CD4+ T cells reduced in exposed group.<br />

IgG, IgM C3 and C4 serum levels all lower in workers.<br />

Pinkerton<br />

et al. (1998)<br />

Sata et al.<br />

(1998)<br />

Undeger et al.<br />

(1996)<br />

No changes in serum Igs <strong>of</strong> PHA response <strong>of</strong> PBMC. Queiroz et al.<br />

(1994)<br />

T cell phenotypes and response—Pb reduced relative CD3+ cells and relative and<br />

absolute CD4+ cells also reduced PHA (high Pb)and PWM mitogen responses,<br />

reduced MLR also(high Pb).<br />

Fischbein<br />

et al. (1993)<br />

IgE positively correlated with BLL. Horiguchi<br />

et al. (1992)<br />

Impaired neutrophil migration.<br />

Impaired nitroblue tetrazolium positive neutrophils.<br />

Greater <strong>for</strong> those exposed up to 1 yr than those with longer exposure “safe” levels<br />

<strong>of</strong> Pb can still cause immunosuppression.<br />

Pb associated with greater IgG production after stimulation with PWM–not dose<br />

dependent.<br />

Queiroz et al.<br />

(1993)<br />

Borella and<br />

Giardino<br />

(1991)

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