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

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AX6-25<br />

Table AX6-2.9. Effects <strong>of</strong> <strong>Lead</strong> on Direct Measures <strong>of</strong> Brain Anatomical Development and Activity in Children<br />

Reference, Study<br />

Location, and Period Study Description Pb Measurement Findings, Interpretation<br />

United States<br />

Trope et al. (1998)<br />

U.S.<br />

Trope et al. (2001)<br />

U.S.<br />

Cecil et al. (2005)<br />

U.S.<br />

Design: Case-control. One 10 yr-old subject with<br />

history <strong>of</strong> Pb poisoning and unexposed 9 yr-old<br />

cousin. Magnetic Resonance Imaging (MRI) and<br />

Magnetic Resonance Spectroscopy (MRS) were<br />

used to assess differences in cortical structures and<br />

evidence <strong>of</strong> neuronal loss. This was the first study<br />

to attempt to determine in vivo structural and/or<br />

metabolic differences in the brain <strong>of</strong> a child<br />

exposed to Pb compared with a healthy control.<br />

Design: Case-control. 16 subjects with a history <strong>of</strong><br />

elevated blood Pb levels be<strong>for</strong>e 5 yrs <strong>of</strong> age and<br />

5 age-matched siblings or cousins were evaluated.<br />

Avg age at time <strong>of</strong> evaluation was 8 yrs. Magnetic<br />

Resonance Imaging (MRI) and Magnetic<br />

Resonance Spectroscopy (MRS) were used to<br />

assess differences in cortical structures and<br />

evidence <strong>of</strong> neuronal loss.<br />

Design: Prospective/longitudinal. 48 young adults<br />

ages 20 to 23 yrs were re-examined. Functional<br />

MRI (fMRI) was used to examine the influence <strong>of</strong><br />

childhood Pb exposure on language function.<br />

Subjects per<strong>for</strong>med a verb generation/fingertapping<br />

paradigm. Extensive measurement <strong>of</strong><br />

medical and sociodemographic covariates<br />

Blood Pb<br />

Pb poisoned case 51 µg/dL<br />

at 38 mo<br />

Unexposed control not<br />

reported.<br />

Blood Pb<br />

Range in Pb-exposed 23 to<br />

65 µg/dL<br />

Controls

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