ENVIRONMENTAL EXPOSURES TO LOW LEVEL OF CADMIUM AND LEAD AND HEARING IMPAIRMENT IN IRAQI PATIENTS

Authors

  • Wrood S Al-khfajy Department of Pharmacology and Toxicology, College of Pharmacy, Mustansiriyah University, Baghdad, Iraq. http://orcid.org/0000-0003-4451-8939
  • Ghadeer Kadhum Baiee Babel Health Directorate, Forensic division, Drugs and Poison Unit, Iraq.
  • Inam Sameh Arif Department of Pharmacology and Toxicology, College of Pharmacy, Mustansiriyah University, Baghdad, Iraq.

DOI:

https://doi.org/10.22159/ajpcr.2018.v11i7.26235

Keywords:

Cadmium, Hearing loss, Lead, Environmental toxicology, Pure-tone audiometry

Abstract

Objectives: We examined the relations between blood cadmium and lead exposure and hearing impairments in the Iraqi people.

Methods: We analyzed data from 51 individual 13–75 ages who had been randomly dispensed to the audiometry examination center at Al-Hilla Teaching Hospital (Babel) for each Iraqi civilian who said, I suffering from the hearing problem.†Pure-tone average (PTA) of auditory thresholds at frequencies of 0.5, 1, 2, and 4 kHz was calculated, and hearing impairment was described as a PTA >25 dB in either ear.

Results: All patients who suffer from hearing impairment have serum lead level (23.14±1.76 μg/dL), which is a significantly elevated in comparison to control group (21.20±2.08 μg/dL). In addition to lead, the blood level of cadmium in people with hearing impairment was showed a significant elevation (0.28±0.05 μg/dL) in comparison to normal people (0.22±0.03 μg/dL). In general, this elevation remains within normal reference for the blood level of cadmium (0.5 μg/dL).

Conclusions: The present study revealed that the environmental and occupational cadmium and lead coexposures lead to a significant elevation in the blood level of these metals and could have an essential part in the progression of hearing loss.

Downloads

Download data is not yet available.

References

Roth JA, Salvi R. Ototoxicity of divalent metals. Neurotoxicol Res 2016;30:268-82.

Hu H. Human health and heavy Metals. In: Life Support: The Environment and Human Health. Cambridge, USA: MIT Press; 2002. p. 65.

Agrawal Y, Platz EA, Niparko JK. Prevalence of hearing loss and differences by demographic characteristics among US adults: Data from the National Health and Nutrition Examination Survey, 1999- 2004. Arch Intern Med 2008;168:1522-30.

World Health Organization. A Report about Deafness and Hearing Loss; 2018. Available from: http://www.who.int/mediacentre/ factsheets/fs300/en.

Northern JL, Down MP. Hearing Loss in Children. 5th ed. Baltimore, MD: Williams &Wilkins; 2002.

Campo P, Morata TC, Hong OS. Chemical exposure and hearing loss. Dis Mon 2013;59.4:119-38.

Park SK. Role of free radicals in hearing loss due to heavy metals. In: Miller J, Le Prell CG, Rybak L, editors. Free Radicals in ENT Pathology. New York: Springer International Publishing; 2015. p. 93-109.

Prasher D. Heavy metals and noise exposure: Health effects. Noise Health 2009;11:141-4.

CDC, Centers for Disease Control and Prevention. Fourth National Report on Human Exposure to Environmental Chemicals: Updated Tables. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention; 2013.

Mustarichie R, Indriyati W, Riokogro R. Analysis of heavy metals (lead and cadmium) contained on the illustrated ceramic plate by atomic absorption spectrophotometer. Asian J Pharm Clin Res 2017;10:125-8.

Prakash U, Krishnan D, Sripriya N, Bhuvaneswari S. Quality assessment for the presence of heavy metals in herbal materials from the markets of Chennai, India. Int J Pharm Pharm Sci 2014;6:574-8.

Institute for Health Metrics and Evaluation, IHME. GBD Compare. Seattle, WA: IHME, University of Washington; 2017.

United Nations Environment Programme. Leaded Petrol Phase-Out: Global Status as at March 2017. Nairobi: United Nations Environment Programme; 2017.

Wu XW, Ding DL, Sun H, Liu H, Jiang HY, Salvi R. Lead neurotoxicity in rat cochlear organotypic cultures. J Otol 2011;6:43-50.

Lasky RE, Maier MM, Snodgrass EB, Hecox KE, Laughlin NK. The effects of lead on optoacoustic emissions and auditory evoked potentials in monkeys. Neurotoxicol Teratol 1995;17:633-44.

Ozcaglar HU, Agirdir B, Dinc O, Turhan M, Kilinçarslan S, Oner G. Effects of cadmium on the hearing system. Act Otolaryngol 2001;121:393-7.

Choi YH, Hu H, Mukherjee B, Miller J, Park SK. Environmental cadmium and lead exposures and hearing loss in U.S. adults: The national health and nutrition examination survey, 1999 to 2004. Environ Health Perspect 2012a;120:1544-55.

Shargorodsky J, Curhan SG, Henderson E, Eavey R, Curhan GC. Heavy metals exposure and hearing loss in US adolescents. Arch Otolaryngol Head Neck Surg 2011;137:1183-9.

Al-Khfajy WS, Arif IS, Zalzala MH. Epidemiological survey of intentional and non - intentional poisoning cases in Iraq during 2014- 2016. J Glob Pharm Technol 2017;9:189-98.

Choi YH, Park SK. Environmental exposures to lead, mercury, and cadmium and hearing loss in adults and adolescents: KNHANES 2010- 2012. Environ Health Perspect 2017;125:45.

Informal Working Group on Prevention of Deafness and Hearing Impairment Programme Planning. Report of the Informal Working Group on Prevention of Deafness and Hearing Impairment Programed Planning. Geneva, Switzerland: World Health Organization; 1991.

Chuang HY, Kuo CH, Chiu YW, Ho CK, Chen CJ, Wu TN. A case-control study on the relationship of hearing function and blood concentrations of lead, manganese, arsenic, and selenium. Sci Total Environ 2007;387:79-85.

Nelson DI, Nelson RY, Concha-Barrientos M, Fingerhut M. The global burden of occupational noise-induced hearing loss. Am J Ind Med 2005;48:446-58.

Yamamura K, Terayama K, Yamamoto N, Kohyama A, Kishi R. Effects of acute lead acetate exposure on adult guinea pigs: An electrophysiological study of the inner ear. Fundam Appl Toxicol 1989;13:509-15.

Jones LG, Prins J, Park S, Walton JP, Luebke AE, Lurie DI. Lead exposure during development results in increased neurofilament phosphorylation, neuritic beading, and temporal processing deficits within the murine auditory brain- stem. J Comp Neurol 2008;506:1003-17.

Hwang YH, Chiang HY, Yen-Jean MC, Wang JD. The association between low levels of lead in blood and occupational noise-induced hearing loss in steelworkers. Sci Total Environ 2009;408:43-9.

Xue-Wen W, Ding D, Hong S, Hong L, Hai-Yan J, Salvi R. Lead neurotoxicity in rat cochlear organotypic cultures. J Otol 2011;6:45-50.

Liu H, Ding D, Sun H, Jiang H, Wu X, Roth JA, et al. Cadmium-induced ototoxicity in rat cochlear organotypic cultures. Neurotoxicol Res 2014;26:179-89.

Kapoor D, Rattan A, Kaur S, Bhardwaj R. Influence of cadmium on antioxidative defence system, photosynthesis, level of osmolytes and ions uptake in Brassica juncea. Int J Pharm Pharm Sci 2016;8:204-8.

Vaziri ND, Khan M. Interplay of reactive oxygen species and nitric oxide in the pathogenesis of experimental lead-induced hypertension. Clin Exp Pharmacol Physiol 2007;34:920-5.

Sabolic’ I. Common mechanisms in nephropathy induced by toxic metals. Nephron Physiol 2006;104:107-14.

Bainbridge KE, Hoffman HJ, Cowie CC. Diabetes and hearing impairment in the United States: Audiometric evidence from the National Health and Nutrition Examination Survey, 1999 to 2004. Ann Intern Med 2008;149:1-10.

Chang TY, Liu CS, Huang KH, Chen RY, Lai JS, Bao BY. High-frequency hearing loss, occupational noise exposure, and hypertension: A cross-sectional study in male workers. Environ Health 2011;10:35-42.

Hu H, Aro A, Payton M, Korrick S, Sparrow D, Weiss ST, et al. The relationship of bone and blood lead to hypertension. The normative aging study. JAMA 1996;275:1171-6.

Schwartz GG, Ilyasova D, Ivanova A. Urinary cadmium, impaired fasting glucose, and diabetes in the NHANES III. Diabete Care 2003;26:468-70.

Tellez-Plaza M, Navas-Acien A, Crainiceanu CM, Guallar E. Cadmium exposure and hypertension in the 1999-2004 National Health and Nutrition Examination Survey (NHANES). Environ Health Perspect 2008;116:51-6.

Alfvén T, Järup L, Elinder CG. Cadmium and lead in blood in relation to low bone mineral density and tubular proteinuria. Environ Health Perspect 2002;110:699-702.

Chen X, Zhu G, Jin T, Lei L, Liang Y. Bone mineral density is related with previous renal dysfunction caused by cadmium exposure. Environ Toxicol Pharmacol 2011;32:46-53.

Kim R, Rotnitzky A, Sparrow D, Weiss ST, Wager C, Hu H. A longitudinal study of low-level lead exposure and impairment of renal function. JAMA 1996;275:1177-81.

Navas-Acien A, Tellez-Plaza M, Guallar E, Muntner P, Silbergeld E, Jaar B, et al. Blood cadmium and lead and chronic kidney disease in U.S. adults: A joint analysis. Am J Epidemiol 2009;170:1156-64.

Güneri EA, Ada E, Ceryan K, Güneri A. High-resolution computed tomographic evaluation of the cochlear capsule in otosclerosis: Relationship between densitometry and sensorineural hearing loss. Ann Otol Rhinol Laryngol 1996;105:659-64.

Monsell EM, Cody DD, Bone HG, Divine GW, Windham JP, Jacobson GP, et al. Hearing loss in Paget’s disease of bone: The relationship between pure-tone thresholds and mineral density of the cochlear capsule. Hear Res 1995;83:114-20.

Vilayur E, Gopinath B, Harris DC, Burlutsky G, McMahon CM, Mitchell P. The association between reduced GFR and hearing loss: A cross-sectional population-based study. Am J Kidney Dis 2010;56:661-9.

Yueh B, Shapiro N, MacLean CH, Shekelle PG. Screening and management of adult hearing loss in primary care: Scientific review. JAMA 2003;289:1976-85.

Published

07-07-2018

How to Cite

Al-khfajy, W. S., G. K. Baiee, and I. S. Arif. “ENVIRONMENTAL EXPOSURES TO LOW LEVEL OF CADMIUM AND LEAD AND HEARING IMPAIRMENT IN IRAQI PATIENTS”. Asian Journal of Pharmaceutical and Clinical Research, vol. 11, no. 7, July 2018, pp. 512-5, doi:10.22159/ajpcr.2018.v11i7.26235.

Issue

Section

Original Article(s)