Exposición laboral a plomo: Daño hepático y biomarcadores tempranos
DOI:
https://doi.org/10.62305/biosana.v5i5.863Keywords:
Lead poisoning; Occupational lead poisoning; Chemical and drug-induced liver injury; Hepatic insufficiency; Lead Poisoning; Biomarkers.Abstract
Lead poisoning; Occupational lead poisoning; Chemical and drug-induced liver injury; Liver failure; Lead poisoning; Biomarkers. Methods: A detailed review of studies published in the last five years was conducted using reliable sources such as PubMed, BVS, Scopus, and Web of Science. The purpose was to analyze the most recent information on biomarkers related to liver damage, including the enzymes ALT, AST, and GGT, along with new indicators under evaluation. In addition, the review sought to identify key trends, findings, and areas that still require further investigation. Results: The analysis showed that traditional biomarkers do not always detect liver damage early enough, highlighting the need for more sensitive methods. The usefulness of advanced molecular and serological tests was emphasized, as well as the combination of different approaches for better monitoring. Furthermore, the importance of strengthening preventive measures, the proper use of personal protective equipment, and worker training was stressed, along with access to complementary treatments that protect their health. Conclusions: Evidence confirms that occupational lead exposure remains a health threat to many workers, especially those who handle heavy metals like lead. Studies show elevated blood lead levels and altered liver enzymes, clear signs of liver damage. These findings underscore the importance of using early biomarkers to detect the problem before symptoms appear. Furthermore, strengthening medical surveillance, preventive education, and the use of personal protective equipment are key to reducing risks and protecting workers' health.
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Wang D, Wake GE, Olana AT. ``Blood lead level among battery factory workers in low and middle-income countries: Systematic review and meta-analysis’’ [Internet]. 2022 [cited 2025 Nov 12]. Available from: https://doi.org/10.3389/fpubh.2022.970660
Firoozichahak A, Rahimnejad S, Rahmani A, Parvizimehr A, Aghaei A, Rahimpoor R. Effect of occupational exposure to lead on serum levels of lipid profile and liver enzymes: An occupational cohort study. Toxicol Rep [Internet]. 2022 Jan 1 [cited 2025 Nov 12]; 9:269–75. Available from: https://doi.org/10.1016/j.toxrep.2022.02.009
Lakka N, Pai B, Mani MS, Dsouza HS. Potential diagnostic biomarkers for lead-induced hepatotoxicity and the role of synthetic chelators and bioactive compounds [Internet]. Vol. 12, Toxicology Research. Oxford University Press; 2023 [cited 2025 Nov 12]. p. 178–88. Available from: https://doi.org/10.1093/toxres/tfad014
Hua Q, Zhang P, Yang Y, Ren J, Cui S, Yang Y, et al. Documentation of lead exposure-associated comorbidity among 4538 workers in China. BMC Public Health [Internet]. 2025 Dec 1 [cited 2025 Nov 12];25(1). Available from: https://doi.org/10.1186/s12889-025-21436-w
Gonzalez-Villalva A, Marcela RL, Nelly LV, Patricia BN, Guadalupe MR, Brenda CT, et al. Lead systemic toxicity: A persistent problem for health [Internet]. Vol. 515, Toxicology. Elsevier Ireland Ltd; 2025 [cited 2025 Nov 12]. Available from: https://doi.org/10.1016/j.tox.2025.154163
Dioka CE, Orisakwe OE, Adeniyi FAA, Meludu SC. Liver and Renal Function Tests in Artisans Occupationally Exposed to Lead in Mechanic Village in Nnewi, Nigeria. Int J Environ Res Public Health [Internet]. 2004 [cited 2025 Nov 12]; 1:21–5. Available from: www.ijerph.org
Luiz Barberino J, Carvalho FM, Muniz Silvany-Neto A, Cotrim HP, Góes RC, Rosa H, et al. Alterações hepáticas em trabalhadores de uma refinaria de petróleo e em uma população de referência no Estado da Bahia, Brasil [Internet]. Vol. 17, Rev Panam Salud Publica/Pan Am J Public Health. 2005 [cited 2025 Nov 12]. Available from: https://pubmed.ncbi.nlm.nih.gov/15720879/
Allaouat S, Reddy VK, Räsänen K, Khan S, Lumens MEGL. Educational interventions for preventing lead poisoning in workers [Internet]. Vol. 2020, Cochrane Database of Systematic Reviews. John Wiley and Sons Ltd; 2020 [cited 2025 Nov 12]. Available from: https://doi.org/10.1002/14651858.CD013097.pub2
Douine M, Korsec V, Sanna A, Plessis L, Bardon T, Adenis A, et al. Prevalence of lead poisoning among artisanal gold miners in French Guiana in 2022: a multicenter cross-sectional observational survey. BMC Public Health [Internet]. 2025 Dec 1 [cited 2025 Nov 12];25(1). Available from: https://doi.org/10.1186/s12889-025-24109-w
Kinally C, Fuller R, Larsen B, Hu H, Lanphear B. A review of lead exposure source attributional studies [Internet]. Vol. 990, Science of the Total Environment. Elsevier B.V.; 2025 [cited 2025 Nov 12]. Available from: https://doi.org/10.1016/j.scitotenv.2025.179838
Yu YL, An DW, Yang WY, Zhang DY, Martens DS, Nawrot TS, et al. Health risks related to environmental and occupational lead exposure [Internet]. Vol. 83, Kardiologia Polska. Via Medica; 2025 [cited 2025 Nov 12]. p. 138–48. Available from: https://dx.doi.org/10.33963/v.phj.104575
Abasilim C, Shannon B, Madigan D, Friedman LS. Medical Surveillance of Occupational Lead Exposure Using the EPA’s Toxics Release Inventory and Adult Blood Lead Epidemiology and Surveillance Program: Illinois, 2016–2023. Am J Ind Med [Internet]. 2025 Aug 1 [cited 2025 Nov 12];68(8):688–97. Available from: https://doi.org/10.1002/ajim.23738
Charkiewicz AE, Backstrand JR. Lead toxicity and pollution in Poland [Internet]. Vol. 17, International Journal of Environmental Research and Public Health. MDPI AG; 2020 [cited 2025 Nov 12]. p. 1–16. Available from: https://doi.org/10.3390/ijerph17124385
Armatas C, Loper B, Tandoc A, Materna BL. Industries with the Highest Occupational Blood Lead Test Results, California Occupational Blood Lead Registry, 2020-2021. Am J Public Health [Internet]. 2022 Sep 1 [cited 2025 Nov 12];112: S690–4. Available from: https://doi.org/10.2105/AJPH.2022.307002
O’Callaghan-Gordo C, Rosales J, Lizárraga P, Barclay F, Okamoto T, Papoulias DM, et al. Blood lead levels in indigenous peoples living close to oil extraction areas in the Peruvian Amazon. Environ Int [Internet]. 2021 Sep 1 [cited 2025 Nov 12];154. Available from: https://doi.org/10.1016/j.envint.2021.106639
Chukwukasi Wilson Kassy CKUTJA. Symptoms Associated with Low Threshold Lead Poisoning Among Roadside and Organized Panel Beaters in Enugu Metropolis, Nigeria. J Health Pollut [Internet]. 2021 Mar [cited 2025 Nov 12]; Vol. 11. Available from: https://dx.doi.org/10.5696/2156-9614-11.29.210303
Pérez Bueno T, Jaime Novas A, Díaz Padrón H, Cabrera Guerra C, Villalba Rodríguez L. Evaluación biológica de la exposición laboral al plomo [Internet]. 2021 [cited 2025 Nov 12]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662021000100005
Berduc AD CVVASG. Intoxicación crónica con plomo en exposición ocupacional. Características clínicas y epidemiológicas período 2005-2014. Rev Toxicología [Internet]. 2021 [cited 2025 Nov 12]; 38:94–7. Available from: http://rev.aetox.es/wp/wp-content/uploads/2021/12/vol-38.2-34-37.pdf
Mbonane TP, Mathee A, Swart A, Naicker N. Lead poisoning among male juveniles due to illegal mining: A case series from South Africa. Int J Environ Res Public Health [Internet]. 2021 Jul 1 [cited 2025 Nov 12];18(13). Available from: https://doi.org/10.3390/ijerph18136838
Chang WJ, Joe KT, Park HY, Jeong JD, Lee DH. The Relationship of Liver Function Tests to Mixed Exposure to Lead and Organic Solvents. Ann Occup Environ Med [Internet]. 2013 [cited 2025 Nov 12];25(1):5. Available from: http://www.aoemj.com/content/25/1/5
Kim DW, Ock J, Moon KW, Park CH. Association between pb, cd, and hg exposure and liver injury among Korean adults. Int J Environ Res Public Health [Internet]. 2021 Jul 1 [cited 2025 Nov 12];18(13). Available from: https://doi.org/10.3390/ijerph18136783
Rivera K, Pernía B. Determinación de los niveles de plomo en sangre en trabajadores de fábricas de baterías ubicadas en Guayaquil-Ecuador. Enfoque UTE [Internet]. 2021 Apr 5 [cited 2025 Nov 12];12(2):1–18. Available from: https://doi.org/10.29019/enfoqueute.727
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