Influence of heavy metals, especially lead, on lipid metabolism, serum alpha-tocopherol level, total antioxidant status, and erythrocyte redox status of copper smelter workers

An assessment of influence of the occupational exposure to heavy metals, especially lead, on serum lipids (including lipid peroxides), total antioxidant status, erythrocyte redox status, and serum alpha-tocopherol level was performed in a group of 141 healthy male copper smelter workers. The following parameters were measured: blood lead and cadmium levels, serum manganese, copper, zinc, calcium and magnesium levels, free erythrocyte protoporphyrins (FEP), total cholesterol, HDL₂-, HDL₃-cholesterol, triglycerides and lipid peroxides in serum, erythrocyte superoxide dismutase (SOD_E), catalase (Cat_E) and glutathion peroxidase (PxGSH_E) activities, erythrocyte reduced glutathione level (GSH_E), serum alpha-tocopherol level, and serum total antioxidant status (TAS). Mean Pb_B was within the norm range (328.2 ± 141.7 μg/L), but mean Mn_S concentration slightly exceeded 10 μg/L (11.04 ± 3.79 μg/L). Mean cholesterol and triglycerides concentrations were near the highest borderline values. We found a significantly negative correlation between lead levels and HDL₃-cholesterol (r = 0.253, P < 0.05). Erythocyte catalase activity and TAS were lowered. TAS showed significant negative correlation with Pb_B. A group of workers with Pb_B≥ 400 μg/L had significantly lower Cat_E, lower TAS, and lower HDL₃-cholesterol, compared to the workers with Pb < 400 μg/L. We have also found positive correlation between alpha-tocopherol and total cholesterol (r = 0.267, P < 0.05) and between alpha-tocopherol and LDL-cholesterol (r = 0.207, P < 0.05).