The concentration of lead in blood varies, in general, it is slightly elevated but in some cases of poisoning it is nearly normal. In cases of repeated gasoline sniffing the content of lead in blood is high. No close correlation exists between blood lead levels and the severity of intoxication. The urinary excretion of lead is increased markedly ...
Lead is absorbed following inhalation, oral, and dermal exposure. It is then distributed mainly to the bones and red blood cells. In the blood lead may be found bound to serum albumin or the metal-binding protein metallothionein. Organic lead is metabolized by cytochrome P-450 enzymes, whereas inorganic lead forms complexes with delta-aminolevulinic acid dehydratase. Lead is excreted mainly in the urine and faeces. (L136)
Lead mimics other biologically important metals, such as zinc, calcium, and iron, competing as cofactors for many of their respective enzymatic reactions. For example, lead has been shown to competitively inhibit calcium's binding of calmodulin, interferring with neurotransmitter release. It exhibits similar competitive inhibition at the NMDA receptor and protein kinase C, which impairs brain microvascular formation and function, as well as alters the blood-brain barrier. Lead also affects the nervous system by impairing regulation of dopamine synthesis and blocking evoked release of acetylcholine. However, it's main mechanism of action occurs by inhibiting delta-aminolevulinic acid dehydratase, an enzyme vital in the biosynthesis of heme, which is a necesssary cofactor of hemoglobin. (T4, A20, A22, L136)
There is limited evidence in humans for the carcinogenicity of inorganic lead cmpd. There is inadequate evidence in humans for the carcinogenicity of organic lead cmpd. There is sufficient evidence in exptl animals for the carcinogenicity of inorganic lead cmpd ... There is inadequate evidence in exptl animals for the carcinogenicity of organic lead cmpd ... Inorganic lead cmpd are probably carcinogenic to humans (Group 2A). Organic lead cmpd are not classifiable as to their carcinogenicity to humans (Group 3). The working group noted that organic lead cmpd are metabolized, at least in part, to ionic lead both in humans and animals. The the extent that ionic lead, generated from organic lead, is present in the body, it will be expected to exert the toxicities associated with inorganic lead.
来源:Hazardous Substances Data Bank (HSDB)
毒理性
致癌性证据
铅、铅化合物:合理预期为人类致癌物
Lead, lead compounds: Reasonably anticipated to be a human carcinogen
Organic lead compounds are not classifiable as to their carcinogenicity to humans (Group 3). To the extent that organic lead compounds are metabolized in part to ionic lead, they are expected to exert the toxicities associated with inorganic lead (Group 2A, probably carcinogenic to humans). (L135)
Lead is a neurotoxin and has been known to cause brain damage and reduced cognitive capacity, especially in children. Lead exposure can result in nephropathy, as well as blood disorders such as high blood pressure and anemia. Lead also exhibits reproductive toxicity and can results in miscarriages and reduced sperm production. (L21)