Biomarkers of lead exposure in petrol station attendants and auto-mechanics in Abeokuta, Nigeria: effect of 2-week ascorbic acid supplementation

In order to study the ameliorative effects of ascorbic acid in chronic lead poisoning, petrol station attendants and auto-mechanics in Abeokuta, Nigeria, who have been shown to be occupationally exposed to lead and university students (serving as control), were supplemented daily with 500 mg ascorbic acid for 2 weeks. Blood and urine samples were collected from the subjects before and after ascorbic acid regimen and analysed for lead and biochemical effects associated with lead toxicity. The 2-week ascorbic acid supplementation resulted in a significant (P < 0.05) reduction in blood lead in the occupationally exposed subjects. The reduction in blood lead amounted to 57% in male petrol station attendants, 50% in female petrol station attendants and 44% in the auto-mechanics. Urinary excretion of lead increased remarkably in the occupationally exposed subjects (P < 0.05). The biochemical effects associated with the toxic effects of lead also responded positively to the ascorbic acid regimen. Plasma and urine aminolevulinic acid (ALA) were reduced significantly (P < 0.05) by as much as 55% and 57% respectively. Plasma calcium also increased significantly (P < 0.05) in the subjects. Decreased levels of reduced glutathione (GSH) and hemoglobin observed in the occupationally exposed subjects were reversed by ascorbic acid. Glutathione-S-transferase (GST) and catalase (CAT) activities were not affected. Our findings indicate that ascorbic acid may be useful as an economical and convenient prophylactic agent for lead poisoning. (C) 2004 Elsevier B.V. All rights reserved.