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The ratio of erythrocyte zinc-protoporphyrin to protoporphyrin IX in disease and its significance in the mechanism of lead toxicity on haem synthesis.

Abstract
Protoporphyrin and zinc-protoporphyrin were measured in the erythrocytes of normal subjects, workers exposed to lead and patients with iron deficiency and erythropoietic protoporphyria (EPP). Results showed significantly higher levels of zinc-protoporphyrin in the lead-exposed workers (P < 0.0001), patients with iron deficiency (P < 0.0001) and EPP patients (P < 0.001) compared with normal subjects. The lead-exposed workers showed the highest levels of zinc-protoporphyrin, which were significantly greater than both the iron-deficient and EPP patients (P < 0.0001). They also showed a higher ratio of zinc-protoporphyrin to free protoporphyrin compared with normal subjects (P < 0.0001) but no significant difference in this ratio was found when compared with iron-deficient patients (P = 0.1). These results are discussed in light of the controversy concerning the mechanism of formation of zinc-protoporphyrin in lead exposure.
AuthorsJ C Nelson, M Westwood, K R Allen, K E Newton, J H Barth
JournalAnnals of clinical biochemistry (Ann Clin Biochem) Vol. 35 ( Pt 3) Pg. 422-6 (May 1998) ISSN: 0004-5632 [Print] England
PMID9635110 (Publication Type: Journal Article)
Chemical References
  • Protoporphyrins
  • zinc protoporphyrin
  • Heme
Topics
  • Adult
  • Erythrocytes (metabolism)
  • Female
  • Heme (biosynthesis)
  • Humans
  • Lead Poisoning (blood)
  • Male
  • Protoporphyrins (blood)
  • Reproducibility of Results
  • Sensitivity and Specificity

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