Contrasting effects of age on the plasma/whole blood lead ratio in men and women with a history of lead exposure

We examined the effect of age and sex on the relationship between the concentrations of Pb in blood (Pb-B) and in plasma (Pb-P) in an adult population with a history of lead exposure. Pb-P was determined by inductively coupled plasma mass spectrometry (ICP-MS) and Pb-B by graphite furnace atomic absorption spectrometry (GF AAS). We studied 154 adults (56 men and 98 women) from 18 to 60-year old. Pb-B levels varied from 10.0 to 428.0 μg/L, with a mean of 76 μg/L. Blood lead levels varied from 10.0 to 428.0 μg/L in men (mean, 98.3 μg/L) and from 10.0 to 263.0 μg/L (mean, 62.8 μg/L) in women. Corresponding Pb-Ps were 0.02–2.9 μg/L (mean, 0.66 μg/L) and 0.02–1.5 μg/L (mean, 0.42 μg/L) in men and women, respectively. The relationship between Pb-B and Pb-P was found to be curvilinear (r=0.757, P<0.001 Spearmanʹs correlation). The two quantities are related by the line y=0.0006x1492 (y=Pb-P, and x=Pb-B). The %Pb-P/Pb-B ratio ranged from 0.03% to 1.85%. A positive association was found between %Pb-P/Pb-B ratio and Pb-B levels. When data were separated by sex, this association was also relevant for men (y=0.0184x0.702) and women (y=0.0534x0.5209) (y=%Pb-P/Pb-B and x=Pb-B). Moreover, we found an interesting positive correlation between Log (Pb-P/Pb-B) and age for women (r=0.31, P<0.0001) and a negative correlation for men (r=−0.164, P=0.07). Taken together, these results suggest contrasting effects of age on the plasma/whole blood lead ratio in men and women with a history of lead exposure. Moreover, sex might play an important role in the metabolism of lead, implying further consideration on the kinetic models constructed of lead toxicity.