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Research Article
Subclinical interstitial lung damage in workers exposed to indium compounds
Sungyeul Choi, Yong-Lim Won, Dohyung Kim, Gwang-Yong Yi, Jai-Soung Park, Eun-A Kim
Ann Occup Environ Med 2013;25:24-24.   Published online October 21, 2013
DOI: https://doi.org/10.1186/2052-4374-25-24
AbstractAbstract PDFPubReaderePub
Objectives

The present study was designed to determine whether there is a relationship between indium compound exposure and interstitial lung damage in workers employed at indium tin oxide manufacturing and reclaiming factories in Korea.

Methods

In 2012, we conducted a study for the prevention of indium induced lung damage in Korea and identified 78 workers who had serum indium or Krebs von den Lungen-6 (KL-6) levels that were higher than the reference values set in Japan (3 μg/L and 500 U/mL, respectively). Thirty-four of the 78 workers underwent chest high-resolution computed tomography (HRCT), and their data were used for statistical analysis.

Results

Geometric means (geometric standard deviations) for serum indium, KL-6, and surfactant protein D (SP-D) were 10.9 (6.65) μg/L, 859.0 (1.85) U/mL, and 179.27 (1.81) ng/mL, respectively. HRCT showed intralobular interstitial thickening in 9 workers. A dose–response trend was statistically significant for blood KL-6 levels. All workers who had indium levels ≥50 μg/L had KL-6 levels that exceeded the reference values. However, dose–response trends for blood SP-D levels, KL-6 levels, SP-D levels, and interstitial changes on the HRCT scans were not significantly different.

Conclusions

Our findings suggest that interstitial lung changes could be present in workers with indium exposure. Further studies are required and health risk information regarding indium exposure should be communicated to workers and employers in industries where indium compounds are used to prevent indium induced lung damage in Korea.


Citations

Citations to this article as recorded by  
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    Environmental Pollution.2021; 290: 117993.     CrossRef
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    Nanotoxicology.2020; 14(4): 468.     CrossRef
  • Effects of indium exposure on respiratory symptoms: a retrospective cohort study in Japanese workers using health checkup data
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    PeerJ.2020; 8: e8413.     CrossRef
  • Application of the ICRP respiratory tract model to estimate pulmonary retention of industrially sampled indium-containing dusts
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  • Respirable indium exposures, plasma indium, and respiratory health among indium‐tin oxide (ITO) workers
    Kristin J. Cummings, M. Abbas Virji, Ji Young Park, Marcia L. Stanton, Nicole T. Edwards, Bruce C. Trapnell, Brenna Carey, Aleksandr B. Stefaniak, Kathleen Kreiss
    American Journal of Industrial Medicine.2016; 59(7): 522.     CrossRef
  • Indium oxide (In2O3) nanoparticles induce progressive lung injury distinct from lung injuries by copper oxide (CuO) and nickel oxide (NiO) nanoparticles
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    Archives of Toxicology.2016; 90(4): 817.     CrossRef
  • Interstitial lung disorders in the indium workers of Korea: An update study for the relationship with biological exposure indices
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    American Journal of Industrial Medicine.2015; 58(1): 61.     CrossRef
  • Tissue distribution of indium after repeated intratracheal instillations of indium‐tin oxide into the lungs of hamsters
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    Journal of Occupational Health.2015; 57(2): 189.     CrossRef
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    Current Opinion in Pulmonary Medicine.2015; 21(2): 178.     CrossRef
  • Investigating the potential exposure risk to indium compounds of target manufacturing workers through an analysis of biological specimens
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    Journal of Korean Society of Occupational and Environmental Hygiene.2014; 24(3): 263.     CrossRef
  • Early Changes in Clinical, Functional, and Laboratory Biomarkers in Workers at Risk of Indium Lung Disease
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    Annals of the American Thoracic Society.2014; 11(9): 1395.     CrossRef
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