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- Original Article The Association between Trans, Trans-Muconic Acid as a Biomarker for Benzene Exposure and the Platelet Count
- Young Sun Min, Kuck Hyun Woo, Jin Seok Kim, Jay Young Yoo, Kwan Lee, Hyun Sul Lim, Heon Kim
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DOI: https://doi.org/10.35371/kjoem.2010.22.2.95
Published online: June 30, 2010
1Department of Occupational Medicine, Soonchunhyang University Kumi Hospital, Korea. wookhn@sch.ac.kr 
2Department of Preventive Medicine, Dongguk University College of Medicine, Korea.
3Department of Preventive Medicine, Chungbuk National University College of Medicine, Korea.
2Department of Preventive Medicine, Dongguk University College of Medicine, Korea.
3Department of Preventive Medicine, Chungbuk National University College of Medicine, Korea.
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Abstract
OBJECTIVE: Recent researches suggest that trans,trans-muconic acid (t,t-MA) would be an adequate metabolic biomarker for low-level benzene exposure. Few study have investigated the association between the t,t-MA and platelet count, and this is the primary aim of this study.
METHODS
From May 2004 to June 2004, 326 chemical factory workers took part in a questionnaire survey and they underwent urinary t,t-MA and CBC assessment. The questionnaire covered general aspects of health and the occupational and smoking histories. Statistical analyses of outcomes were performed using SPSS 14.0 for Windows.
RESULTS
The subjects' urinary t,t-MA concentration (geometric mean and geometric standard deviation) was 0.28 mg/g creatinine (2.62). No significant differences between different occupations among the chemical workers were found. The urinary t,t-MA concentrations in the smokers and non-smokers were 0.32 mg/g creatinine (2.44) and 0.25 mg/g creatinine (2.77) respectively, and the difference was statistically significant (p<0.05). There was no significant difference in the platelet count based on occupation and the smoking history. There was significant correlation between log(platelet) and log(t,t-MA)(r=-0.116 p=0.039). The regression equation log(platelet) = -0.002xAge + [-0.029xlog(t,t-MA)] + 2.436, R2=0.032, was calculated from linear regression analysis with log(platelet) as the dependent variable. Cross-tabulation between 2 subgroups that were divided by the 90-percentile level of the t,t-MA (0.819 mg/g creatinine), and 2 subgroups that were divided by the 10-percentile level of the platelet count (175,000) was conducted. Higher distribution in subgroup with platelet count below 175,000 was demonstrated in the subgroup with a urinary t,t-MA above the 90-percentile, with an odds ratio of 3.01.
CONCLUSIONS
The study may be limited by not taking into account factors such as smoking quantity and sorbic acid, which may confound urinary the t,t-MA concentration as well as medication and infection that may affect the platelet count. Yet it is meaningful that the correlation between the urinary t,t-MA concentration and the platelet count was found through linear regression analysis and the chi-square test, and further, this outcome may be used as a basis for a study to establish the acceptable limit of urinary t,t-MA in Korea.
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