Abstract | BACKGROUND: Some studies in animal models and humans suggest that exposure to lead is associated with hearing loss. Lead can reach the inner ear through the blood circulation; evidence suggests that lead could accumulate in the inner ear, causing inner ear damage. AIM: To evaluate prestin and otolin-1 protein levels and their relationship with an increased hearing threshold in participants exposed to lead. METHODS: We conducted a cross-sectional study with 315 participants from Tlaxcala, Mexico. Blood lead levels (BPb) were evaluated by graphite furnace atomic absorption spectrometry. Serum prestin and otolin-1 were quantified using ELISA. Auditory function at frequencies of 0.125 to 8 kHz was evaluated in a soundproof chamber. RESULTS: Participants were classified according to BPb: group I (<10 μg/dL) had a median BPb of 6 μg/dL and prestin levels of 11.06 ng/mL. While participants in group II (≥10 μg/dL) had a median of BPb 20.7 μg/dL (p < 0.05) and prestin levels of 0.15 ng/mL (p < 0.001). Participants in both groups showed a normal hearing. Otolin-1 levels were higher for participants with normal hearing and lower for participants with hearing loss in both groups, p > 0.05. Multiple linear regression models predict an average decrease of 0.17 to 0.26 ng/mL in prestin levels per decibel increase for the frequencies evaluated. CONCLUSIONS: Participants with high BPb showed an increase in hearing threshold, and prestin levels decreased proportionally to the hearing threshold increase. This is the first study to evaluate prestin as a potential biomarker for hearing damage, evaluated by audiometry, in participants with lead exposure.
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Authors | Soledad Solis-Angeles, Cuauhtémoc A Juárez-Pérez, Carmina Jiménez-Ramírez, Alejandro Cabello-López, Guadalupe Aguilar-Madrid, Luz M Del Razo |
Journal | Toxicology and applied pharmacology
(Toxicol Appl Pharmacol)
Vol. 426
Pg. 115651
(09 01 2021)
ISSN: 1096-0333 [Electronic] United States |
PMID | 34273409
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2021 Elsevier Inc. All rights reserved. |
Chemical References |
- Biomarkers
- Environmental Pollutants
- Extracellular Matrix Proteins
- SLC26A5 protein, human
- Sulfate Transporters
- otolin-1
- Lead
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Topics |
- Adult
- Biomarkers
(blood)
- Cross-Sectional Studies
- Environmental Exposure
(adverse effects)
- Environmental Pollutants
(blood, toxicity)
- Extracellular Matrix Proteins
(blood)
- Female
- Hearing Loss
(blood, chemically induced, epidemiology)
- Humans
- Lead
(blood, toxicity)
- Male
- Mexico
(epidemiology)
- Middle Aged
- Sulfate Transporters
(blood)
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