Occupational Infectious Disease

INTRODUCTION The spectrum of occupational infectious disease is staggering. Occupational infectious disease continues to pose a significant public health challenge in many parts of the world. In other areas, the majority of these diseases have been virtually eliminated or are well under control. A potential consequence of control is that as the burden of suffering caused by many occupationally acquired diseases decreases, the likelihood of accurately diagnosing occupationally acquired disease when it does occur also decreases. Although many of these diseases are uncommon enough that a health care provider may never see a particular infection, the potential morbidity and mortality associated with some diseases requires an awareness of possible work-related infections. For the purposes of this chapter, an occupational infectious disease is defined as any infectious disease or illness for which occupation places a worker at increased risk of infection. The diseases have been broadly cate

Efflux of Glutathione and Glutathione Complexes from Human Erythrocytes in Response to Inorganic Arsenic Exposure

The objective of the present study was to investigate if arsenic exposure results in glutathione efflux from human erythrocytes. Arsenite significantly depleted intracellular nonprotein thiol level in a time- and concentration-dependent manner. The intracellular nonprotein thiol level was decreased to 0.767 ± 0.0017 μmol/ml erythrocyte following exposure to 10 mM of arsenite for 4 h. Extracellular nonprotein thiol level was increased concomitantly with the intracellular decrease and reached to 0.481 ± 0.0005 μmol/ml erythrocyte in 4 h. In parallel with the change in extracellular nonprotein thiol levels, significant increases in extracellular glutathione levels were detected. Extracellular glutathione levels reached to 0.122 ± 0.0013, 0.226 ± 0.003, and 0.274 ± 0.004 μmol/ml erythrocyte with 1, 5, and 10 mM of arsenite, respectively. Dimercaptosuccinic acid treatment of supernatants significantly increased the glutathione levels measured in the extracellular media. Utilization of MK571 and verapamil, multidrug resistance-associated protein 1 and Pgp inhibitors, decreased the rate of glutathione efflux from erythrocytes suggesting a role for these membrane transporters in the process. The results of the present study indicate that human erythrocytes efflux glutathione in reduced free form and in conjugated form or forms that can be recovered with dimercaptosuccinic acid when exposed to arsenite