On the carcinogenic risk evaluation of diesel exhaust: Benzene in airborne particles and alterations of heme metabolism in lymphocytes as markers of exposure

Diesel exhaust consists of a complex mixture of chemicals which contain known genotoxicants, one of which is benzene. Therefore the concentration of benzene may be used in the evaluation of full external exposure to diesel exhaust. Our attention is focused on the determination of the distribution of benzene between the gas and particulate phases in the breathing zone of bus-garage workers. Bus diesel engine exhaust was the main source of air pollution by benzene and particles. The particulate matter contained benzene in amounts comparable to those usually found for concentrations of carcinogenic polycyclic aromatic hydrocarbons (PAHs) and nitro-PAHs. A much lower concentration of benzene was associated with particulate matter in the winter than in the summer months. The level of benzene in the gas phase showed a dependence on the distance of workplace from the operating diesel motor. The study indicated that benzene associated with diesel exhaust particles (DEP) might be an important factor to consider when studying diesel exhaust exposure from air pollution sources. Since non-genotoxic effects may play an important role in the generation of tumors by genotoxic carcinogens, the level of heme synthesis was proposed as a biomarker of early health effect. Here we present the data on determination of 5-aminolevulinic acid (ALA) synthesis and heme formation in lymphocytes from a group of 45 bus-garage workers and an analogous data from a group of 25 unexposed subjects. The results indicate significant differences in ALA synthesis and heme formation between the exposed workers when compared to the non-exposed individuals. ALA was accumulated and ALA-synthase activity was increased in lymphocytes of garage workers. At the same time ferrochelatase activity was decreased and protoporphyrin contents were elevated. In addition the concentration of porphyrin associated with DNA was significantly increased. Thus, the measurement of some metabolites of heme synthesis in lymphocytes could be a useful biomonitoring index for the determination of a sensitive subgroup of workers who undergo the higher risk of cancer development.