A dried blood spot method to evaluate cholinesterase activity in young children

Elizabeth D Hilborn1, Stephanie Padilla

  • 1National Health and Environmental Effects Research Laboratory, Office of Research and Development, US Environmental Protection Agency, Research Triangle Park, North Carolina 27711, USA. hilborn.e@epa.gov

Insights

A pilot study found that dried blood samples can effectively monitor organophosphate pesticide exposure in young children. This method shows significant correlation with whole blood cholinesterase activity, aiding field studies.

Area of Science:

  • Environmental Health
  • Pediatric Toxicology
  • Biomonitoring

Background:

  • Organophosphate pesticide exposure is a concern for young children, particularly in agricultural areas.
  • Reliable field methods are needed to detect and monitor this exposure in pediatric populations.
  • Cholinesterase activity in blood is a key biomarker for organophosphate exposure.

Purpose of the Study:

  • To evaluate the feasibility of using dried blood samples for monitoring cholinesterase activity in young children.
  • To assess the correlation between cholinesterase activity in dried blood versus whole blood samples.
  • To determine the utility of a dried blood method for field-based pesticide exposure studies in children.

Main Methods:

  • A pilot study involved 20 children (11-18 months) from a US/Mexico border agricultural community.
  • Venous blood samples were collected twice, 4 weeks apart.
  • Cholinesterase activity was measured in both whole heparinized blood and blood dried on filter paper.

Main Results:

  • Cholinesterase activity was consistently lower in dried blood samples compared to heparinized whole blood.
  • A significant positive correlation (Spearman r = 0.6, p = 0.01) was observed between cholinesterase activity in dried and whole blood.
  • The dried blood method demonstrated reliability for tracking changes over time.

Conclusions:

  • Dried blood samples offer a viable field method for assessing organophosphate pesticide exposure in young children.
  • This method provides a practical alternative for biomonitoring cholinesterase activity in pediatric populations during field studies.
  • The correlation suggests dried blood is a useful matrix for evaluating changes in cholinesterase values over time.

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