Associations between manganese exposure and multiple immunological parameters in manganese-exposed workers healthy

Xiang Chen1, Zhenfang Liu2, Xiaoting Ge1

  • 1Department of Occupational Health and Environmental Health, School of Public Health, Guangxi Medical University, Nanning, Guangxi, China.

Abstract

Insights

Chronic manganese (Mn) exposure in male workers was linked to lower complement C3 levels, a key immune component. This finding in occupational settings was supported by studies on Mn-exposed rats.

Area of Science:

  • Immunology
  • Occupational Health
  • Toxicology

Background:

  • Manganese (Mn) ions are vital for immune responses, yet Mn immunotoxicity is less studied than its neurotoxicity.
  • Occupational exposure to Mn is a growing concern in various industries.

Purpose of the Study:

  • To investigate the relationship between chronic manganese exposure and immunological markers in occupationally exposed workers.
  • To assess the impact of manganese exposure on complement C3 levels and other immune parameters.

Main Methods:

  • Studied 538 workers, categorizing them into low and high manganese exposure groups based on Mn-time weighted average (Mn-TWA).
  • Analyzed serum immunological parameters and leukocyte counts using immunoturbidimetric and blood routine methods.
  • Employed generalized linear models, spline analyses, and ELISA in a rat model to explore Mn exposure effects on complement C3.

Main Results:

  • Male workers in the high Mn-exposure group showed significantly lower complement C3 levels compared to the low-exposure group (P=0.023).
  • Complement C3 levels demonstrated a significant negative association with external Mn exposure in male workers (β = -0.04, P = 0.035).
  • Male rats exposed to high Mn levels also exhibited reduced complement C3 (P < 0.001), while no significant associations were found in females.

Conclusions:

  • Occupational exposure to inhalable manganese dust is associated with reduced complement C3 in males, confirmed by a rat model.
  • The immunotoxic effects of manganese appear sex-specific, with males being more susceptible to complement C3 reduction.
  • Further research is recommended to elucidate the underlying mechanisms of manganese-induced C3 reduction.

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