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Overview of benzene‐induced aplastic anaemia
Abstract
Abstract: The scientific literature is replete with reports of cases of benzene‐induced toxicity to the haematopoietic system. These mainly involve aplastic anaemia, the first cases of which were reported in 1897. At high levels of benzene exposure (air concentration > 100 p.p.m.), the incidence of aplastic anaemia is approximately 1/100 individuals exposed, but this drops precipitously at lower levels of exposure (10–20 p.p.m.) to around 1/10,000. Factors that affect susceptibility may include high liver cytochrome P450 2E1 activity and low folic acid intake. The mechanism of benzene‐induced aplastic anaemia remains unclear, but is likely to involve: (a) metabolism of benzene in the liver; (b) transport of metabolites to the marrow and their secondary activation to toxic quinones and free radicals by peroxidase enzymes; (c) induction of apoptosis, DNA damage and altered differentiation in early progenitor cells; and (d) depletion of the stem cell pool.
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“Benzene, for example, has been associated with the induction of aplastic anaemia (AA) (Smith, 1996;Velasco et al., 2001), myelodysplastic syndrome (Pasqualetti et al., 1997;Kane et al., 1999) and acute myeloid leukaemia (AML) (Goldman, 1976;Rinsky et al., 1987;Medinsky et al., 1996;Thomas & Chelghoum, 2004).”
From Anaemia and cigarette smoking (2008) · cites this paper as Smith, 1996
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“benzene-related AA occurs in heavily exposed benzene workers who receive gram quantities on a daily basis in more than one in 10 individuals (Smith, 1996).”
From Anaemia and cigarette smoking (2008) · cites this paper as Smith, 1996
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“For individuals receiving hundreds of milligrams of benzene per day, the incidence decreases approximately to 1 in 100.”
From Anaemia and cigarette smoking (2008) · cites this paper as Smith, 1996
In the citing paper
“However, the quantity of benzene taking up through cigarette smoking may be too low to be measured on a basis of outcome for AA: benzene-related AA occurs in heavily exposed benzene workers who receive gram quantities on a daily basis in more than one in 10 individuals (Smith, 1996).”
From Anaemia and cigarette smoking (2008) · cites this paper as Smith, 1996
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Research works printed but not linked: 48
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Cited by
LEIFERT, J. A. (2008) · International Journal of Laboratory Hematology · doi:10.1111/j.1751-553x.2008.01067.x · Cited by 83
Metadata
- Authors
- Smith, M. T.
- Venue
- European Journal of Haematology
- Publisher
- Wiley
- Published
- 1996-12
- Volume
- 57
- Issue
- S60
- Pages
- 107-110
- ISSN
- 0902-4441
- 1600-0609
- Cited by
- 46
- References
- 0
- Language
- en
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