Gene-environment interaction and biological monitoring of occupational exposures

Biological monitoring methods and biological limit values applied in occupational and environmental medicine have been traditionally developed on the assumption that individuals do not differ significantly in their biotransformation capacities. It has become clear, however, that this is not the case, but wide inter-individual differences exist in the metabolism of chemicals. Integration of the data on individual metabolic capacity in biological monitoring studies is therefore anticipated to represent a significant refinement of the currently used methods. We have recently conducted several biological monitoring studies on occupationally exposed subjects, which have included the determination of the workers' genotypes for the metabolic genes of potential importance for a given chemical exposure. The exposure levels have been measured by urine metabolites, adducts in blood macromolecules, and cytogenetic alterations in lymphocytes. Our studies indicate that genetic polymorphisms in metabolic genes may indeed be important modifiers of individual biological monitoring results of, e.g., carbon disulphide and styrene. The information is anticipated to be useful in insuring that the workplace is safe for everyone, including the most sensitive individuals. This knowledge could also be useful to occupational physicians, industrial hygienists, and regulatory bodies in charge of defining acceptable exposure limits for environmental and/or occupational pollutants.