PMID- 24415644 OWN - NLM STAT- MEDLINE DCOM- 20140404 LR - 20140207 IS - 1470-7926 (Electronic) IS - 1351-0711 (Linking) VI - 71 IP - 3 DP - 2014 Mar TI - Cognitive function and plasma BDNF levels among manganese-exposed smelters. PG - 189-94 LID - 10.1136/oemed-2013-101896 [doi] AB - OBJECTIVES: To explore the potential dose-response relationship between manganese (Mn) exposure and cognitive function and also plasma brain-derived neurotrophic factor (BDNF) levels in occupational Mn exposure workers. METHODS: A total 819 workers were identified from our Mn-exposed workers, and 293 control workers were recruited in the same region. All exposed workers were divided into three groups based on Mn cumulative exposure index. The Montreal Cognitive Assessment (MoCA) test was applied to estimate cognitive function for all subjects. Plasma BDNF levels were determined by ELISA in 248 selected exposed workers and 100 controls. RESULTS: Mn-exposed workers had significantly lower MoCA scores than those in the control group (25.62 +/- 0.25): those in high-exposure group had the lowest scores (21.33 +/- 0.32), compared with the intermediate-exposure group (23.22 +/- 0.30) and low-exposure group (23.57 +/- 0.23). Mn exposure levels were inversely associated with MoCA total scores, all p<0.05. A positive correlation was found between plasma BDNF levels and MoCA total scores (r=0.278, p<0.01). Moreover, compared with the control group (288.7 +/- 181.7 pg/mL), BDNF levels were lower in the high-exposure group (127.5 +/- 99.8 pg/mL), and in the intermediate-exposure (178.2 +/- 138.1 pg/mL) and low-exposure groups (223.4 +/- 178.3 pg/mL). Additionally, plasma BDNF levels decreased significantly as Mn exposure levels increased (ptrend<0.01). CONCLUSIONS: Mn exposure may be associated with decreased plasma BDNF levels and cognition impairment in this large cross-sectional study. FAU - Zou, Yunfeng AU - Zou Y AD - Department of Toxicology, School of Public Health, Guangxi Medical University, Nanning, Guangxi, People's Republic of China. FAU - Qing, Li AU - Qing L FAU - Zeng, Xiaoyun AU - Zeng X FAU - Shen, Yuefei AU - Shen Y FAU - Zhong, Yaoqiu AU - Zhong Y FAU - Liu, Jing AU - Liu J FAU - Li, Qin AU - Li Q FAU - Chen, Kangcheng AU - Chen K FAU - Lv, Yingnan AU - Lv Y FAU - Huang, Damin AU - Huang D FAU - Liang, Guiqiang AU - Liang G FAU - Zhang, Wei AU - Zhang W FAU - Chen, Lang AU - Chen L FAU - Yang, Yiping AU - Yang Y FAU - Yang, Xiaobo AU - Yang X LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140110 PL - England TA - Occup Environ Med JT - Occupational and environmental medicine JID - 9422759 RN - 0 (Air Pollutants, Occupational) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 42Z2K6ZL8P (Manganese) SB - IM MH - Adult MH - Air Pollutants, Occupational/*adverse effects/analysis MH - Brain-Derived Neurotrophic Factor/*blood MH - Case-Control Studies MH - Cognition/*drug effects MH - Cognition Disorders/blood/*chemically induced MH - Cross-Sectional Studies MH - Female MH - Humans MH - Industry MH - Inhalation Exposure/adverse effects MH - Male MH - Manganese/*adverse effects MH - Occupational Diseases/blood/*chemically induced/psychology MH - Occupational Exposure/*adverse effects/analysis MH - Occupations EDAT- 2014/01/15 06:00 MHDA- 2014/04/05 06:00 CRDT- 2014/01/14 06:00 PHST- 2014/01/14 06:00 [entrez] PHST- 2014/01/15 06:00 [pubmed] PHST- 2014/04/05 06:00 [medline] AID - oemed-2013-101896 [pii] AID - 10.1136/oemed-2013-101896 [doi] PST - ppublish SO - Occup Environ Med. 2014 Mar;71(3):189-94. doi: 10.1136/oemed-2013-101896. Epub 2014 Jan 10.