Asbestos exposure and autoantibody titers

Eunsoo Lee; Youngki Kim; Se Yeong Kim; Dongmug Kang

doi:10.35371/aoem.2020.32.e32

Asbestos exposure and autoantibody titers

Ann Occup Environ Med. 2020 Sep 1:32:e32. doi: 10.35371/aoem.2020.32.e32. eCollection 2020.

Authors

Eunsoo Lee¹, Youngki Kim^{1

2

3}, Se Yeong Kim¹, Dongmug Kang^{1

2

3}

Affiliations

¹ Department of Occupational and Environmental Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.
² Department of Preventive, Occupational & Environmental Medicine, School of Medicine, Pusan National University, Yangsan, Korea.
³ Environmental Health Center for Asbestos, Pusan National University Yangsan Hospital, Yangsan, Korea.

Abstract

Background: Asbestos is a well-known hazardous substance that causes occupational and environmental diseases including asbestosis (lung fibrosis). Silica exposure which causes silicosis (another type of lung fibrosis) has long been linked to the development of autoimmune diseases; however, there are few studies on the relationship between asbestos exposure and autoimmune diseases.

Methods: A total of 54 individuals who had worked in a former asbestos textile factory underwent autoantibody-related blood tests, chest X-ray imaging, and pulmonary function tests. Based on the job exposure matrix (JEM), the estimated asbestos exposure concentrations were determined, and the presence of asbestosis was determined by chest radiography.

Results: Scleroderma (Scl-70) and ribonucleoprotein (RNP) antibodies were significantly lowered in the pleural plaque present group than in the absent group. Additionally, Scl-70, RNP, and Sjögren's syndrome type B (SS-B) antibodies were significantly lowered in the asbestosis present group. When stratifying variables with or without asbestosis, Scl-70, Smith, SS-B, and RNP antibodies decreased in female, crocidolite handling group, and higher estimated asbestos exposure level group.

Conclusions: Contrary to our expectations that autoantibody titers would be higher in groups with high asbestos exposure or in the asbestosis group, those with asbestosis showed lower titers. But as our research has some methodological limitations, the lowered titer of autoimmune antibody in our asbestos exposed subjects could not be simply interpreted as a lowered risk of autoimmune diseases. So careful interpreting should be taken when examine autoantibodies to screening or diagnose autoimmune diseases in people with asbestos exposure. In addition, it is necessary to establish relevance of asbestosis and autoantibodies through further studies of larger scale and higher confidence levels.

Keywords: Asbestos; Asbestosis; Autoantibodies; Autoimmune diseases; Textiles.