The validity of urinary metabolites as indicators of low exposures to toluene

Summary Exposure to toluene was studied in a group of 14 subjects working in a printing industry, who were exposed to this solvent only. Environmental monitoring was carried out using personal samplers for the whole workshift over three consecutive days. Toluene TWA concentrations ranged from 37 to 229 mg/m³. At the end of the workshift on each day of investigation, urine samples were collected for the determination of hippuric acid and ortho-cresol. Hippuric acid was also determined for urine before the workshift and on the Saturday and Monday mornings after the end of exposure; hippuric acid was also determined in 16 controls over the same five-day period. At the end of the workshift, hippuricuria levels in exposed workers always turned out to be statistically different from pre-workshift levels and those of the controls.The end-of-workshift hippuricuria levels of exposed workers were significantly correlated with the mean daily environmental concentration (TWA): in the three days of comparative study, we found r = 0.63 (P < 0.05) on Day 1, r = 0.90 (P < 0.001) on Day 2, and r = 0.87 (P < 0.001) on Day 3. Orthocresol turned out to be correlated with daily exposure less significantly than hippuric acid: r = 0.49 (n.s.) on Day 1; r = 0.78 (P < 0.001) on Day 2, and r = 0.65 (P < 0.05) on Day 3. Using all available data (41 observations), a very significant correlation (P < 0.001) was found between the TWA and both metabolites (r = 0.80 for hippuric acid; r = 0.68 for o-cresol). The values of the two metabolites in the end-of-workshift urine samples (41 observations) also turned out to be well correlated (r = 0.70; P < 0.001). The authors conclude that hippuric acid is a valid test for evaluating even low exposures to toluene.This work was supported by research grant no. 83.02580.56 from the Italian National Research Council (CNR), applied project Preventive and Rehabilitative Medicine