In 139 workers exposed to diatomaceous earth dust and 146 normal subjects, we examined the levels of serum protease inhibitors such as α_1antitrypsin, α_1antichymotrypsin, antithrombin III, inter-α-trypsin inhibitor, α_2macroglobulin and CLs inhibitor using single radial immunodiffusion methods. 1. The levels of antithrombin III in normal subjects (146 cases) and those of α_1antichymotrypsin and α_2macroglobulin in normal female ones (73 cases) significally correlated with aging (p<0.05). The values of antithrombin III, inter-α-trypsin inhibitor and α_2macroglobulin tended to be higher in female controls than male, whereas the inverse trend was seen in the case of α_1antichymotrypsin. 2. The levels of α_1antitrypsin, antithrombin III, inter-α-trypsin inhibitor and α_2 macroglobulin were significantly lower in workers exposed to diatomaceous earth dust than in normal subjects, while levels of Cls inhibitor were significantly higher in such workers than in the normal subjects. 3. Partial regression analysis of the values of inter-α-trypsin inhibitor and α_2macroglobulin revealed a significantly negative correlation with years exposed to diatomaceous earth dust in male non-smokers, but not in the case of male smokers. On our results and those reported in allied literature we discuss the important role of protease inhibitor in workers exposed to diatomaceous earth dust.
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