Objective
Cytokeratin 18 (CK18) is a novel serologic biomarker for occupational liver disease. The purpose of this study is to determine the prevalence of CK18 elevation in elastomer/polymer workers exposed to acrylonitrile, 1,3 butadiene, and styrene.
Methods
82 chemical workers were evaluated. CK18 was determined by ELISA and pro-inflammatory cytokines were measured by multi-analyte chemiluminescent detection.
Results
39% (32 of 82) had elevated CK18 levels which were not explained by alcohol or obesity, except in potentially 4 cases. The pattern of CK18 elevation was consistent with toxicant-associated steatohepatitis (TASH) in the majority of cases (78%). TNFα, IL-6, IL-8, MCP-1, and PAI-1 were increased in these workers compared to those with normal CK18 levels.
Conclusions
These results suggest a high prevalence of occupational liver disease and TASH in elastomer/polymer workers with elevated pro-inflammatory cytokines.