Article: Copper deficiency, lead, and paraoxonase: Li et al. respond.(Correspondence)

doi: 10.1289/ehp.10151R

We appreciate the opportunity to discuss the issue raised by Klevay in his letter. Klevay suggested that the decrease of PON1 activity in lead workers, as we reported in our article (Li et al. 2006), might be due to copper deficiency induced by lead intoxication. Because the scope of our study did not include the interaction between lead and copper, we did not measure plasma copper level, ceruloplasmin, or superoxide dismutase (SOD) activity in our cohort. Therefore, it is not possible to test Klevay's hypothesis at this point.

Although animal studies have shown that lead ingestion caused a decrease in blood copper level in cattle ...

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