Effects of the δ-aminolevulinic acid dehydratase polymorphism rs1800435 on blood lead levels: a new systematic review and meta-analysis

Abstract Exposure to lead has various health effects. Studies have correlated the δ-aminolevulinic acid dehydratase (ALAD) polymorphism rs1800435 (ALAD1 and ALAD2) with blood lead levels, but the results have been inconsistent. This meta-analysis evaluated the associations between the rs1800435 and...

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Main Authors: Jiukun Jiang, Xiujing Xie
Format: Article
Language:English
Published: Nature Portfolio 2025-08-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-14850-y
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author Jiukun Jiang
Xiujing Xie
author_facet Jiukun Jiang
Xiujing Xie
author_sort Jiukun Jiang
collection DOAJ
description Abstract Exposure to lead has various health effects. Studies have correlated the δ-aminolevulinic acid dehydratase (ALAD) polymorphism rs1800435 (ALAD1 and ALAD2) with blood lead levels, but the results have been inconsistent. This meta-analysis evaluated the associations between the rs1800435 and blood lead levels. Studies reporting the relationships of rs1800435 with blood lead levels were included. The sample size, means, and standard deviations were calculated. Subgroup analysis was performed on the basis of the presence or absence of lead exposure, age, sex, and geographic latitude of the investigated people. Twenty-seven studies with 17,344 individuals were included. There was no significant association between rs1800435 status and blood lead levels, either in the lead-exposed group (p = 0.280), nonlead-exposed group (p = 0.642), or overall analysis (p = 0.165). Among those exposed to lead, for people living at non-low latitudes (latitude > 30°), ALAD2 allele carriers had higher lead levels than ALAD1 homozygotes did (p = 0.001). For non-lead-exposed respondents, blood lead levels in male ALAD2 allele carriers demonstrated a marginally significant decrease compared with those in male ALAD1 homozygotes (p = 0.061). Lead exposure levels and the geographical latitude of long-term residence may modify the ALAD2-associated effects on blood lead concentrations.
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spelling doaj-art-5fdf402433d94a8fa2c918639fafd0212025-08-20T03:47:10ZengNature PortfolioScientific Reports2045-23222025-08-0115111610.1038/s41598-025-14850-yEffects of the δ-aminolevulinic acid dehydratase polymorphism rs1800435 on blood lead levels: a new systematic review and meta-analysisJiukun Jiang0Xiujing Xie1Emergency Department, The First Affiliated Hospital, Zhejiang University School of MedicineDepartment of Ultrasound Medicine, The First Affiliated Hospital, Zhejiang University School of MedicineAbstract Exposure to lead has various health effects. Studies have correlated the δ-aminolevulinic acid dehydratase (ALAD) polymorphism rs1800435 (ALAD1 and ALAD2) with blood lead levels, but the results have been inconsistent. This meta-analysis evaluated the associations between the rs1800435 and blood lead levels. Studies reporting the relationships of rs1800435 with blood lead levels were included. The sample size, means, and standard deviations were calculated. Subgroup analysis was performed on the basis of the presence or absence of lead exposure, age, sex, and geographic latitude of the investigated people. Twenty-seven studies with 17,344 individuals were included. There was no significant association between rs1800435 status and blood lead levels, either in the lead-exposed group (p = 0.280), nonlead-exposed group (p = 0.642), or overall analysis (p = 0.165). Among those exposed to lead, for people living at non-low latitudes (latitude > 30°), ALAD2 allele carriers had higher lead levels than ALAD1 homozygotes did (p = 0.001). For non-lead-exposed respondents, blood lead levels in male ALAD2 allele carriers demonstrated a marginally significant decrease compared with those in male ALAD1 homozygotes (p = 0.061). Lead exposure levels and the geographical latitude of long-term residence may modify the ALAD2-associated effects on blood lead concentrations.https://doi.org/10.1038/s41598-025-14850-yΔ-aminolevulinic acid dehydratase polymorphismrs1800435Lead
spellingShingle Jiukun Jiang
Xiujing Xie
Effects of the δ-aminolevulinic acid dehydratase polymorphism rs1800435 on blood lead levels: a new systematic review and meta-analysis
Scientific Reports
Δ-aminolevulinic acid dehydratase polymorphism
rs1800435
Lead
title Effects of the δ-aminolevulinic acid dehydratase polymorphism rs1800435 on blood lead levels: a new systematic review and meta-analysis
title_full Effects of the δ-aminolevulinic acid dehydratase polymorphism rs1800435 on blood lead levels: a new systematic review and meta-analysis
title_fullStr Effects of the δ-aminolevulinic acid dehydratase polymorphism rs1800435 on blood lead levels: a new systematic review and meta-analysis
title_full_unstemmed Effects of the δ-aminolevulinic acid dehydratase polymorphism rs1800435 on blood lead levels: a new systematic review and meta-analysis
title_short Effects of the δ-aminolevulinic acid dehydratase polymorphism rs1800435 on blood lead levels: a new systematic review and meta-analysis
title_sort effects of the δ aminolevulinic acid dehydratase polymorphism rs1800435 on blood lead levels a new systematic review and meta analysis
topic Δ-aminolevulinic acid dehydratase polymorphism
rs1800435
Lead
url https://doi.org/10.1038/s41598-025-14850-y
work_keys_str_mv AT jiukunjiang effectsofthedaminolevulinicaciddehydratasepolymorphismrs1800435onbloodleadlevelsanewsystematicreviewandmetaanalysis
AT xiujingxie effectsofthedaminolevulinicaciddehydratasepolymorphismrs1800435onbloodleadlevelsanewsystematicreviewandmetaanalysis