Background: Rapid industrialization, urbanization, and population
explosion in sub-Saharan Africa escalate environmental lead levels and
subsequently blood lead levels in children. Its levels in one’s
environment account for his/her blood lead levels. One’s susceptibility to
lead toxicity is governed by his/her nutrition status, age and genetics.
This study aimed at expounding susceptibility to lead toxicity by relating
blood lead levels, delta-aminolevulinic acid dehydratase (ALAD) enzyme
activity, and genetic variations of proteins that code for ALAD in urban
children of Uganda. Methods: A total of 198 blood samples were
spectrophotometrically analyzed for blood lead levels (BLL), hemoglobin
(Hb) levels, and ALAD enzyme activity before DNA extraction, polymerase
chain reaction, and restriction fragment length digestion for ALAD
polymorphism. Results: Up to 99.5% of the total samples
analysed coded for ALAD1 allele compared to 0.05% that coded for ALAD2.
There was a significant relationship between BLL, Hb status and ALAD
enzyme activity in the three isozymes (ALAD1-1, ALAD1-2 and ALAD2-2) in
strength of ALAD1-1 (r = 0.42, p-value = 0.02) ˂ALAD1-2 (r = 0.62, p-value
= ˂0.001) ˂ ALAD2-2 (r = 0.67, p-value = ˂0.001). Conclusions: The
majority of children in Uganda code for the ALAD1 allele, which
is important for blood lead ions hoarding during lead toxicity. Hoarding
of blood lead not only delays exposure effects but also accumulates its
levels in deposit tissues and this poses adverse effects later in their
lives. The data set was obtained from blood samples collected from
children living in a Lead polluted urban setting, the DNA was extracted
from all samples prior to a restriction fragment length
digestion.