51
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Lucchini RG, Guazzetti S, Renzetti S, Conversano M, Cagna G, Fedrighi C, Giorgino A, Peli M, Placidi D, Zoni S, Forte G, Majorani C, Pino A, Senofonte O, Petrucci F, Alimonti A. Neurocognitive impact of metal exposure and social stressors among schoolchildren in Taranto, Italy. Environ Health 2019; 18:67. [PMID: 31324194 PMCID: PMC6642538 DOI: 10.1186/s12940-019-0505-3] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Accepted: 07/10/2019] [Indexed: 05/22/2023]
Abstract
BACKGROUND Metal exposure is a public health hazard due to neurocognitive effects starting in early life. Poor socio-economic status, adverse home and family environment can enhance the neurodevelopmental toxicity due to chemical exposure. Disadvantaged socio-economic conditions are generally higher in environmentally impacted areas although the combined effect of these two factors has not been sufficiently studied. METHODS The effect of co-exposure to neurotoxic metals including arsenic, cadmium, manganese, mercury, lead, selenium, and to socio-economic stressors was assessed in a group of 299 children aged 6-12 years, residing at incremental distance from industrial emissions in Taranto, Italy. Exposure was assessed with biological monitoring and the distance between the home address and the exposure point source. Children's cognitive functions were examined using the Wechsler Intelligence Scale for Children (WISC) and the Cambridge Neuropsychological Test Automated Battery (CANTAB). Linear mixed models were chosen to assess the association between metal exposure, socio-economic status and neurocognitive outcomes. RESULTS Urinary arsenic, cadmium and hair manganese resulted inversely related to the distance from the industrial emission source (β - 0.04; 95% CI -0.06, - 0.01; β - 0.02; 95% CI -0.05, - 0.001; β - 0.02 95% CI -0.05, - 0.003) while the WISC intellectual quotient and its sub-scores (except processing speed index) showed a positive association with distance. Blood lead and urinary cadmium were negatively associated with the IQ total score and all sub-scores, although not reaching the significance level. Hair manganese and blood lead was positively associated with the CANTAB between errors of spatial working memory (β 2.2; 95% CI 0.3, 3.9) and the reaction time of stop signal task (β 0.05; 95% CI 0.02, 0.1) respectively. All the other CANTAB neurocognitive tests did not show to be significantly influenced by metal exposure. The highest socio-economic status showed about five points intellectual quotient more than the lowest level on average (β 4.8; 95% CI 0.3, 9.6); the interaction term between blood lead and the socio-economic status showed a significant negative impact of lead on working memory at the lowest socio-economic status level (β - 4.0; 95% CI -6.9, - 1.1). CONCLUSIONS Metal exposure and the distance from industrial emission was associated with negative cognitive impacts in these children. Lead exposure had neurocognitive effect even at very low levels of blood lead concentration when socio-economic status is low, and this should further address the importance and prioritize preventive and regulatory interventions.
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Affiliation(s)
- Roberto G Lucchini
- Icahn School of Medicine at Mount Sinai, New York, USA
- Department of Occupational Health, University of Brescia, Piazzale Spedali Civili, 1, 25123, Brescia, Italy
| | - Stefano Guazzetti
- Department of Occupational Health, University of Brescia, Piazzale Spedali Civili, 1, 25123, Brescia, Italy
- Department of Public Health, Azienda USL - IRCCS, Reggio Emilia, Italy
| | - Stefano Renzetti
- Department of Occupational Health, University of Brescia, Piazzale Spedali Civili, 1, 25123, Brescia, Italy.
| | | | - Giuseppa Cagna
- Department of Occupational Health, University of Brescia, Piazzale Spedali Civili, 1, 25123, Brescia, Italy
| | - Chiara Fedrighi
- Department of Occupational Health, University of Brescia, Piazzale Spedali Civili, 1, 25123, Brescia, Italy
| | | | - Marco Peli
- Department of Occupational Health, University of Brescia, Piazzale Spedali Civili, 1, 25123, Brescia, Italy
| | - Donatella Placidi
- Department of Occupational Health, University of Brescia, Piazzale Spedali Civili, 1, 25123, Brescia, Italy
| | - Silvia Zoni
- Department of Occupational Health, University of Brescia, Piazzale Spedali Civili, 1, 25123, Brescia, Italy
| | - Giovanni Forte
- Department of Environment and Health, Italian National Institute of Health, Rome, Italy
| | - Costanza Majorani
- Department of Environment and Health, Italian National Institute of Health, Rome, Italy
| | - Anna Pino
- Department of Environment and Health, Italian National Institute of Health, Rome, Italy
| | - Oreste Senofonte
- Department of Environment and Health, Italian National Institute of Health, Rome, Italy
| | - Francesco Petrucci
- Department of Environment and Health, Italian National Institute of Health, Rome, Italy
| | - Alessandro Alimonti
- Department of Environment and Health, Italian National Institute of Health, Rome, Italy
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Alamo-Hernández U, Espinosa-García AC, Rangel-Flores H, Farías P, Hernández-Bonilla D, Cortez-Lugo M, Díaz-Barriga F, Flores N, Rodríguez-Dozal S, Riojas-Rodríguez H. Environmental Health Promotion of a Contaminated Site in Mexico. ECOHEALTH 2019; 16:317-329. [PMID: 30953243 DOI: 10.1007/s10393-019-01407-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2018] [Revised: 01/13/2019] [Accepted: 02/23/2019] [Indexed: 05/12/2023]
Abstract
Entangled in complex ecological, sociocultural, and economic systems, current environmental health problems require integrated participatory approaches. Alpuyeca, a semi-urban, highly marginalized community in South-Central Mexico burdened by lead and polychlorinated biphenyl (PCB) contamination, dengue fever, and intestinal diseases, illustrates this. Its residents are distinctive, however, for their concerted actions in the face of environmental problems and the presence of defenders of a prehispanic worldview based on the protection of nature. This article addresses the health impacts of an integrated environmental health promotion strategy implemented through a participatory action research intervention based on qualitative and quantitative methods. Different actors, sectors, dimensions, and knowledge types were harmonized in a collaborative space created specifically for our interdisciplinary research team, community residents and local authorities. Reflections, plans and actions were developed collectively in this space with the view of finding solutions anchored in the local culture. Results included sharp reductions in blood-lead concentrations among children, in entomological indices, and in PCB contamination, as well as capacity strengthening. Medium-level community participation was achieved. This work contributes evidence that participatory environmental health research can be effective in analyzing and reducing problems in communities with multiple environmental health concerns. It complements ecohealth and environmental health literacy approaches.
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Affiliation(s)
- Urinda Alamo-Hernández
- Department of Environmental Health, Center of Investigation in Population Health (CISP), National Institute of Public Health (INSP), Av. Universidad 655. Col. Sta. Ma. Ahucatitlán, CP. 62100, Cuernavaca Mor, Mexico
| | - Ana Cecilia Espinosa-García
- Institute of Ecology, National Laboratory of Sciences of the Sustainability, National Autonomous University of Mexico (UNAM), Tercer Circuito Exterior Ciudad Universitaria, Apartado Postal 70-275, 04510, Coyoacán, México, D.F, Mexico
| | - Hilda Rangel-Flores
- Center of Investigation on Infectious Diseases (CISEI), National Institute of Public Health (INSP), Av. Universidad 655. Col. Sta. Ma. Ahucatitlán, CP. 62100, Cuernavaca Mor, Mexico
| | - Paulina Farías
- Department of Environmental Health, Center of Investigation in Population Health (CISP), National Institute of Public Health (INSP), Av. Universidad 655. Col. Sta. Ma. Ahucatitlán, CP. 62100, Cuernavaca Mor, Mexico
| | - David Hernández-Bonilla
- Department of Environmental Health, Center of Investigation in Population Health (CISP), National Institute of Public Health (INSP), Av. Universidad 655. Col. Sta. Ma. Ahucatitlán, CP. 62100, Cuernavaca Mor, Mexico
| | - Marlene Cortez-Lugo
- Department of Environmental Health, Center of Investigation in Population Health (CISP), National Institute of Public Health (INSP), Av. Universidad 655. Col. Sta. Ma. Ahucatitlán, CP. 62100, Cuernavaca Mor, Mexico
| | - Fernando Díaz-Barriga
- Department of Environmental Toxicology - Medical School, Autonomous University of San Luis Potosí (UASLP), Av. Venustiano Carranza 2405. Col. De los filtros, CP. 78210, San Luis Potosí, Mexico
| | - Nelly Flores
- Public Health School, National Insitute of Public Health (INSP), Av. Universidad 655. Col. Sta. Ma. Ahuacatitlán, CP. 62100, Cuernavaca Mor, Mexico
| | - Sandra Rodríguez-Dozal
- Department of Environmental Health, Center of Investigation in Population Health (CISP), National Institute of Public Health (INSP), Av. Universidad 655. Col. Sta. Ma. Ahucatitlán, CP. 62100, Cuernavaca Mor, Mexico
| | - Horacio Riojas-Rodríguez
- Department of Environmental Health, Center of Investigation in Population Health (CISP), National Institute of Public Health (INSP), Av. Universidad 655. Col. Sta. Ma. Ahucatitlán, CP. 62100, Cuernavaca Mor, Mexico.
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53
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Verbal Memory and Learning in Schoolchildren Exposed to Manganese in Mexico. Neurotox Res 2019; 36:827-835. [PMID: 31148117 DOI: 10.1007/s12640-019-00037-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2019] [Revised: 03/28/2019] [Accepted: 03/29/2019] [Indexed: 12/20/2022]
Abstract
Manganese (Mn) is an essential nutrient for cellular function, but in high concentrations, it is neurotoxic. Environmental exposure to Mn has been associated with cognitive effects in children. This study aimed to assess the effect of environmental exposure to Mn on verbal memory and learning in schoolchildren residents from two municipalities in the state of Hidalgo, Mexico. Cross-sectional studies were conducted in 2006 and 2013 with a total of 265 schoolchildren of 7 to 11 years old. Children's Auditory Verbal Learning Test-2 (CAVLT-2) was used to assess verbal memory and learning. Mn exposure tertiles were defined according to hair manganese (MnH) levels determined by atomic absorption spectrophotometry. Linear regression models were used to estimate the association between MnH levels and CAVLT-2 scores. The models were adjusted by potential confounders. The lowest and highest exposure tertiles were defined below and above MnH levels of ≤ 0.72 and ≥ 3.96 μg/g, respectively. Mn exposure was significantly associated with an average of 5- to 9-point decrease in learning curves and summary CAVLT-2 scores in the highest tertile. This study adds to the evidence of decreased verbal memory and learning in schoolchildren environmentally exposed to manganese.
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54
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Lee JJ, Valeri L, Kapur K, Ibne Hasan MOS, Quamruzzaman Q, Wright RO, Bellinger DC, Christiani DC, Mazumdar M. Growth parameters at birth mediate the relationship between prenatal manganese exposure and cognitive test scores among a cohort of 2- to 3-year-old Bangladeshi children. Int J Epidemiol 2019; 47:1169-1179. [PMID: 29733356 DOI: 10.1093/ije/dyy069] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2018] [Accepted: 04/12/2018] [Indexed: 12/28/2022] Open
Abstract
Background Our previous study demonstrated that prenatal manganese exposure is associated with cognitive test scores among a cohort of 2- to 3-year-old Bangladeshi children. This study tested the hypothesis that the adverse effects of manganese are mediated through poor prenatal growth. Methods Pregnant mothers were enrolled in a birth cohort in Bangladesh between 2008 and 2011, and children were followed at birth and age 20-40 months. Manganese concentration was measured in umbilical cord blood. Anthropometric measurements (weight, length, head circumference) were assessed at delivery. Children's cognitive development was assessed at age 20-40 months using the Bayley Scales of Infant and Toddler Development-Third Edition. Using recently developed statistical approaches that estimate mediation and interaction effects simultaneously, we evaluated whether the association between cord blood manganese and cognitive score was mediated through anthropometric measures at birth. Results This analysis included 764 mother-child pairs. Higher manganese concentration was associated with lower cognitive score [β=-0.61, standard error (SE)=0.23, p = 0.009]. Among the birth measures, we found a significant indirect effect only through birth length (β =-0.10, SE = 0.03, p = 0.001). We also found evidence of mediated interaction (both mediation and interaction, β =-0.03, SE = 0.01, p = 0.01) with birth length in the association between cord blood manganese and cognitive score. The overall proportion mediated by birth length was 33% (p = 0.02) and the proportion attributed to interaction was 11% (p = 0.04). We did not find evidence of a mediating effect through birth weight or head circumference. Conclusions Our findings confirm that prenatal growth, particularly birth length, contributes to the overall effect of environmental manganese exposure on a child's cognitive development.
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Affiliation(s)
- Jane J Lee
- Department of Neurology, Boston Children's Hospital, Boston, MA, USA.,Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Linda Valeri
- Psychiatric Biostatistics Laboratory, McLean Hospital, Belmont, MA, USA.,Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| | - Kush Kapur
- Department of Neurology, Boston Children's Hospital, Boston, MA, USA
| | | | | | - Robert O Wright
- Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - David C Bellinger
- Department of Neurology, Boston Children's Hospital, Boston, MA, USA.,Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - David C Christiani
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Maitreyi Mazumdar
- Department of Neurology, Boston Children's Hospital, Boston, MA, USA.,Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA
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55
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Adamson SXF, Shen X, Jiang W, Lai V, Wang X, Shannahan JH, Cannon JR, Chen J, Zheng W. Subchronic Manganese Exposure Impairs Neurogenesis in the Adult Rat Hippocampus. Toxicol Sci 2019; 163:592-608. [PMID: 29579278 DOI: 10.1093/toxsci/kfy062] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Adult neurogenesis takes place in the brain subventricular zone (SVZ) in the lateral walls of lateral ventricles and subgranular zone (SGZ) in the hippocampal dentate gyrus (HDG), and functions to supply newborn neurons for normal brain functionality. Subchronic Mn exposure is known to disrupt adult neurogenesis in the SVZ. This study was designed to determine whether Mn exposure disturbed neurogenesis within the adult HDG. Adult rats (10 weeks old) received a single dose of bromodeoxyuridine (BrdU) at the end of 4-week Mn exposure to label the proliferating cells. Immunostaining and cell counting data showed that BrdU(+) cells in Mn-exposed HDG were about 37% lower than that in the control (p < .05). The majority of BrdU(+) cells were identified as Sox2(+) cells. Another set of adult rats received BrdU injections for 3 consecutive days followed by 2- or 4-week Mn exposure to trace the fate of BrdU-labeled cells in the HDG. The time course studies indicated that Mn exposure significantly reduced the survival rate (54% at 2 weeks and 33% at 4 weeks), as compared with that in the control (80% at 2 weeks and 51% at 4 weeks) (p < .01). A significant time-dependent migration of newborn cells from the SGZ toward the granule cell layer was also observed in both control and Mn-exposed HDG. Triple-stained neuroblasts and mature neurons further revealed that Mn exposure significantly inhibited the differentiation of immature neuroblasts into mature neurons in the HDG. Taken together, these observations suggest that subchronic Mn exposure results in a reduced cell proliferation, diminished survival of adult-born neurons, and inhibited overall neurogenesis in the adult HDG. Impaired adult neurogenesis is likely one of the mechanisms contribute to Mn-induced Parkinsonian disorder.
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Affiliation(s)
| | | | | | | | - Xiaoting Wang
- Spinal Cord and Brain Injury Research Group, Stark Neuroscience Research Institute.,Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis, IN 46202
| | | | - Jason R Cannon
- School of Health Sciences.,Purdue Institute for Integrative Neurosciences, Purdue University, West Lafayette, IN 47907
| | - Jinhui Chen
- Spinal Cord and Brain Injury Research Group, Stark Neuroscience Research Institute.,Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis, IN 46202
| | - Wei Zheng
- School of Health Sciences.,Purdue Institute for Integrative Neurosciences, Purdue University, West Lafayette, IN 47907
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56
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Iwai-Shimada M, Nakayama SF, Isobe T, Kobayashi Y, Suzuki G, Nomura K. [Investigation of the Effects of Exposure to Chemical Substances on Child Health]. Nihon Eiseigaku Zasshi 2019; 74. [PMID: 30787254 DOI: 10.1265/jjh.18030] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
There is mounting concern about the effects of early-life exposure to chemical substances on children's health and development. We summarize the past and ongoing birth cohort studies carried out worldwide on the association between environmental exposure and children's health. Our PubMed search with the keywords 'birth cohort' revealed that the number of articles jumped from 200-300 in the 1980s to over 1,000 in the 1990s. Many of these articles reported elevated risks to children's health posed by chemical exposure owing their vulnerability. At the same time, policies implemented to reduce exposure to lead and dioxins were successful in the past few decades. Research also demonstrated that intervention to reduce exposure to certain chemicals whose exposure routes were well documented was also successful. We summarize the effects of early-life exposure to chemical substances on children's health and development. Our findings will hopefully help safeguard the environment in which future generations grow and live.
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Affiliation(s)
- Miyuki Iwai-Shimada
- Center for Health and Environmental Risk Research, National Institute for Environmental Studies
| | - Shoji F Nakayama
- Center for Health and Environmental Risk Research, National Institute for Environmental Studies
| | - Tomohiko Isobe
- Center for Health and Environmental Risk Research, National Institute for Environmental Studies
| | - Yayoi Kobayashi
- Center for Health and Environmental Risk Research, National Institute for Environmental Studies
| | - Go Suzuki
- Center for Health and Environmental Risk Research, National Institute for Environmental Studies
| | - Kyoko Nomura
- Department of Public Health, Akita University Graduate School of Medicine
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57
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Leonhard MJ, Chang ET, Loccisano AE, Garry MR. A systematic literature review of epidemiologic studies of developmental manganese exposure and neurodevelopmental outcomes. Toxicology 2019; 420:46-65. [PMID: 30928475 DOI: 10.1016/j.tox.2019.03.004] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2018] [Revised: 03/10/2019] [Accepted: 03/19/2019] [Indexed: 12/27/2022]
Abstract
BACKGROUND Neurotoxic effects of high-level occupational exposure to manganese (Mn) are well established; however, whether lower-level environmental exposure to Mn in early life causes neurodevelopmental toxicity in children is unclear. METHODS A systematic literature review was conducted to identify and evaluate epidemiologic studies of specific Mn biomarkers assessed during gestation, childhood, or adolescence in association with neurodevelopmental outcomes, focusing on quantitative exposure-response estimates with specific endpoints that were assessed in multiple independent study populations. Study quality was evaluated using the revised RTI item bank and the Cochrane Risk of Bias tool, and the overall weight of epidemiologic evidence for causality was evaluated according to the Bradford Hill considerations. RESULTS Twenty-two epidemiologic studies were identified that estimated associations between early-life Mn biomarkers and neurodevelopmental outcomes. Seven of these studies provided adjusted estimates for the association with child intelligence assessed using versions of the Wechsler Intelligence Scales for Children; no other specific neurodevelopmental endpoints were assessed in more than three independent study populations each. Among the studies of child intelligence, five studies in four independent populations measured blood Mn, three studies measured hair Mn, and one measured dentin Mn. Overall, cross-sectional associations between Mn biomarkers and measures of child intelligence were mostly statistically nonsignificant but in a negative direction; however, the lone prospective cohort study found mostly null results, with some positive (favorable) associations between dentin Mn and child intelligence. Studies were methodologically limited by their cross-sectional design and potential for confounding and selection bias, as well as unaddressed questions on exposure assessment validity and biological plausibility. CONCLUSIONS The statistical associations reported in the few studies of specific Mn biomarkers and specific neurodevelopmental endpoints do not establish causal effects based on the Bradford Hill considerations. Additional prospective cohort studies of Mn biomarkers and validated neurodevelopmental outcomes, and a better understanding of the etiologic relevance of Mn biomarkers, are needed to shed light on whether environmental exposure to Mn causes adverse neurodevelopmental effects in children.
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Affiliation(s)
- Megan J Leonhard
- Exponent, Inc., Center for Health Sciences, 15375 SE 30th Place, Suite 250, Bellevue, WA 98007, United States.
| | - Ellen T Chang
- Exponent, Inc., Center for Health Sciences, 149 Commonwealth Drive, Menlo Park, CA 94025, United States.
| | - Anne E Loccisano
- Exponent, Inc., Center for Health Sciences, 1800 Diagonal Road, Suite 500, Alexandria, VA 22314, United States.
| | - Michael R Garry
- Exponent, Inc., Center for Health Sciences, 15375 SE 30th Place, Suite 250, Bellevue, WA 98007, United States.
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58
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Irizar A, Gil F, Lertxundi A, Martín-Domingo MC, Urbieta N, Molinuevo A, Ibarluzea J, Basterrechea M, Aurrekoetxea JJ, Jiménez-Zabala A, Santa-Marina L. Manganese levels in newborns' hair by maternal sociodemographic, dietary and environmental factors. ENVIRONMENTAL RESEARCH 2019; 170:92-100. [PMID: 30576994 DOI: 10.1016/j.envres.2018.11.038] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Revised: 11/21/2018] [Accepted: 11/22/2018] [Indexed: 06/09/2023]
Abstract
Exposure to manganese (Mn) has been associated with neurodevelopmental problems in children. Mn exposure begins in utero, and maternal sociodemographic, dietary and environmental factors may affect Mn levels in newborns' hair. This study aimed to characterize in utero Mn exposure using Mn levels in newborns' hair as a biomarker of prenatal exposure, and to analyze its relationship with sociodemographic, dietary and environmental factors in the Spanish INMA-Gipuzkoa cohort. Overall, 638 pregnant women were recruited in the first trimester of pregnancy and a hair sample was obtained from 473 newborns. Sociodemographic, dietary and environmental data were recorded through two questionnaires administered in the first and third trimesters of pregnancy. The median Mn concentration in newborns´ hair was 0.31 µg/g (P5 = 0.02; P95 = 1.23). Mn levels in newborns´ hair were associated with smoking during pregnancy (β = 0.222; 95% CI = 0.065-0.379) and with maternal PM2.5 exposure (β = 0.025; 95% CI = 0.004; 0.047), as well as with cereal and pasta intake in the first trimester of pregnancy (β = 0.002; 95% CI = 0.0004; 0.003). In conclusion, fetal exposure to Mn was associated with smoking and exposure to atmospheric pollution during pregnancy.
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Affiliation(s)
- A Irizar
- BIODONOSTIA Health Research Institute, Paseo Dr. Beguiristain, San Sebastian 20014, Spain.
| | - F Gil
- Department of Legal Medicine and Toxicology, School of Medicine, University of Granada, Spain
| | - A Lertxundi
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, C/Monforte de Lemos 3-5, 28029 Madrid, Spain; Department of Preventive Medicine and Public Health of the University of the Basque Country (UPV-EHU), Spain
| | - M C Martín-Domingo
- Department of Legal Medicine and Toxicology, School of Medicine, University of Granada, Spain
| | - N Urbieta
- BIODONOSTIA Health Research Institute, Paseo Dr. Beguiristain, San Sebastian 20014, Spain
| | - A Molinuevo
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, C/Monforte de Lemos 3-5, 28029 Madrid, Spain
| | - J Ibarluzea
- BIODONOSTIA Health Research Institute, Paseo Dr. Beguiristain, San Sebastian 20014, Spain; Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, C/Monforte de Lemos 3-5, 28029 Madrid, Spain; Public Health Division of Gipuzkoa, Basque Government, 4 Av. de Navarra, San Sebastian 20013, Spain
| | - M Basterrechea
- BIODONOSTIA Health Research Institute, Paseo Dr. Beguiristain, San Sebastian 20014, Spain; Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, C/Monforte de Lemos 3-5, 28029 Madrid, Spain; Public Health Division of Gipuzkoa, Basque Government, 4 Av. de Navarra, San Sebastian 20013, Spain
| | - J J Aurrekoetxea
- BIODONOSTIA Health Research Institute, Paseo Dr. Beguiristain, San Sebastian 20014, Spain; Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, C/Monforte de Lemos 3-5, 28029 Madrid, Spain; Public Health Division of Gipuzkoa, Basque Government, 4 Av. de Navarra, San Sebastian 20013, Spain; Department of Preventive Medicine and Public Health of the University of the Basque Country (UPV-EHU), Spain
| | - A Jiménez-Zabala
- Public Health Division of Gipuzkoa, Basque Government, 4 Av. de Navarra, San Sebastian 20013, Spain
| | - L Santa-Marina
- BIODONOSTIA Health Research Institute, Paseo Dr. Beguiristain, San Sebastian 20014, Spain; Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, C/Monforte de Lemos 3-5, 28029 Madrid, Spain; Public Health Division of Gipuzkoa, Basque Government, 4 Av. de Navarra, San Sebastian 20013, Spain
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59
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Zhou CC, Gao ZY, He YQ, Wu MQ, Chen F, Wang J, Liu JX, Yan CH. Effects of lead, mercury, aluminium and manganese co-exposure on the serum BDNF concentration of pre-school children in Taizhou, China. CHEMOSPHERE 2019; 217:158-165. [PMID: 30415114 DOI: 10.1016/j.chemosphere.2018.11.028] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Revised: 10/18/2018] [Accepted: 11/02/2018] [Indexed: 06/09/2023]
Abstract
Previous studies have shown that toxic metal exposure can have adverse effects on the nervous system of children, but the toxicology of metal co-exposure on neurodevelopment remains to be clarified. Brain derived neurotrophic factor (BDNF) plays an important role in nervous system development, but the possible effects of metal co-exposure on the serum BDNF concentrations of children remain unknown. A total of 561 children living in Taizhou City, China were recruited to participate in our cross-sectional multicenter survey. We measured their blood Pb, Hg, Al and Mn levels and serum BDNF concentrations as well as determined their associations in the total and within sex subgroups. The geometric means of the blood Pb, Hg, Al and Mn levels in all the participants were 67.18 μg/L, 1.01 μg/L, 52.03 μg/L and 18.26 μg/L, respectively. The serum BDNF concentration in children was 19.45 ng/mL. After adjusting for confounders, the blood Pb levels were significantly negatively associated with the serum BDNF concentrations in all the subjects and boys but not in girls. In addition, a significantly negative interaction between blood Pb and blood Hg and a positive interaction between blood Pb and blood Al on serum BDNF concentrations were also observed in boys but not in girls. Our findings highlight the toxic effects of metal co-exposure on serum BDNF levels in pre-school children and indicate that these effects might differ by gender, which suggest that special attention should be paid to the sex-specific effects of metal exposure.
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Affiliation(s)
- Can-Can Zhou
- MOE-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, PR China
| | - Zhen-Yan Gao
- MOE-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, PR China; Shanghai First Maternity and Infant Hospital, Tongji University, Shanghai, 200040, PR China
| | - Yu-Qiong He
- Department of Pharmacognosy, Second Military Medical University School of Pharmacy, Shanghai, 200433, PR China
| | - Mei-Qin Wu
- MOE-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, PR China
| | - Fei Chen
- East China University of Science and Technology, Shanghai, 200237, PR China
| | - Ju Wang
- MOE-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, PR China
| | - Jun-Xia Liu
- MOE-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, PR China
| | - Chong-Huai Yan
- MOE-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, PR China.
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Calderón Guzmán D, Juárez Olguín H, Osnaya Brizuela N, Hernández Garcia E, Lindoro Silva M. The Use of Trace and Essential Elements in Common Clinical Disorders: Roles in Assessment of Health and Oxidative Stress Status. Nutr Cancer 2019; 71:13-20. [PMID: 30663392 DOI: 10.1080/01635581.2018.1557214] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
During the early life, the diet of infants is mainly dominated by milk. Milk is a natural food rich in trace elements focus on essential elements. These elements are very necessary for human metabolism and since they cannot be synthesized by the body, the only source available for the humans to obtain them is by ingestion of natural food. This mini-review aims at updating the knowledge on trace elements, outlining their natural food sources, and their possible implications in common clinical disorders in early and adult life. However, it was found that consumption of food with micronutrients and trace elements may release intracellular compounds and offer oxidative protection or exacerbate oxidative damage to metabolically compromised cells.
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Affiliation(s)
- David Calderón Guzmán
- a Laboratorio de Neurociencias, Instituto Nacional de Pediatría (INP), Mexico City, Mexico
| | - Hugo Juárez Olguín
- b Laboratorio de Farmacología, INP and Facultad de Medicina , Universidad Nacional Autónoma de México , Mexico City , Mexico
| | - Norma Osnaya Brizuela
- a Laboratorio de Neurociencias, Instituto Nacional de Pediatría (INP), Mexico City, Mexico
| | - Ernestina Hernández Garcia
- b Laboratorio de Farmacología, INP and Facultad de Medicina , Universidad Nacional Autónoma de México , Mexico City , Mexico
| | - Miroslava Lindoro Silva
- b Laboratorio de Farmacología, INP and Facultad de Medicina , Universidad Nacional Autónoma de México , Mexico City , Mexico
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61
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Popichak KA, Afzali MF, Kirkley KS, Tjalkens RB. Glial-neuronal signaling mechanisms underlying the neuroinflammatory effects of manganese. J Neuroinflammation 2018; 15:324. [PMID: 30463564 PMCID: PMC6247759 DOI: 10.1186/s12974-018-1349-4] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Accepted: 10/29/2018] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND Exposure to increased manganese (Mn) causes inflammation and neuronal injury in the cortex and basal ganglia, resulting in neurological symptoms resembling Parkinson's disease. The mechanisms underlying neuronal death from exposure to Mn are not well understood but involve inflammatory activation of microglia and astrocytes. Expression of neurotoxic inflammatory genes in glia is highly regulated through the NF-κB pathway, but factors modulating neurotoxic glial-glial and glial-neuronal signaling by Mn are not well understood. METHODS We examined the role of NF-κB in Mn-induced neurotoxicity by exposing purified microglia, astrocytes (from wild-type and astrocyte-specific IKK knockout mice), and mixed glial cultures to varying Mn concentrations and then treating neurons with the conditioned media (GCM) of each cell type. We hypothesized that mixed glial cultures exposed to Mn (0-100 μM) would enhance glial activation and neuronal death compared to microglia, wild-type astrocytes, or IKK-knockout astrocytes alone or in mixed cultures. RESULTS Mixed glial cultures treated with 0-100 μM Mn for 24 h showed the most pronounced effect of increased expression of inflammatory genes including inducible nitric oxide synthase (Nos2), Tnf, Ccl5, Il6, Ccr2, Il1b, and the astrocyte-specific genes, C3 and Ccl2. Gene deletion of IKK2 in astrocytes dramatically reduced cytokine release in Mn-treated mixed glial cultures. Measurement of neuronal viability and apoptosis following exposure to Mn-GCM demonstrated that mixed glial cultures induced greater neuronal death than either cell type alone. Loss of IKK in astrocytes also decreased neuronal death compared to microglia alone, wild-type astrocytes, or mixed glia. CONCLUSIONS This suggests that astrocytes are a critical mediator of Mn neurotoxicity through enhanced expression of inflammatory cytokines and chemokines, including those most associated with a reactive phenotype such as CCL2 but not C3.
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Affiliation(s)
- Katriana A. Popichak
- Department of Environmental and Radiological Health Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, 1680 Campus Delivery, Physiology Building, Room 101, Fort Collins, CO 80523-1680 USA
| | - Maryam F. Afzali
- Department of Microbiology, Immunology and Pathology, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO USA
| | - Kelly S. Kirkley
- Department of Biomedical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO USA
| | - Ronald B. Tjalkens
- Department of Environmental and Radiological Health Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, 1680 Campus Delivery, Physiology Building, Room 101, Fort Collins, CO 80523-1680 USA
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Cigan SS, McGovern PM, Choudhary K, Miller NC, Georgieff M, Rao R, Stepanov I. Toenail manganese as a potential biomarker for in utero and early childhood exposure studies. Sci Rep 2018; 8:17034. [PMID: 30451873 PMCID: PMC6242873 DOI: 10.1038/s41598-018-35112-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Accepted: 10/26/2018] [Indexed: 12/31/2022] Open
Abstract
Elevated in utero and early childhood exposure to manganese may have adverse effects on neurodevelopment. We conducted preliminary analyses to evaluate toenails as a matrix for investigating manganese exposure in infants. Infant and maternal toenail and hair samples were collected from 25 infants (7 months old) and their mothers. A subset of mothers was recruited in the third trimester of pregnancy and some also provided pre-natal toenail, hair, and blood samples, cord blood, and additional post-natal samples. Collected samples were analyzed by inductively coupled plasma mass-spectrometry. Toenail manganese levels in infants ranged from below the limit of detection (LOD) to 2.80 µg/g. Only 1 toenail sample and 4 hair samples contained levels of manganese below LOD. Associations between infant and maternal biomarkers were not statistically significant. Analysis of multiple post-natal toenail samples from a single infant-mother pair showed an increase in the infant’s toenail manganese and a decrease in maternal toenail manganese over the first year of the infant’s life. Overall, our findings suggest that toenails may serve as a valuable biological matrix for measuring manganese exposure in newborns and infants; however, additional studies are needed to determine the impact of the timing of toenail sample collection on its utility in assessing early life exposure and health outcomes.
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Affiliation(s)
- Shannon S Cigan
- School of Public Health, Division of Environmental Health Sciences, University of Minnesota, Minneapolis, MN, 55455, USA
| | - Patricia M McGovern
- School of Public Health, Division of Environmental Health Sciences, University of Minnesota, Minneapolis, MN, 55455, USA
| | - Kriti Choudhary
- School of Public Health, Division of Environmental Health Sciences, University of Minnesota, Minneapolis, MN, 55455, USA
| | - Neely C Miller
- School of Public Health, Division of Environmental Health Sciences, University of Minnesota, Minneapolis, MN, 55455, USA.,Medical School and Department of Pediatrics, Division of Neonatology, University of Minnesota, Minneapolis, MN, 55454, USA.,Center for Neurobehavioral Development, University of Minnesota, Minneapolis, MN, 55414, USA
| | - Michael Georgieff
- Medical School and Department of Pediatrics, Division of Neonatology, University of Minnesota, Minneapolis, MN, 55454, USA.,Center for Neurobehavioral Development, University of Minnesota, Minneapolis, MN, 55414, USA
| | - Raghavendra Rao
- Medical School and Department of Pediatrics, Division of Neonatology, University of Minnesota, Minneapolis, MN, 55454, USA
| | - Irina Stepanov
- School of Public Health, Division of Environmental Health Sciences, University of Minnesota, Minneapolis, MN, 55455, USA. .,Masonic Cancer Center, University of Minnesota, Minneapolis, MN, 55455, USA.
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63
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Rodrigues JLG, Araújo CFS, Dos Santos NR, Bandeira MJ, Anjos ALS, Carvalho CF, Lima CS, Abreu JNS, Mergler D, Menezes-Filho JA. Airborne manganese exposure and neurobehavior in school-aged children living near a ferro-manganese alloy plant. ENVIRONMENTAL RESEARCH 2018; 167:66-77. [PMID: 30007874 DOI: 10.1016/j.envres.2018.07.007] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Revised: 07/01/2018] [Accepted: 07/04/2018] [Indexed: 05/06/2023]
Abstract
Excessive exposure to Mn can lead to its accumulation in the brain with neurotoxic consequences. In children, elevated Mn has been associated with deficits in certain neuropsychological domains such as cognition, motor function, memory and attention, and in some instances, hyperactivity and behavioral problems. The aim of this study was to evaluate behavioral effects in school-aged children living near a ferro-manganese alloy plant and examine their association with Mn exposure. Occipital hair, toenails and blood samples were collected from 225 children (7-12 years old) enrolled in four elementary schools with different levels of exposure to Mn, based on dust Mn deposition rates. Full data set collection was completed and run from 165 children. Mn in hair (MnH), toenails (MnTn), blood (MnB) and blood lead levels (PbB) were determined by graphite furnace atomic absorption spectrometry. Children's behavior was assessed with the Child Behavior Check List (CBCL) reported by parents. Median levels and range of MnH, MnT and MnB were, respectively, 0.73 µg/g (0.16-8.79), 0.84 µg/g (0.15-9.29) and 8.98 μg/L (1.51-40.43). Median and range of PbB were 1.2 µg/dL (0.2-15.6). MnH and MnB were not associated with any scale of the CBCL behavior scores. We found a positive association between logMnTn and raw total CBCL score (β = 10.17, p = 0.034), adjusting for sex, age, maternal IQ and logPbB. Analyses using Generalized Additive Model showed non-linear associations between MnTn and externalizing behavior (p = 0.035), as well as with the related subscales: aggressive behavior (p = 0.045) and rule-breaking behavior (p = 0.024). Further positive associations were observed between MnTn and thought problems (p = 0.031) and social problems (p = 0.027). These findings corroborate previous studies showing an association between Mn exposures and externalizing behavior. Our results suggest that toenail Mn, as a biomarker of environmental exposure, is associated with disruptive behavior in children living near a ferro-manganese alloy plant.
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Affiliation(s)
- Juliana L G Rodrigues
- Laboratory of Toxicology, College of Pharmacy, Federal University of Bahia, Brazil; Graduate Program in Pharmacy, College of Pharmacy, Federal University of Bahia, Brazil.
| | - Cecília F S Araújo
- Environmental and Public Health Program, National School of Public Health, Oswald Cruz Foundation. Rio de Janeiro, Brazil.
| | - Nathália R Dos Santos
- Laboratory of Toxicology, College of Pharmacy, Federal University of Bahia, Brazil; Graduate Program in Pharmacy, College of Pharmacy, Federal University of Bahia, Brazil.
| | - Matheus J Bandeira
- Laboratory of Toxicology, College of Pharmacy, Federal University of Bahia, Brazil; Graduate Program in Pharmacy, College of Pharmacy, Federal University of Bahia, Brazil.
| | - Ana Laura S Anjos
- Laboratory of Toxicology, College of Pharmacy, Federal University of Bahia, Brazil.
| | | | - Cassio S Lima
- Institute of Psychology, Federal University of Bahia, Brazil.
| | | | - Donna Mergler
- Centre de Recherche Interdisciplinaire sur le Bien-Être, la Santé, la Société et l'Environnement (CINBIOSE), Université du Québec à Montreal, Canada.
| | - José A Menezes-Filho
- Laboratory of Toxicology, College of Pharmacy, Federal University of Bahia, Brazil; Graduate Program in Pharmacy, College of Pharmacy, Federal University of Bahia, Brazil.
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64
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Otero-Pregigueiro D, Fernández-Olmo I. Use of CALPUFF to predict airborne Mn levels at schools in an urban area impacted by a nearby manganese alloy plant. ENVIRONMENT INTERNATIONAL 2018; 119:455-465. [PMID: 30031265 DOI: 10.1016/j.envint.2018.07.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Revised: 07/02/2018] [Accepted: 07/03/2018] [Indexed: 06/08/2023]
Abstract
Children are susceptible to the health effects derived from elevated manganese (Mn) environmental exposure; residents living in urban areas where ferromanganese alloy plants are located are usually exposed to high Mn levels. In this work, a dispersion model developed by the USEPA, CALPUFF, has been used to estimate the airborne Mn levels near educational centers located in Santander bay, Northern Spain, an urban area where high Mn levels have been measured in the last decade. The CALPUFF model was validated in a previous work from a multi-site one-year observation dataset. Air manganese levels in 96 primary, secondary and high schools located in Santander bay were estimated using the CALPUFF model for two months corresponding to warm and cold periods using real meteorological data and Mn emission rates corresponding to different emission scenarios. Results show that when the emission scenario that best represented the observations dataset is used, the air Mn levels exceed the WHO guideline (i.e. 150 ng Mn/m3) in 24% and 11% of the studied schools in the cold and warm periods respectively. These exceedances depend on the distance from the FeMn alloy plant and the direction of the prevailing winds. Additional emission scenarios based on the implementation of preventive and corrective measures are simulated and analysed in terms of the number of exceedances of the WHO guideline. The age range of children has been also considered in the analysis.
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Affiliation(s)
- Daniel Otero-Pregigueiro
- Chemical and Biomolecular Engineering Department, University of Cantabria, Avda. Los Castros s/n, 39005 Santander, Cantabria, Spain
| | - Ignacio Fernández-Olmo
- Chemical and Biomolecular Engineering Department, University of Cantabria, Avda. Los Castros s/n, 39005 Santander, Cantabria, Spain.
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65
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Rehman UU, Khan S, Muhammad S. Associations of potentially toxic elements (PTEs) in drinking water and human biomarkers: a case study from five districts of Pakistan. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2018; 25:27912-27923. [PMID: 30058038 DOI: 10.1007/s11356-018-2755-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Accepted: 07/13/2018] [Indexed: 06/08/2023]
Abstract
Potentially toxic elements (PTEs) are hazardous contaminants with great global environmental/ecological concerns due to their toxic, persistence, and bio-accumulative nature. This study investigates the concentrations of PTEs (Cd, Co, Cu, Fe, Ni, Mn, Pb, and Zn) in drinking water sources and consumers' biomarkers such as hair, nails, urine, and blood. For this purpose, drinking water (n = 190) and consumer biomarker (n = 60) samples were collected from five districts of the Southern Khyber Pakhtunkhwa, Pakistan. Samples were extracted and analyzed for selected PTEs concentrations using an inductively coupled plasma mass spectrometer (ICP-MS, PerkinElmer Optima 7000 DV, USA). The concentrations of PTEs were observed within the drinking water guidelines set by the World Health Organization (WHO), except for Fe, Mn, and Pb. The determined concentrations of PTEs were used to evaluate the health risk through exposure, particularly hazard quotient (HQ) and hazard index (HI). The PTEs contamination of drinking water has led to the highest mean ADI values (39.0 and 91.8 μg/kg/day) and HQ values (0.306 and 0.130) for Zn in adults and children, respectively. The mean values of HQ and HI for selected PTEs were observed within the safe health limits (< 1). Among studied biomarkers, hair showed the highest concentrations for Mn, Zn, Cd, and Pb, plasma for Co and Cu, nails for Ni, and red blood cells (RBCs) for Fe only. This study concluded that chronic exposure of PTEs through drinking water consumption has led to their bioaccumulation in human biomarkers.
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Affiliation(s)
- Ubaid Ur Rehman
- Department of Environmental Sciences, University of Peshawar, Peshawar, 25120, Pakistan
| | - Sardar Khan
- Department of Environmental Sciences, University of Peshawar, Peshawar, 25120, Pakistan.
| | - Said Muhammad
- Department of Earth Sciences, COMSATS University, Tobe Camp, Abbottabad, 22060, Pakistan.
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66
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Haynes EN, Hilbert T, Sucharew H, Dietrich KN. Response to "Comment on 'Impact of air manganese on child neurodevelopment in East Liverpool, Ohio' by Haynes et al. (2018)". Neurotoxicology 2018; 68:149-150. [PMID: 30081052 DOI: 10.1016/j.neuro.2018.07.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2018] [Accepted: 07/26/2018] [Indexed: 11/25/2022]
Affiliation(s)
- Erin N Haynes
- University of Cincinnati, Department of Environmental Health, College of Medicine, United States.
| | - Tim Hilbert
- University of Cincinnati, Department of Environmental Health, College of Medicine, United States
| | - Heidi Sucharew
- Cincinnati Children's Hospital Medical Center, Division of Biostatistics and Epidemiology, United States
| | - Kim N Dietrich
- University of Cincinnati, Department of Environmental Health, College of Medicine, United States
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Otero-Pregigueiro D, Hernández-Pellón A, Borge R, Fernández-Olmo I. Estimation of PM 10-bound manganese concentration near a ferromanganese alloy plant by atmospheric dispersion modelling. THE SCIENCE OF THE TOTAL ENVIRONMENT 2018; 627:534-543. [PMID: 29426176 DOI: 10.1016/j.scitotenv.2018.01.246] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2017] [Revised: 01/04/2018] [Accepted: 01/24/2018] [Indexed: 05/12/2023]
Abstract
Numerous studies have associated air manganese (Mn) exposure with negative health effects, primarily neurotoxic disorders. This work presents a description of the emission and dispersion of PM10-bound Mn from industrial sources in the Santander bay area, Northern Spain. A detailed day-specific emission estimation was made and assessed for the main Mn source, a manganese alloy production plant under 8 different scenarios. Dispersion analysis of PM10-bound Mn was performed using the CALPUFF model. The model was validated from an observation dataset including 101 daily samples from four sites located in the vicinities of the manganese alloy plant. Model results were in reasonable agreement with observations (r = 0.37; NMSE = 2.08; Fractional Bias = 0.44 and Modelled/Observed ratio = 1.57). Simulated and observed Mn concentrations in the study area were much higher than the guidelines proposed by the World Health Organization (WHO) and the U.S. Environmental Protection Agency (USEPA), highlighting the need to reduce the Mn concentrations in the area. Based on the analysis of the Mn source contribution from the ferromanganese alloy plant, some preventive and corrective measures are discussed at the end of the paper. This work shows that CALPUFF dispersion model can be used to predict PM10-bound Mn concentrations with reasonable accuracy in the vicinities of industrial facilities allowing the exposure assessment of the nearby population, which can be used in future epidemiological studies.
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Affiliation(s)
- Daniel Otero-Pregigueiro
- Chemical and Biomolecular Engineering Department, University of Cantabria, Avda. Los Castros s/n, 39005 Santander, Cantabria, Spain
| | - Ana Hernández-Pellón
- Chemical and Biomolecular Engineering Department, University of Cantabria, Avda. Los Castros s/n, 39005 Santander, Cantabria, Spain
| | - Rafael Borge
- Environmental Modelling Laboratory, Department of Chemical & Environmental Engineering, Technical University of Madrid, (UPM), 28006 Madrid, Spain
| | - Ignacio Fernández-Olmo
- Chemical and Biomolecular Engineering Department, University of Cantabria, Avda. Los Castros s/n, 39005 Santander, Cantabria, Spain.
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68
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Mora AM, Córdoba L, Cano JC, Hernandez-Bonilla D, Pardo L, Schnaas L, Smith DR, Menezes-Filho JA, Mergler D, Lindh CH, Eskenazi B, van Wendel de Joode B. Prenatal Mancozeb Exposure, Excess Manganese, and Neurodevelopment at 1 Year of Age in the Infants' Environmental Health (ISA) Study. ENVIRONMENTAL HEALTH PERSPECTIVES 2018; 126:057007. [PMID: 29847083 PMCID: PMC6072008 DOI: 10.1289/ehp1955] [Citation(s) in RCA: 50] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2017] [Revised: 04/10/2018] [Accepted: 04/24/2018] [Indexed: 05/14/2023]
Abstract
BACKGROUND Although growing evidence suggests that early-life excess manganese (Mn) impairs neurodevelopment, data on the neurodevelopmental effects of mancozeb, a fungicide containing Mn, and its main metabolite ethylenethiourea (ETU) are limited. OBJECTIVE We examined whether prenatal mancozeb exposure and excess Mn were associated with neurodevelopment in 355 1-y-old infants living near banana plantations with frequent aerial mancozeb spraying in Costa Rica. METHODS We measured urinary ETU, hair Mn, and blood Mn concentrations in samples collected 1-3 times during pregnancy from mothers enrolled in the Infants' Environmental Health (ISA) study. We then assessed neurodevelopment in their 1-y-old infants using the Bayley Scales of Infant and Toddler Development, 3rd edition (BSID-III). We estimated exposure-outcome associations using linear regression models adjusted for maternal education, parity, gestational age at birth, child age, Home Observation for Measurement of the Environment score, and location of neurodevelopmental assessment. RESULTS Median (P25-P75) urinary ETU, hair Mn, and blood Mn measured during pregnancy were 3.3 μg/L (2.4-4.9; specific gravity-corrected), 1.7 μg/g (0.9-4.1), and 24.0 μg/L (20.3-28.0), respectively. Among girls, higher ETU was associated with lower social-emotional scores [β per 10-fold increase=-7.4 points (95% CI: -15.2, 0.4)], whereas higher hair Mn was associated with lower cognitive scores [-3.0 (-6.1, 0.1)]. Among boys, higher hair Mn was associated with lower social-emotional scores [-4.6 (-8.5, -0.8)]. We observed null associations for blood Mn, language, and motor outcomes. CONCLUSIONS Our findings indicate that maternal exposure to mancozeb and excess Mn during pregnancy may have adverse and sex-specific effects on infant neurodevelopment. https://doi.org/10.1289/EHP1955.
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Affiliation(s)
- Ana María Mora
- Central American Institute for Studies on Toxic Substances (IRET), Universidad Nacional, Heredia, Costa Rica
- Center for Environmental Research and Children’s Health (CERCH), School of Public Health, University of California at Berkeley, Berkeley, California, USA
| | - Leonel Córdoba
- Central American Institute for Studies on Toxic Substances (IRET), Universidad Nacional, Heredia, Costa Rica
| | - Juan Camilo Cano
- Central American Institute for Studies on Toxic Substances (IRET), Universidad Nacional, Heredia, Costa Rica
| | | | - Larissa Pardo
- Central American Institute for Studies on Toxic Substances (IRET), Universidad Nacional, Heredia, Costa Rica
| | - Lourdes Schnaas
- Division of Research in Community Interventions, National Institute of Perinatology, Mexico City, Mexico
| | - Donald R Smith
- Department of Microbiology and Environmental Toxicology, University of California at Santa Cruz, Santa Cruz, California, USA
| | | | - Donna Mergler
- Centre for Interdisciplinary Research Centre on Health, Well-being, Society and Environment (CINBIOSE), University of Quebec in Montreal, Montreal, Quebec, Canada
| | - Christian H Lindh
- Division of Occupational and Environmental Medicine, Institute of Laboratory Medicine, Lund University, Lund, Sweden
| | - Brenda Eskenazi
- Center for Environmental Research and Children’s Health (CERCH), School of Public Health, University of California at Berkeley, Berkeley, California, USA
| | - Berna van Wendel de Joode
- Central American Institute for Studies on Toxic Substances (IRET), Universidad Nacional, Heredia, Costa Rica
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69
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Rodrigues JLG, Bandeira MJ, Araújo CFS, Dos Santos NR, Anjos ALS, Koin NL, Pereira LC, Oliveira SSP, Mergler D, Menezes-Filho JA. Manganese and lead levels in settled dust in elementary schools are correlated with biomarkers of exposure in school-aged children. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2018; 236:1004-1013. [PMID: 29287923 DOI: 10.1016/j.envpol.2017.10.132] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Revised: 10/27/2017] [Accepted: 10/28/2017] [Indexed: 05/12/2023]
Abstract
Previously, we showed that manganese (Mn) levels in settled dust in elementary schools increased at a rate of 34.1% per km closer to a ferro-manganese alloy plant in the rainy season. In this study, we investigated how this environmental pollution indicator varied in the dry season and if there was an association with Mn biomarker levels in school-aged children. Dust samples were collected with passive samplers (disposable Petri dishes) placed in interior and exterior environments of 14 elementary schools. Occipital hair, toenails and blood samples were collected from 173 students aged 7-12 years from three of these schools, with varying distance from the industrial plant. Mn and lead (Pb) levels were measured by graphite furnace atomic absorption spectrometry. Mn concentration geometric means (GM) in dust fall accumulation in interior environments of schools located at 2, 4, 6 and > 6 km-radii from the plant were 2212, 584, 625 and 224 μg Mn/m2/30 days, respectively. The modelled rate of change of dust Mn levels decreases by 59.8% for each km further from the plant. Pb levels in settled dust varied between 18 and 81 μg/m2/30 days with no association with distance from the plant. Blood lead levels median (range) were 1.2 μg/dL (0.2-15.6), of which 97.8% were <5 μg/dL. Mn in hair and toenails were 0.66 μg/g (0.16-8.79) and 0.86 μg/g (0.15-13.30), respectively. Mn loading rates were positively associated with log MnH (β = 1.42 × 10-5, p < 0.001) after adjusting for children's age; and also with log MnTn (β = 2.31 × 10-5, p < 0.001) independent of age. Mn loading rates explained 18.5% and 28.5% of the variance in MnH and MnTn levels, respectively. School-aged children exposure to Mn, independently of age, increases significantly with school proximity to the ferro-manganese alloy plant.
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Affiliation(s)
- Juliana L G Rodrigues
- Laboratory of Toxicology, College of Pharmacy, Federal University of Bahia, Brazil; Graduate Program in Pharmacy, College of Pharmacy, Federal University of Bahia, Brazil.
| | - Matheus J Bandeira
- Laboratory of Toxicology, College of Pharmacy, Federal University of Bahia, Brazil; Graduate Program in Pharmacy, College of Pharmacy, Federal University of Bahia, Brazil.
| | - Cecília F S Araújo
- Environmental and Public Health Program, National School of Public Health, Oswald Cruz Foundation, Rio de Janeiro, Brazil.
| | - Nathália R Dos Santos
- Laboratory of Toxicology, College of Pharmacy, Federal University of Bahia, Brazil; Graduate Program in Pharmacy, College of Pharmacy, Federal University of Bahia, Brazil.
| | - Ana Laura S Anjos
- Laboratory of Toxicology, College of Pharmacy, Federal University of Bahia, Brazil.
| | - Ng Lai Koin
- Laboratory of Toxicology, College of Pharmacy, Federal University of Bahia, Brazil.
| | - Laiz C Pereira
- Laboratory of Toxicology, College of Pharmacy, Federal University of Bahia, Brazil.
| | - Sérgio S P Oliveira
- Laboratory of Toxicology, College of Pharmacy, Federal University of Bahia, Brazil.
| | - Donna Mergler
- Centre de Recherche Interdisciplinaire sur le Bien-Être, la Santé, la Société et l'Environnement (CINBIOSE), Université du Québec à Montreal, Canada.
| | - José A Menezes-Filho
- Laboratory of Toxicology, College of Pharmacy, Federal University of Bahia, Brazil; Graduate Program in Pharmacy, College of Pharmacy, Federal University of Bahia, Brazil.
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70
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Webb E, Moon J, Dyrszka L, Rodriguez B, Cox C, Patisaul H, Bushkin S, London E. Neurodevelopmental and neurological effects of chemicals associated with unconventional oil and natural gas operations and their potential effects on infants and children. REVIEWS ON ENVIRONMENTAL HEALTH 2018; 33:3-29. [PMID: 29068792 DOI: 10.1515/reveh-2017-0008] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2017] [Accepted: 07/28/2017] [Indexed: 05/05/2023]
Abstract
Heavy metals (arsenic and manganese), particulate matter (PM), benzene, toluene, ethylbenzene, xylenes (BTEX), polycyclic aromatic hydrocarbons (PAHs) and endocrine disrupting chemicals (EDCs) have been linked to significant neurodevelopmental health problems in infants, children and young adults. These substances are widely used in, or become byproducts of unconventional oil and natural gas (UOG) development and operations. Every stage of the UOG lifecycle, from well construction to extraction, operations, transportation and distribution can lead to air and water contamination. Residents near UOG operations can suffer from increased exposure to elevated concentrations of air and water pollutants. Here we focus on five air and water pollutants that have been associated with potentially permanent learning and neuropsychological deficits, neurodevelopmental disorders and neurological birth defects. Given the profound sensitivity of the developing brain and central nervous system, it is reasonable to conclude that young children who experience frequent exposure to these pollutants are at particularly high risk for chronic neurological diseases. More research is needed to understand the extent of these concerns in the context of UOG, but since UOG development has expanded rapidly in recent years, the need for public health prevention techniques, well-designed studies and stronger state and national regulatory standards is becoming increasingly apparent.
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Affiliation(s)
- Ellen Webb
- Center for Environmental Health, 2201 Broadway, Suite 302, Oakland, CA 94612, USA
| | | | - Larysa Dyrszka
- Physicians for Social Responsibility, Glen Spey, NY, USA
| | | | - Caroline Cox
- Center for Environmental Health, Oakland, CA, USA
| | - Heather Patisaul
- North Carolina State University College of Sciences, Raleigh, NC, USA
| | - Sheila Bushkin
- Institute for Health and the Environment, Albany, NY, USA
| | - Eric London
- Institute for Basic Research, New York, NY, USA
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71
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Vorhees CV, Sprowles JN, Regan SL, Williams MT. A better approach to in vivo developmental neurotoxicity assessment: Alignment of rodent testing with effects seen in children after neurotoxic exposures. Toxicol Appl Pharmacol 2018; 354:176-190. [PMID: 29544898 DOI: 10.1016/j.taap.2018.03.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2017] [Revised: 02/27/2018] [Accepted: 03/11/2018] [Indexed: 10/17/2022]
Abstract
High throughput screens for developmental neurotoxicity (DN) will facilitate evaluation of chemicals and can be used to prioritize those designated for follow-up. DN is evaluated under different guidelines. Those for drugs generally include peri- and postnatal studies and juvenile toxicity studies. For pesticides and commercial chemicals, when triggered, include developmental neurotoxicity studies (DNT) and extended one-generation reproductive toxicity studies. Raffaele et al. (2010) reviewed 69 pesticide DNT studies and found two of the four behavioral tests underperformed. There are now many epidemiological studies on children showing adverse neurocognitive effects, yet guideline DN studies fail to assess most of the functions affected in children; nor do DN guidelines reflect the advances in brain structure-function relationships from neuroscience. By reducing the number of test ages, removing underperforming tests and replacing them with tests that assess cognitive abilities relevant to children, the value of DN protocols can be improved. Testing for the brain networks that mediate higher cognitive functions need to include assessments of working memory, attention, long-term memory (explicit, implicit, and emotional), and executive functions such as cognitive flexibility. The current DNT focus on what can be measured should be replaced with what should be measured. With the wealth of data available from human studies and neuroscience, the recommendation is made for changes to make DN studies better focused on human-relevant functions using tests of proven validity that assess comparable functions to tests used in children. Such changes will provide regulatory authorities with more relevant data.
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Affiliation(s)
- Charles V Vorhees
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA; Division of Neurology, Cincinnati Children's Research Foundation, Cincinnati, OH 45229, USA.
| | - Jenna N Sprowles
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA; Division of Neurology, Cincinnati Children's Research Foundation, Cincinnati, OH 45229, USA
| | - Samantha L Regan
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA; Division of Neurology, Cincinnati Children's Research Foundation, Cincinnati, OH 45229, USA
| | - Michael T Williams
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA; Division of Neurology, Cincinnati Children's Research Foundation, Cincinnati, OH 45229, USA
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72
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Manganese Exposure and Cognition Across the Lifespan: Contemporary Review and Argument for Biphasic Dose-Response Health Effects. Curr Environ Health Rep 2018; 3:392-404. [PMID: 27722879 DOI: 10.1007/s40572-016-0108-x] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Manganese (Mn) is both an essential micronutrient and potential neurotoxicant. This dual role underlies a growing body of literature demonstrating that Mn exhibits a biphasic dose-response relationship with neurocognitive outcomes. We reviewed recent epidemiologic studies from 2007 to 2016 that investigated the relationship between Mn exposure and cognitive outcomes across the lifespan: early life, school-aged children, and adulthood. In total, 27 research articles were included in this review: 12 pediatric and 15 adult studies (10 occupational and five environmental exposures). The majority of these studies provided evidence of the negative effects of Mn exposure on cognition. The pediatric literature provides evidence that both high and low levels of Mn are negatively associated with intellectual development. Future Mn research should include examination of non-linear relationships and multiple neurotoxicants across the lifespan and particularly during critical developmental windows.
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73
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Carvalho CFD, Oulhote Y, Martorelli M, Carvalho COD, Menezes-Filho JA, Argollo N, Abreu N. Environmental manganese exposure and associations with memory, executive functions, and hyperactivity in Brazilian children. Neurotoxicology 2018; 69:253-259. [PMID: 29432852 DOI: 10.1016/j.neuro.2018.02.002] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2017] [Revised: 02/02/2018] [Accepted: 02/03/2018] [Indexed: 12/17/2022]
Abstract
Manganese (Mn) is an essential element, however high levels of Mn have been associated with lower neuropsychological performance and behavioral problems in children. We investigated the associations between hair Mn concentrations and neuropsychological and behavioral performances among children with long-term exposure to airborne Mn aged between 7 and 12 years. Neuropsychological performance included tests of: verbal memory, inhibitory control, cognitive flexibility, verbal fluency, and motor function. We used the Conners Abbreviated Rating Scale for teachers to assess students' behaviors of hyperactivity. Hair manganese (MnH) concentrations in children and exposure to airborne manganese from a ferro-manganese alloy plant were analyzed and correlated with tests scores. Multivariable linear models adjusting for potential confounders showed that elevated levels of MnH were associated with lower performance in verbal memory, as measured by the free recall after interference (β = - 1.8; 95% CI: - 3.4, - 0.2), which indicates susceptibility to interference, and Delayed Effect (β = -2.0; 95% CI: -3.7, - 0.2), representing a loss of information over time. Additionally, we found patterns of effect modification by sex in three subtests measuring verbal memory: the free recall after interference score, Interference Effect, and Delayed Effect (all at p < 0.10). Overall, the results suggest that long-term airborne Mn exposure may be associated with lower performance in verbal memory, and hyperactivity behaviors.
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Affiliation(s)
| | - Youssef Oulhote
- Harvard University - Harvard T. H. Chan School of Public Health, USA
| | | | | | | | - Nayara Argollo
- Federal University of Bahia - College of Medicine, Brazil
| | - Neander Abreu
- Federal University of Bahia - Psychology Institute, Brazil
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Eggers MJ, Doyle JT, Lefthand MJ, Young SL, Moore-Nall AL, Kindness L, Medicine RO, Ford TE, Dietrich E, Parker AE, Hoover JH, Camper AK. Community Engaged Cumulative Risk Assessment of Exposure to Inorganic Well Water Contaminants, Crow Reservation, Montana. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E76. [PMID: 29304032 PMCID: PMC5800175 DOI: 10.3390/ijerph15010076] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/08/2017] [Revised: 12/28/2017] [Accepted: 12/30/2017] [Indexed: 12/19/2022]
Abstract
An estimated 11 million people in the US have home wells with unsafe levels of hazardous metals and nitrate. The national scope of the health risk from consuming this water has not been assessed as home wells are largely unregulated and data on well water treatment and consumption are lacking. Here, we assessed health risks from consumption of contaminated well water on the Crow Reservation by conducting a community-engaged, cumulative risk assessment. Well water testing, surveys and interviews were used to collect data on contaminant concentrations, water treatment methods, well water consumption, and well and septic system protection and maintenance practices. Additive Hazard Index calculations show that the water in more than 39% of wells is unsafe due to uranium, manganese, nitrate, zinc and/or arsenic. Most families' financial resources are limited, and 95% of participants do not employ water treatment technologies. Despite widespread high total dissolved solids, poor taste and odor, 80% of families consume their well water. Lack of environmental health literacy about well water safety, pre-existing health conditions and limited environmental enforcement also contribute to vulnerability. Ensuring access to safe drinking water and providing accompanying education are urgent public health priorities for Crow and other rural US families with low environmental health literacy and limited financial resources.
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Affiliation(s)
- Margaret J Eggers
- Center for Biofilm Engineering, Montana State University, P.O. Box 173980, Bozeman, MT 59717, USA.
- Crow Environmental Health Steering Committee, Little Big Horn College, Crow Agency, MT 59022, USA.
| | - John T Doyle
- Crow Environmental Health Steering Committee, Little Big Horn College, Crow Agency, MT 59022, USA.
- Crow Water Quality Project, P.O. Box 370, Little Big Horn College, Crow Agency, MT 59022, USA.
| | - Myra J Lefthand
- Crow Environmental Health Steering Committee, Little Big Horn College, Crow Agency, MT 59022, USA.
| | - Sara L Young
- Crow Environmental Health Steering Committee, Little Big Horn College, Crow Agency, MT 59022, USA.
| | - Anita L Moore-Nall
- Department of Earth Sciences, Montana State University, P.O. Box 173480, Bozeman, MT 59717, USA.
| | - Larry Kindness
- Crow Environmental Health Steering Committee, Little Big Horn College, Crow Agency, MT 59022, USA.
| | - Roberta Other Medicine
- Crow Environmental Health Steering Committee, Little Big Horn College, Crow Agency, MT 59022, USA.
- Environmental Health Department, Crow/Northern Cheyenne Indian Health Service Hospital,Crow Agency, MT 59022, USA.
| | - Timothy E Ford
- School of Public Health and Health Sciences, University of Massachusetts Amherst, 715 N. Pleasant Street,Amherst, MA 01003, USA.
| | - Eric Dietrich
- Center for Biofilm Engineering, Montana State University, P.O. Box 173980, Bozeman, MT 59717, USA.
| | - Albert E Parker
- Center for Biofilm Engineering, Montana State University, P.O. Box 173980, Bozeman, MT 59717, USA.
- Department of Mathematical Sciences, Montana State University, P.O. Box 173980,Bozeman, MT 59717, USA.
| | - Joseph H Hoover
- Health Sciences Center, MSC09 5360, 1 University of New Mexico, Albuquerque, NM 87131, USA.
| | - Anne K Camper
- Center for Biofilm Engineering, Montana State University, P.O. Box 173980, Bozeman, MT 59717, USA.
- Crow Environmental Health Steering Committee, Little Big Horn College, Crow Agency, MT 59022, USA.
- College of Engineering, Montana State University, P.O. Box 173980, Bozeman, MT 59717, USA.
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75
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Cortez-Lugo M, Riojas-Rodríguez H, Moreno-Macías H, Montes S, Rodríguez-Agudelo Y, Hernández-Bonilla D, Catalán-Vázquez M, Díaz-Godoy R, Rodríguez-Dozal S. Evaluation of the effect of an environmental management program on exposure to manganese in a mining zone in Mexico. Neurotoxicology 2018; 64:142-151. [DOI: 10.1016/j.neuro.2017.08.014] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2017] [Revised: 08/31/2017] [Accepted: 08/31/2017] [Indexed: 12/19/2022]
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Assessment of saliva, hair and toenails as biomarkers of low level exposure to manganese from drinking water in children. Neurotoxicology 2018; 64:126-133. [DOI: 10.1016/j.neuro.2017.08.011] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2017] [Revised: 08/04/2017] [Accepted: 08/29/2017] [Indexed: 12/20/2022]
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77
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Bauer JA, Claus Henn B, Austin C, Zoni S, Fedrighi C, Cagna G, Placidi D, White RF, Yang Q, Coull BA, Smith D, Lucchini RG, Wright RO, Arora M. Manganese in teeth and neurobehavior: Sex-specific windows of susceptibility. ENVIRONMENT INTERNATIONAL 2017; 108:299-308. [PMID: 28941415 PMCID: PMC5679133 DOI: 10.1016/j.envint.2017.08.013] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2017] [Revised: 08/14/2017] [Accepted: 08/22/2017] [Indexed: 05/04/2023]
Abstract
BACKGROUND Manganese (Mn) is an essential element required for growth and development, but higher body burdens have been associated with neurobehavioral decrements in children. OBJECTIVES We examined whether prenatal or postnatal Mn measured in deciduous teeth was associated with scores on a test of visuospatial learning and memory. METHODS Deciduous teeth were collected from 142 participants (ages 10-14years) residing near varied ferro‑manganese industry in Italy. Mn concentrations were measured in prenatal and postnatal tooth regions by laser ablation inductively coupled plasma mass spectrometry (ICP-MS). The Virtual Radial Arm Maze (VRAM), an animal-human analogue task, was used to assess visuospatial learning and memory. We used generalized additive, linear and zero-inflated Poisson mixed regression models to estimate associations between prenatal or postnatal Mn concentrations and repeated measures of all four VRAM outcomes: time, distance, working and reference memory errors. Effect measure modification by sex was examined in stratified models. RESULTS U-shaped associations between prenatal Mn and VRAM outcomes were observed among girls only (pGAMM=0.001 to 0.02 in stratified models). Compared to the mid-tertile of prenatal Mn, girls in the highest tertile took 7.7s [95% CI: -6.1, 21.5] longer to complete the task, traveled 2.3 maze units [0.1, 4.4] farther, and committed more working and reference memory errors (β for count ratio=1.33 [1.01, 1.83]; 1.10 [0.98, 1.24], respectively). This association was not observed among boys. In contrast, for postnatal Mn, no significant associations were found, and patterns were similar for boys and girls. CONCLUSIONS The prenatal period may be a critical window for the impact of environmental Mn on visuospatial ability and executive function, especially for females.
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Affiliation(s)
- Julia Anglen Bauer
- Department of Environmental Health, Boston University School of Public Health, Boston, MA, USA.
| | - Birgit Claus Henn
- Department of Environmental Health, Boston University School of Public Health, Boston, MA, USA
| | - Christine Austin
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Silvia Zoni
- Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Italy
| | - Chiara Fedrighi
- Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Italy
| | - Giuseppa Cagna
- Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Italy
| | - Donatella Placidi
- Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Italy
| | - Roberta F White
- Department of Environmental Health, Boston University School of Public Health, Boston, MA, USA
| | - Qiong Yang
- Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA
| | - Brent A Coull
- Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Donald Smith
- Department of Microbiology and Environmental Toxicology, University of California, Santa Cruz, CA, USA
| | - Roberto G Lucchini
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Italy
| | - Robert O Wright
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Manish Arora
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
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78
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Changes in water manganese levels and longitudinal assessment of intellectual function in children exposed through drinking water. Neurotoxicology 2017; 64:118-125. [PMID: 28870865 DOI: 10.1016/j.neuro.2017.08.015] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2017] [Revised: 08/24/2017] [Accepted: 08/31/2017] [Indexed: 12/24/2022]
Abstract
BACKGROUND Manganese is commonly found in water but potential neurotoxic effects from exposure through drinking water are poorly understood. We previously reported a cross-sectional study showing that drinking water Mn concentration was associated with lower IQ in children aged 6 to 13 years. OBJECTIVE For this follow-up study, we aimed to re-assess the relation between exposure to Mn from drinking water and IQ at adolescence. In addition, we aimed to examine whether changes in drinking water Mn concentration was associated with changes in IQ scores. METHODS From the 380 children enrolled in the baseline study, 287 participated to this follow-up study conducted in average 4.4 years after. Mn concentration was measured in home tap water and children's hair. The relationships between these Mn exposure indicators and IQ scores (Weschsler Abbreviated Scale of Intelligence) at follow-up were assessed with linear regression analysis, adjusting for potential confounders. Intra-individual differences in IQ scores between the two examinations were compared for children whose Mn concentration in water remained stable between examinations, increased or decreased. RESULTS The mean age at follow-up was 13.7 years (range, 10.5 to 18.0 years). Geometric mean of Mn concentration in water at follow-up was 14.5μg/L. Higher Mn concentration in water measured at follow-up was associated with lower Performance IQ in girls (β for a 10-fold increase=-2.8, 95% confidence intervals [CI] -4.8 to -0.8) and higher Performance IQ in boys (β=3.9, 95% CI 1.4 to 6.4). IQ scores were not significantly associated with Mn concentration in hair, although similar trends as for concentration in water were observed. For children whose Mn concentration in water increased between baseline and follow-up, Performance IQ scores decreased significantly (intra-individual difference, -2.4 points). CONCLUSION Higher levels of Mn in drinking water were associated with lower Performance IQ in girls, whereas the opposite was observed in boys. These findings suggest long-term exposure to Mn through drinking water is associated differently with cognition in boys and girls.
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79
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Wahlberg K, Arora M, Curtin A, Curtin P, Wright RO, Smith DR, Lucchini RG, Broberg K, Austin C. Polymorphisms in manganese transporters show developmental stage and sex specific associations with manganese concentrations in primary teeth. Neurotoxicology 2017; 64:103-109. [PMID: 28917719 DOI: 10.1016/j.neuro.2017.09.003] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2017] [Accepted: 09/12/2017] [Indexed: 12/22/2022]
Abstract
BACKGROUND Manganese (Mn) is an essential metal that can become neurotoxic at elevated levels with negative consequences on neurodevelopment. We have evaluated the influence of single nucleotide polymorphisms (SNPs) in Mn transporter genes SLC30A10 and SLC39A8 on Mn concentrations in dentine, a validated biomarker that reflects Mn tissue concentrations early in life. METHODS The study included 195 children with variable environmental Mn exposure. Mn concentrations in dentine representing fetal, early postnatal and early childhood developmental periods were measured using laser ablation-inductively coupled plasma mass spectrometry. SLC30A10 rs12064812 (T/C) and SLC39A8 rs13107325 (C/T) were genotyped by TaqMan real time PCR and SLC30A10 rs1776029 (G/A) by pyrosequencing; and SNPs were analyzed in association with Mn in dentine. RESULTS SLC39A8 rs13107325 rare allele (T) carriers had significantly higher Mn concentrations in postnatal dentine (110%, p=0.008). For all SNPs we also observed non-significant associations with Mn concentrations in dentine in opposite directions for fetal and early postnatal periods. Furthermore, there were significant differences in the influence of SLC30A10 rs1776929 genotypes on Mn concentrations in dentine between sexes. DISCUSSION The findings from this study indicate that common SNPs in Mn transporters influence Mn homeostasis in early development and may therefore be important to consider in future studies of early life Mn exposure and health effects. Our results also suggest that the influence of these transporters on Mn regulation may differ by developmental stage, as well as between girls and boys.
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Affiliation(s)
- Karin Wahlberg
- Division of Occupational and Environmental Medicine, Lund University, Klinikgatan 21, 221 85 Lund, Sweden.
| | - Manish Arora
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029-5674, USA
| | - Austen Curtin
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029-5674, USA
| | - Paul Curtin
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029-5674, USA
| | - Robert O Wright
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029-5674, USA
| | - Donald R Smith
- Microbiology and Environmental Toxicology, University of California, 156 High Street, Santa Cruz, CA 95064, USA
| | - Roberto G Lucchini
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029-5674, USA; Occupational Health Institute, University of Brescia, Viale Europa, 11, 25123 Brescia BS, Italy
| | - Karin Broberg
- Division of Occupational and Environmental Medicine, Lund University, Klinikgatan 21, 221 85 Lund, Sweden; Institute of Environmental Medicine, Karolinska Institutet, Nobels väg 13, 171 65 Solna, Sweden
| | - Christine Austin
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029-5674, USA
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80
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Haynes EN, Sucharew H, Hilbert TJ, Kuhnell P, Spencer A, Newman NC, Burns R, Wright R, Parsons PJ, Dietrich KN. Impact of air manganese on child neurodevelopment in East Liverpool, Ohio. Neurotoxicology 2017; 64:94-102. [PMID: 28888663 DOI: 10.1016/j.neuro.2017.09.001] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2017] [Revised: 08/01/2017] [Accepted: 09/01/2017] [Indexed: 01/18/2023]
Abstract
BACKGROUND East Liverpool, Ohio, the site of a hazardous waste incinerator and a manganese (Mn) processor, has had air Mn concentrations exceeding United States Environmental Protection Agency reference levels for over a decade. Save Our County, Inc., a community organization, was formed to address community environmental health concerns related to local industry. Researchers from the University of Cincinnati partnered with Save Our County to determine if air Mn had an impact on the neurocognitive function of children in the community. METHODS Children 7-9 years of age from East Liverpool and its surrounding communities, were enrolled (N=106) in the Communities Actively Researching Exposure Study from between March 2013-June 2014. Blood and hair were analyzed for Mn and lead, and serum was analyzed for cotinine. We used linear regression to assess associations between biological measures and IQ subscale scores. RESULTS Geometric mean blood lead (n=67), blood Mn (n=66), hair Mn (n=98), and serum cotinine (n=69) concentrations were 1.13±1.96μg/dL, 10.06±1.30μg/L, and 360.22±2.17ng/g, 0.76±6.12μg/L respectively. After adjusting for potential confounders, hair Mn was negatively associated with Full Scale IQ. CONCLUSIONS Hair Mn was negatively associated with child IQ scores. Community partners were instrumental in the conception and implementation of this study.
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Affiliation(s)
- Erin N Haynes
- University of Cincinnati, College of Medicine, Department of Environmental Health, 160 Panzeca Way, Cincinnati, OH, 45267, USA.
| | - Heidi Sucharew
- Cincinnati Children's Hospital Medical Center, Division of Biostatistics and Epidemiology, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA.
| | - Timothy J Hilbert
- University of Cincinnati, College of Medicine, Department of Environmental Health, 160 Panzeca Way, Cincinnati, OH, 45267, USA.
| | - Pierce Kuhnell
- Cincinnati Children's Hospital Medical Center, Division of Biostatistics and Epidemiology, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA.
| | | | - Nicholas C Newman
- University of Cincinnati, College of Medicine, Department of Environmental Health, 160 Panzeca Way, Cincinnati, OH, 45267, USA; Cincinnati Children's Hospital Medical Center, Division of General and Community Pediatrics, 3333 Burnet Ave, Cincinnati, OH, 45229, USA.
| | - Roxanne Burns
- Kent State University East Liverpool Campus, 400 E 4th St, East Liverpool, OH, 43920, USA
| | - Robert Wright
- Icahn School of Medicine at Mount Sinai, 1468 Madison Ave, New York, NY, 10029, USA.
| | - Patrick J Parsons
- Wadsworth Center, New York State Department of Health, Albany, NY, 12201-0509, USA; University of Albany, School of Public Health, Department of Environmental Health Sciences, 1400 Washington Ave, Albany, NY, 12222, USA.
| | - Kim N Dietrich
- University of Cincinnati, College of Medicine, Department of Environmental Health, 160 Panzeca Way, Cincinnati, OH, 45267, USA.
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Liu C, Hutchens S, Jursa T, Shawlot W, Polishchuk EV, Polishchuk RS, Dray BK, Gore AC, Aschner M, Smith DR, Mukhopadhyay S. Hypothyroidism induced by loss of the manganese efflux transporter SLC30A10 may be explained by reduced thyroxine production. J Biol Chem 2017; 292:16605-16615. [PMID: 28860195 DOI: 10.1074/jbc.m117.804989] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2017] [Revised: 08/29/2017] [Indexed: 12/13/2022] Open
Abstract
SLC30A10 and SLC39A14 are manganese efflux and influx transporters, respectively. Loss-of-function mutations in genes encoding either transporter induce hereditary manganese toxicity. Patients have elevated manganese in the blood and brain and develop neurotoxicity. Liver manganese is increased in patients lacking SLC30A10 but not SLC39A14. These organ-specific changes in manganese were recently recapitulated in knockout mice. Surprisingly, Slc30a10 knockouts also had elevated thyroid manganese and developed hypothyroidism. To determine the mechanisms of manganese-induced hypothyroidism and understand how SLC30A10 and SLC39A14 cooperatively mediate manganese detoxification, here we produced Slc39a14 single and Slc30a10/Slc39a14 double knockout mice and compared their phenotypes with that of Slc30a10 single knockouts. Compared with wild-type controls, Slc39a14 single and Slc30a10/Slc39a14 double knockouts had higher manganese levels in the blood and brain but not in the liver. In contrast, Slc30a10 single knockouts had elevated manganese levels in the liver as well as in the blood and brain. Furthermore, SLC30A10 and SLC39A14 localized to the canalicular and basolateral domains of polarized hepatic cells, respectively. Thus, transport activities of both SLC39A14 and SLC30A10 are required for hepatic manganese excretion. Compared with Slc30a10 single knockouts, Slc39a14 single and Slc30a10/Slc39a14 double knockouts had lower thyroid manganese levels and normal thyroid function. Moreover, intrathyroid thyroxine levels of Slc30a10 single knockouts were lower than those of controls. Thus, the hypothyroidism phenotype of Slc30a10 single knockouts is induced by elevated thyroid manganese, which blocks thyroxine production. These findings provide new insights into the mechanisms of manganese detoxification and manganese-induced thyroid dysfunction.
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Affiliation(s)
- Chunyi Liu
- From the Division of Pharmacology and Toxicology, College of Pharmacy, Institute for Cellular & Molecular Biology, and Institute for Neuroscience and
| | - Steven Hutchens
- From the Division of Pharmacology and Toxicology, College of Pharmacy, Institute for Cellular & Molecular Biology, and Institute for Neuroscience and
| | - Thomas Jursa
- the Department of Microbiology and Environmental Toxicology, University of California, Santa Cruz, California 95064
| | - William Shawlot
- Mouse Genetic Engineering Facility, University of Texas, Austin, Texas 78712
| | | | | | - Beth K Dray
- the Department of Veterinary Sciences, Michale E. Keeling Center for Comparative Medicine and Research, M. D. Anderson Cancer Center, Bastrop, Texas 78602, and
| | - Andrea C Gore
- From the Division of Pharmacology and Toxicology, College of Pharmacy, Institute for Cellular & Molecular Biology, and Institute for Neuroscience and
| | - Michael Aschner
- the Department of Molecular Pharmacology, Albert Einstein College of Medicine, Bronx, New York 10461
| | - Donald R Smith
- the Department of Microbiology and Environmental Toxicology, University of California, Santa Cruz, California 95064
| | - Somshuvra Mukhopadhyay
- From the Division of Pharmacology and Toxicology, College of Pharmacy, Institute for Cellular & Molecular Biology, and Institute for Neuroscience and
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82
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Familial manganese-induced neurotoxicity due to mutations in SLC30A10 or SLC39A14. Neurotoxicology 2017; 64:278-283. [PMID: 28789954 DOI: 10.1016/j.neuro.2017.07.030] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2017] [Revised: 07/28/2017] [Accepted: 07/28/2017] [Indexed: 11/21/2022]
Abstract
Over the last few years, two rare, familial diseases that lead to the onset of manganese (Mn)-induced neurotoxicity have been discovered. Loss-of-function mutations in SLC30A10, a Mn efflux transporter, or SLC39A14, a Mn influx transporter, increase Mn levels in blood and brain, and induce severe neurotoxicity. The discoveries of these genetic diseases have transformed our understanding of Mn homeostasis, detoxification, and neurotoxicity. Current knowledge about the mechanisms by which mutations in these transporters alter Mn homeostasis to induce human disease is reviewed here.
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83
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Bouchard MF, Surette C, Cormier P, Foucher D. Low level exposure to manganese from drinking water and cognition in school-age children. Neurotoxicology 2017; 64:110-117. [PMID: 28716743 DOI: 10.1016/j.neuro.2017.07.024] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Revised: 07/11/2017] [Accepted: 07/13/2017] [Indexed: 12/27/2022]
Abstract
BACKGROUND Manganese (Mn) is an element found in the environment and certain geographic areas have elevated concentrations in soil and water du to natural conditions or anthropic activities. A growing body of data suggests that exposure to manganese in drinking water could be neurotoxic. OBJECTIVE Firstly, we aimed to examine the association between exposure to manganese from drinking water and cognition in children consuming well water. Secondly, we also aimed to examine the relation between cognition and manganese concentrations in children's hair, nail, and saliva. METHODS A total 259 children from 189 households consuming well water were included in the present study (ages 5.9 to 13.7 years). We assessed children's cognition with the WISC-IV, and we used five indicators of manganese exposure: concentration in tap water, intake from the consumption of water divided by child's weight, manganese concentration in children's hair, toe nail, and saliva. We used General Estimating Equation analysis to assess the relation between manganese exposure indicators and IQ scores, adjusting for potential confounders, and taking into account family clusters. RESULTS Drinking water manganese concentrations were generally low, with 48% of children consuming water <5μg/L, 25% >50μg/L, and 4% >400μg/L. Results differed by sex. In girls, higher manganese concentration in water, hair, and toe nail were associated with poorer Performance IQ scores but this was significant only for toe nail (for a 10-fold increase in manganese, β: -5.65, 95% CIs: -10.97, -0.32). Opposite associations were observed in boys, i.e., better Performance IQ scores with higher manganese concentration hair, toe nail, and water, the latter being significant (β: 2.66, 95% CIs: 0.44, 4.89). Verbal IQ scores did not seem to be associated with manganese exposure indicators. CONCLUSIONS Drinking water manganese levels were considerably lower than in previous studies reporting neurotoxic effects. There was no clear indication of an association between exposure to manganese and cognitive development in this sample of school-age children although the data suggest there might be sex-specific associations. Given the low levels of exposure and sex-specific associations, a larger sample size would have been required to increase the statistical power and better characterize the relations.
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Affiliation(s)
- Maryse F Bouchard
- CHU Sainte-Justine Research Centre, 3175 Chemin de la Côte-Sainte-Catherine, Montréal, Quebec, H3T 1C4, Canada; Department of Environmental and Occupational Health, School of Public Health, Université de Montreal, C.P. 6128 Succursale Centre-Ville, Montréal, Québec, H3C 3J7, Canada.
| | - Céline Surette
- Department of Chemistry and Biochemistry, Université de Moncton, PavillonRémi-Rossignol, 18, Avenue Antonine-Maillet, Moncton, New Brunswick, E1A 3E9, Canada.
| | - Pierre Cormier
- École de psychologie, Université de Moncton, Pavillon Léopold-Taillon, 18, Avenue Antonine-Maillet, Moncton, New Brunswick, E1A 3E9, Canada.
| | - Delphine Foucher
- Department of Chemistry and Biochemistry, Université de Moncton, PavillonRémi-Rossignol, 18, Avenue Antonine-Maillet, Moncton, New Brunswick, E1A 3E9, Canada.
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84
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Rahman SM, Kippler M, Tofail F, Bölte S, Hamadani JD, Vahter M. Manganese in Drinking Water and Cognitive Abilities and Behavior at 10 Years of Age: A Prospective Cohort Study. ENVIRONMENTAL HEALTH PERSPECTIVES 2017; 125:057003. [PMID: 28564632 PMCID: PMC5726374 DOI: 10.1289/ehp631] [Citation(s) in RCA: 69] [Impact Index Per Article: 9.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2016] [Revised: 06/08/2016] [Accepted: 06/23/2016] [Indexed: 05/18/2023]
Abstract
BACKGROUND Cross-sectional studies have indicated impaired neurodevelopment with elevated drinking water manganese concentrations (W-Mn), but potential susceptible exposure windows are unknown. OBJECTIVES We prospectively evaluated the effects of W-Mn, from fetal life to school age, on children's cognitive abilities and behavior. METHODS We assessed cognitive abilities and behavior in 1,265 ten-year-old children in rural Bangladesh using the Wechsler Intelligence Scale for Children (WISC-IV) and the Strengths and Difficulties Questionnaire (SDQ), respectively. Manganese in drinking water used during pregnancy and by the children at 5 y and 10 y was measured using inductively coupled plasma mass spectrometry. RESULTS The median W-Mn was 0.20 mg/L (range 0.001–6.6) during pregnancy and 0.34mg/L (<0.001–8.7) at 10 y. In multivariable-adjusted linear regression analyses, restricted to children with low arsenic (As) exposure, none of the W-Mn exposures was associated with the children’s cognitive abilities. Stratifying by gender (p for interaction in general <0.081) showed that prenatal W-Mn (3 mg/L) was positively associated with cognitive ability measures in girls but not in boys. W-Mn at all time points was associated with an increased risk of conduct problems, particularly in boys (range 24–43% per mg/L). At the same time, the prenatal W-Mn was associated with a decreased risk of emotional problems [odds ratio (OR)=0.39 (95% CI: 0.19, 0.82)] in boys. In girls, W-Mn was mainly associated with low prosocial scores [prenatal W-Mn: OR=1.48 (95% CI: 1.06, 1.88)]. CONCLUSIONS Elevated prenatal W-Mn exposure was positively associated with cognitive function in girls, whereas boys appeared to be unaffected. Early life W-Mn exposure appeared to adversely affect children's behavior. https://doi.org/10.1289/EHP631.
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Affiliation(s)
- Syed Moshfiqur Rahman
- Institute of Environmental Medicine, Karolinska Institutet , Stockholm, Sweden
- International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh
| | - Maria Kippler
- Institute of Environmental Medicine, Karolinska Institutet , Stockholm, Sweden
| | - Fahmida Tofail
- International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh
| | - Sven Bölte
- Center of Neurodevelopmental Disorders (KIND), Pediatric Neuropsychiatry Unit, Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden
- Center for Psychiatry Research, Stockholm County Council, Stockholm, Sweden
| | | | - Marie Vahter
- Institute of Environmental Medicine, Karolinska Institutet , Stockholm, Sweden
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85
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Gunier RB, Bradman A, Harley KG, Kogut K, Eskenazi B. Prenatal Residential Proximity to Agricultural Pesticide Use and IQ in 7-Year-Old Children. ENVIRONMENTAL HEALTH PERSPECTIVES 2017; 125:057002. [PMID: 28557711 PMCID: PMC5644974 DOI: 10.1289/ehp504] [Citation(s) in RCA: 108] [Impact Index Per Article: 15.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/08/2016] [Revised: 05/13/2016] [Accepted: 06/14/2016] [Indexed: 05/18/2023]
Abstract
BACKGROUND Residential proximity to agricultural pesticide use has been associated with neural tube defects and autism, but more subtle outcomes such as cognition have not been studied. OBJECTIVES We evaluated the relationship between prenatal residential proximity to agricultural use of potentially neurotoxic pesticides and neurodevelopment in 7-year-old children. METHODS Participants included mothers and children (n=283) living in the agricultural Salinas Valley of California enrolled in the Center for the Health Assessment of Mothers and Children of Salinas (CHAMACOS) study. We estimated agricultural pesticide use within 1 km of maternal residences during pregnancy using a geographic information system, residential location, and California’s comprehensive agricultural Pesticide Use Report data. We used regression models to evaluate prenatal residential proximity to agricultural use of five potentially neurotoxic pesticide groups (organophosphates, carbamates, pyrethroids, neonicotinoids, and manganese fungicides) and five individual organophosphates (acephate, chlorpyrifos, diazinon, malathion, and oxydemeton-methyl) and cognition in 7-year-old children. All models included prenatal urinary dialkyl phosphate metabolite concentrations. RESULTS We observed a decrease of 2.2 points [95% confidence interval (CI): −3.9, −0.5] in Full-Scale IQ and 2.9 points (95% CI: −4.4, −1.3) in Verbal Comprehension for each standard deviation increase in toxicity-weighted use of organophosphate pesticides. In separate models, we observed similar decrements in Full-Scale IQ with each standard deviation increase of use for two organophosphates (acephate and oxydemeton-methyl) and three neurotoxic pesticide groups (pyrethroids, neonicotinoids, and manganese fungicides). CONCLUSIONS This study identified potential relationships between maternal residential proximity to agricultural use of neurotoxic pesticides and poorer neurodevelopment in children. https://doi.org/10.1289/EHP504.
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Affiliation(s)
- Robert B Gunier
- School of Public Health, University of California, Berkeley, Berkeley, California, USA
| | - Asa Bradman
- School of Public Health, University of California, Berkeley, Berkeley, California, USA
| | - Kim G Harley
- School of Public Health, University of California, Berkeley, Berkeley, California, USA
| | - Katherine Kogut
- School of Public Health, University of California, Berkeley, Berkeley, California, USA
| | - Brenda Eskenazi
- School of Public Health, University of California, Berkeley, Berkeley, California, USA
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86
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Hernández-Pellón A, Fernández-Olmo I, Ledoux F, Courcot L, Courcot D. Characterization of manganese-bearing particles in the vicinities of a manganese alloy plant. CHEMOSPHERE 2017; 175:411-424. [PMID: 28237517 DOI: 10.1016/j.chemosphere.2017.02.056] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2016] [Revised: 02/08/2017] [Accepted: 02/09/2017] [Indexed: 05/12/2023]
Abstract
Numerous studies have associated air manganese (Mn) exposure with negative health effects, primarily neurotoxic disorders. Despite there is not a specific European regulation, institutions such as the World Health Organization (WHO) have proposed an annual average guideline value of 150 ng/m3. Bioaccessibility and toxicity mechanisms of Mn remain unclear, however it is generally agreed that adverse health effects are strongly linked to particle size and morphology, chemical composition and oxidation state. This study aims to deepen the understanding of the physico-chemical characteristics of PM10 and deposition samples collected in an urban area in the proximities of a ferromanganese alloy plant. Total Mn content was determined by ICP-MS after a microwave-assisted acid digestion. The size, morphology and chemical composition of individual particles were studied by SEM-EDX. XRD was used to identify the major crystalline phases. Most of the particles observed by SEM-EDX contain Mn. 60% of Mn-PM10 particles were spheres of small size and were attributed to condensation processes at the smelting unit. Mn-bearing particles present in deposition were characterized by irregular shapes and bigger sizes, most of them consisting of SiMn slags and Mn ores and alloys, and attributed to diffuse emissions from raw material and product handling and processing. Due to the differences in the characteristics of Mn-bearing particles found in the different matrices, further studies on the potential toxicity and health effects of these particles should be done, especially in relation with the small and spherical particles present in PM10, which are expected to be more problematic.
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Affiliation(s)
- Ana Hernández-Pellón
- Dpto. de Ingenierías Química y Biomolecular, Universidad de Cantabria, Avda. Los Castros s/n, 39005 Santander, Cantabria, Spain.
| | - Ignacio Fernández-Olmo
- Dpto. de Ingenierías Química y Biomolecular, Universidad de Cantabria, Avda. Los Castros s/n, 39005 Santander, Cantabria, Spain
| | - Frédéric Ledoux
- Unité de Chimie Environnementale et Interactions sur le Vivant (UCEIV, EA4492), Université du Littoral Côte d'Opale, 145 avenue Maurice Schumann, 59140 Dunkerque, France
| | - Lucie Courcot
- Laboratoire d'Océanologie et de Géosciences (LOG, CNRS UMR8187), Université du Littoral Côte d'Opale, Wimereux, France
| | - Dominique Courcot
- Unité de Chimie Environnementale et Interactions sur le Vivant (UCEIV, EA4492), Université du Littoral Côte d'Opale, 145 avenue Maurice Schumann, 59140 Dunkerque, France
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87
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Hutchens S, Liu C, Jursa T, Shawlot W, Chaffee BK, Yin W, Gore AC, Aschner M, Smith DR, Mukhopadhyay S. Deficiency in the manganese efflux transporter SLC30A10 induces severe hypothyroidism in mice. J Biol Chem 2017; 292:9760-9773. [PMID: 28461334 DOI: 10.1074/jbc.m117.783605] [Citation(s) in RCA: 52] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2017] [Revised: 04/27/2017] [Indexed: 12/31/2022] Open
Abstract
Manganese is an essential metal that becomes toxic at elevated levels. Loss-of-function mutations in SLC30A10, a cell-surface-localized manganese efflux transporter, cause a heritable manganese metabolism disorder resulting in elevated manganese levels and parkinsonian-like movement deficits. The underlying disease mechanisms are unclear; therefore, treatment is challenging. To understand the consequences of loss of SLC30A10 function at the organism level, we generated Slc30a10 knock-out mice. During early development, knock-outs were indistinguishable from controls. Surprisingly, however, after weaning and compared with controls, knock-out mice failed to gain weight, were smaller, and died prematurely (by ∼6-8 weeks of age). At 6 weeks, manganese levels in the brain, blood, and liver of the knock-outs were ∼20-60-fold higher than controls. Unexpectedly, histological analyses revealed that the brain and liver of the knock-outs were largely unaffected, but their thyroid exhibited extensive alterations. Because hypothyroidism leads to growth defects and premature death in mice, we assayed for changes in thyroid and pituitary hormones. At 6 weeks and compared with controls, the knock-outs had markedly reduced thyroxine levels (∼50-80%) and profoundly increased thyroid-stimulating hormone levels (∼800-1000-fold), indicating that Slc30a10 knock-out mice develop hypothyroidism. Importantly, a low-manganese diet produced lower tissue manganese levels in the knock-outs and rescued the phenotype, suggesting that manganese toxicity was the underlying cause. Our unanticipated discovery highlights the importance of determining the role of thyroid dysfunction in the onset and progression of manganese-induced disease and identifies Slc30a10 knock-out mice as a new model for studying thyroid biology.
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Affiliation(s)
- Steven Hutchens
- From the Division of Pharmacology & Toxicology, College of Pharmacy, Institute for Cellular & Molecular Biology, and Institute for Neuroscience and
| | - Chunyi Liu
- From the Division of Pharmacology & Toxicology, College of Pharmacy, Institute for Cellular & Molecular Biology, and Institute for Neuroscience and
| | - Thomas Jursa
- the Department of Microbiology and Environmental Toxicology, University of California at Santa Cruz, Santa Cruz, California 95064
| | - William Shawlot
- the Mouse Genetic Engineering Facility, Institute for Cellular & Molecular Biology, University of Texas at Austin, Austin, Texas 78712
| | - Beth K Chaffee
- the Department of Veterinary Sciences, Michale E. Keeling Center for Comparative Medicine and Research, M. D. Anderson Cancer Center, Bastrop, Texas 78602, and
| | - Weiling Yin
- From the Division of Pharmacology & Toxicology, College of Pharmacy, Institute for Cellular & Molecular Biology, and Institute for Neuroscience and
| | - Andrea C Gore
- From the Division of Pharmacology & Toxicology, College of Pharmacy, Institute for Cellular & Molecular Biology, and Institute for Neuroscience and
| | - Michael Aschner
- the Department of Molecular Pharmacology, Albert Einstein College of Medicine, Bronx, New York 10461
| | - Donald R Smith
- the Department of Microbiology and Environmental Toxicology, University of California at Santa Cruz, Santa Cruz, California 95064
| | - Somshuvra Mukhopadhyay
- From the Division of Pharmacology & Toxicology, College of Pharmacy, Institute for Cellular & Molecular Biology, and Institute for Neuroscience and
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88
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Rodríguez-Barranco M, Tobías A, Redondo D, Molina-Portillo E, Sánchez MJ. Standardizing effect size from linear regression models with log-transformed variables for meta-analysis. BMC Med Res Methodol 2017; 17:44. [PMID: 28302052 PMCID: PMC5356327 DOI: 10.1186/s12874-017-0322-8] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2016] [Accepted: 03/08/2017] [Indexed: 12/27/2022] Open
Abstract
BACKGROUND Meta-analysis is very useful to summarize the effect of a treatment or a risk factor for a given disease. Often studies report results based on log-transformed variables in order to achieve the principal assumptions of a linear regression model. If this is the case for some, but not all studies, the effects need to be homogenized. METHODS We derived a set of formulae to transform absolute changes into relative ones, and vice versa, to allow including all results in a meta-analysis. We applied our procedure to all possible combinations of log-transformed independent or dependent variables. We also evaluated it in a simulation based on two variables either normally or asymmetrically distributed. RESULTS In all the scenarios, and based on different change criteria, the effect size estimated by the derived set of formulae was equivalent to the real effect size. To avoid biased estimates of the effect, this procedure should be used with caution in the case of independent variables with asymmetric distributions that significantly differ from the normal distribution. We illustrate an application of this procedure by an application to a meta-analysis on the potential effects on neurodevelopment in children exposed to arsenic and manganese. CONCLUSIONS The procedure proposed has been shown to be valid and capable of expressing the effect size of a linear regression model based on different change criteria in the variables. Homogenizing the results from different studies beforehand allows them to be combined in a meta-analysis, independently of whether the transformations had been performed on the dependent and/or independent variables.
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Affiliation(s)
- Miguel Rodríguez-Barranco
- Andalusian School of Public Health (EASP), Campus Universitario de Cartuja, c/Cuesta del Observatorio 4, 18080, Granada, Spain. .,Instituto de Investigación Biosanitaria ibs.GRANADA, University Hospitals of Granada/University of Granada, Granada, Spain. .,CIBERESP, Madrid, Spain.
| | - Aurelio Tobías
- Institute of Environmental Assessment and Water Research (IDAEA), Spanish Council for Scientific Research (CSIC), Barcelona, Spain
| | - Daniel Redondo
- Andalusian School of Public Health (EASP), Campus Universitario de Cartuja, c/Cuesta del Observatorio 4, 18080, Granada, Spain.,Instituto de Investigación Biosanitaria ibs.GRANADA, University Hospitals of Granada/University of Granada, Granada, Spain.,CIBERESP, Madrid, Spain
| | - Elena Molina-Portillo
- Andalusian School of Public Health (EASP), Campus Universitario de Cartuja, c/Cuesta del Observatorio 4, 18080, Granada, Spain.,Instituto de Investigación Biosanitaria ibs.GRANADA, University Hospitals of Granada/University of Granada, Granada, Spain.,CIBERESP, Madrid, Spain
| | - María José Sánchez
- Andalusian School of Public Health (EASP), Campus Universitario de Cartuja, c/Cuesta del Observatorio 4, 18080, Granada, Spain.,Instituto de Investigación Biosanitaria ibs.GRANADA, University Hospitals of Granada/University of Granada, Granada, Spain.,CIBERESP, Madrid, Spain
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89
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Fulk F, Succop P, Hilbert TJ, Beidler C, Brown D, Reponen T, Haynes EN. Pathways of inhalation exposure to manganese in children living near a ferromanganese refinery: A structural equation modeling approach. THE SCIENCE OF THE TOTAL ENVIRONMENT 2017; 579:768-775. [PMID: 27865527 PMCID: PMC7315255 DOI: 10.1016/j.scitotenv.2016.11.030] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2016] [Revised: 11/04/2016] [Accepted: 11/05/2016] [Indexed: 05/21/2023]
Abstract
Manganese (Mn) is both essential element and neurotoxicant. Exposure to Mn can occur from various sources and routes. Structural equation modeling was used to examine routes of exposure to Mn among children residing near a ferromanganese refinery in Marietta, Ohio. An inhalation pathway model to ambient air Mn was hypothesized. Data for model evaluation were obtained from participants in the Communities Actively Researching Exposure Study (CARES). These data were collected in 2009 and included levels of Mn in residential soil and dust, levels of Mn in children's hair, information on the amount of time the child spent outside, heat and air conditioning in the home and level of parent education. Hair Mn concentration was the primary endogenous variable used to assess the theoretical inhalation exposure pathways. The model indicated that household dust Mn was a significant contributor to child hair Mn (0.37). Annual ambient air Mn concentration (0.26), time children spent outside (0.24) and soil Mn (0.24) significantly contributed to the amount of Mn in household dust. These results provide a potential framework for understanding the inhalation exposure pathway for children exposed to ambient air Mn who live in proximity to an industrial emission source.
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Affiliation(s)
- Florence Fulk
- National Exposure Research Laboratory, US Environmental Protection Agency, United States
| | - Paul Succop
- College of Medicine, Department of Environmental Health, University of Cincinnati, United States
| | - Timothy J Hilbert
- College of Medicine, Department of Environmental Health, University of Cincinnati, United States
| | | | - David Brown
- Marietta College, Department of Biology and Environmental Science, United States
| | - Tiina Reponen
- College of Medicine, Department of Environmental Health, University of Cincinnati, United States
| | - Erin N Haynes
- College of Medicine, Department of Environmental Health, University of Cincinnati, United States.
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90
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Yang HJ, Chen SC, Hu CW, Chiang YC, Tsai CT, Lin PY, Lai DJ, Kuo CY. Estimation of students' exposure to metal concentrations from river-dust episodes during 1994-2012. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2017; 24:5679-5689. [PMID: 28039631 DOI: 10.1007/s11356-016-8316-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/19/2016] [Accepted: 12/21/2016] [Indexed: 06/06/2023]
Abstract
Two elementary schools (Shiuguang and Fongrong) from Yulin County in Taiwan, near a main area of potential exposure to Aeolian river-dust, were selected to collect outdoor and indoor PM10 aerosols and to measure five metals in PM10 (As, Ni, Cr, Cd, and Mn). Significant relationships (p < 0.01) were found between outdoor PM10 concentrations at Lunbei's air quality monitoring station and the two elementary schools. The outdoor PM10 concentrations at the monitoring station and the schools' indoor PM10 concentrations also showed significant correlations. This study also established a relationship between the outdoor and indoor concentrations of PM10 and metals in the schools. Estimations were made regarding students' 8 h of exposure to metal concentrations from river-dust episodes during 1994-2012, based on correlation equations that were shown to be statistically significant.
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Affiliation(s)
- Hao-Jan Yang
- School of Public Health, College of Health Care and Management, Chung Shan Medical University, Taichung, Taiwan, Republic of China, 40242
| | - Szu-Chieh Chen
- School of Public Health, College of Health Care and Management, Chung Shan Medical University, Taichung, Taiwan, Republic of China, 40242
| | - Chiung-Wen Hu
- School of Public Health, College of Health Care and Management, Chung Shan Medical University, Taichung, Taiwan, Republic of China, 40242
| | - Yi-Chen Chiang
- School of Public Health, College of Health Care and Management, Chung Shan Medical University, Taichung, Taiwan, Republic of China, 40242
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, Fujian Province, 361102, People's Republic of China
- Key Laboratory of Health Technology Assessment of Fujian Province University, School of Public Health, Xiamen University, Xiamen, Fujian Province, 361102, People's Republic of China
| | - Ching-Tsan Tsai
- Department of Public Health, China Medical University, Taichung, Taiwan, Republic of China, 40402
| | - Pin-Yu Lin
- Health Technology Center, Chung Shan Medical University, Taichung, Taiwan, Republic of China, 40242
| | - Dian-Jheng Lai
- Health Technology Center, Chung Shan Medical University, Taichung, Taiwan, Republic of China, 40242
| | - Chung-Yih Kuo
- School of Public Health, College of Health Care and Management, Chung Shan Medical University, Taichung, Taiwan, Republic of China, 40242.
- Health Technology Center, Chung Shan Medical University, Taichung, Taiwan, Republic of China, 40242.
- Department of Family and Community Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan, Republic of China, 40242.
- Department of Public Health, College of Health Care and Management, Chung Shan Medical University, No. 110 Chien-Kuo N Rd., Sec. 1, Taichung, Taiwan, 40242.
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91
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Tamm C, Ceccatelli S. Mechanistic insight into neurotoxicity induced by developmental insults. Biochem Biophys Res Commun 2017; 482:408-418. [DOI: 10.1016/j.bbrc.2016.10.087] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Accepted: 10/23/2016] [Indexed: 12/31/2022]
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92
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Zhou S, Yuan H, Ma X, Liu Y. Hair chemical element contents and influence factors of reproductive-age women in the West Ujimqin Banner, Inner Mongolia, China. CHEMOSPHERE 2017; 166:528-539. [PMID: 27718426 DOI: 10.1016/j.chemosphere.2016.09.126] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2016] [Revised: 09/23/2016] [Accepted: 09/26/2016] [Indexed: 06/06/2023]
Abstract
Women have an increased risk for chemical element deficiencies during reproductive age, particularly due to higher chemical element requirements and poor diets. Twenty-one chemical elements (Al, B, Ba, Ca, Cd, Co, Cr, Cu, Fe, Mg, Mn, Mo, Ni, Pb, Se, Si, Sn, Sr, Ti, V and Zn) in hair samples, which were collected from 71 non-pregnant and 236 pregnant women living in the West Ujimqin Banner, central Inner Mongolia, China, were measured, and the environment, dietary habits and ethnic group influence factors associated with the biomarker were analyzed. The results indicated that the average values of the chemical element contents from hair were greatly different compared to those from other areas, especially the Al, Cd, Pb, Ca and Sr contents. There was no significant difference among the three ethnicities for any element except Mn and Ti in non-pregnant women. Compared to non-pregnant women, in the first trimester group, the levels of nine chemical elements (Ba, Cd, Cu, Pb, Se, Si, Sn and Ti) decreased, while the others increased, and the contents of all of the chemical elements decreased in the second trimester group, while in the third trimester, there was a slight increase. Three chemical elements (Cu, Mn and Zn) displayed a synergistic correlation between each other in the third trimester group, which may protect the placenta from some oxidant damage. The high levels of Cd and Pb in hair likely originate from house renovations and traffic pollution. This study provided basic and useful information on the levels of chemical elements in reproductive-age women, and the results of this study are helpful to control the contents and improve the health of pregnant and non-pregnant women.
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Affiliation(s)
- Shanshan Zhou
- College of Life and Environmental Sciences, Minzu University of China, Beijing, 100081, China; Beijing Engineering Research Center of Food Environment and Public Health, Minzu University of China, Beijing, 100081, China
| | - Haodong Yuan
- College of Life and Environmental Sciences, Minzu University of China, Beijing, 100081, China
| | - Xiaoling Ma
- College of Life and Environmental Sciences, Minzu University of China, Beijing, 100081, China
| | - Ying Liu
- College of Life and Environmental Sciences, Minzu University of China, Beijing, 100081, China; Beijing Engineering Research Center of Food Environment and Public Health, Minzu University of China, Beijing, 100081, China.
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93
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Abstract
Manganese (Mn) is an essential metal that plays a fundamental role for brain development and functioning. Environmental exposure to Mn may lead to accumulation in the basal ganglia and development of Parkinson-like disorders. The most recent research is focusing on early-life overexposure to Mn and the potential vulnerability of younger individuals to Mn toxicity also in regard to cognitive and executive functions through the involvement of the frontal cortex.Neurodevelopmental disturbances are increasing in the society, and understanding the potential role of environmental determinants is a key for prevention. Therefore, assessing the environmental sources of Mn exposure and the mechanisms of developmental neurotoxicity and defining appropriate biomarkers of exposure and early functional alterations represent key issues to improve and address preventive strategies. These themes will be reviewed in this chapter.
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94
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Inflammatory Activation of Microglia and Astrocytes in Manganese Neurotoxicity. ADVANCES IN NEUROBIOLOGY 2017; 18:159-181. [PMID: 28889267 DOI: 10.1007/978-3-319-60189-2_8] [Citation(s) in RCA: 79] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Neurotoxicity due to excessive exposure to manganese (Mn) has been described as early as 1837 (Couper, Br Ann Med Pharm Vital Stat Gen Sci 1:41-42, 1837). Extensive research over the past two decades has revealed that Mn-induced neurological injury involves complex pathophysiological signaling mechanisms between neurons and glial cells. Glial cells are an important target of Mn in the brain, both for sequestration of the metal, as well as for activating inflammatory signaling pathways that damage neurons through overproduction of numerous reactive oxygen and nitrogen species and inflammatory cytokines. Understanding how these pathways are regulated in glial cells during Mn exposure is critical to determining the mechanisms underlying permanent neurological dysfunction stemming from excess exposure. The subject of this review will be to delineate mechanisms by which Mn interacts with glial cells to perturb neuronal function, with a particular emphasis on neuroinflammation and neuroinflammatory signaling between distinct populations of glial cells.
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95
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Hernández-Bonilla D, Escamilla-Núñez C, Mergler D, Rodríguez-Dozal S, Cortez-Lugo M, Montes S, Tristán-López LA, Catalán-Vázquez M, Schilmann A, Riojas-Rodriguez H. Effects of manganese exposure on visuoperception and visual memory in schoolchildren. Neurotoxicology 2016; 57:230-240. [PMID: 27737811 DOI: 10.1016/j.neuro.2016.10.006] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2015] [Revised: 10/08/2016] [Accepted: 10/08/2016] [Indexed: 10/20/2022]
Abstract
BACKGROUND Manganese (Mn) is an essential metal involved in multiple physiological functions. Environmental exposure to airborne Mn is associated with neurocognitive deficits in humans. Children, whose nervous system is in development, are particularly susceptible to Mn neurotoxicity. OBJECTIVE The objective of this study was to assess the association between Mn environmental exposure, and effects on visuoperception and visual memory in schoolchildren. METHODS We assessed schoolchildren between 7 and 11 years old, with similar socioeconomic status, from the mining district of Molango (n=148) and Agua Blanca (n=119, non-mining area) in Hidalgo state, Mexico. The Rey-Osterrieth Complex Figure (ROCF) test was used to assess visuoperception and short-term visual memory. Hair manganese (MnH) concentrations were determined. Linear regression models were constructed to estimate the associations between MnH and ROCF scores, adjusted for potential confounders. RESULTS The geometric mean MnH was nine times higher in schoolchildren from the Mn mining area (5.25μg/g) than in schoolchildren from the non-mining area (0.55μg/g). For the ROCF Copy trial, MnH was significantly associated with an increase in distortion errors (tangency, closure), angle errors, overtracing (partial overtracing). In the Immediate Recall trial, MnH was significantly associated with increased overtracing (partial overtracing) and omissions, and negatively associated with the number of perceptual drawn units, total score and percentage immediate recall. CONCLUSIONS MnH is associated with alterations in visuoperception and short-term visual memory in schoolchildren exposed to airborne Mn.
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Affiliation(s)
- D Hernández-Bonilla
- National Institute of Public Health, Environmental Health Department, Cuernavaca, Morelos, CP 62100, Mexico.
| | - C Escamilla-Núñez
- National Institute of Public Health, Environmental Health Department, Cuernavaca, Morelos, CP 62100, Mexico.
| | - D Mergler
- Centre for Interdisciplinary Research on Health and Well-being, Society and Environment (CINBIOSE), Université du Québec à Montréal, Montreal, Canada.
| | - S Rodríguez-Dozal
- National Institute of Public Health, Environmental Health Department, Cuernavaca, Morelos, CP 62100, Mexico.
| | - M Cortez-Lugo
- National Institute of Public Health, Environmental Health Department, Cuernavaca, Morelos, CP 62100, Mexico.
| | - S Montes
- National Institute of Neurology and Neurosurgery, Neurochemistry Department, Manuel Velasco Suárez, Mexico City, CP 14269, Mexico.
| | - L A Tristán-López
- National Institute of Neurology and Neurosurgery, Neurochemistry Department, Manuel Velasco Suárez, Mexico City, CP 14269, Mexico.
| | - M Catalán-Vázquez
- National Institute of Respiratory Diseases, Clinical Epidemiology Department, Mexico City, CP 14080, Mexico.
| | - A Schilmann
- National Institute of Public Health, Environmental Health Department, Cuernavaca, Morelos, CP 62100, Mexico.
| | - Horacio Riojas-Rodriguez
- National Institute of Public Health, Environmental Health Department, Cuernavaca, Morelos, CP 62100, Mexico.
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96
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van Wendel de Joode B, Mora AM, Lindh CH, Hernández-Bonilla D, Córdoba L, Wesseling C, Hoppin JA, Mergler D. Pesticide exposure and neurodevelopment in children aged 6-9 years from Talamanca, Costa Rica. Cortex 2016; 85:137-150. [PMID: 27773359 DOI: 10.1016/j.cortex.2016.09.003] [Citation(s) in RCA: 96] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2016] [Revised: 06/26/2016] [Accepted: 09/05/2016] [Indexed: 01/01/2023]
Abstract
Certain pesticides may affect children's neurodevelopment. We assessed whether pesticide exposure was associated with impaired neurobehavioral outcomes in children aged 6-9 years. We conducted a cross-sectional study in 140 children living near banana plantations and plantain farms in the Talamanca County, Costa Rica and assessed their neurobehavioral performance. Exposure was determined by analyzing urinary metabolites of chlorpyrifos (3,5,6-trichloro-2-pyridinol, TCPy), mancozeb (ethylenethiourea, ETU), and pyrethroids (3-phenoxybenzoic acid, 3-PBA). Repeated urine samples were obtained for 36 children. We estimated associations of pesticide concentrations with neurobehavioral outcomes using multivariable linear and logistic regression models. Median (25th-75th percentiles) TCPy, ETU, and 3-PBA concentrations were 1.4 (.7-3.1), 1.2 (.7-3.0), and .8 (.5-1.5) μg/L, respectively. Intraclass correlation coefficients (ICC) ranged between .32 and .67. After adjustment for potential confounders, higher urinary TCPy concentrations were associated with poorer working memory in boys (n = 59) (β per 10-fold increase in TCPy concentrations = -7.5, 95% CI: -14.4, -.7); poorer visual motor coordination (β = -1.4, 95% CI: -2.7, -.1); increased prevalence of parent-reported cognitive problems/inattention (adjusted OR per 10-fold increase in urinary concentrations = 5.8, 95% CI: 1.6, 22.9), oppositional disorders (aOR = 3.9, 95% CI: 1.0, 16.0), and ADHD (aOR = 6.8, 95% CI: 1.8, 28.6), and; decreased ability to discriminate colors (aOR = 6.6, 95% CI: 1.6, 30.3; the higher the score the worse). Higher ETU concentrations were associated with poorer verbal learning outcomes (β = -7.0, 95% CI: -12.7, -1.3). Higher 3-PBA concentrations were associated with poorer processing speed scores, particularly in girls (β = -8.8, 95% CI: -16.1, -1.4). Our findings indicate that children living near banana and plantain plantations are exposed to pesticides that may affect their neurodevelopment, which for certain domains may differ between boys and girls. We recommend the implementation of measures to reduce pesticide exposure in children living nearby banana plantations.
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Affiliation(s)
- Berna van Wendel de Joode
- Central American Institute for Studies on Toxic Substances (IRET), Universidad Nacional, Heredia, Costa Rica.
| | - Ana M Mora
- Central American Institute for Studies on Toxic Substances (IRET), Universidad Nacional, Heredia, Costa Rica
| | - Christian H Lindh
- Division of Occupational and Environmental Medicine, Institute of Laboratory Medicine, Lund University, Lund, Sweden
| | | | - Leonel Córdoba
- Central American Institute for Studies on Toxic Substances (IRET), Universidad Nacional, Heredia, Costa Rica
| | - Catharina Wesseling
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Jane A Hoppin
- Department of Biological Sciences and Center for Human Health and the Environment, North Carolina State University, United States
| | - Donna Mergler
- Interdisciplinary Research Centre on Health, Well-being, Society and Environment (CINBIOSE), University of Quebec in Montreal, Canada
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97
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Fulk F, Haynes EN, Hilbert TJ, Brown D, Petersen D, Reponen T. Comparison of stationary and personal air sampling with an air dispersion model for children's ambient exposure to manganese. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2016; 26:494-502. [PMID: 27168393 PMCID: PMC7382781 DOI: 10.1038/jes.2016.30] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/20/2015] [Accepted: 03/07/2016] [Indexed: 05/22/2023]
Abstract
Manganese (Mn) is ubiquitous in the environment and essential for normal growth and development, yet excessive exposure can lead to impairments in neurological function. This study modeled ambient Mn concentrations as an alternative to stationary and personal air sampling to assess exposure for children enrolled in the Communities Actively Researching Exposure Study in Marietta, OH. Ambient air Mn concentration values were modeled using US Environmental Protection Agency's Air Dispersion Model AERMOD based on emissions from the ferromanganese refinery located in Marietta. Modeled Mn concentrations were compared with Mn concentrations from a nearby stationary air monitor. The Index of Agreement for modeled versus monitored data was 0.34 (48 h levels) and 0.79 (monthly levels). Fractional bias was 0.026 for 48 h levels and -0.019 for monthly levels. The ratio of modeled ambient air Mn to measured ambient air Mn at the annual time scale was 0.94. Modeled values were also time matched to personal air samples for 19 children. The modeled values explained a greater degree of variability in personal exposures compared with time-weighted distance from the emission source. Based on these results modeled Mn concentrations provided a suitable approach for assessing airborne Mn exposure in this cohort.
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Affiliation(s)
- Florence Fulk
- National Exposure Research Laboratory, US Environmental Protection Agency, Cincinnati, Ohio, USA
| | - Erin N. Haynes
- College of Medicine, Department of Environmental Health, University of Cincinnati, Cincinnati, Ohio, USA
| | - Timothy J. Hilbert
- College of Medicine, Department of Environmental Health, University of Cincinnati, Cincinnati, Ohio, USA
| | | | - Dan Petersen
- National Center for Environmental Assessment, US Environmental Protection Age, Cincinnati, Ohio, USA
| | - Tiina Reponen
- College of Medicine, Department of Environmental Health, University of Cincinnati, Cincinnati, Ohio, USA
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98
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Coetzee DJ, McGovern PM, Rao R, Harnack LJ, Georgieff MK, Stepanov I. Measuring the impact of manganese exposure on children's neurodevelopment: advances and research gaps in biomarker-based approaches. Environ Health 2016; 15:91. [PMID: 27576472 PMCID: PMC5004305 DOI: 10.1186/s12940-016-0174-4] [Citation(s) in RCA: 43] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2015] [Accepted: 08/23/2016] [Indexed: 05/20/2023]
Abstract
BACKGROUND Children's exposure to manganese (Mn) is a public health concern and consistent policy guidelines for safe levels of Mn exposure is lacking. The complexity of establishing exposure thresholds for Mn partially relates to its dual role as an essential micronutrient with low levels required for good health, but also as a neurotoxin at high levels. Questions exist about the age-related susceptibility to excess Mn, particularly for children, and how best to measure chronic exposures. To address this concern we conducted a systematic review of studies examining children's exposure to Mn and neurodevelopmental outcomes focused on selection of biomarker-based and environmental measurements of Mn exposure to identify the scientific advances and research gaps. METHODS PubMed and EMBASE databases were searched through March 2016 for studies that were published in English, used a biomarker-based or environmental measurement of Mn exposure, and measured at least one neurological outcome for children aged 0-18 years. Ultimately, thirty-six papers from 13 countries were selected. Study designs were cross-sectional (24), prospective cohorts (9), and case control (3). Neurodevelopmental outcomes were first assessed for Mn exposure in infants (6 papers), toddlers or preschoolers (3 papers) and school-age children (27 papers). RESULTS Studies of school-aged children most frequently measured Intelligence Quotient (IQ) scores using Mn biomarkers of hair or blood. Higher hair concentrations of Mn were consistently associated with lower IQ scores while studies of blood biomarkers and IQ scores had inconsistent findings. Studies of infants and toddlers most frequently measured mental and psychomotor development; findings were inconsistent across biomarkers of Mn (hair, cord blood, tooth enamel, maternal or child blood and dentin). Although few studies measured environmental sources of Mn, hair biomarkers were associated with Mn in drinking water and infant formula. Only one paper quantified the associations between environmental sources of Mn and blood concentrations. CONCLUSION Hair-Mn was the more consistent and valid biomarker of Mn exposure in school-aged children. Accurate measurement of children's exposure to Mn is crucial for addressing these knowledge gaps in future studies. However, research on biomarkers feasible for fetuses and infants is urgently needed given their unique vulnerability to excessive Mn.
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Affiliation(s)
- Donna J. Coetzee
- Medical School, University of Minnesota, 420 Delaware Street SE, Minneapolis, MN 55455 USA
| | - Patricia M. McGovern
- Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Mayo Building, MMC 807, 420 Delaware St. SE, Minneapolis, MN 55455 USA
| | - Raghavendra Rao
- Neonatology Division, University of Minnesota, Mayo Mail Code 391, 420 Delaware St. SE, Minneapolis, MN 55455 USA
| | - Lisa J. Harnack
- School of Public Health, University of Minnesota, 300 West Bank Office Building 1300 S 2nd St, Minneapolis, MN 55454 USA
| | - Michael K. Georgieff
- Martin Lenz Harrison Land Grant Chair, Pediatrics and the Institute of Child Development, Center for Neurobehavioral Development, University of Minnesota, 717 Delaware Street SE, Ste. 333, Minneapolis, MN 55414 USA
| | - Irina Stepanov
- Division of Environmental Health Sciences, School of Public Health, University of Minnesota, 420 Delaware St SE, MMC 807, Minneapolis, MN 55454 USA
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99
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González-Merizalde MV, Menezes-Filho JA, Cruz-Erazo CT, Bermeo-Flores SA, Sánchez-Castillo MO, Hernández-Bonilla D, Mora A. Manganese and Mercury Levels in Water, Sediments, and Children Living Near Gold-Mining Areas of the Nangaritza River Basin, Ecuadorian Amazon. ARCHIVES OF ENVIRONMENTAL CONTAMINATION AND TOXICOLOGY 2016; 71:171-82. [PMID: 27173830 DOI: 10.1007/s00244-016-0285-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/23/2015] [Accepted: 04/30/2016] [Indexed: 05/24/2023]
Abstract
Artisanal and small-scale gold-mining activities performed in mountain areas of the Southern Ecuadorian Amazon have incorporated several heavy metals into the aquatic systems, thus increasing the risk of exposure in populations living in adjacent zones. Therefore, the objective of this study was to evaluate the contamination levels of mercury (Hg) and manganese (Mn) in several rivers of the Nangaritza River basin and assess the exposure in school-aged children residing near the gold-mining zones. River water and sediment samples were collected from a highly contaminated (HEx) and a moderately contaminated (MEx) zones. Hair Mn (MnH) and urinary Hg (HgU) levels were determined in school-aged children living in both zones. High concentrations of dissolved Mn were found in river waters of the HEx zone (between 2660 and 3990 µg l(-1)); however, Hg levels, in general, were lower than the detection limit (DL; <1.0 µg l(-1)). Similarly, Mn levels in sediments were also increased (3090 to 4086 µg g(-1)). Median values of MnH in children of the HEx and MEx zones were 5.5 and 3.4 µg g(-1), respectively, whereas the median values of HgU concentrations in children living in the HEx and MEx zones were 4.4 and 0.62 µg g-creat(-1), respectively. Statistically significant differences were observed between both biomarkers in children from the HEx and MEx zones. In addition, boys presented significantly greater MnH levels in both zones. The greater MnH values were found in children living in alluvial areas, whereas children living in the high mountain areas, where some ore-processing plants are located close to or inside houses and schools, had the greater HgU concentrations. In summary, the data reported in this paper highlights that artisanal and small-scale gold-mining activities can not only produce mercurial contamination, that can also release other heavy metals (such as Mn) that may pose a risk to human health.
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Affiliation(s)
| | - José A Menezes-Filho
- Laboratory of Toxicology, College of Pharmacy, Federal University of Bahia, Salvador, Bahia, 40170-115, Brazil
| | | | | | | | | | - Abrahan Mora
- Investigador Prometeo, Universidad Nacional de Loja, La Argelia, Loja, Ecuador.
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100
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Chen P, Culbreth M, Aschner M. Exposure, epidemiology, and mechanism of the environmental toxicant manganese. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2016; 23:13802-13810. [PMID: 27102617 DOI: 10.1007/s11356-016-6687-0] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/28/2016] [Accepted: 04/12/2016] [Indexed: 06/05/2023]
Abstract
It has become increasingly apparent that global manganese (Mn) pollution to air and water is a significant threat to human health. Despite this recognition, research is only beginning to comprehend the detrimental effects of exposure. Mn, while essential, is particularly harmful to the central nervous system, and overexposure is symptomatic of several neurological disorders. At-risk populations have been identified, but it is still unclear whether typical exposure levels have any long-term consequences. Those at an elevated risk have diminished intellectual function, learning and memory, and mental development. While the overall mechanism of toxicity is undetermined, Mn has been found to induce oxidative stress, exacerbate mitochondrial dysfunction, dysregulate autophagy, and promote apoptosis, ultimately enhancing neurodegeneration. Extrapolation of this in vitro and in vivo data to humans is difficult. There is a definite need to correlate epidemiological studies with causative effects. It is imperative that research efforts endure, so threats are appropriately identified and exposure properly regulated.
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Affiliation(s)
- Pan Chen
- Department of Molecular Pharmacology, Albert Einstein College of Medicine, Forchheimer Building, 1300 Morris Park Avenue, Bronx, NY, 10461, USA
| | - Megan Culbreth
- Department of Molecular Pharmacology, Albert Einstein College of Medicine, Forchheimer Building, 1300 Morris Park Avenue, Bronx, NY, 10461, USA
| | - Michael Aschner
- Department of Molecular Pharmacology, Albert Einstein College of Medicine, Forchheimer Building, 1300 Morris Park Avenue, Bronx, NY, 10461, USA.
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