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Qin RX, Cao X, Zhang SY, Li H, Tang B, Liao QL, Cai FS, Peng XZ, Zheng J. Decontamination promotes the release of incorporated organic contaminants in hair: Novel insights into non-invasive biomonitoring. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2024; 359:124696. [PMID: 39122174 DOI: 10.1016/j.envpol.2024.124696] [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: 04/26/2024] [Revised: 07/05/2024] [Accepted: 08/06/2024] [Indexed: 08/12/2024]
Abstract
Human hair is increasingly employed as a non-invasive biomonitoring matrix for exposure to organic contaminants (OCs). Decontamination procedures are generally needed to remove external contamination from hair prior to analysis of OCs. Despite various existing decontamination protocols, their impacts on internally incorporated (endogenous) OCs in hair remain poorly understood. This study aims to quantitatively assess the impact of decontamination procedures on endogenous OCs in hair, and investigate optimal decontamination processes and factors influencing the removal of endogenous OCs. In this study, guinea pig was exposed to 6 OCs (triphenyl phosphate (TPHP), tris(1,3-dichloro-2-propyl) phosphate (TDCPP), and tri-n-butyl phosphate (TNBP), bisphenol A (BPA), perfluorooctanoic acid (PFOA), and phenanthrene (PHE)), and 6 decontamination procedures with different solvents (methanol, n-hexane, acetone, ultrapure water, Triton X-100, and sodium dodecyl sulfate) were used to rinse exposed guinea pig hair. All OCs and three metabolites (diphenyl phosphate (DPHP), dibutyl phosphate (DBP), and bis(1,3-dichloro-2-propyl) phosphate (BDCPP)) were detected in the majority of washing solutions. The decontamination procedures apparently resulted in the release of endogenous OCs from hair. The percentages of residual OCs in hair exhibited a linear or exponential decrease with more washing cycles. Furthermore, the residuals of OCs in hair washed with organic and aqueous solvents showed negative correlations with molecular weight, polarizability, and their initial concentrations. Although these findings need to be validated with a broader range of OCs, the results obtained in this study provide compelling evidence that current hair decontamination procedures have significant impacts on the analysis of endogenous OCs in hair. Therefore, it is important to interpret quantitative data on hair OC concentrations with caution and to thoroughly consider each decontamination procedure during analysis.
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Affiliation(s)
- Rui-Xin Qin
- State Key Laboratory of Organic Geochemistry, Guangdong Provincial Key Laboratory of Environmental Protection and Resources Utilization, Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, Guangzhou, 510640, PR China; State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou, 510655, PR China; University of Chinese Academy of Sciences, Beijing, 100049, PR China
| | - Xue Cao
- State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou, 510655, PR China; School of Public Health, China Medical University, Liaoning, 110122, PR China
| | - Shi-Yi Zhang
- State Key Laboratory of Organic Geochemistry, Guangdong Provincial Key Laboratory of Environmental Protection and Resources Utilization, Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, Guangzhou, 510640, PR China; State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou, 510655, PR China; University of Chinese Academy of Sciences, Beijing, 100049, PR China
| | - Hong Li
- State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou, 510655, PR China; The Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, School of Public Health and Wellness, Guizhou Medical University, Guiyang, 550025, PR China
| | - Bin Tang
- State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou, 510655, PR China
| | - Qi-Long Liao
- State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou, 510655, PR China
| | - Feng-Shan Cai
- State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou, 510655, PR China
| | - Xian-Zhi Peng
- State Key Laboratory of Organic Geochemistry, Guangdong Provincial Key Laboratory of Environmental Protection and Resources Utilization, Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, Guangzhou, 510640, PR China.
| | - Jing Zheng
- State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, Research Center of Emerging Contaminants, South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou, 510655, PR China; The Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, School of Public Health and Wellness, Guizhou Medical University, Guiyang, 550025, PR China.
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Amir Abdul Nasir AF, Niehaus AC, Cameron SF, Ujvari B, Madsen T, von Hippel FA, Gao S, Dillon DM, Buck CL, Charters J, Heiniger J, Blomberg S, Wilson RS. Manganese Exacerbates Seasonal Health Declines in a Suicidally Breeding Mammal. ENVIRONMENTAL TOXICOLOGY AND CHEMISTRY 2024; 43:74-86. [PMID: 37750553 DOI: 10.1002/etc.5753] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Revised: 03/31/2023] [Accepted: 09/20/2023] [Indexed: 09/27/2023]
Abstract
Reproductive costs must be balanced with survival to maximize lifetime reproductive rates; however, some organisms invest in a single, suicidal bout of breeding known as semelparity. The northern quoll (Dasyurus hallucatus) is an endangered marsupial in which males, but not females, are semelparous. Northern quolls living near mining sites on Groote Eylandt, Northern Territory, Australia, accumulate manganese (Mn) in their brains, testes, and hair, and elevated Mn impacts motor performance. Whether Mn is associated with other health declines is yet unknown. In the present study we show that male and female northern quolls with higher Mn accumulation had a 20% reduction in immune function and a trend toward reduced cortisol concentrations in hair. The telomere lengths of male quolls did not change pre- to postbreeding, but those with higher Mn levels had longer telomeres; in contrast, the telomeres of females shortened during the breeding season but recovered between the first year and second year of breeding. In addition, the telomeres of quolls that were recaptured declined at significantly higher rates in quolls with higher Mn between prebreeding, breeding, and/or postbreeding seasons. Future research should determine whether changes in cortisol, immune function, or telomere length affect reproductive output or survival-particularly for semelparous males. Environ Toxicol Chem 2024;43:74-86. © 2023 The Authors. Environmental Toxicology and Chemistry published by Wiley Periodicals LLC on behalf of SETAC.
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Affiliation(s)
- Ami F Amir Abdul Nasir
- School of Biological Sciences, The University of Queensland, Saint Lucia, Queensland, Australia
| | - Amanda C Niehaus
- School of Biological Sciences, The University of Queensland, Saint Lucia, Queensland, Australia
| | - Skye F Cameron
- Australian Wildlife Conservancy, Subiaco East, Western Australia, Australia
| | - Beata Ujvari
- Centre for Integrative Ecology, School of Life and Environmental Sciences, Deakin University, Waurn Ponds, Victoria, Australia
| | - Thomas Madsen
- Centre for Integrative Ecology, School of Life and Environmental Sciences, Deakin University, Waurn Ponds, Victoria, Australia
| | - Frank A von Hippel
- Department of Community, Environment and Policy, The University of Arizona, Tucson, Arizona, USA
| | - Sisi Gao
- Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | - Danielle M Dillon
- Department of Biological Sciences, Northern Arizona University, Flagstaff, Arizona, USA
| | - C Loren Buck
- Department of Biological Sciences, Northern Arizona University, Flagstaff, Arizona, USA
| | - Jordan Charters
- School of Biological Sciences, The University of Queensland, Saint Lucia, Queensland, Australia
| | - Jaime Heiniger
- School of Biological Sciences, The University of Queensland, Saint Lucia, Queensland, Australia
| | - Simone Blomberg
- School of Biological Sciences, The University of Queensland, Saint Lucia, Queensland, Australia
| | - Robbie S Wilson
- School of Biological Sciences, The University of Queensland, Saint Lucia, Queensland, Australia
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Shim JY, Lee HS, Shin WJ, Park S, Choi HB, Shin HS, Lee KS. The effects of dyes and bleaches on the sorption and desorption of trace elements in human hair. ENVIRONMENTAL GEOCHEMISTRY AND HEALTH 2023; 45:2349-2358. [PMID: 35960422 DOI: 10.1007/s10653-022-01358-x] [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: 03/06/2022] [Accepted: 07/09/2022] [Indexed: 05/03/2023]
Abstract
Trace element concentrations and isotope ratios of hair reflect the blood levels at the time of hair formation, but can be affected by external factors such as dyeing, bleaching, and bathing. To investigate the effect of dyeing, bleaching, and bathing on hair, hair was immersed in tap water, and changes in trace element concentrations and the Sr isotope ratio were observed over time. During soaking, alkaline earth metals (Ca, Mg, and Sr) from tap water were gradually absorbed into the hair over time. After about one day, the adsorption capacity of hair reached a maximum and the reverse reaction started to occur. In contrast, alkaline metals (Na and K) behaved in reverse. In dyed and bleached hair, Na was significantly desorbed from the hair and gradually migrated to the water over time. The adsorption and desorption of trace elements were minimal in untreated original hair, but much higher in dyed and bleached hair. Thus, dyeing and bleaching appear to damage the hair surface structure and greatly promote the exchange of trace elements. The rapid exchange of trace elements, including Sr, between hair and tap water observed in this study indicates that hair samples can be easily contaminated during bathing.
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Affiliation(s)
- Ji-Yu Shim
- Research Center for Geochronology and Isotope Analysis, Korea Basic Science Institute, Cheongju-si, Chungbuk, 28119, Republic of Korea
- Graduate School of Analytical Science and Technology, Chungnam National University, Daejeon, 34134, Republic of Korea
| | - Han-Seul Lee
- Research Center for Geochronology and Isotope Analysis, Korea Basic Science Institute, Cheongju-si, Chungbuk, 28119, Republic of Korea
- Graduate School of Analytical Science and Technology, Chungnam National University, Daejeon, 34134, Republic of Korea
| | - Woo-Jin Shin
- Research Center for Geochronology and Isotope Analysis, Korea Basic Science Institute, Cheongju-si, Chungbuk, 28119, Republic of Korea
| | - Sanghee Park
- Center for Research Equipment, Korea Basic Science Institute, Cheongju-si, Chungbuk, 28119, Republic of Korea
| | - Hye-Bin Choi
- Research Center for Geochronology and Isotope Analysis, Korea Basic Science Institute, Cheongju-si, Chungbuk, 28119, Republic of Korea
| | - Hyung Seon Shin
- Center for Research Equipment, Korea Basic Science Institute, Cheongju-si, Chungbuk, 28119, Republic of Korea
| | - Kwang-Sik Lee
- Research Center for Geochronology and Isotope Analysis, Korea Basic Science Institute, Cheongju-si, Chungbuk, 28119, Republic of Korea.
- Graduate School of Analytical Science and Technology, Chungnam National University, Daejeon, 34134, Republic of Korea.
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Rodiouchkina K, Rodushkin I, Goderis S, Vanhaecke F. Longitudinal isotope ratio variations in human hair and nails. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 808:152059. [PMID: 34863743 DOI: 10.1016/j.scitotenv.2021.152059] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2021] [Revised: 11/19/2021] [Accepted: 11/25/2021] [Indexed: 06/13/2023]
Abstract
Due to the straightforward and non-invasive sampling, ease of transport and long-term storage and access to time-resolved information, determination of element concentrations and isotope ratios in hair and nails finds increasing use. Multi-isotopic information preserved in keratinous tissues allows one to reveal dietary, physiological and environmental influences, but progress in this area is still limited by complicated and time-consuming analytical procedures and challenges in accuracy assessment. In this study, longitudinal distributions of δ34S, 87Sr/86Sr, 207,208Pb/206Pb, δ66Zn, δ56Fe, δ65Cu, δ26Mg, and δ114Cd were obtained for hair and nails collected from nine subjects with different age, biological sex, diet and/or place of residence. For S and Zn, the distribution along hair strands revealed a trend towards a heavier isotopic signature from the proximal to the distal end, with a maximum difference within the hair of a single subject of 1.2‰ (Δ34S) and 0.4‰ (Δ66Zn). For Fe, Cu, Mg and Cd, a shift towards either a lighter (Cu) or heavier (Fe, Mg and Cd) isotopic composition is accompanied by increasing concentration towards the distal hair end, indicating possible isotope fractionation during deposition or external contamination with a different isotopic composition. Pb and Sr isotope ratios are relatively stable throughout the hair strands despite notable concentration increases towards the distal end, likely reflecting external contamination. The isotopic composition of Sr points to tap water as a probable main source, explaining the relative stability of the ratio for individuals from the same geographical location. For Pb, isotopic compositions suggest tap water and/or indoor dust as possible sources. Similar δ34S, 87Sr/86Sr, 207,208Pb/206Pb, δ66Zn, δ56Fe, and δ65Cu observed for hair, fingernails and toenails sampled from the same individual suggest that keratinous tissues are conservative receivers of internal and external inputs and can be used complementary. Seasonal variation in δ34S, 207,208Pb/206Pb, and δ65Cu was observed for fingernails.
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Affiliation(s)
- Katerina Rodiouchkina
- Ghent University, Department of Chemistry, Atomic and Mass Spectrometry (A&MS) research group, Campus Sterre, Krijgslaan 281 - S12, 9000 Ghent, Belgium
| | - Ilia Rodushkin
- ALS Scandinavia AB, ALS Laboratory Group, Aurorum 10, S-977 75 Luleå, Sweden
| | - Steven Goderis
- Vrije Universiteit Brussel, Department of Chemistry, Analytical, Environmental and Geo-Chemistry (AMGC) research group, Pleinlaan 2, 1050 Brussels, Belgium
| | - Frank Vanhaecke
- Ghent University, Department of Chemistry, Atomic and Mass Spectrometry (A&MS) research group, Campus Sterre, Krijgslaan 281 - S12, 9000 Ghent, Belgium.
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Thomas O, Le Bot B, Verrey D, Durand S, Harpet C, Froment A, Jégou B. High lead level in the Alps in XIXth century, learning from the analysis of 138 historical hair stands. CHEMOSPHERE 2022; 286:131658. [PMID: 34416585 DOI: 10.1016/j.chemosphere.2021.131658] [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: 03/22/2021] [Revised: 07/20/2021] [Accepted: 07/21/2021] [Indexed: 06/13/2023]
Abstract
Analysis of hair is known to provide useful information about environmental and toxic exposures. Very little historical use has been made of this type of investigation. Here we study 138 human hair samples from 19th century in France. In order to examine the potential association between contamination and historical health impacts, we characterized contamination by 33 elements in a set of hair strands sampled during the last quarter of the 19th century in the Savoy region of France. After a selected washing step on 138 hair strands conserved at the Museum National d'Histoire Naturelle in Paris (France), we assessed the presence of inorganics by ICP/MS, and lead level was higher than values reported in literature. We then compared concentrations and distributions between women and men, sampling locations and crossing gender and geographical origin. Hair lead level was high throughout Savoy at the end of the 19th century: significantly higher for people living in towns or industrial valleys, and lower for those of countryside and mountains areas. Environmental and economic changes (industrialization and urbanization with water adduction and leaded paints), living habits (kitchenware, cosmetics, wine, and tobacco), and local features (mines exploitation, railroad development, and industrialized narrow valleys) could be envisaged for explaining the level of lead contamination. In the same period, the two main industrial valleys of Savoy (Maurienne and Tarentaise) had high rates of endemic goiter and cretinism and among the highest hair lead levels. Other lines of evidence will need to be explore to investigate a possible link between historical Pb exposure and goiter in the study area.
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Affiliation(s)
- O Thomas
- Univ Rennes, EHESP, Inserm, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, F-35000, Rennes, France
| | - B Le Bot
- Univ Rennes, EHESP, Inserm, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, F-35000, Rennes, France.
| | - D Verrey
- Univ Rennes, EHESP, Inserm, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, F-35000, Rennes, France
| | - S Durand
- Univ Rennes, EHESP, Inserm, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, F-35000, Rennes, France
| | - C Harpet
- Univ Rennes, EHESP, Inserm, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, F-35000, Rennes, France; Univ Rennes, EHESP, CNRS, ARENES-UMR_S 6051, F-35000, Rennes, France
| | - A Froment
- Musée National d'histoire Naturelle (MNHN), Paris, France
| | - B Jégou
- Univ Rennes, EHESP, Inserm, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, F-35000, Rennes, France
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Mapping the Chemistry of Hair Strands by Mass Spectrometry Imaging-A Review. Molecules 2021; 26:molecules26247522. [PMID: 34946604 PMCID: PMC8706971 DOI: 10.3390/molecules26247522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 11/29/2021] [Accepted: 12/08/2021] [Indexed: 11/23/2022] Open
Abstract
Hair can record chemical information reflecting our living conditions, and, therefore, strands of hair have become a potent analytical target within the biological and forensic sciences. While early efforts focused on analyzing complete hair strands in bulk, high spatial resolution mass spectrometry imaging (MSI) has recently come to the forefront of chemical hair-strand analysis. MSI techniques offer a localized analysis, requiring fewer de-contamination procedures per default and making it possible to map the distribution of analytes on and within individual hair strands. Applying the techniques to hair samples has proven particularly useful in investigations quantifying the exposure to, and uptake of, toxins or drugs. Overall, MSI, combined with optimized sample preparation protocols, has improved precision and accuracy for identifying several elemental and molecular species in single strands of hair. Here, we review different sample preparation protocols and use cases with a view to make the methodology more accessible to researchers outside of the field of forensic science. We conclude that—although some challenges remain, including contamination issues and matrix effects—MSI offers unique opportunities for obtaining highly resolved spatial information of several compounds simultaneously across hair surfaces.
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Verrey D, Durand S, Thomas O, Lelévrier V, Quénel P, Le Bot B. A new washing procedure for inorganic element analysis of hair. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2019; 29:706-717. [PMID: 30670772 DOI: 10.1038/s41370-018-0112-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2018] [Revised: 11/23/2018] [Accepted: 11/27/2018] [Indexed: 06/09/2023]
Abstract
Hair incorporates chemical compounds from the bloodstream and external sources as it grows. Different analytical procedures are proposed, but no consensus can be found for external contamination removal (washing stage). Thus, a major limitation of the use of hair analysis for human biomonitoring is the issue related to the washing efficiency, and the objective of this study was to propose a simple washing method for a better cleaning of external contamination. Based on a sequence of three steps of detergent or acid washing (Triton, nitric acid, and hydrochloric acid), the TNCl method was tested on raw and spiked samples and compared to other methods. Thirty-seven inorganic elements were analyzed by inductively Coupled Plasma Mass Spectrometry (ICP-MS) after washing and acid digestion of 10 hair samples (Li, Be, Na, Mg, Al, P, K, Ca, V, Cr, Fe, Mn, Co, N, Cu, Zn, As, Se, Sr, Mo, Ru, Ag, Cd, Sn, Sb, Cs, Ba, La, Ce, Nd, Gd, Lu, Tl, Pb, Bi, Th, and U). The inorganic element concentrations in the hair samples were compared to those reported in the literature. The TNCl method was shown to be more efficient than other methods based on the use of surfactants and organic solvents.
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Affiliation(s)
- Dominique Verrey
- Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, Rennes, F-35043, France
| | - Séverine Durand
- Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, Rennes, F-35043, France
| | - Olivier Thomas
- Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, Rennes, F-35043, France
| | - Vanessa Lelévrier
- Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, Rennes, F-35043, France
| | - Philippe Quénel
- Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, Rennes, F-35043, France
| | - Barbara Le Bot
- Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, Rennes, F-35043, France.
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On the Use of Hair Analysis for Assessing Arsenic Intoxication. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16060977. [PMID: 30889915 PMCID: PMC6466288 DOI: 10.3390/ijerph16060977] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/18/2019] [Revised: 03/07/2019] [Accepted: 03/11/2019] [Indexed: 11/20/2022]
Abstract
Correlations between the concentrations of arsenic in scalp hair and in drinking water as well as in blood and/or urine have been reported. These correlations clearly show exposure–absorption–excretion relationships. In addition, arsenic metabolites such as monomethylarsonic acid and dimethylarsinic acid have been identified and quantified in these tissues and fluids, leaving little doubt that elevated levels of arsenic in the hair can reflect systemic arsenic intoxication. Consequently, hair analysis has potential merit as a screening procedure for poisoning by arsenic. However, questions regarding the exogenous versus the endogenous deposition of arsenic in the hair, and uncertainties about the normal level of arsenic in the hair remain unresolved. Pending their resolution, the determination of arsenic in hair should remain a screening tool, and clinical signs and symptoms should be employed to complete the diagnosis of arsenic poisoning.
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Jones SL, Campbell B, Hart T. Laboratory tests commonly used in complementary and alternative medicine: a review of the evidence. Ann Clin Biochem 2019; 56:310-325. [PMID: 30813740 DOI: 10.1177/0004563218824622] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
It is increasingly easy for the general public to access a wide range of laboratory tests. Tests can be ordered online with little or no input from a health professional. The complementary and alternative medicine (CAM) community promote and sell a wide range of tests, many of which are of dubious clinical significance. Many have little or no clinical utility and have been widely discredited, whilst others are established tests that are used for unvalidated purposes. They range from the highly complex, employing state of the art technology, e.g. heavy metal analysis using inductively coupled plasma-mass spectrometry, to the rudimentary, e.g. live blood cell analysis. Results of 'CAM tests' are often accompanied by extensive clinical interpretations which may recommend, or be used to justify, unnecessary or harmful treatments. There are now a small number of laboratories across the globe that specialize in CAM testing. Some CAM laboratories operate completely outside of any accreditation programme whilst others are fully accredited to the standard of established clinical laboratories. In this review, we explore CAM testing in the United States, the United Kingdom and Australia with a focus on the common tests on offer, how they are reported, the evidence base for their clinical application and the regulations governing their use. We will also review proposed changed to in-vitro diagnostic device regulations and how these might impact on CAM testing.
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Affiliation(s)
- Stuart L Jones
- 1 Department of Clinical Biochemistry, King George's Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK
| | | | - Tanya Hart
- 3 Department of Clinical Biochemistry, Poole Hospital NHS Foundation Trust, UK
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Anders D, Osmanovic A, Vohberger M. Intra- and inter-individual variability of stable strontium isotope ratios in hard and soft body tissues of pigs. RAPID COMMUNICATIONS IN MASS SPECTROMETRY : RCM 2019; 33:281-290. [PMID: 30421822 DOI: 10.1002/rcm.8350] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Revised: 11/07/2018] [Accepted: 11/07/2018] [Indexed: 06/09/2023]
Abstract
RATIONALE Stable isotope analysis has become an indispensable tool for the identification of the flow of matter in ecological sciences. Stable strontium isotope ratios are used in several different scientific fields as markers for provenance, mobility, and migration. A crucial prerequisite for such studies is a reliable definition of local ranges and an estimation of expected isotopic variability. METHODS To study the local variability of stable strontium isotope ratios at a specific place, a farrow of ecologically and locally grown pigs was investigated and strontium was extracted from their hard tissues (tooth enamel, bones and bristles) as well as soft tissues (meat, organs and blood) via dry- and wet-ashing procedures and subsequent column separation. The 87 Sr/86 Sr ratio was then measured via TIMS (thermal ionization mass spectrometry). RESULTS Reliable 87 Sr/86 Sr data was generated from all tissue types. Both intra- and inter-individual variability was high and tissue-specific patterns could be identified. High ranges occurred in sample types which were analyzed for animals of different age (pigs as well as piglets): teeth, parietal, mandible, femur, and leg muscle as well as in jaw muscle samples, which were only analyzed in adult pigs. Tooth enamel data showed a tooth-type-dependent pattern. CONCLUSIONS We conclude that a time factor played a role for the observed variability, e.g. a shift in food supply. Furthermore, we presume that local range estimates from the literature only work for tissues which integrate all consumed components over a sufficient amount of time and average fluctuations which can be found in tissues with higher turnover rates.
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Affiliation(s)
- Dominic Anders
- Biozentrum, Ludwig-Maximilians-Universität München, Grosshaderner Str. 2, 82152, Martinsried, Germany
| | - Amira Osmanovic
- Biozentrum, Ludwig-Maximilians-Universität München, Grosshaderner Str. 2, 82152, Martinsried, Germany
| | - Marina Vohberger
- Biozentrum, Ludwig-Maximilians-Universität München, Grosshaderner Str. 2, 82152, Martinsried, Germany
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Hu L, Fernandez DP, Cerling TE. Longitudinal and transverse variation of trace element concentrations in elephant and giraffe hair: implication for endogenous and exogenous contributions. ENVIRONMENTAL MONITORING AND ASSESSMENT 2018; 190:644. [PMID: 30338407 DOI: 10.1007/s10661-018-7038-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Accepted: 10/08/2018] [Indexed: 06/08/2023]
Abstract
The spatial distribution of trace elements in hair is highly heterogeneous at the microscale. The relatively mild spatial variation of endogenous signal incorporated during hair growth may be amplified by orders of magnitude due to later exogenous contaminations. Here, we studied the longitudinal and transverse distributions of trace elements in elephant and giraffe hair and discussed the possible endogenous and exogenous contributions. Laser ablation ICP-MS analyses were performed on cross sections of hair to assess the surface contamination and transverse variation. We also removed the contaminated surface layer at various distances from hair root of single hair strands using physical abrasion and measured the concentrations by microwave digestion followed by ICP-MS. By comparing the concentrations of 11 trace elements between the intact and abraded hair segments as a function of distance from root and their laser ablation profiles, we rationalized the endogenous and exogenous contributions: Al and Ti concentrations are dominated by the exogenous contamination on the elephant hair surface, probably in the form of insoluble particles, but not in the giraffe hair; Mg, Ca, Sr, Ba, and Mn are enhanced on the elephant hair surface by exogenous contaminations, but a comparable amount was found in the hair interior suggesting migration of these elements from the surface towards the core; Cu, Zn, Se, and Pb did not have surface accumulation and thus were dominated by the endogenous signal. Overall, giraffe hair had minimal surficial contamination, suggesting the origin of its trace elements is predominantly endogenous, except for Mn, which might get contaminated with airborne particles. We thus demonstrate that contamination of hair may be strongly related to behavioral traits and that the interpretation of trace elemental analyses in hair as a biomonitor or for provenance studies would be highly dependent on the species considered.
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Affiliation(s)
- Lihai Hu
- Department of Geology and Geophysics, University of Utah, 115 S 1460 E, Salt Lake City, UT, 84112, USA.
| | - Diego P Fernandez
- Department of Geology and Geophysics, University of Utah, 115 S 1460 E, Salt Lake City, UT, 84112, USA
| | - Thure E Cerling
- Department of Geology and Geophysics, University of Utah, 115 S 1460 E, Salt Lake City, UT, 84112, USA
- Department of Biology, University of Utah, Salt Lake City, UT, 84112, USA
- IsoForensics, Inc., 423 Wakara Way, Suite 205, Salt Lake City, UT, 84108, USA
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12
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Toxic elements in hair and in vitro fertilization outcomes: A prospective cohort study. Reprod Toxicol 2018; 77:43-52. [DOI: 10.1016/j.reprotox.2018.02.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2017] [Revised: 01/29/2018] [Accepted: 02/02/2018] [Indexed: 12/15/2022]
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13
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Strontium isotope ratios of human hair record intra-city variations in tap water source. Sci Rep 2018; 8:3334. [PMID: 29463835 PMCID: PMC5820339 DOI: 10.1038/s41598-018-21359-0] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2017] [Accepted: 01/30/2018] [Indexed: 11/24/2022] Open
Abstract
The oxygen (18O/16O) isotope analysis of hair is commonly applied to reconstruct an individual’s residence history. However, region-of-origin as determined from oxygen isotope values (δ18O) alone is often spatially indistinct. Adding additional geochemical recorders can refine region-of-origin estimates. In this capacity, strontium (87Sr/86Sr) isotope analysis has attracted increased interest. While 87Sr/86Sr reflects the influences of local geology, 87Sr/86Sr of hair includes both external environmental signals as well as the internal dietary indicators. To better understand the impact of these contributions to the spatial signal encoded within 87Sr/86Sr of hair, human hair was collected from three locations within Salt Lake City, Utah along with the donor’s sex. The 87Sr/86Sr and δ18O of hair and local tap water were measured. There were no significant relationships between sex and either δ18O or 87Sr/86Sr of hair, nor between collection location and the δ18O of hair. However, we found significant associations between collection location and 87Sr/86Sr of hair. These findings suggest that interactions with local water may be an important source of Sr to human hair and that the 87Sr/86Sr of hair may have the capacity to record differences in 87Sr/86Sr of tap waters on small spatial scales.
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Amir Abdul Nasir AF, Cameron SF, von Hippel FA, Postlethwait J, Niehaus AC, Blomberg S, Wilson RS. Manganese accumulates in the brain of northern quolls (Dasyurus hallucatus) living near an active mine. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2018; 233:377-386. [PMID: 29096311 DOI: 10.1016/j.envpol.2017.10.088] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2017] [Revised: 10/20/2017] [Accepted: 10/23/2017] [Indexed: 06/07/2023]
Abstract
Mining is fundamental to the Australian economy, yet little is known about how potential contaminants bioaccumulate and affect wildlife living near active mining sites. Here, we show using air sampling that fine manganese dust within the respirable size range is found at levels exceeding international recommendations even 20 km from manganese extraction, processing, and storage facilities on Groote Eylandt, Northern Territory. Endangered northern quolls (Dasyurus hallucatus) living near mining sites were found to have elevated manganese concentrations within their hair, testes, and in two brain regions-the neocortex and cerebellum, which are responsible for sensory perception and motor function, respectively. Accumulation in these organs has been associated with adverse reproductive and neurological effects in other species and could affect the long-term population viability of northern quolls.
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Affiliation(s)
| | - Skye F Cameron
- School of Biological Sciences, The University of Queensland, St Lucia, QLD 4072, Australia
| | - Frank A von Hippel
- Department of Biological Sciences and Centre for Bioengineering Innovation, Northern Arizona University, Flagstaff, AZ 86011, USA
| | - John Postlethwait
- Institute of Neuroscience, University of Oregon, Eugene, OR 97403, USA
| | - Amanda C Niehaus
- School of Biological Sciences, The University of Queensland, St Lucia, QLD 4072, Australia
| | - Simon Blomberg
- School of Biological Sciences, The University of Queensland, St Lucia, QLD 4072, Australia
| | - Robbie S Wilson
- School of Biological Sciences, The University of Queensland, St Lucia, QLD 4072, Australia.
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15
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Skröder H, Kippler M, Nermell B, Tofail F, Levi M, Rahman SM, Raqib R, Vahter M. Major Limitations in Using Element Concentrations in Hair as Biomarkers of Exposure to Toxic and Essential Trace Elements in Children. ENVIRONMENTAL HEALTH PERSPECTIVES 2017; 125:067021. [PMID: 28669939 PMCID: PMC5743543 DOI: 10.1289/ehp1239] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Revised: 01/19/2017] [Accepted: 02/06/2017] [Indexed: 05/20/2023]
Abstract
BACKGROUND Hair is a commonly used exposure biomarker for metals and other trace elements, but concern has been raised regarding its appropriateness for assessing the internal dose. OBJECTIVES The aim of the present study was to evaluate children's hair as biomarker of internal dose for toxic (As, Mn, Cd, Pb) and essential elements (Mg, Ca, Fe, Co, Cu, Zn, Se, Mo). METHODS In 207 children (9-10 years of age), originating from a population-based cohort in rural Bangladesh, we measured concentrations of the selected elements in hair ( closest to the scalp) using ICP-MS. We compared these with previously measured concentrations in erythrocytes, urine, and water. For a subset of children (n=19), we analyzed four consecutive 2 cm pieces of hair. RESULTS There were strong associations between hair As and the other biomarkers (erythrocytes: rs=0.73, p<0.001; urine: rS=0.66, p<0.001); and water (rs=0.60, p<0.001); and there were significant correlations between Se in hair and erythrocytes (overall rs=0.38, p<0.001), and urine (rs=0.29, p<0.001). Hair Co and Mo showed weak correlations with concentrations in erythrocytes. Hair Mn was not associated with Mn in erythrocytes, urine, or water, and the geometric mean concentration increased almost five times from the 2 cm closest to the head to the 7th–8th cm (p<0.001). Also Mg, Ca, Co, Cd, and Pb increased from the scalp outward (>50% higher in 7th–8th cm compared with 1st–2nd cm, p<0.001). CONCLUSIONS Hair was found to be a useful exposure biomarker of absorbed As and Se only. Of all measured elements, hair Mn seemed the least reflective of internal dose. https://doi.org/10.1289/EHP1239.
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Affiliation(s)
- Helena Skröder
- Unit of Metals and Health, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Maria Kippler
- Unit of Metals and Health, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Barbro Nermell
- Unit of Metals and Health, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Fahmida Tofail
- International Center for Diarrheal Disease Research, Dhaka, Bangladesh
| | - Michael Levi
- Unit of Metals and Health, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Syed Moshfiqur Rahman
- Unit of Metals and Health, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
- International Center for Diarrheal Disease Research, Dhaka, Bangladesh
| | - Rubhana Raqib
- International Center for Diarrheal Disease Research, Dhaka, Bangladesh
| | - Marie Vahter
- Unit of Metals and Health, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
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Błażewicz A, Liao KY, Liao HH, Niziński P, Komsta Ł, Momčilović B, Jabłońska-Czapla M, Michalski R, Prystupa A, Sak JJ, Kocjan R. Alterations of Hair and Nail Content of Selected Trace Elements in Nonoccupationally Exposed Patients with Chronic Depression from Different Geographical Regions. BIOMED RESEARCH INTERNATIONAL 2017; 2017:3178784. [PMID: 28386550 PMCID: PMC5366181 DOI: 10.1155/2017/3178784] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Revised: 12/22/2016] [Accepted: 01/10/2017] [Indexed: 01/10/2023]
Abstract
The aim of this study was to determine if altered levels of selected trace elements manifest themselves during chronic depression. To identify elements strongly associated with chronic depression, relationships between the elemental contents of hair and nails and the interelement correlations were checked. Inductively coupled plasma mass spectrometry and ion chromatography were used to evaluate the contents of Zn, Cu, Co, Pb, Mn, and Fe in hair and nail samples from a total of 415 subjects (295 patients and 120 healthy volunteers). The study included logistic regression models to predict the probability of chronic depression. To investigate possible intercorrelations among the studied elements, the scaled principal component analysis was used. The research has revealed differences in TE levels in the group of depressed men and women in comparison to the healthy subjects. Statistically significant differences in both hair and nails contents of several elements were observed. Our study also provides strong evidence that the intermediary metabolism of certain elements is age- and gender-dependent. Zn, Mn, Pb, and Fe contents in hair/nails seem to be strongly associated with chronic depression. We found no statistically significant residence-related differences in the contents of studied elements in nonoccupationally exposed patients and healthy subjects.
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Affiliation(s)
- Anna Błażewicz
- Chair of Chemistry, Department of Analytical Chemistry, Medical University of Lublin, Chodzki 4a St., 20-093 Lublin, Poland
| | - Kuan-Yung Liao
- Homu Clinic, No. 61, Dongping Rd., East Dist., Tainan City 701, Taiwan
| | - Heng-Hsin Liao
- Homu Clinic, No. 61, Dongping Rd., East Dist., Tainan City 701, Taiwan
| | - Przemysław Niziński
- Chair of Chemistry, Department of Analytical Chemistry, Medical University of Lublin, Chodzki 4a St., 20-093 Lublin, Poland
| | - Łukasz Komsta
- Chair and Department of Medicinal Chemistry, Medical University of Lublin, Jaczewskiego 4, 20-090 Lublin, Poland
| | - Berislav Momčilović
- Institute for Research and Development of the Sustainable Eco Systems, Srebrnjak 59, 10000 Zagreb, Croatia
| | - Magdalena Jabłońska-Czapla
- Institute of Environmental Engineering of Polish Academy of Sciences, Sklodowska-Curie 34 Street, 41-819 Zabrze, Poland
| | - Rajmund Michalski
- Institute of Environmental Engineering of Polish Academy of Sciences, Sklodowska-Curie 34 Street, 41-819 Zabrze, Poland
| | - Andrzej Prystupa
- Chair and Department of Internal Diseases, Medical University of Lublin, Staszica 16, 20-081 Lublin, Poland
| | - Jarosław J. Sak
- Department of Ethics and Human Philosophy, Medical University of Lublin, Staszica 4/6, 20-059 Lublin, Poland
- Department of Nephrology, Medical University of Lublin, Jaczewskiego 8, 20-954 Lublin, Poland
| | - Ryszard Kocjan
- Chair of Chemistry, Department of Analytical Chemistry, Medical University of Lublin, Chodzki 4a St., 20-093 Lublin, Poland
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Middleton DRS, Watts MJ, Hamilton EM, Fletcher T, Leonardi GS, Close RM, Exley KS, Crabbe H, Polya DA. Prolonged exposure to arsenic in UK private water supplies: toenail, hair and drinking water concentrations. ENVIRONMENTAL SCIENCE. PROCESSES & IMPACTS 2016; 18:562-74. [PMID: 27120003 DOI: 10.1039/c6em00072j] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
Chronic exposure to arsenic (As) in drinking water is an established cause of cancer and other adverse health effects. Arsenic concentrations >10 μg L(-1) were previously measured in 5% of private water supplies (PWS) in Cornwall, UK. The present study investigated prolongued exposure to As by measuring biomarkers in hair and toenail samples from 212 volunteers and repeated measurements of As in drinking water from 127 households served by PWS. Strong positive Pearson correlations (rp = 0.95) indicated stability of water As concentrations over the time period investigated (up to 31 months). Drinking water As concentrations were positively correlated with toenail (rp = 0.53) and hair (rp = 0.38) As concentrations - indicative of prolonged exposure. Analysis of washing procedure solutions provided strong evidence of the effective removal of exogenous As from toenail samples. Significantly higher As concentrations were measured in hair samples from males and smokers and As concentrations in toenails were negatively associated with age. A positive association between seafood consumption and toenail As and a negative association between home-grown vegetable consumption and hair As was observed for volunteers exposed to <1 As μg L(-1) in drinking water. These findings have important implications regarding the interpretation of toenail and hair biomarkers. Substantial variation in biomarker As concentrations remained unaccounted for, with soil and dust exposure as possible explanations.
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Affiliation(s)
- D R S Middleton
- School of Earth, Atmospheric and Environmental Sciences & William Research Centre for Molecular Environmental Science, University of Manchester, Oxford Rd, Manchester, M13 9PL, UK
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Joksić AŠ, Katz SA. Efficacy of hair analysis for monitoring exposure to uranium: a mini-review. JOURNAL OF ENVIRONMENTAL SCIENCE AND HEALTH. PART A, TOXIC/HAZARDOUS SUBSTANCES & ENVIRONMENTAL ENGINEERING 2014; 49:1578-1587. [PMID: 25137545 DOI: 10.1080/10934529.2014.938535] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
In spite of the ease with which samples may be collected and the stability of the samples after collection, the use of hair mineral analysis for monitoring environmental exposures and evaluating heavy metal poisonings has remained controversial since its initial applications for these purposes in the early 1950s. Among the major arguments against using hair mineral analysis in general were the absence of biokinetic models and/or metabolic data that adequately described the incorporation of trace elements into the hair, the absence of correlations between the concentrations of trace elements in the hair and their concentrations in other tissues, the inability to distinguish between trace elements that were deposited in the hair endogenously and those that were deposited on the hair exogenously, the absence of reliable reference ranges for interpreting the results of hair mineral analysis and a lack of standard procedures for the collecting, preparing and analyzing the hair samples. The developments of the past two decades addressing these objections are reviewed here, and arguments supporting the use of hair analysis for monitoring environmental and/or occupational exposures to uranium are made on the basis of the information presented in this review.
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Mikulewicz M, Chojnacka K, Gedrange T, Górecki H. Reference values of elements in human hair: a systematic review. ENVIRONMENTAL TOXICOLOGY AND PHARMACOLOGY 2013; 36:1077-86. [PMID: 24141206 DOI: 10.1016/j.etap.2013.09.012] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2013] [Revised: 09/13/2013] [Accepted: 09/20/2013] [Indexed: 05/20/2023]
Abstract
BACKGROUND The lack of systematic review on reference values of elements in human hair with the consideration of methodological approach. The absence of worldwide accepted and implemented universal reference ranges causes that hair mineral analysis has not become yet a reliable and useful method of assessment of nutritional status and exposure of individuals. OBJECTIVES Systematic review of reference values of elements in human hair. DATA SOURCES PubMed, ISI Web of Knowledge, Scopus. STUDY ELIGIBILITY CRITERIA Humans, hair mineral analysis, elements or minerals, reference values, original studies. RESULTS The number of studies screened and assessed for eligibility was 52. Eventually, included in the review were 5 papers. The studies report reference ranges for the content of elements in hair: macroelements, microelements, toxic elements and other elements. Reference ranges were elaborated for different populations in the years 2000-2012. The analytical methodology differed, in particular sample preparation, digestion and analysis (ICP-AES, ICP-MS). Consequently, the levels of hair minerals reported as reference values varied. CONCLUSIONS It is necessary to elaborate the standard procedures and furtherly validate hair mineral analysis and deliver detailed methodology. Only then it would be possible to provide meaningful reference ranges and take advantage of the potential that lies in Hair Mineral Analysis as a medical diagnostic technique.
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Affiliation(s)
- Marcin Mikulewicz
- Department of Dentofacial Orthopeadics and Orthodontics, Medical University of Wrocław, Poland.
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Tipple BJ, Chau T, Chesson LA, Fernandez DP, Ehleringer JR. Isolation of strontium pools and isotope ratios in modern human hair. Anal Chim Acta 2013; 798:64-73. [DOI: 10.1016/j.aca.2013.08.054] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2013] [Revised: 08/29/2013] [Accepted: 08/30/2013] [Indexed: 10/26/2022]
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