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Alejandro-Vega S, Hardisson A, Rubio C, Gutiérrez ÁJ, Jaudenes-Marrero JR, Paz-Montelongo S. Soft Drinks as a Dietary Source of Fluoride Exposure. Biol Trace Elem Res 2024; 202:3816-3828. [PMID: 37922070 DOI: 10.1007/s12011-023-03937-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Accepted: 10/24/2023] [Indexed: 11/05/2023]
Abstract
High fluoride exposures can lead to adverse effects such as dental and bone fluorosis, as well as endocrine and cognitive developmental problems. Water is the main dietary source of this ion, although significant concentrations have also been detected in other beverages widely consumed by the population such as soft drinks. A total of 200 soft drink samples (60 flavoured, 70 extracts, 60 fruit juice and 10 soft drinks) were analysed by fluoride ion selective potentiometry. A consumption of 330 mL was estimated for exposure assessment and subsequent F-risk assessment by soft drink consumption. The highest average concentration was found in extract soft drinks (2.45 ± 1.15 mg/L), followed by flavoured (1.71 ± 2.29 mg/L) and carbonated soft drinks (1.38 ± 0.40 mg/L), while the lowest was found in fruit juice soft drinks (1.09 ± 0.62 mg/L). The flavours with the highest concentration were tea-melon and tea-passion fruit with 3.66 ± 0.40 and 3.17 ± 0.56 mg/L respectively and the lowest was lemon flavour with 0.69 mg/L. The contribution of these beverages, considering the UL (Upper level) reference values set by EFSA (European Food Safety Authority) are between 3.28-41.78%, depending on age group and sex.
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Affiliation(s)
- Samuel Alejandro-Vega
- Area of Toxicology, Universidad de La Laguna, Canary Islands, 38071, La Laguna, Tenerife, Spain
- Grupo interuniversitario de Toxicología Ambiental y Seguridad de los Alimentos y Medicamentos, Universidad de La Laguna, Canary Islands, 38071, La Laguna, Tenerife, Spain
| | - Arturo Hardisson
- Area of Toxicology, Universidad de La Laguna, Canary Islands, 38071, La Laguna, Tenerife, Spain
- Grupo interuniversitario de Toxicología Ambiental y Seguridad de los Alimentos y Medicamentos, Universidad de La Laguna, Canary Islands, 38071, La Laguna, Tenerife, Spain
| | - Carmen Rubio
- Area of Toxicology, Universidad de La Laguna, Canary Islands, 38071, La Laguna, Tenerife, Spain
- Grupo interuniversitario de Toxicología Ambiental y Seguridad de los Alimentos y Medicamentos, Universidad de La Laguna, Canary Islands, 38071, La Laguna, Tenerife, Spain
| | - Ángel J Gutiérrez
- Area of Toxicology, Universidad de La Laguna, Canary Islands, 38071, La Laguna, Tenerife, Spain
- Grupo interuniversitario de Toxicología Ambiental y Seguridad de los Alimentos y Medicamentos, Universidad de La Laguna, Canary Islands, 38071, La Laguna, Tenerife, Spain
| | - Juan R Jaudenes-Marrero
- Area of Toxicology, Universidad de La Laguna, Canary Islands, 38071, La Laguna, Tenerife, Spain
- Grupo interuniversitario de Toxicología Ambiental y Seguridad de los Alimentos y Medicamentos, Universidad de La Laguna, Canary Islands, 38071, La Laguna, Tenerife, Spain
| | - Soraya Paz-Montelongo
- Area of Toxicology, Universidad de La Laguna, Canary Islands, 38071, La Laguna, Tenerife, Spain.
- Grupo interuniversitario de Toxicología Ambiental y Seguridad de los Alimentos y Medicamentos, Universidad de La Laguna, Canary Islands, 38071, La Laguna, Tenerife, Spain.
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Sequeda-Castañeda LG, Suárez-Carvajal LF, Téllez-Corral MA, Gutiérrez-Prieto SJ, Méndez-Pinzón HA. Evaluation of Ilex guayusa and Piper marginatum Extract Cytotoxicity on Human Dental Pulp Mesenchymal Stem Cells. Dent J (Basel) 2024; 12:189. [PMID: 38920890 PMCID: PMC11202831 DOI: 10.3390/dj12060189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2024] [Revised: 06/13/2024] [Accepted: 06/18/2024] [Indexed: 06/27/2024] Open
Abstract
BACKGROUND Amelogenesis imperfecta is a hereditary disorder affecting dental enamel. Among its phenotypes, hypocalcified AI is characterized by mineral deficiency, leading to tissue wear and, consequently, dental sensitivity. Excessive fluoride intake (through drinking water, fluoride supplements, toothpaste, or by ingesting products such as pesticides or insecticides) can lead to a condition known as dental fluorosis, which manifests as stains and teeth discoloration affecting their structure. Our recent studies have shown that extracts from Colombian native plants, Ilex guayusa and Piper marginatum, deposit mineral ions such as phosphate and orthophosphate into the dental enamel structure; however, it is unknown whether these extracts produce toxic effects on the dental pulp. OBJECTIVE To assess cytotoxicity effects on human dental pulp stem cells (hDPSCs) exposed to extracts isolated from I. guayusa and P. marginatum and, hence, their safety for clinical use. METHODS Raman spectroscopy, fluorescence microscopy, and flow cytometry techniques were employed. For Raman spectroscopy, hDPSCs were seeded onto nanobiochips designed to provide surface-enhanced Raman spectroscopy (SERS effect), which enhances their Raman signal by several orders of magnitude. After eight days in culture, I. guayusa and P. marginatum extracts at different concentrations (10, 50, and 100 ppm) were added. Raman measurements were performed at 0, 12, and 24 h following extract application. Fluorescence microscopy was conducted using an OLIMPUS fv1000 microscope, a live-dead assay was performed using a kit employing a BD FACS Canto TM II flow cytometer, and data analysis was determined using a FlowJo program. RESULTS The Raman spectroscopy results showed spectra consistent with viable cells. These findings were corroborated using fluorescence microscopy and flow cytometry techniques, confirming high cellular viability. CONCLUSIONS The analyzed extracts exhibited low cytotoxicity, suggesting that they could be safely applied on enamel for remineralization purposes. The use of nanobiochips for SERS effect improved the cell viability assessment.
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Affiliation(s)
- Luis G. Sequeda-Castañeda
- Department of Chemistry, School of Sciences, Pontificia Universidad Javeriana, Bogotá 110231, Colombia;
| | - Luisa F. Suárez-Carvajal
- Oral Rehabilitation, School of Dentistry, Pontificia Universidad Javeriana, Bogotá 110231, Colombia;
| | | | | | - Henry A. Méndez-Pinzón
- Department of Physics, School of Sciences, Pontificia Universidad Javeriana, Bogotá 110231, Colombia
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Bhattacharya S. A Review on Experimentally Proven Medicinal Plants and Their Constituents against Fluoride Toxicity. J Environ Pathol Toxicol Oncol 2023; 42:51-64. [PMID: 36734952 DOI: 10.1615/jenvironpatholtoxicoloncol.2022043545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
Fluoride toxicity, principally by polluted groundwater, is regarded as a momentous global public health risk, as there is no particular and proven treatment for chronic fluoride toxicity i.e., fluorosis which leads to several serious health complications. Scientific literature reveals several medicinal plants and natural products alleviate experimentally induced fluoride toxicity. The present review attempts to collate those experimental studies on medicinal plants and plant derived natural products with fluoride toxicity ameliorative effects. Literature scrutiny was performed by using online bibliographic databases and the studies for the last 15 years were considered. Minerals and semi-synthetic or synthetic analogs of natural products were excluded. Literature study revealed that 25 medicinal plants and 17 natural products exhibited significant protection from fluoride toxicity in experimental animal models i.e., preclinical studies. Two clinical studies on medicinal plants were also found in literature showing beneficial yet poorly correlated outcome. Relevant research in this field could lead to development of a potentially useful agent in therapeutic management of fluoride toxicity in humans.
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Affiliation(s)
- Sanjib Bhattacharya
- West Bengal Medical Services Corporation Ltd., GN 29, Sector V, Salt Lake City, Kolkata 700091, West Bengal, India
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Matos-Sousa JM, Bittencourt LO, Ferreira MKM, dos Santos VRN, Balbinot KM, Alves-Júnior S, Pinheiro JDJV, Charone S, Pessan JP, Lima RR. Fluoride Exposure and Salivary Glands: How Is Glandular Morphology Susceptible to Long-Term Exposure? A Preclinical Study. J Clin Med 2022; 11:jcm11185373. [PMID: 36143018 PMCID: PMC9501535 DOI: 10.3390/jcm11185373] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 08/11/2022] [Accepted: 08/14/2022] [Indexed: 12/18/2022] Open
Abstract
Despite a strong body of evidence attesting to the effectiveness of fluoride (F) in preventing and controlling caries, some studies have sought to investigate the influence of F exposure on the salivary glands, organs that are essential for the maintenance of cavity homeostasis through salivary production, finding that exposure to F can cause biochemical and proteomic changes. Thus, this study aimed to investigate the morphological effects of prolonged exposure to F on the salivary glands of mice, at concentrations that would correspond to optimally fluoridated water (suitable for human consumption) and to fluorosis-endemic regions. Twenty-four male mice (Mus musculus) were divided into three groups, according to F levels in the drinking water: 0 (control), 10, or 50 mg F/L, with an exposure period of 60 days. The glands were morphometrically analyzed for the total acinar area, parenchyma area, and stromal area, as well as for the immunohistochemical analysis of myoepithelial cells. The results showed that prolonged exposure to F at 10 mg F/L did not promote significant changes in the morphometry of the salivary glands of mice, which reinforces the safety of the chronic use of F in low doses.
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Affiliation(s)
- José Mário Matos-Sousa
- Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará, Belém 66075-110, PA, Brazil
| | - Leonardo Oliveira Bittencourt
- Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará, Belém 66075-110, PA, Brazil
| | - Maria Karolina Martins Ferreira
- Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará, Belém 66075-110, PA, Brazil
| | - Vinicius Ruan Neves dos Santos
- Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará, Belém 66075-110, PA, Brazil
| | | | - Sérgio Alves-Júnior
- School of Dentistry, Federal University of Pará, Belém 66075-110, PA, Brazil
| | | | - Senda Charone
- Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará, Belém 66075-110, PA, Brazil
| | - Juliano Pelim Pessan
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University, Araçatuba 14801-385, SP, Brazil
| | - Rafael Rodrigues Lima
- Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará, Belém 66075-110, PA, Brazil
- Correspondence:
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Shashi A, Thakur S. Gene expression and alterations of antioxidant enzymes in spleen of rats exposed to fluoride. J Trace Elem Med Biol 2022; 72:126966. [PMID: 35286942 DOI: 10.1016/j.jtemb.2022.126966] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2021] [Revised: 01/18/2022] [Accepted: 02/24/2022] [Indexed: 12/30/2022]
Abstract
BACKGROUND Fluorosis is a slow and progressive process causing metabolic, functional and structural damages affecting many tissues particularly musculoskeletal, dental systems, kidney, liver and brain. It can be rapidly absorbed by passive diffusion through the stomach, small intestine, mouth and skin. Endemic fluorosis is connected to the high concentration of fluoride in drinking water. The present study aimed to evaluate the toxic effects of sodium fluoride (NaF) on splenic activity at the biochemical and molecular level. MATERIALS AND METHODS Wistar albino rats were randomly assigned to three groups. The control rats were given 1 ml deionized water orally for 40 days. Groups II and III were administered 300 and 600 mg NaF/kg b.w. /day for the same period. Animals were sacrificed under ether anaesthesia. The spleen tissue was excised and used for biochemical and real-time PCR analysis. The level of fluoride, malondialdehyde (MDA), reduced glutathione (GSH) and activities of different antioxidant enzymes such as cytosolic copper/zinc superoxide dismutase (Cu/Zn SOD), glutathione peroxidase (GPx) and catalase (CAT) were determined. The analysis of gene expression of Cu/Zn SOD, GPx and CAT in spleen was done using Real-time PCR. RESULTS The levels of fluoride and MDA were significantly (P < 0.0001) increased where as GSH content decreased significantly (P < 0.0001) in the spleen of fluoridated rats. The activities of antioxidant enzymes viz; Cu/Zn SOD, GPx and CAT declined significantly (P < 0.0001) compared to the control. Pearson's bivariate correlation and simple linear regression analysis exhibited strong positive correlation between levels of splenic tissue fluoride and MDA(r = 0.985) while negative correlations existed in GSH (r = -0.907) as well as activities of Cu/Zn SOD (r = -0.982), GPx (r = -0.966), and CAT (r = -0.935). The gene expression of Cu/Zn SOD, GPx and CAT were significantly (P < 0.0001) reduced in fluorotic rats. CONCLUSION It is concluded that fluoride intoxication leads to the development of oxidative stress and damaging the cellular metabolism resulting in the declined ability of free radical scavengers along with increased level of MDA and decreased expression level of antioxidant genes which helps to understand the possible mechanism of fluoride-induced toxicity at the molecular level.
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Affiliation(s)
- A Shashi
- Department of Zoology and Environmental Sciences, Punjabi University, Patiala 147002, India
| | - Sukanya Thakur
- Department of Zoology and Environmental Sciences, Punjabi University, Patiala 147002, India.
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