Levels of eight heavy metals and health risk assessment considering food consumption by China's residents based on the 5th China total diet study

Low-level, chronic ingestion of lead and cadmium: The unspoken danger for at-risk populations

The long-term effects of low-level, chronic exposure to lead and cadmium through ingestion are often overlooked, despite the urgency surrounding the clinical onset and worsening of certain pathologies caused by these metals. This work reviews current legislation, global ingestion levels, and blood levels in the general population to emphasize the need for reactivity towards this exposure, especially in at-risk populations, including patients with early-stage renal and chronic kidney disease. Global data indicates persistent chronic ingestion of lead and cadmium, with no decreasing trend in recent years, and a daily consumption of tens of micrograms worldwide. Moreover, the average blood lead and cadmium levels in the general population are concerning in many countries with some significantly exceeding healthy limits, particularly for children. Technologies developed to cleanse soil and prevent heavy metal contamination in food are not yet applicable on a global scale and remain financially inaccessible for many communities. Addressing this chronic ingestion at the human level may prove more beneficial in delaying the onset of associated clinical pathologies or preventing them all together.

Distribution and health risk of chromium in wheat grains at the national scale in China

Chromium (Cr) pollution may threaten food safety in China. In this study, the concentration, pollution level, distribution, and non-cancer risk of Cr in wheat grains grown in 186 areas across 28 provinces in China were investigated. Results indicated that mean concentration of Cr was 0.28 ± 2.5 mg/kg, dry mass (dm). Of the samples, 7.5 % were found to be polluted with Cr. The mean concentrations were in the following order: Northwest > Northeast > South > East > North > Southwest > Central China. Based on deterministic models, mean hazard quotient (HQ) values for adult males, adult females, and children were 0.11 ± 3.4, 0.11 ± 3.4, and 0.13 ± 3.5, respectively with < 6 % of HQ values ≥ 1. Eleven sites in northern China were identified as hotspots, whereas Gansu Province and Northwestern China were labeled as priority provinces and regions for risk control. The mean HQ values estimated by probabilistic risk assessment were two times greater than those estimated using deterministic models. The risk probabilities for adult males, adult females, and children were 4.81 %, 3.78 %, and 6.55 %, respectively. This study provides valuable information on Cr pollution in wheat grains and its risks at a national scale in China.

Commercially available mouthguards: Unearthing trace elements for the first time

The use of mouthguards is advocated by the American Dental Association for orofacial injury prevention and teeth protection. However, the chemical environment in the mouth may cause harmful substances within the mouthguard's polymer material to leach out and be absorbed by the user. Considering this, the present study for the first time analyzed commercially available mouthguards and disclosed the presence of trace elements. Specifically, an analytical method was developed based on closed-vessel microwave-assisted digestion and plasma-based atomic spectrometry for determining toxic trace elements in mouthguard samples. Initially, 75 elements were assessed and, thereafter, quantified cadmium (Cd), copper (Cu) and lead (Pb) in each sample by inductively coupled plasma mass spectrometry (ICP-MS). Method validation was carried out by analyzing a certified reference material of Low-Density Polyethylene, and by addition and recovery experiments. Results for copper were further validated by ICP optical emission spectrometry (ICP-OES). While most samples exhibited elemental levels beneath the method's limit of quantification, Cd, Cu and Pb were detected in four samples. Remarkably, one sample had Cu levels exceeding safe limits by 109 times, highlighting potential toxicity risks. This initial research underscores the need for stricter contamination control in mouthguard materials to minimize potentially health hazards.

Supramolecular deep eutectic solvent: a powerful tool for pre-concentration of trace metals in edible oil

The utilization of supramolecular deep eutectic solvent eddy-assisted liquid-liquid microextraction utilizing 2-hydroxypropyl β-cyclodextrin (SUPRADES) has been identified as a successful method for pre-enriching Cu, Zn, and Mn in vegetable oil samples. Determination of each element was conducted by inductively coupled plasma optical emission spectrometry (ICP-OES) after digestion of metal-enriched phases. Various parameters were examined, including the composition of SUPRADES species [2HP-β-CD: DL-lactic acid], a cyclodextrin mass ratio of 20 wt%, a water bath temperature of 75 °C, an extractor volume of 800 μL, a dispersant volume of 50 μL, and an eddy current time of 5 min. Optimal conditions resulted in extraction rates of 99.6% for Cu, 105.2% for Zn, and 101.5% for Mn. The method exhibits a broad linear range spanning from 10 to 20,000 μg L-1, with determination coefficients exceeding 0.99 for all analytes. Enrichment coefficients of 24, 21, and 35 were observed. Limits of detection ranged from 0.89 to 1.30 μg L-1, while limits of quantification ranged from 3.23 to 4.29 μg L-1. The unique structural characteristics of the method enable the successful determination of trace elements in a variety of edible vegetable oils.

Residual levels and health risk assessment of trace metals in Chinese resident diet

Large-scale metal contamination across the food web is an intractable problem due to increasing pollutant emissions, atmospheric transport, and dry and wet deposition of elements. The present study focus on several trace metals that are rarely studied but have special toxicity, including tin (Sn), antimony (Sb), gold (Au), hafnium (Hf), palladium (Pd), platinum (Pt), ruthenium (Ru), tellurium (Te) and iridium (Ir). We investigated trace metals residues and distribution characteristics, and further evaluated the potential health risks from major daily food intakes in 33 cities in China. Sn, Sb, Ir, Hf, and Au were frequently detected in food samples with the concentrations ranged from ND (not detected) to 24.78 µg/kg ww (wet weight). Eggs exhibited the highest residual level of all detected metals (13.70 ± 14.70 µg/kg ww in sum), while the lowest concentrations were observed in vegetables (0.53 ± 0.17 µg/kg ww in sum). Sn accounting for more than 50% of the total trace metals concentration in both terrestrial and aquatic animal origin foods. In terrestrial plant origin foods, Sn and Ir were the most abundant elements. Hf and Au were the most abundant elements in egg samples. In addition, Sb and Ir showed a clear trophic dilution effect in terrestrial environments, while in aquatic ecosystems, Sn, Hf, and Au exhibited obvious trophic amplification effects. The calculated average estimated daily intake (EDI) via food consumption in five regions of China was 0.09 µg/(kg·day), implying the health risk of aforementioned elements was acceptable.

Is Environmental Cadmium Exposure Causally Related to Diabetes and Obesity?

Cadmium (Cd) is a pervasive toxic metal, present in most food types, cigarette smoke, and air. Most cells in the body will assimilate Cd, as its charge and ionic radius are similar to the essential metals, iron, zinc, and calcium (Fe, Zn, and Ca). Cd preferentially accumulates in the proximal tubular epithelium of the kidney, and is excreted in urine when these cells die. Thus, excretion of Cd reflects renal accumulation (body burden) and the current toxicity of Cd. The kidney is the only organ other than liver that produces and releases glucose into the circulation. Also, the kidney is responsible for filtration and the re-absorption of glucose. Cd is the least recognized diabetogenic substance although research performed in the 1980s demonstrated the diabetogenic effects of chronic oral Cd administration in neonatal rats. Approximately 10% of the global population are now living with diabetes and over 80% of these are overweight or obese. This association has fueled an intense search for any exogenous chemicals and lifestyle factors that could induce excessive weight gain. However, whilst epidemiological studies have clearly linked diabetes to Cd exposure, this appears to be independent of adiposity. This review highlights Cd exposure sources and levels associated with diabetes type 2 and the mechanisms by which Cd disrupts glucose metabolism. Special emphasis is on roles of the liver and kidney, and cellular stress responses and defenses, involving heme oxygenase-1 and -2 (HO-1 and HO-2). From heme degradation, both HO-1 and HO-2 release Fe, carbon monoxide, and a precursor substrate for producing a potent antioxidant, bilirubin. HO-2 appears to have also anti-diabetic and anti-obese actions. In old age, HO-2 deficient mice display a symptomatic spectrum of human diabetes, including hyperglycemia, insulin resistance, increased fat deposition, and hypertension.

Bioavailability-based risk assessment of various heavy metals via multi-exposure routes for children and teenagers in Beijing, China

Assessing the health risks of sensitive population, such as children and teenagers, through multiple exposure routes (MERs) such as ingestion, inhalation, and dermal contact is critical for policy creation that protects or reduces exposure to pollutants for all populations. Heavy metal (HM) contents in food and environmental media in Beijing, capital of China, were collected. Furthermore, on the basis of considering the bioavailability of HMs, we evaluated the multiple environmental routes and health risks to HMs in children and teenagers of eight age groups (2-<3, 3-<4, 4-<5, 5-<6, 6-<9, 9-<12, 12-<15, and 15-<18) in Beijing, China by Monte Carlo simulation approach. The main findings are as follows: lead exposure in children aged 2-<3 years exceeds the exposure dose (0.3 μg·kg-1·d-1) of 0.5 point reduction in intelligence quotient. Moreover, children aged 2-<3 and 6-<9 years have relatively high non-carcinogenic risk (NCR) of 1.32 and 1.30, respectively. The carcinogenic risk (CR) for children aged 6-<9 and 9-<12 years is 2.73×10-6 and 2.39×10-6, respectively. Specifically, the contributions of oral ingestion, dermal contact, and inhalation to the NCR were 69.5%, 18.9%, and 11.6%, respectively. Moreover, the combined NCR contributions of copper, cadmium, mercury, and arsenic (As) were about 69.4%. The contributions of the above three routes to the CR were 93.4%, 4.1%, and 2.5%, in that order, with the largest CR contribution of As being about 92.0%. This study can provide new ideas for accurately assessing the exposure and health risks of HMs in the population, and we believe that it is necessary to update the national standards for food and soil based on the bioavailability of HMs.

An improved withdrawal interval calculation and risk assessment of doxycycline in crayfish (Procambarus clarkii) in the natural cultured environment

Doxycycline is an important medicine in aquaculture for treating fish diseases. However, its excess use causes residue exceeding to threaten human health. So, this study aimed to estimate a reliable withdrawal time (WT) of doxycycline (DC) in crayfish (Procambarus clarkii) based on statistical approaches and conduct a risk assessment for human health in the natural environment. Samples were collected at predetermined time points and determined by high-performance liquid chromatography. A novel statistical method was used to process the data of residue concentration. The homogeneity and linearity of the regressed line of data were evaluated by Bartlett's, Cochran's, and F tests. Outliers were excluded by establishing the standardized residual versus their cumulative frequency distribution on a normal probability scale. The calculated WT was 43 days in muscle of crayfish based on China and European stipulations. After 43 days, estimated daily intakes of DC were ranged from 0.022 to 0.052 µg/kg/d. Hazard Quotients were ranged from 0.007 to 0.014, which were far less than 1. These results indicated that established WT could avoid health risks for humans resulting from DC's residue in crayfish.

Effect of Organic Amendments on Cadmium Bioavailability in Soil and its Accumulation in Rice Grain

A pot trial was conducted during the boro (dry) season to evaluate the impact of six traditional organic amendments (OAs) on the growth of SL-8 rice variety in both agricultural and cadmium (Cd) stressed soil at 2% and 4% application rates. Traditional OAs used in the study were cow dung, mustard oil cake (MOC), rice husk, saw dust, tea leaf and vermi compost (VC). Except for cow dung all other OAs were found to remove 99% of Cd from the aqueous solution, while cow dung removed 95%. Rice grain grown in OA-added soil in all application rates contained less Cd than the control. A 2% application rate was found to be more effective in reducing both Cd bioavailability and Cd in grain. OA application in soil significantly influenced soil pH in all cases. Though both bioavailable Cd in soil and grain Cd were reduced by the OA addition, the Cd uptake tendency of SL-8 rice variety markedly increased because of Cd spiking in soil.

Associations of metal mixtures in the meconium with birth outcomes in northern Taiwan

Previous studies investigated prenatal exposure to neurotoxic metals in relation to birth anthropometrics. However, limited information has been developed on associations with birth outcomes of fetal exposure to metal mixtures using the meconium as a biomarker. The purpose of this study was to evaluate relationships of the combined effects of mercury (Hg), lead (Pb), cadmium (Cd), and arsenic (As) concentrations in the meconium on birth outcomes (i.e., birth weight, birth length, and head circumference). This cross-sectional study was conducted in northern Taiwan between January 2007 and December 2009. We collected 526 meconium samples within the first 24 h after birth to measure the in utero mixed-metal exposure determined using inductively coupled plasma/mass spectrometry (ICP-MS). We used a multivariable regression and Bayesian kernel machine regression (BKMR) to estimate associations of the combined effects and identify important mixture components with growth impairments. Our results revealed Hg, Pb, Cd, and As concentrations in the meconium and enhanced the quantity of research on meconium analyses. The overall effects of Hg, Pb, Cd, and As concentrations in the meconium as prenatal exposure biomarkers were negatively associated with birth growth. Fetal exposure to Hg and Pb was correlated with decreased birth weights. Hg and Pb concentrations in the meconium were linearly inversely related to the birth weight, birth length, and head circumference. Effects of fetal exposure to As and Cd on birth outcomes were not obvious. A significant increasing relationship was detected between Hg concentrations in the meconium and maternal fish consumption during pregnancy. Higher Pb concentrations in the meconium were observed among infants of mothers who consumed Chinese herbal medicines. Reducing maternal fish consumption and Chinese herbal medicine consumption during pregnancy could limit infant exposure to metals.

Human Dietary Exposure to Heavy Metals via Rice in Nepal

The effects of exposure to heavy metals (HMs) in rice on human health have become a global public health concern, particularly in countries where rice is consumed as a staple food. The concentrations of HMs, including cadmium (Cd), arsenic (As), lead (Pb), and copper (Cu), in commercial rice samples (n = 170) were analyzed to estimate the HM exposure of consumers in Nepal. The geometric mean concentrations of Cd, As, Pb, and Cu in commercial rice were 15.5 ± 16.0, 43.4 ± 19.6, 16.0 ± 14.0, and 1066 ± 1210 μg/kg, respectively, all below the maximum allowable concentrations (MACs) recommended by FAO/WHO. Generally, the average estimated daily intakes (EDIs) of Cd, As, Pb, and Cu were all below the oral reference doses (RfDs). However, young age groups were exposed to high levels of HMs, and the average EDI of As and the P99.9 EDIs of Cu and Cd were above the corresponding RfDs. The mean hazard index and total carcinogenic risk were 1.13 and 1.04 × 10^-3 respectively, suggesting a potential non-carcinogenic risk (NCR) and a carcinogenic risk (CR) via rice consumption. Arsenic contributed the most strongly to NCR and Cd to CR. Overall, although the HM levels in rice were generally safe, the Nepalese population may be exposed to an elevated health risk from rice consumption.

Estimation of health risks associated with dietary cadmium exposure

In much of the world, currently employed upper limits of tolerable intake and acceptable excretion of cadmium (Cd) (ECd/Ecr) are 0.83 µg/kg body weight/day and 5.24 µg/g creatinine, respectively. These figures were derived from a risk assessment model that interpreted β2-microglobulin (β2MG) excretion > 300 μg/g creatinine as a "critical" endpoint. However, current evidence suggests that Cd accumulation reduces glomerular filtration rate at values of ECd/Ecr much lower than 5.24 µg/g creatinine. Low ECd/Ecr has also been associated with increased risks of kidney disease, type 2 diabetes, osteoporosis, cancer, and other disorders. These associations have cast considerable doubt on conventional guidelines. The goals of this paper are to evaluate whether these guidelines are low enough to minimize associated health risks reliably, and indeed whether permissible intake of a cumulative toxin like Cd is a valid concept. We highlight sources and levels of Cd in the human diet and review absorption, distribution, kidney accumulation, and excretion of the metal. We present evidence for the following propositions: excreted Cd emanates from injured tubular epithelial cells of the kidney; Cd excretion is a manifestation of current tissue injury; reduction of present and future exposure to environmental Cd cannot mitigate injury in progress; and Cd excretion is optimally expressed as a function of creatinine clearance rather than creatinine excretion. We comprehensively review the adverse health effects of Cd and urine and blood Cd levels at which adverse effects have been observed. The cumulative nature of Cd toxicity and the susceptibility of multiple organs to toxicity at low body burdens raise serious doubt that guidelines concerning permissible intake of Cd can be meaningful.

Congener-specificity, dioxygenation dependency and association with enzyme binding for biodegradation of polybrominated diphenyl ethers by typical aerobic bacteria: Experimental and theoretical studies

Polybrominated diphenyl ethers (PBDEs) are a group of organic pollutants that have attracted much concerns of scientific community over the ubiquitous distribution, chemical persistence and toxicological risks in the environment. Though a great number of aerobic bacteria have been isolated for the rapid removal of PBDEs, the knowledge about biodegradation characteristics and mechanism is less provided yet. Herein, the congener-specificity of aerobic biodegradation of PBDEs by typical bacteria, i.e. B. xenovorans LB400 was identified with the different biodegradation kinetics, of which the changes were largely hinged on the bromination pattern. The more bromination isomerically at ortho-sites other than meta-sites or the single bromination at one of aromatic rings might always exert the positive effect. The biodegradation of PBDEs should be thermodynamically constrained to some extent because the calculated Gibbs free energy changes of initial dioxygenation by quantum chemical method increased with the increase of bromination. Within the transition state theory, the high correlativity between the apparent biodegradation rates and Gibbs free energy changes implied the predominance and rate-limiting character of initial dioxygenation, while the regioselectivity of dioxygenation at the ortho/meta-sites was also manifested for the more negative charge population. The molecular binding with the active domain of dioxygenase BphA1 in aerobe was firstly investigated using docking approach. As significantly illustrated with the positive relationship, the higher binding affinity with BphA1 should probably signify the more rapid biodegradation. Besides the edge-on π-π stacking of PBDEs with F227 or Y277 and π-cation formulation with histidines (H233, H239) in BphA1, the reticular hydrophobic contacts appeared as the major force to underpin the high binding affinity and rapid biodegradation of PBDEs. Overall, the experimental and theoretical results would not only help understand the aerobic biodegradation mechanism, but facilitate enhancing applicability or strategy development of engineering bacteria for bioremediation of PBDEs in the environment.

Heavy metals in daily meals and food ingredients in the Yangtze River Delta and their probabilistic health risk assessment

Heavy metal exposure via food consumption is inadequately investigated and deserves considerable attention. We collected hundreds of food ingredients and daily meals and assessed their probabilistic health risk using a Monte Carlo simulation based on an ingestion rate investigation. The detected concentrations of four heavy metals (Cr, Cd, Pb, and Hg) in all daily meal samples were within the limits stipulated in the National Food Safety Standard (GB 2762-2017), while that for As level was excessive in 0.3 % of daily meal samples. The same results were also observed in most food ingredient samples, and a standard-exceeding ratio of 23 % of As was observed in aquatic food or products, especially seafood, which was with the highest concentration reaching 1.24 mg/kg. Combining the detected heavy metal amounts with the ingestion rate investigation, the hazard quotients (HQs) of As, Cr, Cd, Pb, and Hg in daily meals and food ingredients were all calculated as lower than 1 (no obvious harm), while the incremental lifetime cancer risk (ILCR) of As and Cr (>1 × 10-4), indicating that the residual As posed potential health effects to human health. It was noteworthy that the proportion of aquatic foods only accounted for 6.3 % of daily meals, but they occupied 41.1 % of the heavy metal exposure, which could be attributed to the high amounts of heavy metals in aquatic foods. This study not only provided basic data of heavy metal exposure and potential health risks through daily oral dietary intake, but also illuminated the contribution of different kinds of food ingredients. Specifically, the study highlighted the contamination of aquatic foods with As, especially seafood such as shellfish and bivalves.

Health Risk Assessment for Human Exposure to Heavy Metals via Food Consumption in Inhabitants of Middle Basin of the Atrato River in the Colombian Pacific

The Atrato river basin is one of the world's most biodiverse areas; however, it is highly impacted by mercury gold mining, which generates air, water, and soil pollution. (1) Background: The concentrations of persistent heavy metal pollutants, mercury (Hg), lead (Pb), cadmium (Cd), and arsenic (As) in the fish, fruits, and vegetables most consumed by the riverside inhabitants of the middle basin of the Atrato river represent a danger to public health; (2) Methods: A total of 154 samples of different fruits and vegetables and 440 samples of fish were analyzed by atomic absorption spectroscopy. A sample of 446 people were surveyed to evaluate food consumption and carcinogenic and non-carcinogenic risk; (4) Conclusions: High concentrations of As, Hg, Pb, and Cd were identified in fish, fruits-tubers, and vegetables-stems commonly consumed by inhabitants of the middle basin of the Atrato River, which exceeded the Codex limits and the limits established by the WHO/FAO, especially for carnivorous fish species. A high carcinogenic and non-carcinogenic risk was evidenced amongst inhabitants of the middle basin of the Atrato River due to the consumption of fish contaminated with high concentrations of As, MeHg, and THg. The risk due to the consumption of vegetables was very low.

Heavy metal levels in milk and dairy products and health risk assessment: A systematic review of studies in China

Previous studies have indicated that heavy metal levels in milk vary partly depending on environmental metal concentrations. Given the increasing consumption of milk in China, it is essential to pay attention to milk safety. We performed a systematic review of relevant published studies to evaluate the heavy metal levels in milk and dairy products and the associated health risks, discuss environmental sources of heavy metals, and propose future research directions. A literature search was implemented in the Web of Science Core Collection and PubMed using multiple keywords such as "metal," "milk," "dairy products," and "China". A total of 16 published studies that analyzed metal levels in milk and dairy products in 20 provincial administrative regions were included. Most studies detected toxic heavy metals in milk and dairy products samples, including mercury, lead, cadmium, chromium, and arsenic. The lead concentration in milk from these studies did not exceed the Chinese standard for milk. However, three studies detected relatively high lead levels in both commercial and raw milk, exceeding the European Commission standard. The polluted environment surrounding the farm, feed, and packaging materials are likely sources of metals in milk and dairy products. The hazard index for the 11 analyzed metal elements in milk and dairy products was lower than 1, indicating negligible non-carcinogenic health risks from exposure to these metals. Children are at a higher risk than adults. This review illustrates that research in this field is limited to China. More research should be conducted in the future, such as evaluating the contribution of each environmental source of metal in milk and dairy products.

Health risk assessment for human exposure to mercury species and arsenic via consumption of local food in a gold mining area in Colombia

The risk to human health from exposure to certain pollutants through the consumption of fruits, tubers, and fish were evaluated in a settlement located in a Colombian area highly impacted by gold mining activities. The concentrations of mercury (Hg) and arsenic (As) in edible food tissues and methylmercury (MeHg) in fish were determined for risk assessment. A questionnaire-based dietary survey was answered by 178 residents of three population groups: children (CHD), women of childbearing age (WCBA), and the rest of the population (RP). The estimated weekly intake (EWI) of MeHg presented values of 1.9 and 2.4 times higher than the provisional tolerable weekly intake (1.6 μg/kg BW/week) recommended by the FAO/WHO for CH and WCBA, respectively. The results of the HQ values of As and Hg for different food were above the safety level (HQ < 1) for most of the groups. For Hg, the highest HQ values correspond to fish, whereas for As in most of the food, but specially in fruits. The total target hazard quotients (HI) were higher than 1, in all the groups (except for CHD that consume tubers) indicating potential non-carcinogenic health risks. The values of carcinogenic risk (CR) for As through exposure to food ranged from 1.2·10^-4 to 7.7·10^-4, well above than the safety level of US EPA risk (10^-4-10^-6), suggesting the probability of carcinogenic risk for the entire population via ingestion. Therefore, safety control mechanisms and environmental education strategies should be applied to address food intake, associated with good agricultural practices to provide solutions to protect the health of the residents in areas affected by gold mining activities.

Assessment of Children's Metal Exposure via Hand Wipe, Outdoor Soil and Indoor Dust and Their Associations with Blood Biomarkers

The soil environment contributes considerably to human exposure to metals. This study aimed to comprehensively compare children's exposure to soil metals using different sampling approaches (i.e., hand wipe, indoor dust and outdoor soil) and assessment strategies, combing the method of external exposure evaluation and the correlation with internal biomarkers. Environmental exposure samples (hand wipe, outdoor soil and indoor dust), blood samples and child-specific exposure factors were simultaneously collected for 60 children aged 3 to 12 years from an area of northwestern China. Eight typical toxic metals were analyzed. Results showed that metal levels in hand wipes were associated with children's age, years of residency and the ground types of the play areas. Hand-to-mouth contact was an important pathway for children's metal exposure, with the corresponding oral exposure cancer risk to Cr already exceeding the maximum acceptable level. In comparison, metal concentrations in hand wipes were one to seven times higher than those in outdoor soil and indoor dust. Even greater discrepancies were found for the estimated exposure dose, which could lead to differences of several to dozens of times. In addition, Pb, Mn and Cr in hand wipes were significantly correlated with those in blood, whereas no relationships were found with soil and dust. This study indicates that the selection of different sampling and assessing strategies could lead to great differences in children metal exposure outcomes. It also suggests that hand wipe, which could reflect the true and integrated exposure level and the individual difference, serves as a better matrix to assess children's metal exposure compared to soil and dust. Further studies should standardize the sampling method for hand wipes and verify its applicability for other age groups.

Foliar-applied selenium nanoparticles alleviate cadmium stress through changes in physio-biochemical status and essential oil profile of coriander (Coriandrum sativum L.) leaves

Since large areas of agricultural soils around the world are contaminated by Cd, a cost-effective and practical method is needed for the safe production of edible plants. The effective role of many nanomaterials to improve plant yield by mitigating environmental pollutions is addressed; however, the impacts of selenium nanoparticles (Se-NPs) have not been well-known yet. The aim of this work was to investigate foliar application of Se-NPs on yield, water content, proline concentration, phenolic content, lipid peroxidation, and essential oil (EO) attributes of coriander (Coriandrum sativum L.) under Cd stress. The plants were exposed to Cd contamination (0, 4, and 8 mg L-1) and foliar application of Se-NPs (0, 20, 40, and 60 mg L-1). The results showed increased Cd accumulation in roots and shoots of coriander plants upon Cd stress; however, Se-NPs alleviated the uptake of Cd. Cd toxicity, particularly 8 mg L-1, decreased shoot and root weight, chlorophyll (Chl), and relative water content (RWC), while Se-NPs improved these attributes. The Cd concentration at 4 mg L-1 and Se-NPs at 40 or 60 mg L-1 increased phenolic and flavonoid contents as well as EO yield. Proline concentration and malondialdehyde (MDA) increased by enhancing Cd stress, but Se-NPs decreased MDA. The GC/MS analysis showed that the main EO constitutes were n-decanal (18.80-29.70%), 2E-dodecanal (14.23-19.87%), 2E-decanal (12.60-19.40%), and n-nonane (7.23-12.87%), representing different amounts under Cd pollution and Se-NPs. To sum up, Se-NPs at 40-60 mg L-1 are effective in alleviating Cd stress.

Cross-sectional and longitudinal associations between urinary arsenic and lung function among urban Chinese adults

To investigate the associations of arsenic exposure with lung function and ventilatory impairment. The repeated-measures study was developed with 8479 observations from three study periods of the Wuhan-Zhuhai cohort. Urinary arsenic and lung function were measured during each period. Linear mixed models were used to estimate the cross-sectional and longitudinal relationships between urinary arsenic and lung function. Logistic regression models and COX regression models were used to evaluate the cross-sectional and longitudinal associations between urinary arsenic and ventilatory impairment, respectively. In the cross-sectional analysis, each 1-unit increase in log-transformed urinary arsenic was associated with a -22.499 mL (95 % confidence interval (CI): -35.832 to -9.165), -15.081 mL (-25.205 to -4.957), and -0.274 % (-0.541 to -0.007) change in forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), and FEV1/FVC, respectively. In the longitudinal analysis, each 1-unit increase in log-transformed urinary arsenic was associated with an annual change rate of -6.240 mL/year (95 % CI: -12.429 to -0.051), -5.855 mL/year (-10.632 to -1.079), and -0.143 %/year (-0.234 to -0.051) in FVC, FEV1, and FEV1/FVC, respectively. Stratified analyses suggested a modification role of gender on the cross-sectional and longitudinal associations between urinary arsenic and FEV1, with the stronger associations were found among males (P for modification 0.0384 and 0.0168). Furtherly, each 1-unit increase in log-transformed urinary arsenic was associated with a 14.8 % (odds ratio 1.148, 95 % CI: 1.043 to 1.263) and 11.7 % (hazard ratio 1.117, 95 % CI: 1.023 to 1.218) increase in the prevalent and incident risk of restrictive ventilatory impairment, respectively. Source analyses suggested that fish intake and fine particulate matter inhalation positively associated with the total arsenic levels. In conclusion, arsenic exposure was associated with lung function decline and the risk of restrictive ventilatory impairment.

Associations of maternal food safety-related risk perceptions and protective behaviors with daily mercury intake and internal doses of Taiwanese women and their preschool children

Mercury (Hg) is a well-known toxicant that can affect children's neurodevelopment. This study attempted to evaluate the internal dose of Hg in hair and fingernails and external Hg exposure from dietary consumption in 283 pairs of mothers and their children aged under 6 years in Taiwan. Mean Hg levels in hair and fingernail samples were 1.07 ± 0.67 and 0.42 ± 0.34 μg/g for mothers, and 1.11 ± 1.22 and 0.36 ± 0.26 μg/g for children, respectively. Our results showed that 42% of mothers and 41% of children had hair Hg levels exceeding the US Environmental Protection Agency recommended value of 1 μg/g. Hg exposure in children was greater than that of their mothers. Estimated daily intake (EDI) levels of Hg among preschool children were 3.3-times higher than those of their mothers. A sensitivity analysis indicated that fish consumption was the main potential factor of Hg exposure among both mothers and their children. External Hg exposure using estimated daily dietary ingestion by mothers was a surrogate for internal hair Hg concentrations. However, poor correlations were found between EDI Hg levels and hair Hg levels among children aged 4-6 years. Exposure sources from food and other media, such as soil and dust, need to be considered to arrive at more-valid risk assessments for younger children's exposure to Hg. Children of mothers who did not have food safety-related risk perceptions or protective behaviors had significantly higher hair Hg concentrations compared to children whose mothers had risk perceptions and protective behaviors. Hg exposure of women of childbearing age and preschool children in Taiwan is still an area of great concern. Providing food safety information and risk-benefits of fish consumption for mothers may avoid harm to the developing nervous systems of their children.

Estimation of the bio-accessibility of methylmercury from aquatic foods using a PBTK model with an approximate Bayesian computation method in Chinese pregnant women

BACKGROUND

Fish are the primary source of protein and docosahexaenoic acid (DHA) for pregnant women and children, but methylmercury (MeHg) pollution is the potential hazard of fish consumption. In risk assessments, the bio-accessibility of MeHg is usually assumed to be 100%, which could lead to overestimation of dietary exposure.

METHOD

An existing PBTK model was adapted to estimate parameters of the bio-accessibility based on MeHg exposure data from a cohort of 397 Chinese pregnant women. The posterior distributions of parameters were determined by using the ABC - MCMC. RMSEP and Spearman's rank correlation coefficients (Rho) were calculated to determine the goodness of model fitting. The Monte Carlo analysis was performed for the parameter distributions to estimate the model variability.

RESULT

The median of daily MeHg intake and maternal MeHg levels were 0.018 μg/kg bw and 3.01 μg/kg in the early and middle terms of pregnancy. The estimated bio-accessibility of freshwater fish, marine fish and others were 46.1, 17.3 and 58.2%, separately. The RMSEP improved from 11.18 to 2.54 and the Rho improved from 0.19 to 0.22 after bio-accessibility optimization. The model variability was estimated to be 2.6.

CONCLUSION

The bio-accessibility estimated in this study was comparable to that determined in previous in vitro studies. The optimized model could improve the prediction performance on the MeHg body burden by dietary exposure.

Occurrence, accumulation, and health risks of heavy metals in Chinese market baskets

Residual levels and accumulation characteristics of six hazardous heavy metal elements (As, Cd, Hg, Tl, Pb, and U) and seven essential heavy metal elements (Cr, Mn, Fe, Ni, Cu, Zn, and Se) were investigated in 17 kinds of frequently consumed foodstuffs collected from 33 cities distributed in five regions of China. The concentrations of the detected metals were lower than the maximum limits promulgated by the Chinese government except Pb and inorganic As (iAs). Foods of aquatic origin and terrestrial plant origin exhibited high potentials to accumulate heavy metals, especially algae and shellfish. The calculated hazard index (HI) of heavy metal exposure via consumption of foodstuffs were 2.93-5.01 for adults in the five surveyed region, implying the co-exposure of heavy metals via food consumption would lead to potential non-carcinogenic risks. iAs was the predominant contributor to HI values with the average contribution of 40.5% in all five regions. Consumption of terrestrial plant origin foods contributed 76.9% of HI values induced by heavy metal exposure. The calculated target cancer risks of iAs in the five regions were 5 × 10^-4-1 × 10^-3, all exceeding the acceptable level of 10^-4, indicating it is necessary and urgent to reduce the contamination of iAs in foodstuffs on the Chinese markets.

Variations in cadmium accumulation among amon rice cultivars in Bangladesh and associated human health risks

Rice consumption is one of the major cadmium (Cd) exposure routes for human. Bangladeshi people have historically subsisted on a rice-based diet; however, only a few reports have investigated Cd accumulation by different rice cultivars in Bangladesh. This study was designed to investigate the uptake and accumulation of Cd in different rice cultivars and associated health risks to humans eating rice. A pot experiment was conducted to grow eight amon rice varieties under control, 5 and 10 mg Cd/kg soil under open air conditions. After harvesting the Cd fractionation, bioavailable Cd and rice grain Cd content were determined. Cd spiked as Cd²⁺ enriched the Cd bioavailability to plant by 35% (in 5 mg/kg stress) and 85% (in 10 mg/kg stress). There were variations among the rice varieties in their ability to accumulate Cd in grain and this was found to be 15-fold higher under control conditions. Grain Cd content significantly differed among the rice varieties at each level of soil Cd. In this study, BR-52 emerged as the most Cd-safe cultivar followed by BR-75, Rani salut, BR-71, BR-49, BR-76, BR-87 and lastly, BINA-7. Most of the agronomic parameters of rice concerning yield were affected by both rice varieties and soil Cd level. In different rice varieties, rhizosphere pH increased through root exudation which ultimately produced equilibria among the five major soil Cd fractions so that Cd became bioavailable to plants. All rice varieties showed high hazard quotient (HQ) values under Cd stress conditions and posed a risk to human health. For noncarcinogenic health risk assessment through HQ, we recommend 0.1 mg Cd/kg rice grain be used as the maximum allowable concentration (MAC) in calculating health risk for Bangladeshi people.

Application of the maximum cumulative ratio (MCR) as a screening tool for the evaluation of multiple metal mixtures in shellfish in Chinese population

The objective of this study was to investigate the potential effects from exposure to multiple metals, including cadmium (Cd), chromium (Cr), arsenic (As), mercury (Hg), nickel (Ni) and lead (Pb) that exist in shellfish in Chinese populations, and evaluate the impacts of cumulative exposures among individuals. A total 15,469 individual shellfish samples were analyzed following a protocol for elemental analysis. A total of 25,669 respondents were selected through stratified multi-stage cluster sampling from  31 survey sites in China. Individual shellfish consumption data and body weight were collected and analyzed with a 24-hour dietary recall method on three non-consecutive days. The consumers were divided into two groups: aged 2-12 years group and aged ≥13 years. Exposure levels were estimated based using a semi-probabilistic risk assessment method and cumulative exposures among individual persons using the maximum cumulative ratio (MCR) method. The mean, median and 95th percentile of all metals exposure for age 2-12 years group were higher than age ≥13 years group, but none exceeded the respective reference doses of the metals. The mean hazard indices (HI) of each metal in shellfish for both age groups were less than 1. The MCR values calculated among 1283 consumers ranged from 1.28 to 3.25 with the average MCR value was 2.22. There were 51 (3.98%) consumers in group I, 1186 (92.44%) consumers in group II, 26(2.03%) consumers in group III A, and 20 (1.56%) consumers in group III B. And cadmium (Cd) and lead (Pb) produced the HQ_Max that trigged cumulative exposures. It was concluded that heavy metals did not present a potential health risk to people solely through shellfish. The cumulative risks indicated that 7.56% of the surveyed consumers were of concern because of high HI of metals exposure, and Cd, Pb, and Ni made significant contributions to the potential risk.

Distributions of Heavy Metals in Rice and Corn and Their Health Risk Assessment in Guizhou Province

Long-term exposure to heavy metals from high geological background area may lead to varieties of diseases. Therefore, risk assessment from agricultural products in these areas was crucial to ensure the health of customers. However, the effects of geological background on distributions of heavy metals and their accumulation in plant remain unclear. This study aimed to determine the distributions of mercury (Hg), cadmium (Cd), arsenic (As), lead (Pb), chromium (Cr) and copper (Cu) in 1036 corn and rice samples collected from 9 locations in Guizhou province and to evaluate their health risks. The concentrations of Hg, Cd, As, Pb, Cr and Cu in these two crops were analyzed by inductively coupled plasma-mass spectrometry (ICP-MS), and their health risk were estimated by the target risk quotient approaches. Results showed that the mean concentrations of Hg, Cd, As, Pb, Cr and Cu in corn and rice were 0.01, 0.07, 0.06, 0.27, 0.56 and 1.86 mg/kg which were lower than their respective maximum allowable concentrations (MAC) of 0.02, 0.20, 0.70, 0.20, 0.50 and 10.00 mg/kg except Pb and Cr. The concentrations of Cr and Cu in corn were higher than in rice while Cd, As and Pb in rice were higher than in corn. Moreover, the distributions of Hg, Cd and Cu in corn and rice samples were mainly observed from QDN located at southeast of Guizhou province while Pb, As and Cr were most detected at ZY, QXN and BJ areas, southwest zone. The hazard indices (HIs) values for corn and rice were 0.20 and 2.61. The high HIs (> 1) in rice indicated that the health risk of heavy metals in rice was relatively high and Pb was the major component that attributed to the risk, followed by Cd. These results could provide a reference for the distributions of heavy metals in agricultural products in Guizhou province under crop cultivation conditions, and to provide scientific basis for health risk assessment and ensure food safety.

AMPK pathway is implicated in low level lead-induced pubertal testicular damage via disordered glycolysis

Lead (Pb) is a common environmental pollutant. It has been demonstrated that long-term exposure to Pb at environmental levels may cause severe and irreversible damage to the male reproductive system. Of note, the impairments may originate from environmental Pb exposure at puberty. However, the underlying mechanisms remain unclear. In this study, we administrated male ICR mice with 200 mg/L Pb through the drinking water for 30-, 60-, 90-day from postnatal day 28. RNA sequencing was performed in the control group and the 90-day Pb exposure group. It was found that Pb exposure induced testicular damage, increased oxidative stress levels and poor sperm quality. Bioinformatic analysis displayed 199 genes up-regulated (such as GLUT1 and MCT4 genes) and 156 genes down-regulated (such as GLUT3, PFK1, LDH, CD147 and AMPK genes) in the Pb exposure group compared to the control group. Gene ontology (GO) terms enrichment analysis showed differentially expressed genes (DEGs) are involved in the protein catabolic, cellular catabolic and triglyceride catabolic processes. KEGG pathways enrichment analysis indicated glycerolipid metabolism and AMPK signaling were significantly enriched. Furthermore, experimental verification showed that Pb exposure induces energy dysmetabolism and decreases glycolysis products in mice testicular tissue. The AMPK signaling pathway was found to be deactivated after Pb exposure. The GLUT1, GLUT3, PFK1 and LDH proteins, which play a critical role in the cell glycolysis process, also were decreased. Besides, the expression of CD147 was decreased and the location of CD147 was altered upon Pb exposure. Together, these findings indicated the implication of the AMPK signaling pathway in Pb exposure induced pubertal testicular damage and poor sperm quality by inhibiting cell glycolysis and disordering lactate transportation in testicular cells.

Evidence for Ovarian and Testicular Toxicities of Cadmium and Detoxification by Natural Substances

Cadmium (Cd) is an environmental toxicant, capable of reducing mitochondrial ATP production and promoting the formation of reactive oxygen species (ROS) with resultant oxidative stress conditions. The ovary and testis are the primary gonads in which female gametes (oocytes) and male gametes (spermatozoa), estrogen and testosterone are produced. These organs are particularly susceptible to Cd cytotoxicity due to their high metabolic activities and high energy demands. In this review, epidemiological and experimental studies examining Cd toxicities in gonads are highlighted together with studies using zinc (Zn), selenium (Se), and natural substances to reduce the effects of Cd on follicular genesis and spermatogenesis. Higher blood concentrations of Cd ([Cd]b) were associated with longer time-to-pregnancy in a prospective cohort study. Cd excretion rate (ECd) as low as 0.8 μg/g creatinine was associated with reduced spermatozoa vitality, while Zn and Se may protect against spermatozoa quality decline accompanying Cd exposure. ECd > 0.68 µg/g creatinine were associated with an increased risk of premature ovarian failure by 2.5-fold, while [Cd]b ≥ 0.34 µg/L were associated with a 2.5-fold increase in the risk of infertility in women. Of concern, urinary excretion of Cd at 0.68 and 0.8 μg/g creatinine found to be associated with fecundity are respectively 13% and 15% of the conventional threshold limit for Cd-induced kidney tubular effects of 5.24 μg/g creatinine. These findings suggest that toxicity of Cd in primary reproductive organs occurs at relatively low body burden, thereby arguing for minimization of exposure and environmental pollution by Cd and its transfer to the food web.

Health Risk Assessment of Metals via Multi-Source Oral Exposure for Children Living in Areas with Intense Electronic Manufacturing Activities

Oral ingestion is the predominant pathway of metal(loid)s exposure. In this study, the health risks of typical metal(loid)s (including Mn, As, Cr, Cd, and Pb) via multi-source, oral pathways for children aged 3-12 years, living in an area of China dominated by the electronic manufacturing industry, were studied based on the field sampling of duplicated diet, soil, and drinking water. Child-specific ingestion parameters were measured (except the soil ingestion rates, which were from a previous study of the same population), and a Monte Carlo method was applied to determine the uncertainty of the risk assessment. It was observed that children living in such environments were at risk of metal(loid)s exposure, with the accumulative carcinogenic risk exceeding the maximum acceptable level. Food intake was identified to be the primary exposure pathway. Moreover, Pb and Cr were the major risk elements to local children's health. Compared with primary school students, kindergarten children experienced a higher risk. This study highlights that high attention should be paid to children living in suburban areas dominated by the electronic manufacturing industry, and that priority should be given to studies on metal(loid)s exposure deriving from different types of food and their corresponding bioavailability, in order to further discern the precise risk sources to protect children's health.

Assessment of the risks from dietary lead exposure in China

The dietary lead (Pb) risk across China was assessed based on the margin of exposure (MOE) approach by comparing the level (1.5 μg/kg/d) based on the Pb concentrations in foodstuffs from1386 published articles. The Pb averages of the 18 foods were lower than their corresponding limits enacted by the Chinese government, ranging from 0.09 to 0.30 mg/kg. Food from plants had a much higher contribution to dietary Pb intake than that from animals (86% vs. 14%), and cereals and vegetables contributed 79% of the Pb intake from plant-based food. Although each category of food contained a relatively low Pb concentration, the accumulated Pb from the total diet posed a high risk to human health. The MOE risk from dietary Pb averaged 1.57 and ranged from 0.13 to 6.18, with high risks in southern, southwestern, eastern, central, and northern China. The MOE risk from Pb could be decreased by adjusting the dietary structure, and the ratio of people categorized as high risk (MOE < 1) would decrease from 56% to 37%, 41%, or 24% if the category of cereal or vegetable or both cereals and vegetables with the lowest Pb concentration in their local areas were selected, respectively.

Contribution of diet and other factors for urinary concentrations of total arsenic and arsenic species: data for US children, adolescents, and adults

A comprehensive analysis of the associations between the consumptions of 17 food products with urinary concentrations of arsenobetaine, total arsenic, arsenous acid, dimethylarsinic acid (UDMA), monomethylarsonic acid (UMMA), and total inorganic arsenic for US children aged 3-5 years (N = 439), children aged 6-11 years (N = 2139), adolescents aged 12-19 years (N = 2434), and adults aged >= 20 years (N = 10902) was conducted. Data from National Health and Nutrition Examination Survey for 2005-2016 were used for this study. Concentrations of arsenobetaine were as much as > 15 times higher among consumers of fish/shellfish than non-consumers for children aged 6-11 years, > 12 times higher for children aged 3-5 years, > 13 times higher for adolescents, and > 7 times higher for adults. Consumption of rice as opposed to non-consumption of rice was associated with as much as 36.5% higher concentrations of total arsenic, 12.7% higher concentrations of arsenous acid, 43.9% higher concentrations of UDMA, 18.2% higher concentrations of UMMA, and 14.1% higher concentrations of total inorganic arsenic. Thus, consumption of fish/shell fish and rice was associated with higher concentrations of organic/inorganic arsenic. In addition, consumption of alcohol was also found to be associated with higher concentrations of organic/inorganic arsenic. However, consumption of milk and milk products, vegetables, organ and other meats, and nutritional drinks was found to be associated with lower concentrations of organic/inorganic arsenic. Thus, while consumption of several foods is associated with higher concentrations of arsenic, there are also foods whose consumption is associated with decreased concentrations of arsenic. Further studies are needed to identify foods that may lead to decreased concentrations of arsenic and as such arsenic toxicity.

Sewage wastewater reclamation with sand column filter and reduction of heavy metal accumulation in tomato and okra

Heavy metal accumulation has much increased in edible parts of fresh fruits and vegetables due to use of industrial waste/effluent, and wastewater. In the current work, sewage wastewater was reclaimed through a column filled with sand having a mesh size of 0.5 mm and its effect was investigated on concentration of different heavy metals, vegetative growth, and yield of okra and tomato. The use of unfiltered sewage wastewater (UFSW) had considerably higher concentrations of heavy metals but it substantially increased plant height, leaf number, and leaf area in both okra and tomato plants in contrast to filtered sewage wastewater (FSW). The application of UFSW resulted in a significantly higher accumulation of lead (Pb), nickel (Ni), iron (Fe), and copper (Cu) in roots and edible parts of okra and tomato as compared with FSW treatment. However, FSW and UFSW did not significantly influence concentrations of chromium (Cr) and cadmium (Cd) in roots and edible parts of both okra and tomato. In conclusion, sand column filtration technique could be efficiently used for the reclamation of sewage wastewater, and reduction of various heavy metals present in sewage wastewater-irrigated crops.

Trace Metals (As, Cd, Cr, Cu, Hg, Ni, Pb, Zn) and Stable Isotope Ratios (δ13C and δ15N) in Fish from Wulungu Lake, Xinjiang, China

Wulungu Lake is a vital fishery area in Xinjiang. However, the concentration, enrichment rules, and sources of As, Cd, Cr, Cu, Hg, Ni, Pb, and Zn in the aquatic organisms, have rarely been investigated. The results suggest that the concentrations of As, Ni, Pb, and Zn were higher than those recommended by the national standards for edible fish in some species. Hg, Ni, Cu, Pb, Cr, and Zn in the fish were dependent on the concentration of trace metals in the water environment (p < 0.05). The body weights of the fish were significantly negatively correlated with only Hg (p < 0.05); however, their body lengths were significantly positively correlated with As, Cu, Zn, and Hg contents. Values of δ¹³C ‰ (δ¹⁵N ‰) for the entire fish food web was found to range from -19.9‰ (7.37‰) to -27.7‰ (15.9‰), indicating a wide range of trophic positions and energy sources. Based on the linear correlation, As, Cu, Cd, and Zn contents were positively correlated with δ¹⁵N (p < 0.05), and bioaccumulation was observed in the fish. The target hazard quotient (THQ) of all fish species was less than 1, indicating the absence of potential risks to human health.

Risk assessment and hotspots identification of heavy metals in rice: A case study in Longyan of Fujian province, China

The potential threats of heavy metals in rice have attracted increasing attention worldwide. In this study, we assessed the pollution status and health risk of rice collected from Longyan in Fujian, China. Meanwhile, we explored the spatial pattern and hotspots of those metals. The results showed that the average concentrations of Cd, Hg, As, Pb, Cr, Ni, Cu, and Zn in rice were 0.064, 0.002, 0.464, 0.072, 0.138, 0.106, 10.819, and 23.788 mg kg^-1, respectively. Among them, As and Cu remarkably accumulated with the exceeding ratio of 50.30% and 55.12%, respectively. Furthermore, the values of the target hazard quotient in rice ranked as As > Cu > Zn > Cd > Pd > Ni > Hg > Cr, which As and Cu was greater than 1.0. And the carcinogenic risk values were in the order of As > Cd > Ni > Cr, which all exceeded the tolerance level (1 × 10^-4). Risk assessment indicated that both children and adults were posed the non-carcinogenic and carcinogenic risk from rice intake, and As had the largest contribution rate for them. Comparison found that the spatial patterns of heavy metals distribution were consistent with the hotspots. The hotspots for As and Zn located in the western part (Changting and Wuping), Cd and Cu in the eastern part (Xinluo and Yongding), Cr and Ni were simultaneously found in the northeast (Zhangping), while Hg and Pb were mainly located in the central region (Shanghang). Overall, combining the pollution status, risk assessment, and hotspot distribution in rice, the western region (Changting and Wuping) were identified as priority areas for remediation.

Evaluation of heavy metal pollutants in salt and seawater under the influence of the Lyari River and potential health risk assessment

Heavy metals intoxication through edible salt poses serious health hazards. The conducted research assessed the levels of heavy metals, health risks of salt samples, and the pollution index of seawater obtained from saltpans located at Sandpit, Karachi, Pakistan, which receive untreated effluents through the Lyari River. Seawater (n = 27) and salt samples (n = 27) were prepared for the detection of Al, Cd, Pb, Cr, Fe, Cu, Hg, Ni, As and Zn through atomic absorption spectroscopy, mean concentrations ± S.D. (mg/mL) were compared with the National Environmental Quality Standards, Pakistan. The levels of Cr (40.06 ± 0.21) were the highest followed by Fe (39.77 ± 0.08) > As (25.12 ± 0.21) > Ni > Pb > Al > Hg > Zn > Cd > Cu. In sea salt (Mean ± S·D mg/Kg), the Cr (47.79 ± 0.19), Fe (47.5 ± 0.15), As (30.62 ± 0.22), and Ni were redundant elements followed by Al > Pb > Hg > Zn > Cu > Cd. The water comprehensive pollution index was 1000 times greater than the critical values. The single factor pollution index was highest for Hg (1321), followed by Cr (40), Ni (36), Pb (32), Al (31.4), Cd (31.3), and As (25). Health risk assessment indices (from salt samples), including target hazard quotient (THQ) for As, Pb, Al, Hg, and Cr were two to six times higher than the noncarcinogenic THQ reference range. Similarly, the hazardous index indicated that salt was 20 times hazardous (HI = 20.29), and the carcinogenic rate index for the heavy metals i.e., Cd, As, Cr, and Ni was above the reference CR value i.e., 1 × 10^-4. In conclusion, the experimental and theoretical approaches recommend that the use of contaminated salt may impart health hazards.

Cadmium exposure as a key risk factor for residents in a world large-scale barite mining district, southwestern China

Cadmium (Cd) contamination is easily generated during the mining and manufacturing of barium (Ba). In this study, concentrations of both Ba and Cd in rice, vegetables, pork, fish, drinking water, and soil samples from an active barite mining district were determined. Daily intakes of Ba and Cd, as well as corresponding health risks, were evaluated. The average total daily exposure doses of Cd were 0.0035 and 0.0012 mg/kg BW/day (geometric mean) in the mining zone (MZ) and the chemical plant zone (PZ), respectively. These values significantly exceed the provisional tolerable monthly intake (25 μg/kg BW/month, equal to 0.00083 mg/kg BW/day). Based on the daily exposure doses, vegetable consumption was the most significant Ba exposure route for residents, contributing around 66.1% of the total exposure. In contrast, rice consumption was the major Cd exposure pathway, accounting for about 85.6% of the total exposure. Although the geometric mean (0.17) and 95th percentile (P95, 0.75) of the total hazard quotient (HQ) for Ba were below the acceptable level (1), suggesting that there were no significant health effects caused by Ba exposure, Cd exposure was associated with significant health risks, with the geometric mean of the HQ (1.7) and the P95 (21) well above the acceptable limit (1), indicating the unacceptable non-carcinogenic risk of Cd exposure. In summary, high Cd exposure risk, rather than Ba, was observed for populations living in a large-scale active Ba mining area.

The Rise of ST-Elevation Myocardial Infarction in Women of Northeast China

The women of China's Liaoning province display some morbidities in ways that defy medical explanation. Women have higher rates of hypertension, hypercholesterolemia, and metabolic syndrome than men, an anomaly for all three conditions. Most of these patients also suffer from Type 2 Diabetes Mellitus (T2DM) while there was a negative association between being female and T2DM for the rest of China. Each of these conditions can exist independently, but the increase in both their rates and congruence is a recent phenomenon. Stranger still is that Liaoning women are now presenting in hospital emergency departments with ST-Elevation Myocardial Infarction (STEMI), while diabetics predominantly suffer more benign Non-STEMI (NSTEMI) events. Confounding factors in any attempt to study this phenomenon include trace metals like manganese that have been shown to reduce systolic blood pressure in Asian men and raise it in Asian women. Some of the phenomenon may also be associated with the gene for Apolipoprotein 5, but its recent nature suggests other factors besides lipid profiles. Trace metals in the air, water, and diet of Liaoning province, or any urban environment, could play a role.

Health risk assessment of potentially toxic elements intake via food crops consumption: Monte Carlo simulation-based probabilistic and heavy metal pollution index

The aim of this study is to assess the content of heavy metals and their potential health risk in consumed food crops. To this end, the samples from vegetables, rice, potato, onion, and black tea were derived from high sales and commonly consumed types. The noncarcinogenic health risk of heavy metals to the adults, teens, and children was estimated by target hazard quotients (THQs) and hazard index (HI) calculation. Sensitivity and uncertainty analyses were carried out using Monte Carlo simulations. Heavy metal pollution index (HMI) was used for ranking noncarcinogenic heavy metal pollution in sampled food crops. THQs showed that noncarcinogenic health risks to the local population were largely related to As (0.71 for adults, 0.87 for teens, and 2.4 for children), Mn (0.43 for adults, 0.28 for teens, and 0.64 for children), and Mo (0.12 for adults, 0.02 for teens, and 0.4 for children). HI for individual food crops (HI_Σfi) in terms of different populations showed that the highest HI_Σfi was for children while the highest HI_ΣTea was for adults. The arrangement of the calculated HI_Σfi along with its highest value was in the order of HI_ΣRice (3.71) > HI_ΣTea (0.39) > HI_ΣBeans (0.2) > HI_ΣVegetables (0.13) > HI_ΣOnion (0.12) > HI_ΣPotato (0.11). The value of HI for all sampled food crops based on their daily ingestion rate achieved by deterministic and probabilistic (Monte Carlo simulations) approaches for adults, teens, and children was 1.63, 1.28, and 1.87, 1.67, 4.51, and 2.48 respectively, and revealed that all populations are vulnerable to the significant noncarcinogenic health risks and children are at more risk. The sensitivity analysis revealed that the ingestion rate (IR) is the most influential factor that contributed to the total risk. The determined HMI showed no heavy metal pollution for all food crops, and rice had higher-order in HMI ranking. These results showed that heavy metals exposure due to food ingestion is a threat to human health and needs choosing a proper strategy to reduce heavy metal exposure.

Differences in absorption of cadmium and lead among fourteen sweet potato cultivars and health risk assessment

Planting sweet potato (Ipomoea batatas (L.) Lam.) instead of rice in the area contaminated with heavy metals is one of the measures to ensure people's health and agricultural economy. Therefore, it is important to screen the low accumulation cultivars of sweet potato and to find out the concentration rule of cadmium (Cd) and lead (Pb) in edible parts along with the associated health risks to humans. A field experiment was performed with fourteen of three main types (starch, purple, and edible-type) of sweet potato cultivars grown on farmland polluted with Cd and Pb in eastern Hunan Province, China. The Cd and Pb concentrations in the sweet potato tissues as well as the yield were measured. The yield of the shoot and tuberous root of the fourteen sweet potato cultivars ranged from 14.59 to 68.57 and 26.35-50.76 t ha^-1 with mean values of 33.09 and 33.46 t ha^-1, respectively. Compared with purple and edible-type cultivars, the starch-type cultivar had lower Cd and Pb concentrations in the flesh, but higher in the shoot. The Cd and Pb concentrations in the flesh of cultivars Shangshu 19, Sushu 24, Yushu 98, and Xiangshu 98 were lower than MCL provided in Chinese National Food Safety Standards GB2762-2017. Based on the hazard index (HI), the consumption of sweet potato flesh is lower health risk, while shoots pose a greater health risk to local people and Cd is the main cause of the risk. As a result, sweet potato cultivars Shangshu 19, Sushu 24, Yushu 98 and Xiangshu 98 can be plant in serve Cd and Pb contaminated soils with the advantages of easy cultivation, high yield and economic benefits without stopping agricultural production.

Cadmium and Lead Exposure, Nephrotoxicity, and Mortality

The present review aims to provide an update on health risks associated with the low-to-moderate levels of environmental cadmium (Cd) and lead (Pb) to which most populations are exposed. Epidemiological studies examining the adverse effects of coexposure to Cd and Pb have shown that Pb may enhance the nephrotoxicity of Cd and vice versa. Herein, the existing tolerable intake levels of Cd and Pb are discussed together with the conventional urinary Cd threshold limit of 5.24 μg/g creatinine. Dietary sources of Cd and Pb and the intake levels reported for average consumers in the U.S., Spain, Korea, Germany and China are summarized. The utility of urine, whole blood, plasma/serum, and erythrocytes to quantify exposure levels of Cd and Pb are discussed. Epidemiological studies that linked one of these measurements to risks of chronic kidney disease (CKD) and mortality from common ailments are reviewed. A Cd intake level of 23.2 μg/day, which is less than half the safe intake stated by the guidelines, may increase the risk of CKD by 73%, and urinary Cd levels one-tenth of the threshold limit, defined by excessive ß₂-microglobulin excretion, were associated with increased risk of CKD, mortality from heart disease, cancer of any site and Alzheimer's disease. These findings indicate that the current tolerable intake of Cd and the conventional urinary Cd threshold limit do not provide adequate health protection. Any excessive Cd excretion is probably indicative of tubular injury. In light of the evolving realization of the interaction between Cd and Pb, actions to minimize environmental exposure to these toxic metals are imperative.

Two-pathway perspective for heavy metal emission mitigation: A case study of Guangdong Province, China

Heavy metal emissions have attracted much worldwide attention for its recalcitrance and persistence. In this study, a two-pathway environmental simulation model is developed to uncover heavy metal emissions as induced by intra-provincial production and extra-provincial investments, filling the gap of mitigating heavy metal emissions from separate pathway. This developed model is applied to Guangdong Province, China targeting on the mitigation of Hg, As, Cd, Cr, and Pb emissions. Additionally, emission reduction simulations are implemented on the basis of key sector identification. The effects of intra-provincial production reduction are more notable than those of extra-provincial investment reduction. In addition, mitigation of Hg and As emissions can be achieved through the reduction in both intra-provincial production and extra-provincial investment. In the contrast, it is not expected that the reduction of extra-provincial investment be duo to the emission mitigation of Cd, Cr and Pb. Moreover, an examination of five optimized scenarios reveals that the most remarkable emission mitigation pathway is the reduction of intra- and extra-provincial activities. This study is an indispensable reference for multi-pathway emission mitigation for heavy metals.

Cancer risk and disease burden of dietary cadmium exposure changes in Shanghai residents from 1988 to 2018

Cadmium (Cd) is a widely distributed toxic metal, which is mainly exposed to humans through diet. The impact of dietary guidelines on the Chinese diet structure has indirectly led to changes in dietary Cd exposure. The Chinese Dietary Guidelines were issued in 1997 and revised in 2007. Based on the time between issuance and revision, this study examined the Cd contamination levels in Shanghai foods from 1988 to 2018 and evaluated cancer risk and disease burden of dietary Cd exposure accordingly. Over the time periods of 1988-1997, 1998-2007, and 2008-2018, it was found that Cd dietary exposure of Shanghai residents showed a trend of increasing and then decreasing (39.7, 44.7, and 36.4 μg/day, respectively). In contrast to cereals, the contribution rates of meat and vegetables to Cd exposure have gradually increased over time, and aquatic foods have become the main source of Cd exposure (40.6%). Although the non-cancer risk hazard quotients of dietary Cd exposure and the excess lifetime cancer risks (ELCR) are relatively low (HQ < 1, ELCR < 10^-4), 26.6% of Shanghai residents had a potential risk of kidney injury calculated by toxicokinetic model (TK model), and the disability adjusted life years (DALYs) have been rising (from 41.6 to 58.2). Results indicated that in the past three decades, changes of Cd contamination in food due to both limit standards and changes in dietary structure have influenced cancer risk and disease burden from Cd exposure in Shanghai residents. In summary, our study suggested that while regulating the contamination in foods, attention should also be paid to the potential impacts of dietary structure and guidelines on the exposure of pollutants.

Heavy metals in aquatic products and the health risk assessment to population in China

In this paper, a total of 62,712 aquatic product samples were collected from 32 provinces of China during 2015-2017. By analyzing the spatial distributions and non-parametric tests of five heavy metals (lead (Pb), mercury (Hg), cadmium (Cd), chromium (Cr), and arsenic (As)) in four aquatic product (fish (n = 44,353), shrimp (n = 8453), crab (n = 5367), and shellfish (n = 4539)), it was found that the concentrations of the five heavy metals in the same aquatic product are significantly different in different regions. Furthermore, we calculated daily estimated intake (EDI) of each of the five heavy metals and assessed non-cancer risk and cancer risk using target hazard quotient (THQ) and target cancer risk (TR), respectively. The results showed that for mean exposure levels, the THQ values in four aquatic products were all below one, meaning that there was no non-carcinogenic risk. For high exposure levels, the hazard index (HI) value exceeded one in fish in North China, which means the potential non-carcinogenic risk should not be ignored. As for cadmium, most of the TR values in crab and shellfish exceed 1 × 10^-4 in North China, East China, and South China. For chromium, except for Northeast China, the TR values in fish in other regions exceed 1 × 10^-4; it indicated that the cancer risk caused by cadmium or chromium should not be ignored.

Geogenic cadmium pollution in multi-medians caused by black shales in Luzhai, Guangxi

Cadmium (Cd) concentration was investigated in parent rocks, surrounding soil of black shales outcrop, stream water, stream sediments, paddy soil as well as rice plants. Leaching test and sequential extraction procedure were applied to evaluate Cd mobility and bioavailability in soil samples. This study aims to emphasize ecological risk of Cd induced by black shales by combining various natural medias in black shales area and control area. The black shales parent rocks have elevated Cd concentration and act as a source of Cd. The liberated Cd from black shales outcrop temporarily accumulated in the acidized surrounding soil and could arise potential adverse impacts on environment due to rainfall. Although high concentration of Cd was not detected in stream water, Cd concentrated stream sediment was a hidden toxin for surface water system. Cd in paddy soil was primarily from geogenic source and effected little by anthropogenic source. The concentration as well as mobility and bioavailability of Cd were high in paddy soil in black shales area, which lead to elevated Cd concentration in roots, shoots and grains of rice. As a result, residents in black shales area suffer increased non-carcinogenic risk of Cd via food chain.

Toxic element (As and Hg) content and health risk assessment of commercially available rice for residents in Beijing based on their dietary consumption

Arsenic (As) and mercury (Hg) are toxic elements that are often classified as heavy metals, much like cadmium (Cd) and lead (Pb) and others. In this study, we determined the As and Hg contents in rice samples obtained from commercially available rice in Beijing and the health risks associated with daily dietary exposure to As and Hg by the consumption of this rice. Furthermore, the pollution levels of the rice were evaluated based on the Nemerow index. For this purpose, we collected 353 rice samples from 16 municipal districts in Beijing and determined the As and Hg contents in these samples by microwave digestion and inductively coupled plasma mass spectrometry (ICP-MS). The results were as follows: (i) the average content of As in the collected rice samples was 154.91 μg/kg (95% confidence interval (CI) of 139.90-169.92 μg/kg), and the average content of Hg was 2.02 μg/kg (95% CI of 1.25-2.79 μg/kg), which did not exceed the limits established by China's National Standard; (ii) the Nemerow index indicated that the As and Hg contents in these rice samples were safe; (iii) the dietary exposure to As and Hg by rice consumption was, respectively, 15.35 μg/day and 0.20 μg/day, which accounted for 12.91% and 3.35% of the total dietary exposure, respectively; (iv) the hazard quotients (HQs) of As and Hg by the dietary consumption of rice were, respectively, 0.77 and 0.03, and both the HQ and hazard index (HI is 0.8) were less than one. These results indicate that dietary exposure to As and Hg would have no detrimental effect on the health of the residents in the study area; however, the possible carcinogenesis by As in these residents warrants serious attention.