An interesting case of osteomalacia due to antacid use associated with stainable bone aluminum in a patient with normal renal function

A trans-Ferulic acid based fluorescence "turn-on" chemosensor for aluminum (III) ions in live cells and environmental samples

This study introduces a novel fluorescence 'turn-on' chemosensor, FHDA, based on a trans-Ferulic acid Schiff-base derivative. FHDA stands out as a highly selective and sensitive tool for the fluorescent detection of Al3+ with the fluorescence 'turn-on' effect. FHDA exhibits a strong CHEF effect and ICT upon complexation with Al3+ in a 1:2 binding stoichiometry. The significant Stokes shift (Δλ = 108 nm, λex = 422 nm, λem = 530 nm), large binding constant (Ka = 4.2 × 104 M-1), ∼9.5-fold increase in the quantum yield (FHDA, Φ = 0.020; FHDA-Al3+ complex, Φ = 0.189), and a LOD of 134 nM, makes FHDA an excellent chemosensor for detecting Al3+ in solution; tests in live cells and environmental samples also showed excellent responses. FHDA offers substantial improvements over existing methods with its ease of use, limited expense, high specificity, and the ability to provide real-time, in-situ monitoring of Al3+ ions. The utility of FHDA is highlighted through applications in monitoring Al3+ ions in e.g. lung cancer cells (A549) and environmental water samples. We believe that applications of FHDA can potentially lead to a novel diagnostic and therapeutic strategy against diseases linked to aluminum dysregulation.

An ultrasensitive cellulose-based fluorescent sensor for Al3+ detection and its applications in plant tissue and food samples

Fluorescent sensors available for metal ions detection have been extensively developed in recent years. However, developing an ultrasensitive fluorescent sensor for highly selectively detecting Al3+ based on cellulose remains a challenge. In this study, an ethylcellulose-based flavonol fluorescent sensor named EC-BHA was synthesized by the esterification of ethylcellulose (EC) with a new flavonol derivative 4-(2-(2,3-bis(ethoxymeothy)phenyl)-3-hydroxy-4-oxo-4-H-chromen-7-yl) benzoic acid (BHA). The fluorescence intensity of EC-BHA exhibited a 180-fold increase at 490 nm after binding with Al3+ and provided an ultralow detection limit of 13.0 nM. The sensor showed some exceptional sensing properties including a broad pH range (4-10), large Stokes shifts (190 nm), and a short response time (3 min). This sensor was successfully applied for determining trace Al3+ in food samples as well as in plant tissue. Moreover, the electrostatic spun film EBP was fabricated by blending EC-BHA with PS (polystyrene) via electrostatic spinning technique and utilized for selective detection of Al3+ as soon as possible.

Fabrication of a luminescent chemosensor for selective detection of Al3+ used as an adjuvant in pharmaceutical drugs

A new fluorescent chemosensor (NAN), fabricated by integrating 2-hydroxy naphthaldehyde and 1,8-naphthalic anhydride, shows high affinity for aluminium over other bio-relevant metal ions. The probe solution rapidly switched from non-fluorescent to bright blue fluorescence upon the addition of Al³⁺ under a UV-lamp, possessing a remarkably low detection limit of 33 nM. The interaction mechanism between the metal ion and NAN has been well established by a number of techniques such as absorbance, fluorescence, and ¹H NMR titration and verified by detailed theoretical calculations as well. To show the practical efficacy of our synthesized probe NAN we have employed it to recognize Al³⁺ only by using a simple paper strip and estimate the concentration of Al³⁺ ions in various pharmaceutical drugs and supplements as they are some of the major sources of aluminium accumulation in the human body resulting in various neurodegenerative disorders, especially Alzheimer's disease.

An Acid-triggered Reactive and Enhanced Fluorescent Probe for Selective Detection of Al3+/H+ and its Application in Real Water Samples and Living Cells

A reactive fluorescent "turn-on" probe (di-PIP) with imine-linked dual phenanthro[9,10-d]imidazole luminophore have been conveniently prepared as an Al³⁺ and H⁺ dual functional receptor. di-PIP displayed high selectivity and sensitivity towards Al³⁺ ion in DMF/HEPES accompanied by fluorescence blue-shift and a good linear relationship as well as a low detection limit of 30.5 nmol·L^-1, which can root from the synergetic functions of the decomposition reaction of di-PIP promoted by acidic Al³⁺ and the coordination effect between decomposition product and Al³⁺. Intriguingly, it was found that hydrogen ion H⁺ can be sufficient for simulating the fluorescence enhancing of di-PIP. ¹H NMR titration and MS analyses for elucidation of the intermediate structure further revealed that the acid-triggered decomposition reaction resulted in the rapid, and sensitive sensing to Al³⁺ and H⁺. In addition, the probe di-PIP could be successfully applied to the detection of Al³⁺ in real water samples, and also utilized to visualize Al³⁺ and H⁺ in the living cells.

Solvent-Regulated Fluorimetric Differentiation of Al3+ and Zn2+ Using an AIE-Active Single Sensor

The absence of d-orbital electrons or presence of full-filled d-orbital electrons in metal ions is a well-known Achilles' heel problem for the detection of these metal ions by a simple UV-visible study. For this reason, detection of metal ions such as Al³⁺ with no d-orbital electrons or Zn²⁺ with filled d-orbital electrons is a challenging task. Herein, we report a 2-naphthol-based fluorescent probe [1-((E)-((E)-(5-bromo-2-hydroxybenzylidene)hydrazono)methyl)naphthalen-2-ol] (H₂L) that has been used to sense and discriminate Al³⁺ and Zn²⁺ via solvent regulation. The probe exhibits excellent selectivity and swift sensitivity toward Al³⁺ in MeOH-water (9:1, v/v) and toward Zn²⁺ in dimethyl sulfoxide (DMSO)-water (9:1, v/v) among various metal ions. The respective detection limit is found to be 9.78 and 3.65 μM. The sensing mechanism is attributed to multiple processes, viz., the inhibition of photo-induced electron transfer (PET) along with the introduction of chelation-enhanced emission (CHEF) and excited-state intramolecular proton transfer (ESIPT) inhibition, which are experimentally well verified by UV-vis absorption spectroscopy, emission spectroscopy, and NMR spectroscopy. The probe shows aggregation-induced emissive (AIE) response in ≥70% aqueous media as well as in the solid state. The experimental results are well corroborated by time-resolved photoluminescence (TRPL) and density functional theory (DFT) calculations. An advanced-level OR-AND-NOT logic gate has been constructed from a different chemical combinational input and emission output. The reversible recognition of both Al³⁺ in MeOH-water (9:1, v/v) and Zn²⁺ in DMSO-water (9:1, v/v) is also ascertained in the presence of Na₂EDTA, enabling the construction of a molecular memory device. The probe H₂L also detects intracellular Al³⁺/Zn²⁺ ions in Hela cells. Altogether, our fundamental findings will pave the way for designing and synthesis of unique chemosensors that could be used for cell imaging studies as well as constructing molecular logic gates.

Adaptable DNA-Interactive Probe Proficient at Selective Turn-On Sensing for Al3+: Insight from the Crystal Structure, Photophysical Studies, and Molecular Logic Gate

The synthesized Schiff base ligand 3-hydroxy-N'-(2-hydroxy-3-methoxybenzylidene)-2-naphthohydrazide (H₂NPV) is structurally characterized by single-crystal X-ray diffraction (XRD) and exhibits weak fluorescence in the excited state owing to the effect of excited-state-induced proton transfer (ESIPT). However, in the presence of Al³⁺, the ESIPT is blocked and chelation-enhanced fluorescence (CHEF) is induced because of complexation with the cations, resulting in turn-on emission for Al³⁺. The probe H₂NPV selectively detects Al³⁺ among the various metal ions, and the detection limit is found to be 1.70 μM. The composition and modes of complex coordination were determined by spectroscopic, theoretical studies and molecular logic gate applications. Finally, DNA binding studies were performed by spectroscopic and calorimetric methods to elucidate possible bioactivity of H₂NPV.

Adaptable DNA-Interactive Probe Proficient at Selective Turn-On Sensing for Al3+: Insight from the Crystal Structure, Photophysical Studies, and Molecular Logic Gate

The synthesized Schiff base ligand 3-hydroxy-N'-(2-hydroxy-3-methoxybenzylidene)-2-naphthohydrazide (H2NPV) is structurally characterized by single-crystal X-ray diffraction (XRD) and exhibits weak fluorescence in the excited state owing to the effect of excited-state-induced proton transfer (ESIPT). However, in the presence of Al3+, the ESIPT is blocked and chelation-enhanced fluorescence (CHEF) is induced because of complexation with the cations, resulting in turn-on emission for Al3+. The probe H2NPV selectively detects Al3+ among the various metal ions, and the detection limit is found to be 1.70 μM. The composition and modes of complex coordination were determined by spectroscopic, theoretical studies and molecular logic gate applications. Finally, DNA binding studies were performed by spectroscopic and calorimetric methods to elucidate possible bioactivity of H2NPV.

Aluminium toxicosis: a review of toxic actions and effects

Aluminium (Al) is frequently accessible to animal and human populations to the extent that intoxications may occur. Intake of Al is by inhalation of aerosols or particles, ingestion of food, water and medicaments, skin contact, vaccination, dialysis and infusions. Toxic actions of Al induce oxidative stress, immunologic alterations, genotoxicity, pro-inflammatory effect, peptide denaturation or transformation, enzymatic dysfunction, metabolic derangement, amyloidogenesis, membrane perturbation, iron dyshomeostasis, apoptosis, necrosis and dysplasia. The pathological conditions associated with Al toxicosis are desquamative interstitial pneumonia, pulmonary alveolar proteinosis, granulomas, granulomatosis and fibrosis, toxic myocarditis, thrombosis and ischemic stroke, granulomatous enteritis, Crohn's disease, inflammatory bowel diseases, anemia, Alzheimer's disease, dementia, sclerosis, autism, macrophagic myofasciitis, osteomalacia, oligospermia and infertility, hepatorenal disease, breast cancer and cyst, pancreatitis, pancreatic necrosis and diabetes mellitus. The review provides a broad overview of Al toxicosis as a background for sustained investigations of the toxicology of Al compounds of public health importance.

Theoretical Design of Near-Infrared Al3+ Fluorescent Probes Based on Salicylaldehyde Acylhydrazone Schiff Base Derivatives

The aim of this paper is to design near-infrared (NIR) Al³⁺ fluorescent probes based on a Schiff base to extend their applications in biological systems. By combining benzo[h]quinoline unit and salicylaldehyde acylhydrazone, we designed two new Schiff base derivatives. According to theoretical simulations on previous experimental Al³⁺ probes, we obtained the appropriate theoretical approaches to describe the properties of these fluorescent probes. By employing such approaches on our newly designed molecules, it is found that the new molecules have high selectivity toward Al³⁺ and that their corresponding Al³⁺ complexes can emit NIR fluorescence. As a result, they are expected to be potential NIR Al³⁺ fluorescent probes.

Safety Assessment of Alumina and Aluminum Hydroxide as Used in Cosmetics

This is a safety assessment of alumina and aluminum hydroxide as used in cosmetics. Alumina functions as an abrasive, absorbent, anticaking agent, bulking agent, and opacifying agent. Aluminum hydroxide functions as a buffering agent, corrosion inhibitor, and pH adjuster. The Food and Drug Administration (FDA) evaluated the safe use of alumina in several medical devices and aluminum hydroxide in over-the-counter drugs, which included a review of human and animal safety data. The Cosmetic Ingredient Review (CIR) Expert Panel considered the FDA evaluations as part of the basis for determining the safety of these ingredients as used in cosmetics. Alumina used in cosmetics is essentially the same as that used in medical devices. This safety assessment does not include metallic or elemental aluminum as a cosmetic ingredient. The CIR Expert Panel concluded that alumina and aluminum hydroxide are safe in the present practices of use and concentration described in this safety assessment.

Dihydroindeno[1,2-b]pyrroles: new Al3+selective off–on chemosensors for bio-imaging in living HepG2 cells

An approach for the expeditious synthesis of a new Al³⁺-selective turn-on dihydroindeno[1,2-b]pyrrole probe under environmentally benevolent conditions and its bio-imaging studies on HepG2 cell.

Hydrazinopyrimidine derived novel Al3+ chemosensor: molecular logic gate and biological applications

For the first time, a hydrazinopyrimidine based chemosensor has been designed for sensing Al³⁺ through CHEF-PET-ESIPT fluorescence mechanisms and by building an ‘INHIBIT’ molecular logic gate.

A hydrazone based probe for selective sensing of Al(iii) and Al(iii)-probe complex mediated secondary sensing of PPi: framing of molecular logic circuit and memory device and computational studies

A hydrazone-based conjugate acts as a dual channel sensor towards Al³⁺and PPi in H₂O–MeOH with excellent sensing capability in live cells.

A highly selective colorimetric and fluorescent turn-on chemosensor for Al(3+) based on naphthalimide derivative

A new chemosensor L based on the naphthalimide moiety was synthesized and characterized. L exhibited the high selectivity and sensitivity for Al(3+) in CH3OH, along with colorimetric and fluorometric dual-signaling responses based on the joint contribution of the ICT and CHEF processes. A 1:1 stoichiometry for the L-Al(3+) complex was formed with an association constant of 7.6×10(4)M(-1), and the limit of detection for Al(3+) was determined as 6.9μM. In addition, L was successfully applied to the determination of Al(3+) in real water samples.

Aluminum as a toxicant

Although aluminum is the most abundant metal in nature, it has no known biological function. However, it is known that there is a causal role for aluminum in dialysis encephalopathy, microcytic anemia, and osteomalacia. Aluminum has also been proposed to play a role in the pathogenesis of Alzheimer’s disease (AD) even though this issue is controversial. The exact mechanism of aluminum toxicity is not known but accumulating evidence suggests that the metal can potentiate oxidative and inflammatory events, eventually leading to tissue damage. This review encompasses the general toxicology of aluminum with emphasis on the potential mechanisms by which it may accelerate the progression of chronic age-related neurodegenerative disorders.

A simple and rapid method for direct determination of Al(III) based on the enhanced resonance Rayleigh scattering of hemin-functionalized graphene-Al(III) system

A novel method for direct determination of Al(III) by using hemin-functionalized graphene (H-GO) has been established based on the enhancement of resonance Rayleigh scattering (RRS) intensity. The characteristics of RRS spectra, the optimum reaction conditions, and the reaction mechanism have been investigated. In this experiment, the Al(III) would exist in sol-gel Al(OH)3 species under the condition of pH5.9 in aqueous solutions. When H-GO existed in the solution, the sol-gel Al(OH)3 would react with H-GO and result in enhancement of RRS intensity, owing to the enhanced hydrophobicity of H-GO surface. Therefore, a simple and rapid sensor for Al(III) was developed. The increased intensity of RRS is directly proportional to the concentration of Al(III) in the range of 10 nM-6 μM, along with a detection limit of 0.87 nM. Moreover, the sensor has been applied to determination of Al(III) concentration in real water and aspirin tablet samples with satisfactory results. Therefore, the proposed method is promising as an effective means for selective and sensitive determination of Al(III).

A "turn-on" fluorescent chemosensor for aluminum ion and cell imaging application

A simple and efficient fluorescent chemosensor for Al(3+) is reported in the paper. The chemosensor is obtained by dehydration reaction of 2-hydroxy-1-naphthaldehyde and 2-aminophenol. The chemosensor has high selectivity and sensitivity for Al(3+) and displays fluorescence "off-on" switch signal. The detection limit of the chemosensor for Al(3+) can reach 1.0×10(-7) M in DMSO/H2O (1:9, v/v) solution. The mass spectra and Job's plot analysis confirm the 1:1 stoichiometry between chemosensor and Al(3+). Potential utilization of the probe as an intracellular sensor of Al(3+) in human cancer (HiSa) cells is also examined by confocal fluorescence microscopy.

Tb-MOF: a naked-eye and regenerable fluorescent probe for selective and quantitative detection of Fe3+and Al3+ions

A unique Tb-MOF fluorescent probe has features that are visible to the naked-eye and can be regenerated; it presents high selectivity and sensitivity to the quantitative detection of Fe³⁺and Al³⁺ions.

A robust fluorescent chemosensor for aluminium ion detection based on a Schiff base ligand with an azo arm and application in a molecular logic gate

A new azo based chemosensor for detection of Al³⁺ ion has been reported. The sensor has been well characterized using different techniques like single crystal X-ray, NMR, IR, UV etc. Detection limit of the chemosensor was found to be 6.93 nM.

A new fluorescent chemosensor for Al(3+) ion based on schiff base naphthalene derivatives

A new naphthalene derivative receptor (H2L) was synthesized. The chemosensor (H2L) exhibited a strong fluorescence enhancement in the presence of trace amounts of Al(3+), attributable to chelation-enhanced fluorescence (CHEF) effect, which also displayed high selectivity over a series of other metal cations (Na(+), K(+), Cs(+), Mg(2+), Ba(2+), Pb(2+), Cr(3+), Mn(2+), Fe(3+), Fe(2+), Co(2+), Ni(2+), Cu(2+), Zn(2+), Cd(2+), Hg(2+) and Ag(+)) in ethanol.

Al3+ selective coumarin based reversible chemosensor: application in living cell imaging and as integrated molecular logic gate

The new coumarin based fluorescent ‘turn-on’ chemosensor (H₂L) efficiently detects Al³⁺ over other metal ions. It is efficient in detecting Al³⁺ in the intracellular region of HeLa cells and also exhibits an INHIBIT logic gate with Al³⁺ and EDTA as chemical inputs.

Formulation of intelligent tablets with an antacid effect

Matrix systems with a local antacid effect were produced in this study. Aluminium hydroxide and magnesium trisilicate in constant concentrations were used as active agents. Eudragit E PO was applied as a matrix former and sodium bicarbonate as a disintegrant (third antacid component), in different ratios. Their effects on the properties of the tablets were studied. Such formulated systems must be insoluble if the pH of the stomach is less acidic, but a rapid disintegration must occur if necessary. It can be concluded that Eudragit E PO in appropriate composition can ensure tablets with pH-dependent disintegration. Its binding effect allows tablet making from the elastic active component. The liberation of antacid materials from this system is controlled. If the pH reached 2.5, the erosion of the tablet was reduced. In contrast with expectations, the application of poorly compressible and effervescent sodium bicarbonate increased the time for disintegration of the tablets, because of its extended alkalizing effect around the tablet. This system with this acrylic component is appropriate to produce a controlled-release local antacid preparation.

Osteomalacia from Mg-containing antacid: a case report of bilateral hip fracture

Non-prescribed antacid drugs that contain magnesium and aluminum are widely used in the treatment of gastritis and peptic ulcer. One of the side effects of these antacid drugs is that they bind phosphate in the gut and result in its malabsorption. In this paper, a 42-year-old female patient who used magnesium hydroxide (Magnesie calcinee powder 100 g) to benefit from its laxative feature, and developed osteomalacia after losing 90 kg in 2 years will be presented by going through the related literature. She had widespread joint pain and could hardly walk without the help. Ca, P and vitamin D were at lower limit of normal, ALP, Mg and PTH were increased in her laboratory tests. There were stress fractures at the femur neck and at the upper part of the tibia in plane radiographies. The patient was hospitalized with the diagnosis of osteomalacia and she was treated successfully.

Contemporary understanding and management of reflux and constipation in the general population and pregnancy: a consensus meeting

BACKGROUND

Gastro-oesophageal reflux disease (GERD) and constipation have a major impact on public health; however, the wide variety of treatment options presents difficulties for recommending therapy. Lack of definitive guidelines in pharmacy and general practice medicine further exacerbates the decision dilemma.

AIMS

To address these issues, a panel of experts discussed the principles and practice of treating GERD and constipation in the general population and in pregnancy, with the aim of developing respective treatment guidelines.

RESULTS

The panel recommended antacids 'on-demand' as the first-line over-the-counter treatment in reflux, and as rescue medication for immediate relief when reflux breaks through with proton pump inhibitors. Calcium/magnesium-based antacids were recommended as the treatment of choice for pregnant women because of their good safety profile. In constipation, current data do not distinguish a hierarchy between polyethylene glycol (PEG)-based laxatives and other first-line treatments, although limitations are associated with stimulant- and bulk-forming laxatives. Where data are available, PEG is superior to lactulose in terms of efficacy. In pregnancy, PEG-based laxatives meet the criteria for the ideal treatment.

CONCLUSIONS

The experts developed algorithms that present healthcare professionals with clear treatment options and management strategies for GERD and constipation in pharmacy and general practice medicine.

Aluminium in Over-the-Counter Drugs

In the early 1970s, aluminium toxicity was first implicated in the pathogenesis of clinical disorders in patients with chronic renal failure involving bone (renal osteomalacia) or brain tissue (dialysis encephalopathy). Before that time the toxic effects of aluminium ingestion were not considered to be a major concern because absorption seemed unlikely to occur. Meanwhile, aluminium toxicity has been investigated in countless epidemiological and clinical studies as well as in animal experiments and many papers have been published on the subject. It is now commonly acknowledged that aluminium toxicity can be induced by infusion of aluminium-contaminated dialysis fluids, by parenteral nutrition solutions, and by oral exposure as a result of aluminium-containing pharmaceutical products such as aluminium-based phosphate binders or antacid intake. Over-the-counter antacids are the most important source for human aluminium exposure from a quantitative point of view. However, aluminium can act as a powerful neurological toxicant and provoke embryonic and fetal toxic effects in animals and humans after gestational exposure. Despite these facts, the patient information leaflets from European antacids that are available OTC show substantial differences regarding warnings from aluminium toxicity. It seems advisable that all patients should receive the same information on aluminium toxicity from patient information leaflets, in particular with regard to the increased absorption through concomitant administration with citrate-containing beverages and the use of such antacids during pregnancy.