Acute arsenic intoxication from environmental arsenic exposure

Blood and Stool Arsenic Levels Are Decisive for Diagnosing Children's Functional Gastrointestinal Disease (FGD)

Pediatric gastroenteritis is a potentially fatal disease that accounts for 10% of childhood deaths. The main risk is environmental factors and nutrition. Arsenic (As) is commonly found in the earth's crust. As is an essential element that can form many organic compounds. In children, it causes diarrhea, gums, tongue lesions, diabetes, conjunctivitis, ocular opacity, and impaired immune response. It also causes low growth, mental retardation, and neurological problems. It is also known as the cause of many cancers that originate at an early age. Regionally, there is an iron and steel industry for almost a century. According to the Rome IV criteria, the blood and stools of 50 children aged 6-18 years, male and female, living in our province with functional gastrointestinal disease (FGD), were screened for As, and compared with the Healthy group (control) of 30 children. The results were evaluated with the Mann-Whitney Rank Sum Test. When blood and stool As values in males were compared with control samples, a high level of significance (p = 0.001) was found between both blood and stool As values in sick males and the control group (p < 0.005). In females, blood and stool As median values were also highly significant when compared with the control group (p = 0.001). According to these data, when the sick children (children with male and female gender) are compared with the healthy ones, the difference is highly significant (p < 0.005). High blood As levels in children indicate environmental pollution. It can be said that blood As levels are high as a result of food, water, and inhaler exposure. The presence of a high level of significant difference in stool means that the amount of As is high in the foods consumed daily. High levels of As are in blood and stools; It was evaluated that FGD could be the cause of nausea, diarrhea, vomiting, and colic. The increase in blood and stool As values due to environmental pollution is an important reason for FGD. For diseases of uncertain cause (such as FGD) resulting from chronic As exposure, blood and especially stool As values are more significant than urinary As levels. In conclusion, As a diagnostic criterion, it was concluded that blood and stool As values are an important marker in children with functional abdominal pain with other metals.

Six fruit and vegetable peel beads for the simultaneous removal of heavy metals by biosorption

In this study, a comparison between the biosorption performance of six fruit and vegetable peels, namely kiwifruit (KP), apple, banana, cucumber, orange and potato immobilized on sodium alginate beads has been made. Inductively coupled plasma coupled with mass spectroscopy was used for measuring the concentration of metal ions in solution before and after biosorption. A range of kinetic models were also applied to the biosorption batch data. The results showed that biosorption percentage of the ions were different on the various beads. For example, the decreasing order of biosorption by one KP bead at equilibrium was Cd > Cu > Hg > Ni > Pb > Cr > As, with approximately 92%, 84%, 80%, 75%, 67%, 34%, and 17% simultaneous removal of ions, respectively. The fastest biosorption was seen with Cd and Pb, as both reached equilibrium by 24 h. Equilibrium time of all other ions occurred by 48 h. While all beads in their unmodified form were suitable for the removal of divalent cations, KP bead showed significantly higher removal of the anion hexavalent Cr. Biosorption of Cd, Hg and Ni was limited by both pseudo-first order and pseudo-second order reaction rates. For Cr and Cu, the reaction was controlled by film diffusion and pseudo-first order rates. At a higher solution concentration, the preference of ions biosorbed as well as their percentage removed changed. Overall, the results indicated that KP beads show promise as a cost-effective method for removing toxic ions by biosorption, especially hexavalent chromium from drinking water.

Residence in an Area with Environmental Exposure to Heavy Metals and Neurobehavioral Performance in Children 9-11 Years Old: An Explorative Study

We explored the association between residence in an area polluted with metals and neurobehavioral performance in children aged 9 to 11. A cross-sectional study was conducted with thirty boys and thirty girls aged 9 to 11 from public schools in a heavily industrialized area, matched by age (±4 months) and gender with 15 boys and 15 girls from public schools in cities without relevant industrial activity. Neurobehavioral performance was assessed with the Behavioral Assessment and Research System. Linear regression models were used, adjusting for age, sex, social class and multimedia activities to predict each of the neurobehavioral outcome variables. No differences in neurobehavioral performance were found when all children with residence in areas with environmental exposure to metals were classified as exposed and the children from the other provinces as unexposed. However, when we compared children living <1 km from an industrial area with respect to those living more than 1 km away, significant differences were found. Children living <1 km away had lower scores on Finger Tapping (p = 0.03), Symbol-Digit (p = 0.07) and Continuous Performance (p = 0.02) than those living farther away. Our results support the hypothesis that residing close to an area with industrial activity (<1 km) is associated with deficits in neurobehavioral performance among children aged 9 to 11.

Modified Double Potential Step Chronoamperometry (DPSC) Method for As(III) Electro-oxidation and Concomitant As(V) Adsorption from Groundwaters

Constrained by low energy efficiency and ineffectiveness in As(III) removal under circumneutral pH conditions by many exsiting technologies, As(III) removal has become an issue. In this work we present proof of concept of a modified double potential step chronoamperometry (DPSC) method of As(III) oxidation and concomitant As(V) electro-sorption from aqueous solution. Results show that in situ anodic As(III) oxidation, As(V) electro-sorption, and As(V) electro-desorption are affected by aqueous pH with high oxidation and sorption/desorption rates observed at the elevated pH. We particularly show that effective As(III) oxidation and concomitant As(V) adsorption are related to (i) the rapid oxidation of the deprotonated species compared to the protonated species and (ii) stronger electrochemical interaction between the multicharged As(V) species and the electrodes. At 1.2 V and an electric energy consumption of 0.06 kWh m^-3, the total As concentration can be reduced from 150 to 15 μg L^-1 using an electrochemical cell with electrode area of 10 × 8 cm² and electro-sorption time of 120 min. On the basis of the experimental results, we have developed a mathematical model to describe the kinetics and mechanism of arsenic removal by the modified DPSC method with this model of use in predicting, and potentially optimizing, process performance under various conditions.

Human health risks assessment for airborne PM10-bound metals in Seoul, Korea

Seoul, the capital city of South Korea, is the social, political, and economic center of the country. Significant levels of PM₁₀-bound As metalloid and metals have been found in the city, which poses possible adverse health risks to the residents from inhalation exposure. Therefore, this study focuses on the health risk assessment of age-dependent cancer and non-cancer using exposure pathway and human respiratory tract (HRT) mass deposition models. In the case of non-cancer risks, the hazard quotient (HQ) of As via ingestion exposure and the hazard index (HI) was found to be significant (> 1) for the children. The cancer risks through ingestion pathway (CR_ing) were estimated in the order of 10^-4 and 10^-5 for children and adult groups, respectively. The overall CR_ing levels for children were estimated slightly higher than the acceptable level of cancer risk (1 × 10^-4) at all locations throughout the study area. Moreover, the risks of cancer through the inhalation (CR_inh) and incremental lifetime cancer risks (ILCR) due to HRT mass deposition were found to be significant (> 10^-6) and with very small discrepancy in risk levels for both age groups. Furthermore, possible sources of the PM₁₀-bound metalloid (As) and metals were predicted through correlation, principal component, and enrichment factor analysis. The results of source apportionment study indicated the local anthropogenic emission sources (vehicular, biomass/coal/oil combustion, industrial), road dust re-suspension, and trans-boundary sources were responsible for the pollution levels in Seoul, South Korea. The health risks can be minimized by reducing the pollution levels of particulate matter at source.

Chemical-specific health consultation for chromated copper arsenate chemical mixture: port of Djibouti

The Agency for Toxic Substances and Disease Registry (ATSDR) prepared this health consultation to provide support for assessing the public health implications of hazardous chemical exposure, primarily through drinking water, related to releases of chromated copper arsenate (CCA) in the port of Djibouti. CCA from a shipment, apparently intended for treating electric poles, is leaking into the soil in the port area. CCA is a pesticide used to protect wood against decay-causing organisms. This mixture commonly contains chromium(VI) (hexavalent chromium) as chromic acid, arsenic(V) (pentavalent arsenic) as arsenic pentoxide and copper (II) (divalent copper) as cupric oxide, often in an aqueous solution or concentrate. Experimental studies of the fate of CCA in soil and monitoring studies of wood-preserving sites where CCA was spilled on the soil indicate that the chromium(VI), arsenic and copper components of CCA can leach from soil into groundwater and surface water. In addition, at CCA wood-preserving sites, substantial concentrations of chromium(VI), arsenic and copper remained in the soil and were leachable into water four years after the use of CCA was discontinued, suggesting prolonged persistence in soil, with continued potential for leaching. The degree of leaching depended on soil composition and the extent of soil contamination with CCA. In general, leaching was highest for chromium(VI), intermediate for arsenic and lowest for copper. Thus, the potential for contamination of sources of drinking water exists. Although arsenic that is leached from CCA-contaminated soil into surface water may accumulate in the tissues of fish and shellfish, most of the arsenic in these animals will be in a form (often called fish arsenic) that is less harmful. Copper, which leaches less readily than the other components, can accumulate in tissues of mussels and oysters. Chromium is not likely to accumulate in the tissues of fish and shellfish. Limited studies of air concentrations during cleanup of CCA-contaminated soil at wood- preserving sites showed that air levels of chromium(VI), arsenic and copper were below the occupational standards. Workers directly involved in the repackaging, containment or cleanup of leaking containers of CCA or of soil saturated with CCA, however, may be exposed to high levels of CCA through direct dermal contact, inhalation of aerosols or particulates and inadvertent ingestion. Few studies have been conducted on the health effects of CCA. CCA as a concentrated solution is corrosive to the skin eyes and digestive tract. Studies of workers exposed to CCA in wood-preserving plants have not found adverse health effects in these workers, but the studies involved small numbers of workers and therefore are not definitive. People exposed to very high levels of CCA, from sawing wood that still had liquid CCA in it or from living in a home contaminated with ash containing high levels of chromium(VI), arsenic and copper, experienced serious health effects including nosebleeds, digestive system pain and bleeding, itching skin, darkened urine, nervous system effects such as tingling or numbness of the hands and feet and confusion, and rashes or thickening and peeling of the skin. These health effects of the mixture are at least qualitatively reflective of the health effects of the individual components of CCA (arsenic, chromium(VI) and copper). For a given mixture, the critical effects of the individual components are of particular concern, as are any effects in common that may become significant due to additivity or interactions among the components. Effects of concern for CCA, based on the known effects of the individual components, include cancer (arsenic by the oral route, arsenic and chromium(VI) by the inhalation route), irritant or corrosive effects (all three mixture components), the unique dermal effects of arsenic, neurologic effects (arsenic and chromium(VI), and hematologic, hepatic and renal effects (all three components). Because arsenic, chromium(VI), and copper components affect some of the same target organs, they may have additive toxicity toward those organs. Few studies have investigated the potential toxic interactions among the components (arsenic, chromium(VI) and copper) of CCA. The available interaction studies and also possible mechanisms of interaction were evaluated using a weight-of-evidence approach. The conclusion is that there is no strong evidence that interactions among the components of CCA will result in a marked increase in toxicity. This conclusion reflects a lack of well designed interaction studies as well as uncertainties regarding potential mechanisms of interaction. Confidence in the conclusion is low. Workers exposed to high levels of CCA during cleanup of leaking containers of CCA or soil heavily contaminated with CCA should wear protective clothing and respirators if air concentrations of arsenic are above 10 μg/m3. In addition, they should not eat, drink or use tobacco products during exposure to CCA, and should thoroughly wash after skin contact with CCA and before eating, drinking, using tobacco products or using restrooms. When protective clothing becomes contaminated with CCA, it should be changed, and the contaminated clothing should be disposed off in a manner approved for pesticide disposal. Workers should leave all protective clothing, including work shoes and boots, at the workplace, so that CCA will not be carried into their cars and homes, which would endanger other people. People not involved in the cleanup of the CCA and who are not wearing protective clothing should be prevented from entering contaminated areas. Leaking containers of CCA must be repackaged and contained to prevent direct exposure of on-site personnel; and contaminated soil needs to be removed to prevent the CCA from leaching into surface water and groundwater, thereby contaminating sources of drinking water.

Chronic Exposure to Arsenic in Drinking Water Causes Alterations in Locomotor Activity and Decreases Striatal mRNA for the D2 Dopamine Receptor in CD1 Male Mice

Arsenic exposure has been associated with sensory, motor, memory, and learning alterations in humans and alterations in locomotor activity, behavioral tasks, and neurotransmitters systems in rodents. In this study, CD1 mice were exposed to 0.5 or 5.0 mg As/L of drinking water for 6 months. Locomotor activity, aggression, interspecific behavior and physical appearance, monoamines levels, and expression of the messenger for dopamine receptors D1 and D2 were assessed. Arsenic exposure produced hypoactivity at six months and other behaviors such as rearing and on-wall rearing and barbering showed both increases and decreases. No alterations on aggressive behavior or monoamines levels in striatum or frontal cortex were observed. A significant decrease in the expression of mRNA for D2 receptors was found in striatum of mice exposed to 5.0 mg As/L. This study provides evidence for the use of dopamine receptor D2 as potential target of arsenic toxicity in the dopaminergic system.

Inorganic Arsenic Induces NRF2-Regulated Antioxidant Defenses in Both Cerebral Cortex and Hippocampus in Vivo

Inorganic arsenic is reported to induce the reactive oxygen species-mediated oxidative stress, which is supposed to be one of the main mechanisms of arsenic-related neurological diseases. Nuclear factor erythroid 2-related factor 2 (NRF2), a master regulator of antioxidant defense systems, up-regulates the expression of target genes to fight against oxidative damages caused by harmful substances, including metals. In the present study, mice were used as a model to investigate the oxidative stress levels and the expressions of NRF2-regulated antioxidant substances in both cerebral cortex and hippocampus with 5, 10 and 20 mg/kg NaAsO2 exposure intra-gastrically. Our results showed that acute NaAsO2 treatment resulted in decreased total anti-oxidative capacity (T-AOC) and increased maleic dialdehyde production in the nervous system. We also detected rapidly elevation of NRF2 protein levels by enhancement of Nrf2 transcription, especially at 20 mg/kg NaAsO2 exposure group. In the meantime, mRNA and protein levels of Nrf2 encoding antioxidant enzymes heme oxygenase-1 (HO-1), NAD(P)H: quinine oxidoreductase 1 (NQO1) and glutathione S-transferase (GST) were consistently elevated time- and dose-dependently both in the cerebral cortex and hippocampus. Taken together, the presence study demonstrated the activation of NRF2 pathway, an early antioxidant defensive response, in both cerebral cortex and hippocampus upon inorganic arsenic (iAs) exposure in vivo. A better knowledge on the roles of NRF2 pathway in maintaining cellular redox homeostasis would be helpful for the strategies on improvement of neurotoxicity related to this metalloid.

A review on exposure and effects of arsenic in passerine birds

Arsenic (As) is a metalloid of high concern because of its toxic effects for plants and animals. However, it is hard to find information on this metalloid in passerines. This review presents a comprehensive overview of As exposure and effects in birds, and more particularly in passerines, as a result of an extensive search of the literature available. Internal tissues are the most frequently analyzed matrices for As determination in passerines (37.5% of the reviewed studies used internal tissues), followed by feathers and eggs (32.5% each), feces (27.5%), and finally blood (15%). A clear tendency is found in recent years to the use of non-destructive samples. Most studies on As concentrations in passerines have been done in great tit (Parus major; 50%), followed by pied flycatcher (Ficedula hypoleuca; 22.5%). Some factors such as diet and migratory status are crucial on the interspecific differences in As exposure. More studies are needed to elucidate if intraspecific factors like age or gender affect As concentrations in different tissues. The literature review shows that studies on As concentrations in passerines have been done mainly in the United States (30%), followed by Belgium (22.5%), and Finland (20%), making evident the scarce or even lack of information in some countries, so we recommend further research in order to overcome the data gap, particularly in the southern hemisphere. Studies on humans, laboratory animals and birds have found a wide range of effects on different organ systems when they are exposed to different forms of As. This review shows that few field studies on As exposure and effects in passerines have been done, and all of them are correlative so far. Arsenic manipulation experiments on passerines are recommended to explore the adverse effects of As in free-living populations at similar levels to those occurring in the environment.

CAPSULE

This review summarizes the most interesting published studies on As exposure and effects in passerines.

Acute arsenic treatment alters arachidonic acid and its associated metabolite levels in the brain of C57Bl/6 mice

The toxic effects of arsenic on the whole brain, as well as the discrete regions, has been previously reported for mice. We investigated the effects of acute arsenite (As(III)) on brain levels of arachidonic acid (AA) and its associated metabolites generated through cytochrome P450 (CYP), cyclooxygenase (COX), and lipoxygenase (LOX) pathways. Our results demonstrated that acute As(III) treatment (12.5 mg·(kg body mass)−1) decreases cytosolic phospholipase A2 (cPLA2) with a subsequent decrease in its catalytic activity and brain AA levels. In addition, As(III) differentially altered CYP epoxygenases and CYP ω-hydroxylases, but it did not affect brain Ephx2 mRNA or sEH catalytic activity levels. As(III)-mediated effects on Cyps caused an increase in brain 5,6-epoxyeicosatrienoic acid (5,6-EET) and 16/17-hydroxyeicosatetreinoic acid (16/17-HETE) levels, and a decrease in 18- and 20-HETE levels. Furthermore, As(III) increased cyclooxygenase-2 (COX-2) mRNA while decreasing prostaglandins F2α (PGF2α) and PGJ2. As(III) also increased brain 5-lipoxygenase (5-LOX) and 15-LOX mRNA, but decreased 12-LOX mRNA. These changes in LOX mRNA were associated with a decrease in 8/12-HETE levels only. In conclusion, this is the first demonstration that As(III) decreases AA levels coinciding with alterations to EET, HETE, and PG levels, which affects brain development and neurochemistry.

Arsenic induces reactive oxygen species-caused neuronal cell apoptosis through JNK/ERK-mediated mitochondria-dependent and GRP 78/CHOP-regulated pathways

Arsenic (As), a well-known high toxic metal, is an important environmental and industrial contaminant, and it induces oxidative stress, which causes many adverse health effects and diseases in humans, particularly in inorganic As (iAs) more harmful than organic As. Recently, epidemiological studies have suggested a possible relationship between iAs exposure and neurodegenerative disease development. However, the toxicological effects and underlying mechanisms of iAs-induced neuronal cell injuries are mostly unknown. The present study demonstrated that iAs significantly decreased cell viability and induced apoptosis in Neuro-2a cells. iAs also increased oxidative stress damage (production of malondialdehyde (MDA) and ROS, and reduction of Nrf2 and thioredoxin protein expression) and induced several features of mitochondria-dependent apoptotic signals, including: mitochondrial dysfunction, the activations of PARP and caspase cascades, and the increase in caspase-3 activity. Pretreatment with the antioxidant N-acetylcysteine (NAC) effectively reversed these iAs-induced responses. iAs also increased the phosphorylation of JNK and ERK1/2, but did not that p38-MAPK, in treated Neuro-2a cells. NAC and the specific JNK inhibitor (SP600125) and ERK1/2 inhibitor (PD98059) abrogated iAs-induced cell cytotoxicity, caspase-3/-7 activity, and JNK and ERK1/2 activation. Additionally, exposure of Neuro-2a cells to iAs triggered endoplasmic reticulum (ER) stress identified through several key molecules (GRP 78, CHOP, XBP-1, and caspase-12), which was prevented by NAC. Transfection with GRP 78- and CHOP-specific si-RNA dramatically suppressed GRP 78 and CHOP expression, respectively, and attenuated the activations of caspase-12, -7, and -3 in iAs-exposed cells. Therefore, these results indicate that iAs induces ROS causing neuronal cell death via both JNK/ERK-mediated mitochondria-dependent and GRP 78/CHOP-triggered apoptosis pathways.

The elderly as a sensitive population in environmental exposures: making the case

The US population is aging. CDC has estimated that 20% of all Americans will be 65 or older by the year 2030. As a part of the aging process, the body gradually deteriorates and physiologic and metabolic limitations arise. Changes that occur in organ anatomy and function present challenges for dealing with environmental stressors of all kinds, ranging from temperature regulation to drug metabolism and excretion. The elderly are not just older adults, but rather are individuals with unique challenges and different medical needs than younger adults. The ability of the body to respond to physiological challenge presented by environmental chemicals is dependent upon the health of the organ systems that eliminate those substances from the body. Any compromise in the function of those organ systems may result in a decrease in the body's ability to protect itself from the adverse effects of xenobiotics. To investigate this issue, we performed an organ system-by-organ system review of the effects of human aging and the implications for such aging on susceptibility to drugs and xenobiotics. Birnbaum (1991) reported almost 20 years ago that it was clear that the pharmacokinetic behavior of environmental chemicals is, in many cases, altered during aging. Yet, to date, there is a paucity of data regarding recorded effects of environmental chemicals on elderly individuals. As a result, we have to rely on what is known about the effects of aging and the existing data regarding the metabolism, excretion, and adverse effects of prescription medications in that population to determine whether the elderly might be at greater risk when exposed to environmental substances. With increasing life expectancy, more and more people will confront the problems associated with advancing years. Moreover, although proper diet and exercise may lessen the immediate severity of some aspects of aging, the process will continue to gradually degrade the ability to cope with a variety of injuries and diseases. Thus, the adverse effects of long-term, low-level exposure to environmental substances will have a longer time to be manifested in a physiologically weakened elderly population. When such exposures are coupled with concurrent exposure to prescription medications, the effects could be devastating. Public health officials must be knowledgeable about the sensitivity of the growing elderly population, and ensure that the use of health guidance values (HGVs) for environmental contaminants and other substances give consideration to this physiologically compromised segment of the population.

Biomonitoring for environmental exposures to arsenic

Arsenic (As) is a widely occurring environmental contaminant. To assess human exposures to As, public health officials and researchers often conduct biomonitoring. Samples of urine, hair, nails, or blood are collected from potentially exposed people and are analyzed for As compounds and their metabolites. When analyzing for As exposure, it is useful to distinguish between As species, since they differ in their origin and toxicity. Urine is the most frequently used biological medium for biomonitoring. Measuring the urinary concentration of As is useful in assessing recent exposure to As, and high-quality reference ranges are available for urinary As concentrations in the U.S. population. Biomonitoring for As in hair and nails has been used in many studies and is particularly useful in evaluating chronic exposures to As. Interpreting the health implications of As concentrations in biological samples is limited by the small number of studies that provide information on the correlation and dose-response relationship between biomonitoring test results and adverse health effects. This study discusses the advantages and limitations of biomonitoring for As in biological samples and provides illustrative case studies.

Effects of monomethylarsonic and monomethylarsonous acid on evoked synaptic potentials in hippocampal slices of adult and young rats

Arsenite and its metabolites, dimethylarsinic or dimethylarsinous acid, have previously been shown to disturb synaptic transmission in hippocampal slices of rats (Krüger, K., Gruner, J., Madeja, M., Hartmann, L.M., Hirner, A.V., Binding, N., Mubetahoff, U., 2006a. Blockade and enhancement of glutamate receptor responses in Xenopus oocytes by methylated arsenicals. Arch. Toxicol. 80, 492-501, Krüger, K., Straub, H., Binding, N., Mubetahoff, U., 2006b. Effects of arsenite on long-term potentiation in hippocampal slices from adult and young rats. Toxicol. Lett. 165, 167-173, Krüger, K., Repges, H., Hippler, J., Hartmann, L.M., Hirner, A.V., Straub, H., Binding, N., Mubetahoff, U., 2007. Effects of dimethylarsinic and dimethylarsinous acid on evoked synaptic potentials in hippocampal slices of young and adult rats. Toxicol. Appl. Pharmacol. 225, 40-46). The present experiments investigate, whether the important arsenic metabolites monomethylarsonic acid (MMA(V)) and monomethylarsonous acid (MMA(III)) also influence the synaptic functions of the hippocampus. In hippocampal slices of young (14-21 days-old) and adult (2-4 months-old) rats, evoked synaptic field potentials from the Schaffer collateral-CA1 synapse were measured under control conditions and during and after 30 and 60 min of application of the arsenic compounds. MMA(V) had no effect on the synapse functions neither in slices of adult nor in those from young rats. However, MMA(III) strongly influenced the synaptic transmission: it totally depressed the amplitudes of fEPSPs at concentrations of 50 micromol/l (adult rats) and 25 micromol/l (young rats) and LTP amplitudes at concentrations of 25 micromol/l (adult rats) and 10 micromol/l (young rats), respectively. In contrast, application of 1 micromol/l MMA(III) led to an enhancement of the LTP amplitude in young rats, which is interpretable by an enhancing effect on NMDA receptors and a lack of the blocking effect on AMPA receptors at this concentration (Krüger, K., Gruner, J., Madeja, M., Hartmann, L.M., Hirner, A.V., Binding, N., Mubetahoff, U., 2006a. Blockade and enhancement of glutamate receptor responses in Xenopus oocytes by methylated arsenicals. Arch. Toxicol. 80, 492-501). These effects are probably not mediated by changes in cell excitability or in presynaptic glutamate release rates, since antidromically induced population spikes and paired-pulse facilitation failed to show any MMA(III) effect. The impairment of the excitatory CA1 synapse is more likely caused by the action of MMA(III) on postsynaptic glutamatergic receptors and may be jointly responsible for dysfunctions of cognitive effects in arsenic toxicity.

Arsenic exposure and cognitive performance in Mexican schoolchildren

BACKGROUND

Previous studies have suggested an effect of high arsenic concentration on cognitive and neurobehavioral function in humans.

OBJECTIVE

Our goal was to identify demographic and nutritional factors that are associated with As exposure and the influence of this exposure on cognitive function in school-age children.

METHODS

We recruited 602 children 6-8 years of age living within 3.5 km of a metallurgic smelter complex in the city of Torreón, Mexico, to participate in a cross-sectional evaluation. Of these, 591 had complete anthropometry, iron, and zinc status by biochemical measurements in serum, blood lead concentration (PbB), and arsenic in urine (UAs), and 557 completed several cognitive performance tests.

RESULTS

The mean for UAs was 58.1 +/- 33.2 microg/L; 52% of the children had UAs concentrations > 50 microg/L, and 50.7% of children had PbB > or = 10 microg/dL. UAs concentration was associated with low socioeconomic status. Nutritional status indicators were not related to UAs concentrations. Linear and logistic regressions adjusted for hemoglobin concentration, PbB, and sociodemographic confounders showed a significant inverse association between UAs and Visual-Spatial Abilities with Figure Design, the Peabody Picture Vocabulary Test, the WISC-RM Digit Span subscale, Visual Search, and Letter Sequencing Tests (p < 0.05). Boys excreted significantly more UAs (p < 0.05) and were affected on different cognitive areas than girls.

CONCLUSIONS

Children living in an area contaminated with both As and lead showed that As contamination can affect children's cognitive development, independent of any effect of lead.

Determination of heavy metals in water from boreholes in Dumasi in the Wassa West District of western region of Republic of Ghana

Concentrations of heavy metals in the borehole at Dumasi in the Wassa West District of the Republic of Ghana have been measured in this study. The concentrations of the following metals in the ground water from Dumasi borehole are: Iron (Fe) - 7.52 ppm, Manganese (Mn) - 1.11 ppm, Arsenic (As) - 4.52 ppm, Chromium (Cr) - 0.026 ppm, Cobalt (Co) - 0.01 ppm, Zinc (Zn) - 0.007 ppm, Cadmium (Cd) - 0.002 ppm and Lead (Pb) - 0.005 ppm. The results of the study show that resident adults and children who use water from the boreholes are at serious risk from exposure to health hazards associated with exposure to the above metals in the boreholes in Dumasi. If the results of this study are applied to other mining communities, which lie on the Birimian and Tarkwaian rock system, then the residents are at serious risk from exposure to toxic metals from drinking water from the boreholes dag for them by mining companies operating in their communities.

Arsenic occurrence in Brazil and human exposure

Environmental exposure to arsenic (As) in terms of public health is receiving increasing attention worldwide following cases of mass contamination in different parts of the world. However, there is a scarcity of data available on As geochemistry in Brazilian territory, despite the known occurrence of As in some of the more severely polluted areas of Brazil. The purpose of this paper is to discuss existing data on As distribution in Brazil based on recent investigations in three contaminated areas as well as results from the literature. To date, integrated studies on environmental and anthropogenic sources of As contamination have been carried out only in three areas in Brazil: (1) the Southeastern region, known as the Iron Quadrangle, where As was released into the drainage systems, soils and atmosphere as a result of gold mining; (2) the Ribeira Valley, where As occurs in Pb-Zn mine wastes and naturally in As-rich rocks and soils; (3) the Amazon region, including the Santana area, where As is associated with manganese ores mined over the last 50 years. Toxicological studies revealed that the populations were not exposed to elevated levels of As, with the As concentrations in surface water in these areas rarely exceeding 10 microg/L. Deep weathering of bedrocks along with formation of Fe/Al-enriched soils and sediments function as a chemical barrier that prevents the release of As into the water. In addition, the tropical climate results in high rates of precipitation in the northern and southeastern regions and, hence, the As contents of drinking water is diluted. Severe cases of human As exposure related to non-point pollution sources have not been reported in Brazil. However, increasing awareness of the adverse health effects of As will eventually lead to a more complete picture of the distribution of As in Brazil.

An approach to elucidate potential mechanism of renal toxicity of arsenic trioxide

OBJECTIVE

To investigate arsenic trioxide's renal toxicity, we analyzed the gene-expression patterns of primary renal and human kidney cells (HEK293 cell line) following exposure to arsenic trioxide. Moreover, we examined a potential renal toxic mechanism(s) of arsenic trioxide by using a toxicity-related gene and investigated potential treatments to reduce the renal toxicity of arsenic trioxide.

MATERIALS AND METHODS

Arsenic trioxide was exposed to primary renal and HEK293 cells, and the gene-expression analysis was conducted using DNA microarray. Then, reactive oxygen species inhibitors or alpha-lipoic acid were added to HEK293 cells exposed arsenic trioxide and cell viability was determined.

RESULTS

Expression of HMOX1 mRNA increased in a time- and dose-dependent manner, and translation of heme oxygenase 1 protein was also induced. Arsenic trioxide-induced cytotoxicity was inhibited by reactive oxygen species inhibitors. Moreover, superoxide anion was detected in arsenic trioxide-treated HEK293 cells. alpha-Lipoic acid ameliorated arsenic trioxide-induced cytotoxicity and reduced superoxide anion production in HEK293 cells, whereas it had no effect in promyelocytic leukemia cells (HL-60 cells and NB4 cells) and myeloma cells (KMS12BM cells and U266 cells).

CONCLUSIONS

Arsenic trioxide-induced renal toxicity is strongly associated with the increased expression of HMOX1, and the cytotoxic mechanisms of arsenic trioxide involves reactive oxygen species production as well as another pathway. These preliminary results suggest that alpha-lipoic acid may be a suitable agent for prevention or treatment of arsenic trioxide-induced renal toxicity.

Cancer and non-cancer health risk from eating cassava grown in some mining communities in Ghana

Food crops such as cassava, cocoyam and other tuber crops grown in mining communities uptake toxic or hazardous chemicals such as arsenic, and cadmium, from the soil. Cassava is a stable food for Ghanaians. This study evaluated human health risk from eating cassava grown in some mining communities in Ghana such as Bogoso, Prestea, Tarkwa and Tamso, which are important mining towns in the Western Region of Ghana. The study evaluated cancer and non-cancer health effects from eating cassava grown in the study areas in accordance with US Environmental Protection Agency's Risk Assessment guidelines. The results of the study revealed the following: cancer health risk for Tamso, 0.098 (RME--Reasonable Maximum Exposure) and 0.082 (CTE--Central Tendency Exposure). This means that approximately 10 and 8 out of 100 resident adults are likely to suffer from cancer related cases by RME and CTE parameters respectively. For Prestea, we have 0.010 and 0.12, which also means that approximately 1 out of 100 and 10 resident adults out of 100 are also likely to suffer from cancer related diseases by RME and CTE parameters. The results of the study obtained were found to be above the acceptable cancer risk range of 1x 10(-6) to 1x 10(-4), i.e., 1 case of cancer out of 1 million or 100,000 people respectively.

Effects of arsenite on long-term potentiation in hippocampal slices from young and adult rats

The effects of trivalent arsenite were tested at the Schaffer collateral-CA1 synapse of adult (2-4 month) and young (14-21 days) rats. Exposure of 100micromol/l arsenite led to a slight and reversible reduction of the amplitudes of evoked excitatory postsynaptic field potentials in adult and young rats, while exposure of 0.1 and 1micromol/l arsenite had no effects. The long-term potentiation (LTP) was significantly inhibited by arsenite in adult but not in young rats. Exposure of 0.1, 1 and 100micromol/l arsenite to slices of adult rats before and during the LTP stimulus led to a significant reduction in the potentiated amplitudes amounting to a maximum of 50% of the control values. In young animals, however, exposure of 1micromol/l arsenite showed no effect on the LTP potentiated amplitudes, while exposure of 100micromol/l arsenite led initially to a significant reduction in the amplitudes, compared to the control level, which was completely reversible 20min after washout. Exposure of 100micromol/l arsenite did not affect the paired-pulse facilitation, indicating that arsenite does not exert its effects by influencing presynaptic transmitter release mechanisms.

Blockade and enhancement of glutamate receptor responses in Xenopus oocytes by methylated arsenicals

Pentavalent and trivalent organoarsenic compounds belong to the major metabolites of inorganic arsenicals detected in humans. Recently, the question was raised whether the organic arsenicals represent metabolites of a detoxification process or methylated species with deleterious biological effects. In this study, the effects of trivalent arsenite (AsO(3) (3-); iA(III)), the pentavalent organoarsenic compounds monomethylarsonic acid (CH(3)AsO(OH)(2); MMA(V)) and dimethylarsinic acid ((CH(3))(2)AsO(OH); DMA(V)) and the trivalent compounds monomethylarsonous acid (CH(3)As(OH)(2), MMA(III)) and dimethylarsinous acid ((CH(3))(2)As(OH); DMA(III)) were tested on glutamate receptors and on voltage-operated potassium and sodium channels heterologously expressed in Xenopus oocytes. Membrane currents of ion channels were measured by conventional two-electrode voltage-clamp techniques. The effects of arsenite were tested in concentrations of 1-1,000 micromol/l and the organic arsenical compounds were tested in concentrations of 0.1-100 micromol/l. We found no significant effects on voltage-operated ion channels; however, the arsenicals exert different effects on glutamate receptors. While MMA(V) and MMA(III) significantly enhanced ion currents through N-methyl-D: -aspartate (NMDA) receptor ion channels with threshold concentrations <10 micromol/l, DMA(V) and DMA(III) significantly reduced NMDA-receptor mediated responses with threshold concentrations <0.1 micromol/l; iA(III) had no effects on glutamate receptors of the NMDA type. MMA(III) and DMA(V) significantly reduced ion currents through alpha-amino-3-hydroxy-5-methylisoxazole-4-propionic acid (AMPA)-receptor ion channels with threshold concentrations <10 micromol/l (MMA(III)) and <1 micromol/l (DMA(V)). MMA(V) and iA(III) had no significant effects on glutamate receptors of the AMPA type. The effects of MMA(V), MMA(III), DMA(V) and DMA(III )on glutamate receptors point to a neurotoxic potential of these substances.

Persistent Neuropathy and Hyperkeratosis from Distant Arsenic Exposure

The purpose of this case series is to assess long-term sequelae of arsenic exposure in a cohort acutely exposed to arsenic in drinking water from a well dug into a landfill containing arsenical pesticides. Ten of the 13 individuals (or next of kin) in the initial study agreed to participate in the follow-up study. Next of kin provided questionnaire data and released medical information on the three individuals who had died. The remaining seven cohort members were assessed by an interview, questionnaire, detailed physical examination and sensory nerve testing. Available medical records were obtained and reviewed. Sensory testing was performed using an automated electrodiagnostic sensory Nerve Conduction Threshold (sNCT) evaluation. Sensory complaints and electrodiagnostic findings consistent with polyneuropathy were found in a minority (3/7) of subjects 28 years after an acute toxic arsenic exposure. Two of the seven patients examined (1 of 3 with neuropathic findings) also had hyperkeratotic lesions consistent with arsenic toxicity and one of the patients had hyperpigmentation on their lower extremities possibly consistent with arsenic toxicity.

Health effect levels for risk assessment of childhood exposure to arsenic

Health risks to children from chemicals in soil and consumer products have become a regulatory focus in the U.S. This study reviews short-term health effect levels for arsenic exposure in young children (i.e., 0-6 years old). Acute health effects are described mostly in adults in case reports of arsenic poisoning from water or food and in studies of medicinal arsenic treatment. Several epidemiological studies report health effects from subchronic arsenic exposure in children primarily from drinking water in developing countries. Acute health effects typically include gastrointestinal, neurological, and skin effects, and in a few cases facial edema and cardiac arrhythmia. Dermatoses are most consistently reported in both adults and children with subchronic exposure. With low exposure, the prevalence and severity of disease generally increases with age (i.e., length of exposure) and arsenic dose. The available data collectively indicate a lowest-observed-adverse-effect level around 0.05mg/kg-day for both acute and subchronic exposure. At low doses, children do not appear to be more sensitive than adults on a dose-per-body-weight basis, although data for acute exposures are limited and uncertainties exist for quantifying potential neurological or vascular effects at low-level subchronic exposures. Based on these data, possible reference levels for acute and subchronic exposure in young children are 0.015 and 0.005mg/kg-day, respectively.

The effects of chronic arsenic exposure from drinking water on the neurobehavioral development in adolescence

This cross-sectional study examined the possible influence on the development of cognitive function among adolescents due to long-term arsenic exposure. Forty-nine junior school students drinking arsenic-containing well water and 60 controls matched with age, sex, education, body height, body weight, body mass index, and socioeconomic status were compared. The former was divided into two groups: high and low exposure, with mean cumulative arsenic levels of 520629.0+/-605824.2 and 13782.2+/-12886.0 ppm, respectively. Four neurobehavioral tests including continuous performance test (CPT), symbol digit (SD), pattern memory (PM) and switching attention (SA) were applied. A strong correlation between age and education caused collinearity in the multiple regression model (r=0.84, P<0.0001). Only education and sex, excluding age, were entered into the model as covariates. Pattern memory and switching attention were significantly affected by long-term cumulative exposure to arsenic after adjusting for education and sex. It is suggested that the arsenic levels in the well water may be monitored extensively, but if there is no intervention, then neurobehavioral function will not be protected. Limitations of the current study require replication of this effect in other studies to confirm this conclusion.

Arsenite-induced formation of hydroxyl radical in the striatum of awake rats

Recent studies on the mechanisms of arsenite toxicity report that some of its effects have been traced to the generation of reactive oxygen species during oxidative stress. In this study we analyze the formation of hydroxyl radicals in the brain of awake, freely moving rats, in order to obtain direct evidence of arsenic-induced oxidative stress in this tissue. We examined the time-course of hydroxyl radical formation in the striatum of both female and male rats who underwent a direct infusion during 60 min of different concentrations of arsenite in that structure through a microdialysis probe. We report here that basal levels of hydroxyl radical production in female rats are significantly higher than those in male rats (91.9+/-16.1 vs. 59.2+/-18.1 pmol/ml, P<0.001) and that the treatment with arsenite induced significant increases of hydroxyl radical formation over basal levels at 50, 100, 200 and 400 microM (95, 98, 98 and 99% increases, respectively, P<0.05 in all cases). The maximal response to 100 microM arsenite is significantly higher in female than in male rats (194.6+/-50.1 female rats and 88.1+/-11.6 pmol/ml male rats, P=0.036). These results support the participation of hydroxyl radicals in arsenic-induced disturbances in the central nervous system.

Multiple basic-leucine zipper proteins regulate induction of the mouse heme oxygenase-1 gene by arsenite

The mechanism of heme oxygenase-1 (ho-1) gene activation by arsenite was examined. Arsenite-stimulated expression of a ho-1 promoter/luciferase chimera in a dose-dependent manner in mouse hepatoma (Hepa) cells. Mutation analyses identified the arsenite-responsive sequence as the stress-response element (StRE), which resembles the binding sites for the AP-1 superfamily of basic-leucine zipper factors. In electrophoretic mobility shift assays, up to seven specific StRE-protein complexes were routinely detected using extracts from untreated Hepa cells whereas a single complex was typically observed after treatment with arsenite. Antibody "supershift" experiments identified Nrf2, JunD, and ATF3 in control complexes and the amount of these factors increased significantly in the arsenite-induced complex. MafG, ATF2, FosB, and JunB were also detected in the arsenite complex. Activation of a StRE-dependent luciferase gene by arsenite was inhibited to varying degrees by dominant-negative mutants of Nrf2, MafK, c-Fos, and CREB but most strongly with the latter. Together, these results implicate multiple basic-leucine zipper transcription factors in ho-1 gene activation by arsenite.

Heavy metal hazards of Asian traditional remedies

In recent years there has been an increase in the use of traditional Asian medicines. It is estimated that 30% of the US population is currently using some form of homeopathic or alternative therapy at a total cost of over $13 billion annually. Herbal medications are claimed and widely believed to be beneficial; however, there have been reports of acute and chronic intoxications resulting from their use. This study characterizes a random sampling of Asian medicines as to the content of arsenic, mercury, and lead. Traditional herbal remedies were purchased in the USA, Vietnam, and China. The Asian remedies evaluated contained levels of arsenic, lead, and mercury that ranged from toxic (49%) to those exceeding public health guidelines for prevention of illness (74%) when consumed according to the directions given in or on the package. Heavy metals contained in Asian remedies may cause illness of unknown origin and result in the consumption of health care resources that are attributable to other causes. The public health hazards of traditional herbal Asian remedies should be identified and disclosed.

Effects of arsenite on central monoamines and plasmatic levels of adrenocorticotropic hormone (ACTH) in mice

We studied the effects of chronic arsenic exposure on brain monoamines and plasma levels of adrenocorticotropic hormone (ACTH) of mice. After weaning, mice received arsenic (0, 20, 40, 60 or 100 ppm) in drinking water over a period of 9 weeks. Monoamine content was quantified in different brain regions, arsenic was quantified in brain tissue and ACTH levels in plasma. Brain arsenic concentrations up to 200 ng/g showed a significant correlation with exposure levels and produced slight modifications in regional monoamine levels. ACTH plasma levels were significantly associated with norepinephrine (NE) concentrations in the medulla and pons, but not with hypothalamic NE levels. ACTH levels were significantly higher in the group exposed to 20 ppm. Dopamine showed significant dose-related decreases in the hypothalamus. These results show that chronic sodium arsenite exposure produces changes in central monoamines, which are not associated on a dose-dependent basis with major alterations in plasma ACTH.

Alteration in bilirubin excretion in individuals chronically exposed to arsenic in Mexico

We have studied hepatic function in individuals chronically exposed to arsenic (As) via drinking water in Region Lagunera, Mexico. We studied 51 individuals living in three villages exposed to As in water. Nazareno (0.014 mgAs/l), Santa Ana (0.1 mgAs/l) and Benito Juárez (0.3 mgAs/l). We determined the serum activity of aspartate aminotransferase (SAT) and alanine aminotransferase (ALT) as indicators of hepatocellular injury and that of gamma-glutamyl-transpeptidase (GGT) and alkaline phosphatase (ALP) as indicators of cholestasic injury. Serum bilirubin was used as an indicator of organic conjugated anion transport. Total proteins, albumin and globulin fraction in serum were used as indicators of biosynthetic liver capacity. The main findings of this study were the predominantly conjugated hyperbilirubinemia and increased serum ALP activity which were related to the concentration of total arsenic (TAs) in urine, suggesting the presence of cholestasis in As-exposed individuals. No significant changes were observed in the other parameters studied.

Effects of lead-arsenic combined exposure on central monoaminergic systems

Lead acetate (116 mg/kg/day), arsenic (11 or 13.8 mg/kg/day as sodium arsenite), a lead-arsenic mixture or vehicle were administered to adult mice through gastric intubation during 14 days. Then, the regional content of norepinephrine (NE), dopamine (DA), serotonin (5-HT), 3,4 dihydroxyphenyl-acetic acid (DOPAC), 5-hydroxyindole-3-acetic acid (5-HIAA), arsenic, and lead were quantified. Compared with the accumulation after single element exposures, the mixture elicited a higher accumulation of lead and a lower arsenic accumulation in the brain. Compared to controls, lead induced only an augmentation of DOPAC (200%) in the hypothalamus. By contrast, the mixture provoked increases of DOPAC in the hypothalamus (250%), DA and 5-HIAA in the striatum (67 and 187%, respectively) and NE decreased in the hypothalamus (45%). Although these alterations were similar to those produced by arsenic alone, the mixture provoked a 38% decrease of NE in the hippocampus and increases of 5-HT in midbrain and frontal cortex (100 and 90%, respectively) over control values, alterations that were not elicited by either metal alone. These results demonstrate an interaction arsenic/lead on the central monoaminergic systems of the adult mouse.

The nature and significance of public exposure to arsenic: a review of its relevance to South West England

In South West England, more than two hundred years of intensive exploitation of metalliferous ore deposits, combined with the natural processes of pedogenesis from mineral-rich parent rocks, has resulted in the creation of a aignificant area of arsenic-contaminated wastes and soils. The scale of arsenic dispersion by natural and anthropogenic processes is such that 722 km(2) of land contains concentrations of arsenic in excess of 110 μg g(-1), more than twice the maximum that might be expected in a normal soil.The general rationale for the clean-up of derelict and contaminated mining sites often includes aesthetic factors and the desirability of preventing the dispersion of contaminants beyond the site boundaries. Only in extreme cases is public health directly invoked as justification for remediation. In South West England, if arsenic constitutes a genuine threat to the public, an increased rate of site remediation would be justified. The primary purpose of this review is to establish whether or not widespread arsenic contamination (principally of soils) has any measurable effects on public health in South West England, and how this might affect current contaminated site remediation policy. The review is based on data from previous research in the region, and other relevant international studies of mining and smelting communities, and other populations exposed to elevated arsenic concentrations. The literature reviewed also includes the determination of the extent and sources of contamination, and pathways between source and man.While the contamination of potable waters in some countries has led to measurable health effects, this scenario has not yet been identified in South West England, and there is little reason to believe that significantly contaminated potable water supplies would escape detection for extended periods of time under the current monitoring regime.In relative terms (based on both globaland local data), one of the most significant links between contaminated soils and humans appears to be contaminated food stuffs. In absolute terms, such exposure is low due to the natural constraints on arsenic uptake by herbage, cereal crops and vegetables, and the food chain does not appear to have been significantly compromised in South West England. Chronic health effects are unlikely as excessive arsenic concentrations in locally grown food crops remain rare.With the problems of confounding medical and social factors, it is not surprising that studies in South West England have failed to identify chronic exposure to arsenic at very low concentrations as a significant health risk. Those studies that indicate otherwise do not stand up to close scrutiny. It appears that the number of additional deaths arising from the widespread arsenic contamination in South West England is small. The relative benefits of a costly statistical study to actually determine the number of additional deaths might be considered minimal, but one major area could benefit from further studies: the sensitivity of certain population sub-groups to environmental arsenic exposure. Of particular interest are children, for whom significant exposure to arsenic via soil ingestion may be occurring.Based on available information, there appears to be no justification for a large programme of site remediation. Resources should, however, be expended on enlightening the general public, and private and governmental organisations as regards the gap between the perceived and actual significance of arsenic contamination in South West England.

Prevention by chelating agents of metal-induced developmental toxicity

Chelating agents such as calcium disodium ethylenediaminetetraacetate (EDTA), 2,3-dimercaptopropanol (BAL), or D-penicillamine (D-PA) have been widely used for the past 4 decades as antidotes for the treatment of acute and chronic metal poisoning. In recent years, meso-2,3-dimercaptosuccinic acid (DMSA), sodium 2,3-dimercapto-1-propanesulfonate (DMPS) and sodium 4,5-dihydroxybenzene-1,3-disulfonate (Tiron) have also shown to be effective to prevent against toxicity induced by a number of heavy metals. The purpose of the present article was to review the protective activity of various chelating agents against the embryotoxic and teratogenic effects of well-known developmental toxicants (arsenic, cadmium, lead, mercury, uranium, and vanadium). DMSA and DMPS were found to be effective in alleviating arsenate- and arsenite-induced teratogenesis, whereas BAL afforded only some protection against arsenic-induced embryo/fetal toxicity. Also, DMSA, DMPS, and Tiopronin were effective in ameliorating methyl mercury-induced developmental toxicity. Although the embryotoxic and teratogenic effects of vanadate were significantly reduced by Tiron, no significant amelioration of uranium-induced embryotoxicity was observed after treatment with this chelator.

Metal-induced developmental toxicity in mammals: a review

It is well established that certain metals are toxic to embryonic and fetal tissues and can induce teratogenicity in mammals. The main objective of this paper has been to summarize the toxic effects that excesses of certain metals may cause on mammalian development. The reviewed elements have been divided into four groups: (a) metals of greatest toxicological significance (arsenic, cadmium, lead, mercury, and uranium) that are wide-spread in the human environment, (b) essential trace metals (chromium, cobalt, manganese, selenium, and zinc), (c) other metals with evident biological interest (nickel and vanadium), and (d) metals of pharmacological interest (aluminum, gallium, and lithium). A summary of the therapeutic use of chelating agents in the prevention of metal-induced developmental toxicity has also been included. meso-2,3-Dimercaptosuccinic acid (DMSA) and sodium 2,3-dimercaptopropane-1-sulfonate (DMPS) have been reported to be effective in alleviating arsenic- and mercury-induced teratogenesis, whereas sodium 4,5-dihydroxybenzene-1,3-disulfonate (Tiron) would protect against vanadium- and uranium-induced developmental toxicity.