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Liang KH, Colombijn JMT, Verhaar MC, Ghannoum M, Timmermans EJ, Vernooij RWM. The general external exposome and the development or progression of chronic kidney disease: A systematic review and meta-analyses. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2024; 358:124509. [PMID: 38968981 DOI: 10.1016/j.envpol.2024.124509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 06/07/2024] [Accepted: 07/03/2024] [Indexed: 07/07/2024]
Abstract
The impact of environmental risk factors on chronic kidney disease (CKD) remains unclear. This systematic review aims to provide an overview of the literature on the association between the general external exposome and CKD development or progression. We searched MEDLINE and EMBASE for case-control or cohort studies, that investigated the association of the general external exposome with a change in eGFR or albuminuria, diagnosis or progression of CKD, or CKD-related mortality. The risk of bias of included studies was assessed using the Newcastle-Ottawa Scale. Summary effect estimates were calculated using random-effects meta-analyses. Most of the 66 included studies focused on air pollution (n = 33), e.g. particulate matter (PM) and nitric oxides (NOx), and heavy metals (n = 21) e.g. lead and cadmium. Few studies investigated chemicals (n = 7) or built environmental factors (n = 5). No articles on other environment factors such as noise, food supply, or urbanization were found. PM2.5 exposure was associated with an increased CKD and end-stage kidney disease incidence, but not with CKD-related mortality. There was mixed evidence regarding the association of NO2 and PM10 on CKD incidence. Exposure to heavy metals might be associated with an increased risk of adverse kidney outcomes, however, evidence was inconsistent. Studies on effects of chemicals or built environment on kidney outcomes were inconclusive. In conclusion, prolonged exposure to PM2.5 is associated with an increased risk of CKD incidence and progression to kidney failure. Current studies predominantly investigate the exposure to air pollution and heavy metals, whereas chemicals and the built environment remains understudied. Substantial heterogeneity and mixed evidence were found across studies. Therefore, long-term high-quality studies are needed to elucidate the impact of exposure to chemicals or other (built) environmental factors and CKD.
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Affiliation(s)
- Kate H Liang
- Department of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, the Netherlands.
| | - Julia M T Colombijn
- Department of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, the Netherlands; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands
| | - Marianne C Verhaar
- Department of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, the Netherlands
| | - Marc Ghannoum
- Department of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, the Netherlands; National Poison Information Center, University Medical Center Utrecht, Utrecht, the Netherlands
| | - Erik J Timmermans
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands
| | - Robin W M Vernooij
- Department of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, the Netherlands; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands
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Gogoi B, Acharjee SA, Bharali P, Sorhie V, Walling B, Alemtoshi. A critical review on the ecotoxicity of heavy metal on multispecies in global context: A bibliometric analysis. ENVIRONMENTAL RESEARCH 2024; 248:118280. [PMID: 38272294 DOI: 10.1016/j.envres.2024.118280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 01/18/2024] [Accepted: 01/19/2024] [Indexed: 01/27/2024]
Abstract
Heavy metals (HMs) have become a significant concern in the current era, with deleterious effects on diverse living organisms when exposed beyond threshold concentrations. Both nature and human beings have been constantly casting out HMs into environmental matrices through various activities. Innumerable cases of threatened diseases such as cancer, respiratory ailments, reproductive defects, skin diseases, and several others have been a cause of significant concern for humans as the number of instances has been increasing with each decade. HMs migrates via several pathways to infiltrate biological organisms and amass within them. Even though numerous treatment approaches are available for remediating HM pollution, however, they are expensive, along with other setbacks. Due to such constraints, combating HM contamination requires environmentally conscious strategies like bioremediation, which employs an array of biological systems to remove HMs from the environment. Nonetheless, to address the current global HM pollution situation, it is critical to comprehend not only how these hazardous HMs cause toxicity in various living organisms but also the knowledge gaps that currently exist concerning the subject of HM ecotoxicity. In the present investigation, data was extracted from Google Scholar using software program called Harzing's Publish or Perish. The collected information has been subsequently displayed as a network file using the VOSViewer software tool. Thus, the current review presents a significant insight with the inclusion of a readily accessible bibliometric analysis to comprehend the present status of HMs research, global research trends, existing knowledge discrepancies, and research challenges. Further, it also provides an in-depth review of HMs ecotoxicity, with a focus on arsenic (As), cadmium (Cd), and lead (Pb). Thus, as indicated by the bibliometric study, the present review will assist future investigators studying HMs ecotoxicity by providing baseline data concerning a wide range of living organisms and by addressing research gaps.
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Affiliation(s)
- Bhagyudoy Gogoi
- Applied Environmental Microbial Biotechnology Laboratory, Department of Environmental Science, Nagaland University, HQ: Lumami, Zunheboto-798627, Nagaland, India
| | - Shiva Aley Acharjee
- Applied Environmental Microbial Biotechnology Laboratory, Department of Environmental Science, Nagaland University, HQ: Lumami, Zunheboto-798627, Nagaland, India
| | - Pranjal Bharali
- Applied Environmental Microbial Biotechnology Laboratory, Department of Environmental Science, Nagaland University, HQ: Lumami, Zunheboto-798627, Nagaland, India.
| | - Viphrezolie Sorhie
- Applied Environmental Microbial Biotechnology Laboratory, Department of Environmental Science, Nagaland University, HQ: Lumami, Zunheboto-798627, Nagaland, India
| | - Bendangtula Walling
- Applied Environmental Microbial Biotechnology Laboratory, Department of Environmental Science, Nagaland University, HQ: Lumami, Zunheboto-798627, Nagaland, India
| | - Alemtoshi
- Applied Environmental Microbial Biotechnology Laboratory, Department of Environmental Science, Nagaland University, HQ: Lumami, Zunheboto-798627, Nagaland, India
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