Adverse Human Health Effects of Chromium by Exposure Route: A Comprehensive Review Based on Toxicogenomic Approach

Metal Ion Release in Cancer Patients Following Megaprosthesis Salvage Surgery

BACKGROUND

Megaprostheses contain many more modular components than conventional total hip and knee arthroplasty, which may lead to higher serum levels of metal ions. The aim of this study was to determine serum concentrations of titanium, chromium, and cobalt ions in cancer patients after limb salvage surgery with a megaprosthesis.

METHODS

A retrospective, descriptive cohort analysis consisting of patients who underwent cancer-related limb salvage surgery with a megaprosthesis at our hospital between 2010 and 2020 was conducted. Baseline and follow-up data were extracted from clinical and surgical records. Blood samples were prospectively obtained. Descriptive statistics were used for the analysis.

RESULTS

A total of 71 patients underwent limb salvage surgery during the study period. Of these, 22 (10 women, 12 men) were included in the study. The mean age was 52 years (range, 21 to 80). Most cases (n = 16; 72.7%) involved the femur. Most patients (n = 14, 63.6%) underwent total knee megaprosthesis surgery. Implant revision surgery was required in 45% of cases (n = 10), with a mean interval of 4.32 years between the initial and revision surgeries. The mean follow-up time after revision surgery was 4.05 years. High levels of chromium were observed in 22.7% of patients (n = 5). High cobalt levels were found in 68.2% (n = 15) of patients, with toxic levels in 9.1% (n = 2). Titanium levels were high in 77.3% (n = 17) of cases and toxic in 22.7% (n = 5). Postoperative chemotherapy was significantly associated with titanium levels (P = .017). No correlation was observed between metal ion levels and time from primary or revision surgery or time from the first to revision surgery.

CONCLUSIONS

This study shows that cancer-related limb salvage surgery with megaprosthesis is associated with metal ion levels that exceed established safe thresholds. Compared to conventional hip arthroplasty, a higher proportion of the patients in this cohort presented elevated levels of metal ions.

LEVEL OF EVIDENCE

III.

Economic valuation and characterization of heavy metal contamination in Dal Lake Srinagar, Kashmir, India

Dal Lake, the world-famous tourist attraction has been polluted by allochthonous and autochthonous sources, as a result the heavy metal (HMs) concentrations within the water body has reached the toxic levels which is endangering the lives of the people. A study was carried out during the year 2021 (i) to determine the concentration of HMs (molybdenum: Mo, arsenic: Ar, cadmium: Cd, lead: Pb) at the four designated sites of Dal Lake, and (ii) a public survey (400 persons) involving economic valuation of water body in terms of recreational use and other benefits. The highest values of biological oxygen demand (BOD) and chemical oxygen demand (COD) within the Dal Lake were recorded at site A, which were 31 ± 1.10 mg/l and 76 ± 0.64, respectively. Similarly, maximum nitrate nitrogen was found at site A (865 ± 0.86 μg/l). The highest value of Pb was reported (6.828 ± 0.003 ppb) from site A whereas, the lowest from site B (2.492 ± 0.002 ppb). The mean values of Mo concentrations (in ppb) were found to be 2.538 ± 0.002, 1.703 ± 0.003, 3.627 ± 0.004 and 4.787 ± 0.002 at the four sites respectively. The observed values of HMs (in ppb) were much higher than the permissible values (WHO, 2006) and those reported earlier. A huge amount of money (Rs 16,18,66,000/) is being generated from the floating gardens of Dal Lake, calculated by TCM and CVM methods. During the survey, 68 % of people showed a willingness to pay (WTP) for the restoration of the Dal Lake and improved services (mean value: Rs 62,852.20/). Thus, the monitoring and assessment were done to find out how the Dal Lake contributes to the economy of the state by way of its different services and the major attraction for tourists besides the possible reasons for the deterioration of water quality, in order to find a long-lasting solution for the sustainable conservation of Dal Lake.

Hazards of toxic metal(loid)s: Exploring the ecological and health risk in soil-crops systems with long-term sewage sludge application

Sewage sludge (SS) is commonly used as agricultural fertilizer worldwide. However, the toxic metal(loid)s in SS raises concerns about soil contamination and the potential risks to human health. This study, conducted since 2007 on the North China Plain, examines the impact of SS use on crops. An experiment was designed with five treatments: conventional fertilization (CK) and four levels of SS application (W1, W2, W3, and W4: 4.5, 9.0, 18.0, and 36.0 t ha-1, respectively). Soil concentrations of eight toxic metal(loid)s (Zn, Cu, Cr, Cd, Ni, Pb, As, and Hg) were analyzed to assess pollution risk using various indices. Health risks associated with maize and wheat grains were also evaluated. Additionally, the impact of long-term SS application on crop yield, soil quality, and human health within a wheat-maize rotation system was examined. SS application increased wheat and maize yields by 5.37 to 19.08 % and 6.97 to 17.94 %, respectively, across treatments W2 to W4. Despite the toxic metal(loid)s in the grains remaining within safe limits, their concentrations showed an upward trend, especially under the W4 treatment. Moreover, SS application significantly increased the soil Zn, Cu, Cr, Cd, Pb, and Hg levels (P < 0.05) without exceeding the national standards. The geo-accumulation index values revealed rising pollution levels for Zn, Cu, Cd, and Hg, which shifted from no contamination to moderate contamination and then to moderate-to-high contamination, yet the overall pollution level remained safe. Soil ecological risks increased from moderate to serious, with Hg posing the greatest risk, particularly under the W4 treatment. Long-term crop intake from the area significantly exposed children and adults to As, contributing 42.12 % and 34.62 % to hazard index (HI), respectively. The HI values for toxic metal(loid)s in these grains surpassed one in both age groups, suggesting health risks from long-term SS cultivated crops.

Response patterns of the microbiome during hexavalent chromium remediation by Tagetes erecta L

Chromium pollution, particularly hexavalent chromium [Cr(VI)], may threaten the environment and human health. This study investigated the potential of Tagetes erecta L. (Aztec marigold) for phytoremediation of soil contaminated with Cr(VI), and focused on the effects of varying concentrations of Cr(VI) on both the physicochemical properties of soil and microbiome of Tagetes erecta L. We observed that Tagetes erecta L. showed tolerance to Cr(VI) stress and maintained normal growth under these conditions, as indicated by bioconcentration factors of 0.33-0.53 in shoots and 0.39-0.70 in roots. Meanwhile, the structure and diversity of bacterial communities were significantly affected by Cr(VI) pollution. Specifically, Cr(VI) had a more significant effect on the microbial community structure in the endophytic of Tagetes erecta L. than in the rhizosphere (p < 0.05). The genera Devosia and Methylobacillus were positively correlated with Cr(VI) concentrations. Biomarkers such as Bacilli and Pseudonocardia were identified under the different Cr(VI)-contaminated treatments using LEfSe. In addition, the interaction and stability of the endophytic microbiome were enhanced under Cr(VI) stress. This study explored the interactions between heavy metals, microorganisms, and plants, providing valuable insights for developing in situ bioremediation of Cr(VI)-contaminated soils.

Heavy metals in Ethiopian drinking water and public health risks: Insights from nationwide and regional analysis

The ambitious sustainable development goal (SDG) 6 of the United Nations, which aims to achieve universal access to safe water and sanitation by 2030, remains elusive for many developing countries like Ethiopia. This is often due to a multitude of intricate factors, including the escalating degradation of water quality. Here, we present a comprehensive nationwide and regional analysis of heavy metal pollution in drinking water sources and the associated human health risks in Ethiopia based on a dataset of 11 heavy metal concentrations (n = 975) collated from available studies. Results indicate significant variations in heavy metal pollution in drinking water sources in Ethiopia, with 44 % of the total concentration exceeding maximum permissible limits. The mean concentrations were ranked as follows: Pb (1.92 mg/L) > Zn (1.25 mg/L) > Fe (0.56 mg/L) > Mn (0.43 mg/L) > Cu (0.40 mg/L) > Co (0.30 mg/L) > As (0.12 mg/L) > Ni (0.12 mg/L) > Cr (0.10 mg/L) > Cd (0.06 mg/L) > Hg (0.04 mg/L). We found that children are more vulnerable to non-carcinogenic health risks than adults, with the highest hazard quotient (HQ) exceedances of up to a factor of 1823 and 762, respectively. Furthermore, a Monte Carlo-based probabilistic risk assessment highlighted significant concerns regarding co-exposure to multiple heavy metals. The measured concentrations, ingestion rates, and exposure frequencies were identified as sensitive parameters. Overall, a higher risk was attributed to Pb and As, with river drinking water sources and the Tigray region requiring immediate mitigation measures. In conclusion, the findings emphasize the urgent need to test and purify water before consumption and to implement effective public health interventions. Furthermore, a multifaceted approach including regular monitoring, source protection, and proper waste management is recommended to expedite the achievement of SDGs and promote water sustainability in resource-limited Ethiopia and sub-Saharan Africa.

Effect of Temperature on the Removal of Interferences in the Voltammetric Procedure for the Determination of Cr(VI)

The aim of this paper was to investigate the effect of temperature on the removal efficiency of surfactant-induced interferences. Surfactants were removed as a result of mixing with XAD-7 resin. The study was carried out using the example of Cr(VI) determination by adsorption stripping voltammetry (AdSV). Measurements were carried out using a solution containing Cr(VI), acetate buffer (pH = 6.2), DTPA, KNO3, and different surfactants. Ten mL of the solution was mixed with 0.5 g of XAD-7 resin at different temperatures for 5 min prior to voltammetric measurement. The effect of the mixing temperature of the sample with the resin on the voltammetric Cr(VI) signal in the presence of different surfactants was studied in the range from 20 to 60 °C. The proposed method of removing interference from surfactants by mixing the sample with the XAD-7 resin at 60 °C was used for the determination of trace amounts of Cr(VI) in river water containing non-ionic, anionic, cationic surfactants, and biosurfactants.

Colorimetric Sensor for Cr(VI) Ion Detection in Tap Water Using a Combination of AuNPs and AgNPs

Colorimetric sensors are a promising technique for the simple screening of water, food, and environmental samples contaminated with interferents, allowing for color changes to be observed with the naked eye or a spectrophotometer. In this study, a colorimetric sensor for the selective detection of hexavalent chromium ion (Cr(VI)) contamination in water was developed. A combination of sodium borohydride-coated gold and citrate-capped silver nanoparticles (Na-AuNPs/cit-AgNPs) was employed as a colorimetric probe. Upon the addition of Cr(VI)-contaminated tap water in the colorimetric probe solution, the color sequentially transitioned from its initial orange to dark reddish-purple, dark purplish-red, dark blue-violet, and gray. This colorimetric strategy relies on AgNP dissolution and AuNP aggregation in the presence of the Cr(VI) ions. The dissolution of AgNPs is evidenced by the reduction of the characteristic peak of AgNPs at 400 nm, while the aggregation of AuNPs leads to a red shift in the absorption band at 514 nm, accompanied by broad absorption in the 500-700 nm range. The limits of detections were found to be 22.9 and 50 ppb using a spectrometer and by visual observation, respectively. The synthesized AuNPs and AgNPs are very stable in the presence of media containing complicated ions. We further demonstrated the practical applicability of the developed system for detecting Cr(VI) in real samples, including natural water and artificial urine, highlighting its potential for addressing Cr(VI) contamination in practical scenarios.

Red Cell Distribution Width and Mean Corpuscular Volume Alterations: Detecting Inflammation Early in Occupational Cement Dust Exposure

Introduction Cement dust emitted during cement manufacture consists of toxic components. Occupational cement dust exposure may cause inflammation in the human body, which may be detected early by observing changes in blood parameters such as red blood cell distribution width (RDW) and mean corpuscular volume (MCV). Objectives The study aims to observe the effect of occupational cement dust exposure on RDW and MCV. Methods This study was performed in the Department of Physiology of Dhaka Medical College, Dhaka, Bangladesh, and a factory in Munshiganj, Bangladesh, from September 2017 to August 2018. Ninety-two participants between 20 and 50 years were included (46 subjects were occupationally exposed to cement dust, and 46 were not exposed to cement dust). A pre-designed questionnaire was used for data collection. An independent sample t-test was used to analyze basic information, such as blood pressure and BMI. The multivariate regression model was used to analyze the effect of cement dust exposure on the study group. The impact of cement dust exposure duration was analyzed using the multivariate regression model. The level of significance was p < 0.05. The statistical analysis was performed using STATA-15 (StataCorp, College Station, TX), and the graphical presentation used GraphPad Prism v8.3.2. Results The cement dust-exposed participants had a significantly higher value of MCV by 1.19 fi (95% CI = 0.02, 4.84; p = 0.049) and a 5.92% increase in RDW (95% CI = 5.29, 6.55; p < 0.001) than that of the control group. Conclusion The study reveals that exposure to cement dust causes significant changes in RDW and MCV. These changes may indicate hemolysis due to inflammation.

Sources and human health risks associated with potentially toxic elements (PTEs) in urban dust: A global perspective

Long-term exposure to urban dust containing potentially toxic elements (PTEs) poses detrimental impacts on human health. However, studies estimating human health risks in urban dusts from a global perspective are scarce. We evaluated data for twelve PTEs in urban dusts across 59 countries from 463 published articles, including their concentrations, input sources, and probabilistic risks to human health. We found that 34.1 and 60.3% of those investigated urban dusts have been heavily contaminated with As and Cd, respectively. The input of PTEs was significantly correlated with economic structure due to emissions of industrial activities and traffic emissions being the major sources. Based on the Monte Carlo simulation, we found that the mean hazard index below the safe threshold (1.0) could still cause non-negligible risks to human health. Arsenic and Cr were the major PTEs threatening human health, and relatively high risk levels were observed in cities in China, Korea, Chile, Malaysia, and Australia. Importantly, our analysis suggested that PTEs threaten the health of approximately 92 million adults and 280 million children worldwide. Overall, our study provides important foundational understanding and guidance for policy decision-making to reduce the potential risks associated with PTE exposure and to promote sustainable development of urban economies.

Mechanism of action of anthocyanin on the detoxification of foodborne contaminants-A review of recent literature

Foodborne contaminants refer to substances that are present in food and threaten food safety. Due to the progress in detection technology and the rising concerns regarding public health, there has been a surge in research focusing on the dangers posed by foodborne contaminants. These studies aim to explore and implement strategies that are both safe and efficient in mitigating the associated risks. Anthocyanins, a class of flavonoids, are abundantly present in various plant species, such as blueberries, grapes, purple sweet potatoes, cherries, mulberries, and others. Numerous epidemiological and nutritional intervention studies have provided evidence indicating that the consumption of anthocyanins through dietary intake offers a range of protective effects against the detrimental impact of foodborne contaminants. The present study aims to differentiate between two distinct subclasses of foodborne contaminants: those that are generated during the processing of food and those that originate from the surrounding environment. Furthermore, the impact of anthocyanins on foodborne contaminants was also summarized based on a review of articles published within the last 10 years. However, further investigation is warranted regarding the mechanism by which anthocyanins target foodborne contaminants, as well as the potential impact of individual variations in response. Additionally, it is important to note that there is currently a dearth of clinical research examining the efficacy of anthocyanins as an intervention for mitigating the effects of foodborne pollutants. Thus, by exploring the detoxification effect and mechanism of anthocyanins on foodborne pollutants, this review thereby provides evidence, supporting the utilization of anthocyanin-rich diets as a means to mitigate the detrimental effects of foodborne contaminants.