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1.
Andrologia ; 53(6): e14045, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33769572

RESUMO

This study explored treatment with Taif rosewater (RW) to protect against lead acetate-(PbAc) induced male testicular impairment. Male Wistar rats were divided into four groups and provided drinking water containing 4% Taif RW, PbAc, 4% Taif RW followed by PbAc or normal water (controls). Serum for hormonal assays and testicular tissue for histopathological and immunohistochemical examinations and molecular study were obtained. Epididymal spermatozoa were collected for analysis. PbAc significantly reduced serum levels of follicle-stimulating hormone (FSH), luteinising hormone (LH) and testosterone, as well as sperm count and motility percentage. It also caused a significant reduction in SOD and catalase activities, testicular CYTP450SCC , CYP17α, StAR mRNA expressions and the percentage of Bcl-2 immunoreactivity. The percentage of caspase-3 and NF-ĸB immunoreactivities, as well as sperm abnormalities, was increased, as did the testicular degeneration associated with vacuolation and necrosis of spermatogenic cells. Pretreatment with Taif RW significantly reduced the negative effects of PbAc as shown by the increases in serum gonadotropins level, SOD and catalase activities, and percentage of Bcl-2 immunoreactivity, decreases in the percentage of caspase-3 and NF-ĸB immunoreactivities, and improved testicular histology and sperm parameters. These data provide evidence that Taif RW protects against testicular toxicity caused by PbAc.


Assuntos
Intoxicação por Chumbo/fisiopatologia , Extratos Vegetais/farmacologia , Espermatozoides , Testículo/fisiopatologia , Animais , Hormônio Foliculoestimulante/metabolismo , Hormônio Luteinizante/metabolismo , Masculino , Estresse Oxidativo , Ratos , Ratos Wistar , Contagem de Espermatozoides , Motilidade dos Espermatozoides , Testosterona/metabolismo
2.
Toxicol Ind Health ; 36(12): 951-959, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33094697

RESUMO

BACKGROUND: Chronic long-term, low-dose environmental and occupational exposure to lead (Pb) has been extensively studied in large cohorts worldwide among general populations, miners, smelters, or battery workers. However, studies on severe life-threatening Pb poisoning due to accidental or chronic occupational exposure to Pb and manganese (Mn) were rarely reported. METHODS: We present one case of acute severe Pb poisoning and compare it with another severe chronic occupational exposure case involving Pb and Mn. A 27-year-old woman mistakenly took a large quantity of pure Pb powder as an herbal remedy; she developed abdominal colic, severe nausea, vomiting, fatigue, and cutaneous and sclera icterus. Laboratory tests showed her blood lead level (BLL) of 173.5 µg dL-1 and urinary lead level (ULL) of 1240 µg dL-1. The patient was diagnosed with acute Pb poisoning and acute liver failure. In another chronic exposure case, a 56-year-old man worked in a Pb and Mn smelting factory for 15 years. He was brought to the emergency room with severe nausea, vomiting, and paroxysmal abdominal colic, which was intolerable during the onset of pain. His BLL was 64.8 µg dL-1 and ULL was 38 µg dL-1, but his blood and urinary Mn levels were normal. The patient was diagnosed with chronic Pb poisoning. Both patients received chelation therapy with calcium disodium ethylene-diamine-tetraacetate (CaNa2EDTA). The woman with acute severe Pb intoxication recovered well and was discharged from the hospital after treatment, and the man who survived severe Pb poisoning was diagnosed with lung cancer. CONCLUSION: Clinical manifestations of acute and chronic severe Pb poisoning are different. Chelation therapy with CaNa2EDTA is proven to be an effective life-saving therapy in both cases by reducing BLL. Occupational exposure to both Pb and Mn does not appear to increase Mn neurotoxicity; however, the probability that co-exposure to Mn may increase Pb toxicity in the same patient cannot be excluded.


Assuntos
Intoxicação por Chumbo/diagnóstico , Intoxicação por Chumbo/terapia , Chumbo/toxicidade , Manganês/toxicidade , Adulto , Terapia por Quelação/métodos , Relação Dose-Resposta a Droga , Feminino , Humanos , Chumbo/farmacologia , Intoxicação por Chumbo/fisiopatologia , Masculino , Manganês/farmacologia , Pessoa de Meia-Idade , Exposição Ocupacional/efeitos adversos , Preparações de Plantas/toxicidade , Prognóstico , Fatores de Tempo
3.
Ecotoxicol Environ Saf ; 183: 109441, 2019 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-31404725

RESUMO

OBJECTIVE: To explore the impacts of Pb exposure and the dimercaptosuccinic acid (DMSA) chelation therapy on bone metabolisms in young rats of different ages, as well as the potential mechanisms. METHOD: Young rats were exposed to 0.05%-0.1% Pb acetate for 19 days, during infanthood (postnatal day, PND2-20), childhood (PND21-39) and adolescenthood (PND40-58) respectively. In each developmental stage, rats were further divided into three subgroups: lead-exposed, one-course and two-course DMSA chelation therapy subgroups. Blood/bone lead concentrations, serum calciotropic hormones concentrations, and mRNA and protein expressions of bone turnover markers in the serum and bones were measured. Bone microstructures were analyzed using Micro-CT. RESULTS: Compared with lead-exposed during childhood and adolescenthood, increases in blood/bone lead levels, and the changes of blood/bone lead and trabecular bone microstructures after one-course DMSA chelation were most significant in rats lead-exposed during infanthood (P < .05). The serum osteocalcin (OC) concentrations, mRNA/protein expressions of OC and runt-related transcription factor 2 (RUNX2) in bones all decreased after Pb exposure, along with significant increases in serum C-terminal telopeptide of type I collagen (CTX) concentrations (P < .05). These effects were accompanied by changes of serum parathormone (PTH) and 1,25-dihydroxyvitamin D3 (1,25-(OH2)-D3) concentrations. DMSA chelation partially reversed the changes of bone microarchitectures, bone formation and resorption markers, and calciotropic-hormones, and the efficiency was greatest when the therapy was provided during infanthood. CONCLUSION: Developmental Pb exposure impaired bone microstructures and interfered bone metabolism, and the exposure effect was more obvious during infanthood than during childhood and adolescenthood. Lead effects were partially reversed by chelation therapy, and the efficacy may be most significant when the therapy was provided at younger ages.


Assuntos
Desenvolvimento Ósseo/efeitos dos fármacos , Osso e Ossos/metabolismo , Quelantes/uso terapêutico , Intoxicação por Chumbo/tratamento farmacológico , Chumbo/sangue , Succímero/uso terapêutico , Animais , Osso e Ossos/efeitos dos fármacos , Quelantes/administração & dosagem , Terapia por Quelação/métodos , Chumbo/metabolismo , Intoxicação por Chumbo/metabolismo , Intoxicação por Chumbo/fisiopatologia , Masculino , Ratos , Succímero/administração & dosagem
4.
S Afr Med J ; 109(11b): 25-29, 2019 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-32252864

RESUMO

Even at low levels in blood, lead has been associated with reduced IQ scores, behavioural problems, learning impediments, aggression and violent behaviour. Since the 1980s, the South African Medical Research Council (SAMRC) has been investigating the sources of exposure to lead in South Africa (SA), the groups at highest risk of lead poisoning and a selection of the myriad associated health and social consequences. SAMRC research evidence contributed to the phasng out of leaded petrol, restrictions on lead in paint and other interventions. Subsequently, childhood blood lead levels in SA declined significantly. More recent studies have revealed elevated risks of lead exposure in subsistence fishing and mining communities, users of arms and ammunition, those ingesting certain traditional medicines, and users of certain ceramicware and artisanal cooking pots. Lead-related cognitive damage costs the SA economy ~USD17.7 (ZAR261.3) billion annually, justifying further SAMRC investment in lead exposure research in the country.


Assuntos
Exposição Ambiental/prevenção & controle , Intoxicação por Chumbo/prevenção & controle , Academias e Institutos , Agressão/psicologia , Pesquisa Biomédica , Cerâmica , Utensílios de Alimentação e Culinária , Armas de Fogo , Gasolina , Humanos , Deficiência Intelectual/psicologia , Chumbo , Intoxicação por Chumbo/economia , Intoxicação por Chumbo/fisiopatologia , Intoxicação por Chumbo/psicologia , Ayurveda , Mineração , Pintura , Pica , Puberdade Tardia/fisiopatologia , África do Sul , Violência/psicologia
5.
Food Chem Toxicol ; 120: 571-577, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30081045

RESUMO

Use of lead-adulterated opium has become one of the major sources of lead poisoning in Iran. This study was designed to assess clinical effects and oxidative stress and its association with GSTM1, GSTT1, NQO1, and ALAD genes polymorphisms and blood lead level (BLL) in lead-adulterated opium users. The oxidative stress status in 192 opium users with lead poisoning symptoms measured and compared with 102 healthy individuals. Gluthatione S-transferase (GST)-M1 and -T1 genes deletion, NQO1 rs1800566, and δ-aminolevulinic acid dehydratase (ALAD) rs1800435 polymorphisms were determined using PCR and PCR-RFLP. The relation between the polymorphisms, BLL, and oxidative stress parameters were analysed using multivariate linear regressions. The common symptoms of lead toxicity were gastrointestinal and neurologic complications. Oxidative stress was significantly higher in opium addicts and lipid peroxidation significantly correlated with BLL. There was significant association between ALAD rs1800435 and BLL, and the BLL was significantly lower in the patients with ALAD 1-2 genotype. Use of lead-adulterated opium causes high frequency of lead toxicity symptoms, hematological and biochemical abnormalities, and oxidative stress which are associated with BLL. Route of opioid use and the polymorphism of rs1800435 in ALAD gene are the major determinants of BLL in lead-adulterated opium users.


Assuntos
Intoxicação por Chumbo/genética , Chumbo/análise , Ópio/química , Estresse Oxidativo/genética , Polimorfismo Genético , Adulto , Idoso , Biomarcadores/metabolismo , Feminino , Glutationa Transferase/genética , Humanos , Irã (Geográfico) , Chumbo/sangue , Chumbo/toxicidade , Intoxicação por Chumbo/sangue , Intoxicação por Chumbo/fisiopatologia , Masculino , Pessoa de Meia-Idade , NAD(P)H Desidrogenase (Quinona)/genética , Ópio/administração & dosagem , Dependência de Ópio/sangue , Dependência de Ópio/genética , Dependência de Ópio/fisiopatologia , Sintase do Porfobilinogênio/genética
6.
Arch Physiol Biochem ; 124(1): 80-87, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28817314

RESUMO

In this study, the effect of geraniol (50 mg/kg for 30 d), a natural antioxidant and repellent/antifeedant monoterpene, in a rat model of lead acetate-induced (500 ppm for 30 d) liver damage was evaluated. Hepatic malondialdehyde increased in the lead acetate group. Reduced glutathione unchanged, but glutathione S-transferase, glutathione reductase, as well as carboxylesterase activities decreased in geraniol, lead acetate and geraniol + lead acetate groups. 8-OhDG immunoreactivity, mononuclear cell infiltrations and hepatic lead concentration were lower in the geraniol + lead acetate group than the lead acetate group. Serum aspartate aminotransferase and alanine aminotransferase activities increased in the Pb acetate group. In conclusion, lead acetate causes oxidative and toxic damage in the liver and this effect can reduce with geraniol treatment. However, we first observed that lead acetate, as well as geraniol, can affect liver carboxylesterase activity.


Assuntos
Carboxilesterase/antagonistas & inibidores , Doença Hepática Induzida por Substâncias e Drogas/prevenção & controle , Repelentes de Insetos/uso terapêutico , Intoxicação por Chumbo/prevenção & controle , Fígado/efeitos dos fármacos , Substâncias Protetoras/uso terapêutico , Terpenos/uso terapêutico , Monoterpenos Acíclicos , Animais , Antioxidantes/efeitos adversos , Antioxidantes/uso terapêutico , Biomarcadores/sangue , Biomarcadores/metabolismo , Carboxilesterase/metabolismo , Doença Hepática Induzida por Substâncias e Drogas/enzimologia , Doença Hepática Induzida por Substâncias e Drogas/patologia , Doença Hepática Induzida por Substâncias e Drogas/fisiopatologia , Glutationa/química , Glutationa/metabolismo , Glutationa Redutase/metabolismo , Glutationa Transferase/metabolismo , Repelentes de Insetos/efeitos adversos , Intoxicação por Chumbo/metabolismo , Intoxicação por Chumbo/patologia , Intoxicação por Chumbo/fisiopatologia , Peroxidação de Lipídeos/efeitos dos fármacos , Fígado/metabolismo , Fígado/patologia , Fígado/fisiopatologia , Masculino , Compostos Organometálicos/antagonistas & inibidores , Compostos Organometálicos/toxicidade , Oxirredução , Estresse Oxidativo/efeitos dos fármacos , Substâncias Protetoras/efeitos adversos , Distribuição Aleatória , Ratos Wistar , Terpenos/efeitos adversos
7.
Pak J Pharm Sci ; 30(5(Special)): 1837-1842, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29084655

RESUMO

The role of lead pollution in the induction of hypertension and electrocardiogram (ECG) changes has not been sufficiently recognized. The present study is aimed to calculate the association between lead exposure and blood pressure (BP) and ECG findings. A group of 147 lead-exposed workers from a battery plant and 104 controls were examined for blood lead levels (PbB), BP, and ECG. The exposed workers were followed annually from 2008 to 2010. Furthermore, lead in air dust and fumes were also detected in the breathing zone of the workplace. The PbB of lead-exposed workers were correlated with air lead in worksites from 2008 to 2010. A linear regression of repeated measurement analysis showed that diastolic blood pressure (DBP) in exposed workers decreased consecutively from 2008 to 2010 (p<0.01) with reduced lead exposure; however, this value was not correlated with the incidence of hypertension (p=0.138). Abnormal ECG rates were 35.37%, 38.78%, and 44.90% in 2008, 2009, and 2010, respectively, demonstrating an annual increase (p=0.024). Our study showed that lead exposure was crucial factor in causing ECG abnormalities. No correlation was identified between lead exposure and hypertension, and further study is needed. EDTA for the treatment of blood lead object on lead poisoning (PbB) level, abnormal electrocardiogram and blood pressure increases curative effect, and the better effect of the longer range.


Assuntos
Pressão Sanguínea/efeitos dos fármacos , Ácido Edético/uso terapêutico , Eletrocardiografia/efeitos dos fármacos , Intoxicação por Chumbo/tratamento farmacológico , Intoxicação por Chumbo/fisiopatologia , Chumbo/sangue , Exposição Ocupacional/efeitos adversos , Adulto , Estudos de Casos e Controles , Poeira/análise , Ácido Edético/farmacologia , Feminino , Humanos , Hipertensão/induzido quimicamente , Hipertensão/complicações , Incidência , Intoxicação por Chumbo/complicações , Masculino , Pessoa de Meia-Idade , Fumaça/análise , Adulto Jovem
8.
Toxicol Ind Health ; 33(11): 855-866, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28884628

RESUMO

Cadmium (Cd) and lead (Pb) are toxic elements that accumulate to the largest extent in bones. Rats were used to investigate whether tannic acid (TA; 0.5%, 1.0%, 1.5%. 2.0%, or 2.5%) would have a protective effect on the structure and properties of bones in the case of exposure to Cd and Pb (diet: 7 mg Cd/kg and 50 mg Pb/kg) for 6 weeks. The effects of administration of TA in Cd- and Pb-poisoned rats on bone characteristics and the morphology of articular and growth cartilages were determined. All the rats administered Cd and Pb had an enhanced Cd and Pb concentration in blood plasma and bone and reduced bone Ca content irrespective of the TA administration. Cd and Pb alone reduced the mechanical endurance and histomorphometric parameters of trabecular bone and the thickness of the growth plate and articular cartilage. Tannic acid improved cancellous bone parameters in the rat exposed to Cd and Pb. A diet rich in TA improved articular cartilage constituents in heavy metal-poisoned rats. These results suggest that alimentary TA supplementation can counteract in a dose-dependent manner some of the destructive changes evoked by Cd and Pb possibly by reducing the exposure.


Assuntos
Osso e Ossos/efeitos dos fármacos , Intoxicação por Cádmio/prevenção & controle , Cartilagem Articular/efeitos dos fármacos , Lâmina de Crescimento/efeitos dos fármacos , Intoxicação por Chumbo/prevenção & controle , Substâncias Protetoras/uso terapêutico , Taninos/uso terapêutico , Animais , Fenômenos Biomecânicos/efeitos dos fármacos , Densidade Óssea/efeitos dos fármacos , Conservadores da Densidade Óssea/administração & dosagem , Conservadores da Densidade Óssea/uso terapêutico , Osso e Ossos/química , Osso e Ossos/patologia , Cádmio/sangue , Cádmio/toxicidade , Intoxicação por Cádmio/patologia , Intoxicação por Cádmio/fisiopatologia , Cálcio/sangue , Osso Esponjoso/química , Osso Esponjoso/efeitos dos fármacos , Osso Esponjoso/patologia , Cartilagem Articular/química , Cartilagem Articular/patologia , Relação Dose-Resposta a Droga , Lâmina de Crescimento/química , Lâmina de Crescimento/patologia , Chumbo/sangue , Chumbo/toxicidade , Intoxicação por Chumbo/patologia , Intoxicação por Chumbo/fisiopatologia , Masculino , Osteomalacia/etiologia , Osteomalacia/prevenção & controle , Osteoporose/etiologia , Osteoporose/prevenção & controle , Substâncias Protetoras/administração & dosagem , Distribuição Aleatória , Ratos Wistar , Taninos/administração & dosagem , Toxicocinética
9.
Gen Physiol Biophys ; 36(3): 297-308, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28635608

RESUMO

There is an increasing concern over male reproductive toxicity caused by lead exposure. Folic acid (FA) is supposed to be a promising therapeutic strategy against lead toxicity. Therefore, the aim of this experimental study was to shed light on the potential protective role of FA on lead-induced testicular dysfunction in rats and its possible underlying mechanistic pathways. Rats (n = 24) were divided into four groups: Control, FA, Lead, and FA+Lead group. After 4 weeks, lead intoxication resulted in a marked reduction in the relative testicular weight and the serum level of testosterone, an impairment in the characters of semen analysis, and an increased content of lead, malondialdehyde and both interleukin-6 and -10 and a decreased antioxidant enzyme levels in the testicular tissue homogenate. Furthermore, marked degenerative histological changes and an increased expression of NF-κB were also noticed in the testicular tissue of Lead group. Supplementation of FA in association with lead considerably alleviated these adverse outcome responses most probably owing to its cytoprotective ability as emerged from combating the oxidative stress and inflammatory reactions. We concluded that FA could act as a highly effective fighting approach against lead-associated testicular toxicity.


Assuntos
Ácido Fólico/administração & dosagem , Intoxicação por Chumbo/tratamento farmacológico , Intoxicação por Chumbo/fisiopatologia , Doenças Testiculares/prevenção & controle , Doenças Testiculares/fisiopatologia , Testosterona/sangue , Animais , Citoproteção/efeitos dos fármacos , Intoxicação por Chumbo/patologia , Masculino , Ratos , Ratos Wistar , Análise do Sêmen , Espermatozoides/efeitos dos fármacos , Espermatozoides/patologia , Doenças Testiculares/induzido quimicamente , Resultado do Tratamento
10.
Toxicol Ind Health ; 33(3): 265-276, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27102426

RESUMO

The aim of this study was to investigate the beneficial effects of zinc (Zn) in preventing lead (Pb)-induced reproductive toxicity in Wistar rats. The rats were divided into four groups, namely, control group, Pb group, Zn group, and Pb + Zn group. Animals were exposed to Pb (819 mg of Pb/L) or Zn (71 mg of Zn/L) or both through drinking water for 65 days. Rats exposed to Pb showed decreased weights of testes and accessory sex organs. Significant decrease in the testicular daily sperm production, epididymal sperm count, motility, viability, and number of hypoosmotic tail coiled sperm was observed in Pb-exposed rats. Testicular 3ß- and 17ß-hydroxysteroid dehydrogenase activity levels and circulatory testosterone levels were also decreased significantly in Pb-exposed rats. A significant increase in the lipid peroxidation products with a significant decrease in the activities of catalase and superoxide dismutase were observed in the testes and epididymis of Pb-exposed rats. Moreover, the testicular architecture showed lumens devoid of sperm in Pb-exposed rats. Supplementation of Zn mitigated Pb-induced oxidative stress and restored the spermatogenesis and steroidogenesis in Pb-exposed rats. In conclusion, cotreatment of Zn is effective for recovering suppressed spermatogenesis, steroidogenesis, elevated oxidative status, and histological damage in the testis of rats treated with Pb.


Assuntos
Suplementos Nutricionais , Epididimo/efeitos dos fármacos , Infertilidade Masculina/prevenção & controle , Intoxicação por Chumbo/prevenção & controle , Estresse Oxidativo/efeitos dos fármacos , Testículo/efeitos dos fármacos , Zinco/uso terapêutico , 17-Hidroxiesteroide Desidrogenases/antagonistas & inibidores , 17-Hidroxiesteroide Desidrogenases/química , 17-Hidroxiesteroide Desidrogenases/metabolismo , 3-Hidroxiesteroide Desidrogenases/antagonistas & inibidores , 3-Hidroxiesteroide Desidrogenases/química , 3-Hidroxiesteroide Desidrogenases/metabolismo , Animais , Biomarcadores/sangue , Biomarcadores/metabolismo , Suplementos Nutricionais/efeitos adversos , Epididimo/metabolismo , Epididimo/patologia , Infertilidade Masculina/etiologia , Intoxicação por Chumbo/metabolismo , Intoxicação por Chumbo/patologia , Intoxicação por Chumbo/fisiopatologia , Peroxidação de Lipídeos/efeitos dos fármacos , Masculino , Tamanho do Órgão/efeitos dos fármacos , Compostos Organometálicos/antagonistas & inibidores , Compostos Organometálicos/toxicidade , Substâncias Protetoras/efeitos adversos , Substâncias Protetoras/uso terapêutico , Distribuição Aleatória , Ratos Wistar , Espermatogênese/efeitos dos fármacos , Espermatozoides/efeitos dos fármacos , Espermatozoides/patologia , Testículo/metabolismo , Testículo/patologia , Testosterona/sangue , Doenças Transmitidas pela Água/metabolismo , Doenças Transmitidas pela Água/patologia , Doenças Transmitidas pela Água/fisiopatologia , Doenças Transmitidas pela Água/prevenção & controle , Zinco/efeitos adversos
11.
PM R ; 9(4): 411-414, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27721003

RESUMO

Lead toxicity in adults is characterized by nonspecific symptoms of abdominal pain, vomiting, constipation, fatigue, and weight loss. We present a case of severe lead toxicity that developed subacutely, causing quadriparesis 9 years after a gunshot wound with retained bullet fragments. The onset of symptoms may have been related to the development of a pseudocyst. The long interval between the gunshot wound and the onset of symptoms contributed to a delay in suspecting that the retained bullet was a source of lead toxicity. The patient's symptoms gradually improved after chelation therapy, removal of the bullet fragment, and an extended program of acute inpatient rehabilitation. LEVEL OF EVIDENCE: V.


Assuntos
Corpos Estranhos/cirurgia , Intoxicação por Chumbo/etiologia , Quadriplegia/etiologia , Ferimentos por Arma de Fogo/complicações , Adulto , Terapia por Quelação/métodos , Fêmur/cirurgia , Seguimentos , Humanos , Intoxicação por Chumbo/fisiopatologia , Masculino , Quadriplegia/fisiopatologia , Quadriplegia/terapia , Doenças Raras , Índice de Gravidade de Doença , Fatores de Tempo
12.
Toxicol Ind Health ; 32(9): 1607-18, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25731901

RESUMO

N-Acetylcysteine (NAC) could be included in protocols designed for the treatment of lead toxicity. Therefore, in this study, we decided to investigate the influence of NAC administration on homocysteine (Hcy) levels, oxidative damage to proteins, and the levels of iron (Fe), transferrin (TRF), and haptoglobin (HPG) in lead (Pb)-exposed workers. The examined population (n = 171) was composed of male employees who worked with Pb. They were randomized into four groups. Workers who were not administered any antioxidants, drugs, vitamins, or dietary supplements were classified as the reference group (n = 49). The remaining three groups consisted of workers who were treated orally with NAC at three different doses (1 × 200, 2 × 200, or 2 × 400 mg) for 12 weeks. After the treatment, blood Pb levels significantly decreased in the groups receiving NAC compared with the reference group. The protein concentration was not affected by NAC administration. In contrast, Hcy levels significantly decreased or showed a strong tendency toward lower values depending on the NAC dose. Levels of the protein carbonyl groups were significantly decreased in all of the groups receiving NAC. Conversely, glutamate dehydrogenase activity was significantly elevated in all of the groups receiving NAC, while the level of protein thiol groups was significantly elevated only in the group receiving 200 mg of NAC. Treatment with NAC did not significantly affect Fe and TRF levels, whereas HPG levels showed a tendency toward lower values. Treatment with NAC normalized the level of Hcy and decreased oxidative stress as measured by the protein carbonyl content; this effect occurred in a dose-dependent manner. Moreover, small doses of NAC elevated the levels of protein thiol groups. Therefore, NAC could be introduced as an alternative therapy for chronic Pb toxicity in humans.


Assuntos
Acetilcisteína/uso terapêutico , Anemia Ferropriva/prevenção & controle , Antioxidantes/uso terapêutico , Suplementos Nutricionais , Hiper-Homocisteinemia/prevenção & controle , Intoxicação por Chumbo/prevenção & controle , Doenças Profissionais/prevenção & controle , Acetilcisteína/administração & dosagem , Adulto , Poluentes Ocupacionais do Ar/toxicidade , Anemia Ferropriva/etiologia , Antioxidantes/administração & dosagem , Haptoglobinas/análise , Homocisteína/sangue , Humanos , Hiper-Homocisteinemia/etiologia , Exposição por Inalação/efeitos adversos , Ferro/sangue , Chumbo/sangue , Chumbo/toxicidade , Intoxicação por Chumbo/sangue , Intoxicação por Chumbo/fisiopatologia , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/sangue , Doenças Profissionais/fisiopatologia , Exposição Ocupacional/efeitos adversos , Estresse Oxidativo/efeitos dos fármacos , Polônia , Carbonilação Proteica , Protoporfirinas/sangue , Transferrina/análise
13.
Biomed Res Int ; 2015: 189190, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26075218

RESUMO

Some dietary factors could inhibit lead toxicity. The aim of this study was to evaluate the effect of dietary compounds rich in unsaturated fatty acids (FA) on blood lead level, lipid metabolism, and vascular reactivity in rats. Serum metallothionein and organs' lead level were evaluated with the aim of assessing the possible mechanism of unsaturated FA impact on blood lead level. For three months, male Wistar rats that were receiving drinking water with (100 ppm Pb) or without lead acetate were supplemented per os daily with virgin olive oil or linseed oil (0.2 mL/kg b.w.) or egg derived lecithin fraction: "super lecithin" (50 g/kg b.w.). Mesenteric artery was stimulated ex vivo by norepinephrine (NE) administered at six different doses. Lecithin supplementation slightly reduced pressor responses of artery to NE. Lead administered to rats attenuated the beneficial effect of unsaturated FA on lipid metabolism and vascular reactivity to adrenergic stimulation. On the other hand, the super lecithin and linseed oil that were characterized by low omega-6 to omega-3 ratio (about 1) reduced the blood lead concentration. This effect was observed in lead poisoned rats (p < 0.0001) and also in rats nonpoisoned with lead (p < 0.05).


Assuntos
Gorduras Insaturadas na Dieta/administração & dosagem , Ácidos Graxos Insaturados/administração & dosagem , Intoxicação por Chumbo/dietoterapia , Animais , Proteínas de Transporte/sangue , Suplementos Nutricionais , Modelos Animais de Doenças , Ácidos Graxos Ômega-3/administração & dosagem , Ácidos Graxos Ômega-6/administração & dosagem , Técnicas In Vitro , Chumbo/sangue , Intoxicação por Chumbo/sangue , Intoxicação por Chumbo/fisiopatologia , Lecitinas/administração & dosagem , Óleo de Semente do Linho/administração & dosagem , Lipídeos/sangue , Masculino , Artérias Mesentéricas/efeitos dos fármacos , Artérias Mesentéricas/fisiopatologia , Metalotioneína/sangue , Norepinefrina/farmacologia , Azeite de Oliva/administração & dosagem , Ratos , Ratos Wistar , Vasoconstritores/farmacologia
14.
Am J Med ; 128(3): 313-7, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25446301

RESUMO

BACKGROUND: Attacks of neuropathic pain, usually abdominal, are characteristic of the acute porphyrias and accompanied by overproduction of heme-precursor molecules, specifically delta-aminolevulinic acid and porphobilinogen. The basis for the acute symptoms in these diseases has been speculative. METHODS: We review genetic acute porphyria, hereditary tyrosinemia, and an acquired condition, lead poisoning. All perturb heme synthesis and present with a similar pain syndrome. RESULTS: Although each of these conditions has characteristic urine biochemistry, all exhibit excess delta-aminolevulinic acid. Moreover, in all, treatment with hemin reduces delta-aminolevulinic acid and relieves symptoms. In contrast, use of recombinant porphobilinogen deaminase to knock down porphobilinogen in acute porphyria was ineffective. CONCLUSIONS: There is now convincing evidence that delta-aminolevulinic acid is the cause of pain in the acute porphyrias. The efficacy of hemin infusion is due mainly, if not entirely, to its inhibition of hepatic delta-aminolevulinic acid synthase-1, the enzyme that catalyzes delta-aminolevulinic acid formation. Delta-aminolevulinic acid synthase-1 is a rational target for additional therapies to control symptoms in acute porphyria.


Assuntos
Ácido Aminolevulínico , Terapia por Quelação/métodos , Heme/biossíntese , Intoxicação por Chumbo , Ayurveda , Porfiria Aguda Intermitente/diagnóstico , Tirosinemias/diagnóstico , Dor Abdominal/etiologia , Dor Abdominal/metabolismo , Adulto , Ácido Aminolevulínico/sangue , Ácido Aminolevulínico/urina , Diagnóstico Diferencial , Feminino , Humanos , Intoxicação por Chumbo/diagnóstico , Intoxicação por Chumbo/etiologia , Intoxicação por Chumbo/metabolismo , Intoxicação por Chumbo/fisiopatologia , Intoxicação por Chumbo/terapia , Neuralgia/etiologia , Neuralgia/metabolismo , Resultado do Tratamento
15.
Hong Kong Med J ; 20(4): 347-9, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25104009

RESUMO

We describe a case of lead exposure after prolonged intake of ashes from burnt Chinese talismans. A 41-year-old woman presented with elevated blood lead level during screening for treatable causes of progressive weakness in her four limbs, clinically compatible with motor neuron disease. The source of lead exposure was confirmed to be Chinese talismans obtained from a religious practitioner in China. The patient was instructed to burn the Chinese talismans to ashes, and ingest the ashes dissolved in water, daily for about 1 month. Analysis of the Chinese talismans revealed a lead concentration of 17 342 µg/g (ppm).


Assuntos
Intoxicação por Chumbo/etiologia , Medicina Tradicional Chinesa/efeitos adversos , Religião e Medicina , Adulto , Feminino , Humanos , Intoxicação por Chumbo/fisiopatologia , Doença dos Neurônios Motores/etiologia , Doença dos Neurônios Motores/fisiopatologia
16.
ScientificWorldJournal ; 2014: 572697, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24696648

RESUMO

Exposure to lead (Pb) can induce kidney injury and our recent studies have found that Salvia miltiorrhiza (SM) injection, a traditional Chinese medicine, could protect against the organ injury induced by iron overload. This study was designed to investigate the protective effects of SM injection on nephrotoxicity induced by Pb acetate in mice and to elucidate the potential mechanism(s). Healthy male mice were randomly divided into four groups: control, Pb, low-dose Salvia miltiorrhiza (L-SM), and high-dose Salvia miltiorrhiza (H-SM). SM injection dose dependently reduced the Pb accumulation in the kidney, decreased kidney coefficients, and ameliorated renal structure and function from the morphology analysis. Meanwhile, SM administration downregulated serum levels of blood urea nitrogen (BUN) and creatinine (CR), decreased malondialdehyde (MAD) content, and increased activities of super oxide dismutase (SOD) and glutathione peroxidase (GSH-Px) in the kidney homogenate. Moreover, SM injection reduced the level of renal apoptosis by immunohistochemical staining analysis. Our findings implicate the therapeutic potential of SM injection for Pb-induced nephrotoxicity, which were at least partly due to the decrease of Pb accumulation, inhibition of lipid peroxidation, and suppression of renal apoptosis. These results provided preliminary experimental support for Danshen as a therapeutic drug for Pb poisoning diseases.


Assuntos
Exposição Ambiental/efeitos adversos , Taxa de Filtração Glomerular/efeitos dos fármacos , Nefropatias/induzido quimicamente , Nefropatias/tratamento farmacológico , Intoxicação por Chumbo/fisiopatologia , Extratos Vegetais/administração & dosagem , Animais , Injeções Intraperitoneais , Nefropatias/fisiopatologia , Intoxicação por Chumbo/tratamento farmacológico , Intoxicação por Chumbo/patologia , Masculino , Camundongos , Salvia miltiorrhiza
17.
Acute Med ; 12(4): 224-6, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24364054

RESUMO

Although uncommon, lead poisoning should be considered as a differential diagnosis in cases of unexplained acute abdominal pain in both adults and children. We present the case of a 35-year-old Asian male who presented with abdominal pain and constipation secondary to lead poisoning. Initially, the source of lead exposure was not apparent; this was later found to be due to ingestion of an Ayurvedic herbal medicine for the treatment of infertility. Lead poisoning due to the ingestion of Ayurvedic remedies is well described. We discuss the diagnosis, pathophysiology and treatment of lead poisoning. This case illustrates one of the rarer medical causes of acute abdominal pain and emphasizes the need to take a thorough history (including specific questioning regarding the use of over-the-counter and traditional/ herbal remedies) in cases of suspected poisoning or drug toxicity.


Assuntos
Dor Abdominal , Constipação Intestinal , Intoxicação por Chumbo , Chumbo/sangue , Preparações de Plantas/efeitos adversos , Succímero/administração & dosagem , Dor Abdominal/diagnóstico , Dor Abdominal/etiologia , Dor Abdominal/fisiopatologia , Dor Aguda , Adulto , Quelantes/administração & dosagem , Constipação Intestinal/diagnóstico , Constipação Intestinal/etiologia , Diagnóstico Diferencial , Humanos , Hipogonadismo/tratamento farmacológico , Intoxicação por Chumbo/sangue , Intoxicação por Chumbo/complicações , Intoxicação por Chumbo/diagnóstico , Intoxicação por Chumbo/tratamento farmacológico , Intoxicação por Chumbo/fisiopatologia , Masculino , Ayurveda , Preparações de Plantas/administração & dosagem , Resultado do Tratamento
18.
J Med Toxicol ; 9(4): 326-38, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24113857

RESUMO

This presentation summarizes several of the rodent and non-human studies that we have conducted to help inform the efficacy and clinical utility of succimer (meso-2,3-dimercaptosuccincinic acid) chelation treatment. We address the following questions: (1) What is the extent of body lead, and in particular brain lead reduction with chelation, and do reductions in blood lead accurately reflect reductions in brain lead? (2) Can succimer treatment alleviate the neurobehavioral impacts of lead poisoning? And (3) does succimer treatment, in the absence of lead poisoning, produce neurobehavioral deficits? Results from our studies in juvenile primates show that succimer treatment is effective at accelerating the elimination of lead from the body, but chelation was only marginally better than the complete cessation of lead exposure alone. Studies in lead-exposed adult primates treated with a single 19-day course of succimer showed that chelation did not measurably reduce brain lead levels compared to vehicle-treated controls. A follow-up study in rodents that underwent one or two 21-day courses of succimer treatment showed that chelation significantly reduced brain lead levels, and that two courses of succimer were significantly more efficacious at reducing brain lead levels than one. In both the primate and rodent studies, reductions in blood lead levels were a relatively poor predictor of reductions in brain lead levels. Our studies in rodents demonstrated that it is possible for succimer chelation therapy to alleviate certain types of lead-induced behavioral/cognitive dysfunction, suggesting that if a succimer treatment protocol that produced a substantial reduction of brain lead levels could be identified for humans, a functional benefit might be derived. Finally, we also found that succimer treatment produced lasting adverse neurobehavioral effects when administered to non-lead-exposed rodents, highlighting the potential risks of administering succimer or other metal-chelating agents to children who do not have elevated tissue lead levels. It is of significant concern that this type of therapy has been advocated for treating autism.


Assuntos
Quelantes/uso terapêutico , Terapia por Quelação , Intoxicação por Chumbo/tratamento farmacológico , Chumbo/efeitos adversos , Succímero/uso terapêutico , Animais , Comportamento Animal/efeitos dos fármacos , Carga Corporal (Radioterapia) , Encéfalo/efeitos dos fármacos , Encéfalo/metabolismo , Encéfalo/fisiopatologia , Quelantes/efeitos adversos , Terapia por Quelação/efeitos adversos , Modelos Animais de Doenças , Humanos , Chumbo/metabolismo , Intoxicação por Chumbo/diagnóstico , Intoxicação por Chumbo/etiologia , Intoxicação por Chumbo/metabolismo , Intoxicação por Chumbo/fisiopatologia , Medição de Risco , Fatores de Risco , Succímero/efeitos adversos , Fatores de Tempo , Resultado do Tratamento
19.
J Neurol Sci ; 306(1-2): 29-37, 2011 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-21546039

RESUMO

The purpose of this study was to investigate the neurological integrity and physiological status of the auditory brainstem tracts and nuclei in children with chronic lead (Pb) exposure using non-invasive acoustic stapedius reflex (ASR) measurements of afferent and efferent-neuromuscular auditory function. Following audiological examinations, uncrossed (ipsilateral) and crossed (contralateral) brainstem ASR responses were evoked by pure tone (500, 1000, and 2000 Hz), and broadband noise (bandwidth: 125-4000 Hz) stimulus activators. The ASR threshold (ASRT), amplitude growth, and decay/fatigue were measured by conventional clinical middle ear immittance methods in a group of Andean children (age range: 2-18 years) with a history of chronic environmental Pb exposure from occupational Pb glazing. Blood lead (PbB) levels of the study group (n=117) ranged from 4.0 to 83.7 µg/dL with a mean PbB level of 33.5 µg/dL (SD: 23.6; median: 33.0: CDC III Classification). The PbB distribution data indicated that 77.8% (n=91) of the children had PbB levels greater than the CDC action line of 10 µg/dL. Repeatable, normal ASRTs were elicited for ipsilateral (mean: ≤90 dB HL) and contralateral (mean: ≤97 dB HL) stimulation for each acoustic activator. Spearman Rho correlation analysis indicated no significant association between PbB level and ipsilateral or contralateral ASRT for any of the stimulus activators. The ASR amplitude growth results showed typical growth functions with no Pb-associated aberrations. No statistical association was found between ASR decay/adaptation (ASRD) and PbB level for any of the stimulus activators. The results of stapedius muscle reflex testing using several stimulus activators showed no significant relationship between PbB level and the physiological integrity of the auditory brainstem mediated ASR responses in children with chronic Pb exposure and elevated PbB levels.


Assuntos
Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Intoxicação por Chumbo/patologia , Intoxicação por Chumbo/fisiopatologia , Reflexo Acústico/efeitos dos fármacos , Estapédio/fisiopatologia , Estimulação Acústica/métodos , Adolescente , Criança , Pré-Escolar , Equador , Exposição Ambiental , Potenciais Evocados Auditivos do Tronco Encefálico/efeitos dos fármacos , Feminino , Lateralidade Funcional , Humanos , Chumbo/sangue , Chumbo/toxicidade , Masculino , Psicoacústica , Reflexo Acústico/fisiologia , Estapédio/efeitos dos fármacos
20.
Sheng Li Xue Bao ; 62(3): 225-30, 2010 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-20571739

RESUMO

In order to evaluate the effect of omega-3 fish oil supplement by gavage (0.4 mL/100 g body weight) on the chronic lead-induced (0.2% lead acetate) impairments of long-term potentiation (LTP) in rat dentate gyrus (DG) in vivo, we designed the experiments which were carried out in four groups of newborn Wistar rats (the control, the lead-exposed, the control with fish oil treatment and the lead-exposed with fish oil treatment, respectively). The excitatory postsynaptic potential (EPSP) and population spike (PS) amplitude were measured in the DG of rats with above different treatments at the age of 80-90 d in response to stimulation applied to the lateral perforant path. The results showed (1) postnatal chronic lead-exposure impaired LTP measured on both EPSP slope and PS amplitude in DG area of the hippocampus; (2) in the control rats, omega-3 fish oil had no effect on LTP while in the lead-exposed rats, omega-3 fish oil had a protective effect on LTP. These results suggest that omega-3 fish oil supplement could protect rats from the lead-induced impairment of LTP. Omega-3 fish oil might be a preventive substance in reducing LTP deficits induced by lead.


Assuntos
Giro Denteado/efeitos dos fármacos , Ácidos Graxos Ômega-3/farmacologia , Óleos de Peixe/química , Intoxicação por Chumbo/fisiopatologia , Potenciação de Longa Duração/efeitos dos fármacos , Animais , Animais Recém-Nascidos , Potenciais Pós-Sinápticos Excitadores , Via Perfurante , Ratos , Ratos Wistar
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