Heavy metal exposure and renal impairment: A systematic review of observational studies

Background: Environmental exposure to toxins has been strongly implicated in its multi-faceted etiology of chronic kidney disease, a serious public health problem affecting individuals, families, and communities. There is a need to synthesize available studies on the effect of heavy metal exposure on renal function, considering the rising global burden of kidney disease. The objective of this study is to determine the association between exposure to heavy metals and renal disease. Methods: The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) were used to conduct the review. A comprehensive independent search, title, abstract, and full-text screening of available literature on Google Scholar, PubMed, and OAREScience was done between March 2021 and May 2021. The criteria for study inclusion were full-text articles published in English language in the last 20 years (2001-2020), and observational primary human studies reporting the association between heavy metal exposure and renal disease. The Newcastle-Ottawa Quality Assessment Scale was used to assess the quality of the included studies. Results: A total of 552 studies were identified following the search from the different databases. A total of 13 studies were finally included in the review. Heavy metals implicated in the studies include cadmium, lead, mercury, and arsenic, with ten studies showing environmental exposure as the primary source. Ten (10) studies showed an association between heavy metal exposure and renal impairment (p<0.05) while only 3 studies reported no association. Conclusion: Environmental monitoring is needed to stem the tide of heavy metal exposure in view of the growing burden of chronic kidney disease.

Effects of co-treatment of Plasmodium berghei-infected mice with aqueous extract of Ocimum gratissimum leaves and primaquine on glucose-6-phosphate dehydrogenase activity, hematological, and antioxidant parameters.

BACKGROUND: It has been observed that most malaria patients especially G6PD-deficient patients usually experience oxidative stress and severe anemia when treated with primaquine. This calls for the need to search for a treatment option that will ameliorate these side effects. OBJECTIVE: The effect of co-treatment of malaria with aqueous extract of Ocimum gratissimum leaves (AEOGL) and primaquine on G6PD activity, antioxidant indices and hematological parameters in Plasmodium berghei-infected mice was investigated. MATERIALS AND METHODS: Thirty mice divided into six groups of five mice each were recruited for this study. Whilst Group 1 (G1) served as the negative control (group not infected with plasmodium parasite), Groups 2 to 6 (G2-G6) were inoculated intraperitoneally with 0.2 ml of 1 × 105/ml Plasmodium berghei (NK 65 strain) infected erythrocytes. G2 (parasite control) received no treatment. Groups 3,4,5 and 6 were administered 0.25 mg/kg bw of primaquine only; 100 mg/kg b. w of AEOGL +0.25 mg/kg bw of primaquine; 200 mg/kg b. w of AEOGL +0.25 mg/kg bw of primaquine; 200 mg/kg b. w of AEOGL respectively, for 14 days. RESULTS: Treatment with only primaquine gave the highest mean malaria parasite clearance (82.10 ± 0.45 percent), followed by 100 mg/kg b. w of AEOGL + Primaquine (75.59 ± 0.47 percent), 200 mg/kg b. w of AEOGL + Primaquine (67.35 ± 0.67 percent), and AEOGL alone (55 ± 0.56 percent). In comparison with the untreated malaria groups, co-treatment with AEOGL + Primaquine produced a significant (p < 0.05) increase in G6PD activity, serum ascorbate, reduced glutathione, catalase activity, and a significant (p < 0.05) decrease in malondialdehyde level in a dose-dependent pattern and also a significant (p < 0.05) rise in packed cell volume, haemoglobin, and red blood cell count, unlike treatment with only primaquine which resulted in a non-significant (P > 0.05) difference in these parameters. CONCLUSION: Co-treatment of Plasmodium berghei-infected mice with AEOGL and primaquine improved the G6PD activity, hematological parameters and antioxidant status relative to treatment with only primaquine.

Fetal growth and fetoplacental circulation in pregnancies following bariatric surgery: a prospective study.

OBJECTIVE: To investigate the intrauterine fetal growth pattern and fetoplacental circulation in pregnancies following bariatric surgery. DESIGN: Prospective study. SETTING: Maternity Unit, UK. POPULATION: One hundred and sixty-two pregnant women; 54 with previous bariatric surgery and 108 with no surgery but similar booking body mass index. METHODS: Participants were seen at 11-14, 20-24, 30-33 and 35-37 weeks of gestation and an oral glucose tolerance test (OGTT) was performed at 27-30 weeks. Fetal head and abdominal circumference (AC), femur length (FL), estimated fetal weight (EFW) and fetoplacental Dopplers were measured at three time-points in pregnancy. Birthweight (BW) was recorded. Variables were modelled after adjustment for maternal/pregnancy characteristics. Model estimates are reported as posterior means and quantile-based 90% credible intervals (CrI). MAIN OUTCOME MEASURES: Fetal biometry, fetoplacental Doppler, BW. RESULTS: Compared with the no surgery group, the post-bariatric surgery group had lower EFW during gestation (up to -120 g; [-189 g, -51 g] lighter) at 35-37 weeks, with smaller AC and FL. Similarly, infants of mothers with previous bariatric surgery had lower average BW [-202 g [-330 g, -72 g] lighter). Overall, there was no difference in the fetoplacental Doppler indices between groups but maternal glucose levels at OGTT were positively correlated with third-trimester EFW and BW. CONCLUSIONS: Fetuses of women with previous bariatric surgery are smaller during pregnancy and at birth, compared with those of women without such surgery, and this may be related to the lower maternal glucose levels seen in the former population. The fetoplacental circulation appears not to be altered by maternal weight loss surgery. TWEETABLE ABSTRACT: Offspring of post-bariatric women are smaller during pregnancy and at birth but this is not due to placental insufficiency.

Acute toxicity of copper hydroxide and glyphosate mixture in Clarias gariepinus: interaction and prediction using mixture assessment models.

The study aimed to assess the single and joint lethal toxicity, type of interaction and the extent to which simple mathematical model of concentration addition (CA), independent action (IA) and generalized concentration addition (GCA) could predict the joint toxicity of copper hydroxide and glyphosate mixture in Clarias gariepinus. Static bioassay were setup to determine the individual and combined (based on ratio 1:2) lethal concentrations (LCx) of the pesticides. Data from the static bioassays were then fitted into the synergistic ratio (SR), concentration-addition (toxicity unit; TU) and isobologram model to determine the type of interaction between the different classes of pesticides, while the CA, IA and GCA models were used to predicted the observed mixture effects. The estimated 24 h, 48 h, 72 h and 96 h LC50 for copper hydroxide were 198.66 mg/L, 167.51 mg/L, 138.64 mg/L, and 104.82 mg/L; glyphosate were 162.92 mg/L, 103.88 mg/L, 61.95 mg/L, and 52.6l mg/L; while the mixtures were 63.18 mg/L, 59.06 mg/L, 56.42 mg/L, and 50.67 mg/L, respectively. Glyphosate was 2 times more toxic than copper hydroxide to C. gariepinus when acting singly. The SR and RTU was <1 indicate that the interaction between the pesticides was synergistic. Synergism was also corroborated by the isobologram model. The interaction of the mixture of copper hydroxide and glyphosate followed the IA model while the CA and GCA model underestimated the observed mixture effects. The study showed that copper hydroxide was practically non-toxic, while glyphosate and the mixture were slightly toxic to C. gariepinus.

Acute toxicity of copper hydroxide and glyphosate mixture in Clarias gariepinus: interaction and prediction using mixture assessment models

The study aimed to assess the single and joint lethal toxicity, type of interaction and the extent to which simple mathematical model of concentration addition (CA), independent action (IA) and generalized concentration addition (GCA) could predict the joint toxicity of copper hydroxide and glyphosate mixture in Clarias gariepinus. Static bioassay were setup to determine the individual and combined (based on ratio 1:2) lethal concentrations (LCx) of the pesticides. Data from the static bioassays were then fitted into the synergistic ratio (SR), concentration-addition (toxicity unit; TU) and isobologram model to determine the type of interaction between the different classes of pesticides, while the CA, IA and GCA models were used to predicted the observed mixture effects. The estimated 24 h, 48 h, 72 h and 96 h LC50 for copper hydroxide were 198.66 mg/L, 167.51 mg/L, 138.64 mg/L, and 104.82 mg/L; glyphosate were 162.92 mg/L, 103.88 mg/L, 61.95 mg/L, and 52.6l mg/L; while the mixtures were 63.18 mg/L, 59.06 mg/L, 56.42 mg/L, and 50.67 mg/L, respectively. Glyphosate was 2 times more toxic than copper hydroxide to C. gariepinus when acting singly. The SR and RTU was <1 indicate that the interaction between the pesticides was synergistic. Synergism was also corroborated by the isobologram model. The interaction of the mixture of copper hydroxide and glyphosate followed the IA model while the CA and GCA model underestimated the observed mixture effects. The study showed that copper hydroxide was practically non-toxic, while glyphosate and the mixture were slightly toxic to C. gariepinus

Acute toxicity of copper hydroxide and glyphosate mixture in Clarias gariepinus: interaction and prediction using mixture assessment models

The study aimed to assess the single and joint lethal toxicity, type of interaction and the extent to which simple mathematical model of concentration addition (CA), independent action (IA) and generalized concentration addition (GCA) could predict the joint toxicity of copper hydroxide and glyphosate mixture in Clarias gariepinus. Static bioassay were setup to determine the individual and combined (based on ratio 1:2) lethal concentrations (LCx) of the pesticides. Data from the static bioassays were then fitted into the synergistic ratio (SR), concentration-addition (toxicity unit; TU) and isobologram model to determine the type of interaction between the different classes of pesticides, while the CA, IA and GCA models were used to predicted the observed mixture effects. The estimated 24 h, 48 h, 72 h and 96 h LC50 for copper hydroxide were 198.66 mg/L, 167.51 mg/L, 138.64 mg/L, and 104.82 mg/L; glyphosate were 162.92 mg/L, 103.88 mg/L, 61.95 mg/L, and 52.6l mg/L; while the mixtures were 63.18 mg/L, 59.06 mg/L, 56.42 mg/L, and 50.67 mg/L, respectively. Glyphosate was 2 times more toxic than copper hydroxide to C. gariepinus when acting singly. The SR and RTU was <1 indicate that the interaction between the pesticides was synergistic. Synergism was also corroborated by the isobologram model. The interaction of the mixture of copper hydroxide and glyphosate followed the IA model while the CA and GCA model underestimated the observed mixture effects. The study showed that copper hydroxide was practically non-toxic, while glyphosate and the mixture were slightly toxic to C. gariepinus

Occurrence and antimicrobial resistance of pathogenic Escherichia coli and Salmonella spp. in retail raw table eggs sold for human consumption in Enugu state, Nigeria.

AIM: This study was conducted to investigate the occurrence of pathogenic Escherichia coli and Salmonella species in retail raw table eggs sold for human consumption in Enugu State and to determine the resistance of these pathogens to antimicrobials commonly used in human and veterinary practices in Nigeria. MATERIALS AND METHODS: A total of 340 raw table eggs comprising 68 composite samples (5 eggs per composite sample) were collected from five selected farms (13 composite samples from the farms) and 10 retail outlets (55 composite samples from the retail outlets) in the study area over a period of 4-month (March-June, 2014). The eggs were screened for pathogenic E. coli and Salmonella species following standard procedures within 24 h of sample collection. Isolates obtained were subjected to in-vitro antimicrobial susceptibility test with 15 commonly used antimicrobials using the disk diffusion method. RESULTS: About 37 (54.4%) and 7 (10.3%) of the 68 composite samples were positive for pathogenic E. coli and Salmonella species, respectively. The shells showed significantly higher (p<0.05) contaminations than the contents for both microorganisms. The eggs from the farms showed higher contamination with pathogenic E. coli than eggs from the retail outlets while the reverse was the case for Salmonella species even though they were not significant (p>0.05). The organisms obtained showed a multiple drug resistance. They were completely resistant to nitrofurantoin, sulfamethoxazole/trimethoprim, penicillin G and oxacillin. In addition to these, Salmonella spp. also showed 100% resistance to tetracycline. The pathogenic E. coli isolates obtained were 100% susceptible to gentamicin, neomycin, ciprofloxacin, and amoxicillin-clavulanic acid while Salmonella spp. showed 100% susceptibility to erythromycin, neomycin, and rifampicin. Both organisms showed varying degrees of resistance to streptomycin, amoxicillin, vancomycin, and doxycycline. CONCLUSION: From the results of the study, it can be concluded that the raw table eggs marketed for human consumption in Enugu State, Nigeria is contaminated with pathogenic E. coli and Salmonella species that showed multiple drug resistance to antimicrobial agents commonly used in veterinary and human practice.