Metformin environmental exposure: A systematic review.

This review discussed the occurrence, ecological impacts, and effects of metformin, a drug used for type 2 diabetes among other diseases. It is one of the most commonly found medicines in aquatic environments owing to its incomplete metabolism in the human body, and is eventually disposed in wastewater. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses were followed as a guide. After searching various databases, 48 eligible studies were selected for the review. Metformin reportedly occurs in different environmental matrices, as measurable concentrations of metformin are found in sewage (urban and hospital), influent/sludge/effluent from wastewater treatment plants, surface water (rivers, lakes, estuaries, oceans, and non-specific sources), tap/drinking water, and sediment (lake and recipient seawaters). Data on metformin detection in aquatic environments in 14 countries were studied, but a consensus on the risk patterns of pharmaceutical products was not determined. Many studies have been conducted on different test organisms, demonstrating that metformin can drive the expression of diverse genes, particularly those responsible for endocrine hormone pathways. Chronic exposure to metformin can be tested using models and other tools to understand this field, which remains largely unexplored. Our results contribute to the current ecotoxicology knowledge related to typically used drugs and provide a basis for further investigations.

Toxicity and effects of the neonicotinoid thiamethoxam on Scaptotrigona bipunctata lepeletier, 1836 (Hymenoptera: Apidae).

The neonicotinoid thiamethoxam is widely used in different agricultural crops, and it has a spectrum of action against insects, affecting both pests and pollinators, such as bees. In this study, the effects of exposure to sublethal concentrations of thiamethoxam on stingless bees Scaptotrigona bipunctata were evaluated. Foragers bees were exposed to the insecticide and subjected to genetic biochemical, histochemical, and morphological analyses after 24, 48, and 72 h of ingestion. Analysis of isoenzyme esterases revealed significant alterations in the relative activity of EST-4, a type II cholinesterase. Evaluation of the S. bipunctata brain revealed changes in the state of chromatin condensation according to the exposure time and concentration of neonicotinoid compared with the control. Morphological changes were observed in the midgut of this species at all concentrations and exposure times, which may interfere with various physiological processes of these insects. We can conclude that, although thiamethoxam at the concentrations evaluated did not cause high mortality, it induced concentration-dependent changes in bees by activating enzymes related with the protection for xenobiotic, internal morphology and probably these changes may lead to alterations in the activity of bees.