Groundwater fluoride and dental fluorosis in southwestern Nigeria

Evaluating hydrogeochemical controls and noncarcinogenic health risk assessment of fluoride concentration in groundwater of Palacode and Pennagaram taluk, Dharmapuri district, Tamil Nadu, India

This study focuses on assessing hydrochemical characteristics and non-carcinogenic health risks associated with fluoride contamination in groundwater within the Palacode and Pennagaram taluks of Dharmapuri district. The presence of fluoride in drinking water is a significant concern due to its potential health impacts on both adults and children. We collected a total of 158 groundwater samples during both the summer (SUM) and monsoon (MON) seasons in 2021 to evaluate the suitability of water for drinking purposes in this region. During the SUM season, groundwater exhibits alkaline characteristics with a pH range of 6.70 to 8.73 and a mean value of 7.43, while the MON season falls within the neutral pH range with values ranging from 6.60 to 7.60 and a mean of 7.00. Hydrogeochemical analysis reveals that fluoride concentrations during the SUM season range from 0.13 to 2.7 mg/L, with a mean of 0.82 mg/L, whereas the MON season exhibits concentrations ranging from 0.08 to 1.6 mg/L, with a mean of 0.5 mg/L. Spatial distribution analysis indicates a gradual increase in fluoride concentrations from the northeast to the central and southern parts of the study area during both seasons. Residents in these areas have been exposed to high fluoride levels for an extended period, leading to health issues related to fluorosis. Our hydrogeochemical analysis attributes fluoride dominance to the Cl--SO42- water type in both seasons. Furthermore, the relationship between fluoride and pH, HCO3-, Ca2+, and Na+ suggests the influence of geological factors in fluoride dissolution under alkaline conditions, while a reverse cation exchange process and increasing calcium concentration inhibit fluoride concentration. Saturation indices indicate that the unsaturated state of gypsum dissolution contributes to elevated fluoride levels in groundwater. Additionally, Gibbs plots highlight rock-water interactions as a significant factor influencing groundwater chemistry in the study area. Based on our hazard quotient (HQ) investigation, children are at a higher risk during both seasons compared to adults, with the central and northern regions showing alarming HQ values. These findings underscore the urgent need for enhanced groundwater quality monitoring and a comprehensive assessment of health risks, providing valuable insights for groundwater safety management in vulnerable areas of this region.

In Silico Analysis of Ferroptosis-Related Genes and Its Implication in Drug Prediction against Fluorosis

Fluorosis is a serious global public health problem. Interestingly, so far, there is no specific drug treatment for the treatment of fluorosis. In this paper, the potential mechanisms of 35 ferroptosis-related genes in U87 glial cells exposed to fluoride were explored by bioinformatics methods. Significantly, these genes are involved in oxidative stress, ferroptosis, and decanoate CoA ligase activity. Ten pivotal genes were found by the Maximal Clique Centrality (MCC) algorithm. Furthermore, according to the Connectivity Map (CMap) and the Comparative Toxicogenomics Database (CTD), 10 possible drugs for fluorosis were predicted and screened, and a drug target ferroptosis-related gene network was constructed. Molecular docking was used to study the interaction between small molecule compounds and target proteins. Molecular dynamics (MD) simulation results show that the structure of the Celestrol-HMOX1 composite is stable and the docking effect is the best. In general, Celastrol and LDN-193189 may target ferroptosis-related genes to alleviate the symptoms of fluorosis, which may be effective candidate drugs for the treatment of fluorosis.

Goethite/montmorillonite adsorption coupled with electrocoagulation for improving fluoride removal from aqueous solutions

A new material GMS is produced as electrodes in the electrocoagulation (EC) process for F− removing from aqueous environments. The removal rate reaches 99.47% through the EC/GMS. Adsorption and co-precipitation are the main F− removal pathways.

GO-CeO₂ nanohybrid for ultra-rapid fluoride removal from drinking water

The presence of excess fluoride (F^- > 1.5 mg/L) in drinking water affects more than 260 million people globally and leads to dental and skeletal fluorosis among other health problems. This study investigated fluoride removal by graphene oxide-ceria nanohybrid (GO-CeO₂) and elucidated the mechanisms involved. The nanohybrid exhibited ultra-rapid kinetics for fluoride removal and the equilibrium (85% removal, 10 mg F^-/L initial concentration) was achieved within 1 min which is one of the fastest kinetics for fluoride removal reported so far. Fluoride removal by the nanohybrid followed Langmuir isotherm with a maximum adsorption capacity of 8.61 mg/g at pH 6.5 and that increased to 16.07 mg/g when the pH was lowered to 4.0. Based on the experimental results and characterization data, we have postulated that both electrostatic interaction and surface complexation participated in the fluoride removal process. The O^2- ions present in the CeO₂ lattice were replaced by F^- ions to make a coordination compound (complex). While both Ce⁴⁺ and Ce³⁺ were present in ceria nanoparticles (CeO₂ NPs), Ce³⁺ participated in fluoride complexation. During fluoride removal by GO-CeO₂, the GO sheets acted as electron mediators and help to reduce Ce⁴⁺ to Ce³⁺ at the CeO₂ NPs-GO interface, and the additional Ce³⁺ enhanced fluoride removal by the nanohybrid.

Meta-analysis and risk assessment of fluoride contamination in groundwater

This study aimed to carry out a systematic review of meta-analysis and risk assessment of the global pooled concentration of fluoride and identify the influencing factors of fluoride loads in groundwater. The study extracted data from 36 most prevalent regions of 20 countries in the world through various search engines using keywords as well as Boolean operators and follows the PRISMA statement in every phase of literature searching. The study illustrated the pooled concentration of fluoride in the selected 20 countries was 2.1267 mg/L (1.650, 2.604) at 95% confidence interval, which was higher than the WHO standards limit of 1.5 mg/L. The results of the meta-analysis suggested that pH, Na, HCO₃ and rainfall was significantly positively correlated (r = ~0.4; p ˂ 0.05) to fluoride and has a weak correction with the other parameters such as local temperature, altitude, water depth, EC, Ca, and Mg (r = -0.064 to +0.214; p ˂ 0.05). Concerning, the risk assessment through oral and dermal route exposure revealed that the consumers in most of the regions were at considerable risk, and the children were more vulnerable than the adults (THQ > 1). The study findings would help to take measures for safe water supply in the affected areas. PRACTITIONER POINTS: The calculated pooled concentration of fluoride was 2.1267 mg/L (1.650, 2.604) at 95% CI in groundwater of the study areas. Climatic conditions and lithological composition are the key controlling factors for groundwater fluoride contamination. Semi-arid and arid regions are significantly affected by fluoride rather than humid areas. Regarding fluorosis in selected regions, children (78%) are more vulnerable than adults (23%).

Does fluoride cause the mysterious chronic kidney disease of multifactorial origin?

A chronic kidney disease of multifactorial origin (CKDmfo), also known as CKD of unknown origin, started to manifest during the past four decades in certain economically poor, peri-equatorial agricultural countries. CKDmfo is an environmentally induced, occupationally-mediated, chronic tubulointerstitial disease. Prolonged exposure to environmental nephrotoxic agents and extenuating conditions are prerequisites for its manifestation. More than 30 causative factors have been postulated, but none one has been properly scientifically tested, to be able to include or exclude. In recent years, fluoride has come to be considered a key contender as a causative agent of CKDmfo. Therefore, this review examines the pros and cons of that theory and the potential plausibility that fluoride causes CKDmfo. It also examines the potential interactions and additive or synergistic effects of certain geogenic factors, especially, the plausibility of CaPO₄^-3 apatite and fluorapatite crystals and nanotube formation in concentrated tubular filtrate and within tubular cells, in renal tubules. The information presented is based on published work and data collected over the past two decades in Sri Lanka. However, the evidence and concepts are applicable to all CKDmfo-affected countries. Thus, the presented content might facilitate scientists to narrowed down causative factors to just a few and government departments to implement effective programs for preventing this disease. The findings suggest that in addition to the geogenic components, disease manifestation requires (A) prolonged exposure to environmental nephrotoxins and factors, (B) interactions among elements (Ca²⁺, PO₄^-3 , F^-, and Mg²⁺), and (C) vulnerability of the person, such as chronic dehydration, and antioxidant and micronutrient deficiencies. In vivo precipitation of nanominerals in renal tubular tissues that arising over several years causes tubulointerstitial disease-CKDmfo. Inherent vulnerabilities and conditions, together with nanomineral precipitation, trigger renal tubular cell oxidative stresses, inflammation, and fibrosis, and eventually causing tubulointerstitial chronic renal failure-CKDmfo.

Citric acid modified granular activated carbon for enhanced defluoridation

Excess fluoride (F^-, >1.5 mg F^-/L) in drinking water affects >260 million people across the globe and leads to dental and skeletal fluorosis. In this study, commercially available granular activated carbon (GAC) was modified with 0.3 M citric acid to get citric acid modified GAC (CAGAC). Over 70% of fluoride was removed in the first 60 min by CAGAC, whereas unmodified GAC removed only 30%. There were negligible interferences by co-existing ions (NO₃^-, Cl^-, HCO₃^-, SO₄^2-_, PO₄^3-) and organic matters. Maximum adsorption capacity of CAGAC was two times (1.65 mg/g) that of unmodified GAC (0.88 mg/g). Dubinin-Radushkevich (D-R) isotherm described the experimental data well indicating that ion exchange was involved in fluoride removal. CAGAC worked effectively over a wide range of pH (2-10) even though the point-of-zero-charge (PZC) was 4.89, and so the removal was not controlled by electrostatic interaction alone; surface adsorption and intra-particle diffusion were the rate-determining processes.

A review on the potential sources and health implications of fluoride in groundwater of Sub-Saharan Africa

Groundwater is a major source of drinking water for millions of people around the world. Over 400 million people in Africa depend solely on it as their main source of water supply. Fluoride is a common contaminant in groundwater. In low concentration (0.5-1.0 mg/L), fluoride is needed by humans for healthy development of bones and teeth, however, a concentration >1.5 mg/L has been linked with several fluorosis and non-fluorosis diseases. Dental and skeletal fluorosis are the major fluorosis diseases commonly reported with the consumption of fluoride-rich water. Although fluoride intake through other pathways such as the drinking of tea and eating of vegetables have been reported, the drinking of fluoride-rich water remains the major pathway of fluoride into humans. Cases of high fluoride levels in groundwater have been reported in almost all the sub-Saharan Africa region but it is more prevalent in East African countries, Sudan and South Africa. Although fluoride is present in surface water mostly in the East African Rift Valley across different countries in East Africa, its significant or high levels are usually associated with groundwater. Geogenic sources such as fluorite, apatite, biotite, amphibole, micas, topaz, cryolite, muscovite and fluorspar have been identified as the major sources of fluoride in groundwater. High fluoride levels have been reported across sub Saharan Africa, with generally higher levels in East Africa resulting from the volcanic activities in the rift system. Dental fluorosis has been reported in many sub-Saharan African countries including South Africa, Tanzania, Uganda, Ethiopia, Kenya, Sudan, Niger, Nigeria, Benin, Ghana and Malawi. Geothermal temperature has been regarded as one of the driving forces for high fluoride levels recorded in groundwater from deep aquifers and geothermal springs. The most affected people with the consumption of fluoride-rich water are the poor with low socioeconomic status who live in rural areas. Some of the proposed alternative sources include rainwater and fog water harvesting and blending of water from various sources. Low-cost and sustainable deflouridation technique remains one of the best ways to treat fluoride contaminated water either at communal level or at the point-of-use.

Factors Affecting the Environmentally Induced, Chronic Kidney Disease of Unknown Aetiology in Dry Zonal Regions in Tropical Countries—Novel Findings

A new form of chronic tubulointerstitial kidney disease (CKD) not related to diabetes or hypertension appeared during the past four decades in several peri-equatorial and predominantly agricultural countries. Commonalities include underground stagnation of drinking water with prolonged contact with rocks, harsh climatic conditions with protracted dry seasons, and rampant poverty and malnutrition. In general, the cause is unknown, and the disease is therefore named CKD of unknown aetiology (CKDu). Since it is likely caused by a combination of factors, a better term would be CKD of multifactorial origin (CKDmfo). Middle-aged malnourished men with more than 10 years of exposure to environmental hazards are the most vulnerable. Over 30 factors have been proposed as causative, including agrochemicals and heavy metals, but none has been properly tested nor proven as causative, and unlikely to be the cause of CKDmfo/CKDu. Conditions such as, having favourable climatic patterns, adequate hydration, and less poverty and malnutrition seem to prevent the disease. With the right in vivo conditions, chemical species such as calcium, phosphate, oxalate, and fluoride form intra-renal nanomineral particles initiating the CKDmfo. This article examines the key potential chemical components causing CKDmfo together with the risk factors and vulnerabilities predisposing individuals to this disease. Research findings suggest that in addition to drinking water from stagnant sources that contain high ionic components, more than 10 years of exposure to environmental nephrotoxins and micronutrient malnutrition are needed to contract this fatal disease.

21st century research in urban WASH and health in sub-Saharan Africa: methods and outcomes in transition

Tackling global inequalities in access to Water, Sanitation and Hygiene (WASH) remains an urgent issue - 58% of annual diarrhoeal deaths are caused by inadequate WASH provision. A global context of increasing urbanisation, changing demographics and health transitions demands an understanding and impact of WASH on a broad set of health outcomes. We examine the literature, in terms of health outcomes, considering WASH access and interventions in urban sub-Saharan Africa from 2000 to 2017. Our review of studies which evaluate the effectiveness of specific WASH interventions, reveals an emphasis of WASH research on acute communicable diseases, particularly diarrhoeal diseases. In contrast, chronic communicable and non-communicable health outcomes were notable gaps in the literature as well as a lack of focus on cross-cutting issues, such as ageing, well-being and gender equality. We recommend a broader focus of WASH research and interventions in urban Africa to better reflect the demographic and health transitions happening. Abbreviations: CBA: Controlled Before and After; GSD: Government Service Delivery; IWDSSD: International Drinking-Water, Supply and Sanitation Decade (IDWSSD); KAP: Knowledge, Attitudes and Practices; IBD: Irritable Bowel Diseases; MDG: Millennium Development Goals; NTD: Neglected Tropical Diseases; PSSD: Private Sector Service Delivery; SDG: Sustainable Development Goals; SSA: Sub Saharan Africa; SODIS: Solar Disinfection System; STH: Soil Transmitted Helminths; RCT: Randomised Control Trial; WASH: Water Sanitation and Hygiene; WHO: World Health Organization.

Assessment of geospatial and hydrochemical interactions of groundwater quality, southwestern Nigeria

Groundwater pollution resulting from anthropogenic activities and poor effluent management is on the rise in Nigeria. Hence, groundwater used for domestic purposes is questionable and therefore calls for scientific scrutiny. Investigation of hydrochemical interactions and quality of groundwater resource is essential in order to monitor and identify sources of water pollutants. As a result, groundwater samples were collected from 21 locations in Abeokuta South, Nigeria and analyzed for physicochemical parameters using standard methods. Results obtained were subjected to hydrochemical and geospatial analyses. Water quality parameters investigated exhibited wide variations from location to location. Fe²⁺, Mg²⁺, SO₄^2-, Cl^-, total hardness (TH), Mn, Na⁺, NO₃^-, SiO₂, and alkalinity exhibited the highest levels of variation with coefficients of variation of 131.3, 92.8, 83.9, 76.7, 65.9, 64.3, 57.6, 57.2, 57.0, and 52.5, respectively. The average pH value was 6.76 with 71% of the water samples being slightly acidic. Na²⁺, Mg²⁺, Fe²⁺, and EC contents exhibited the most violation of drinking water standards with percent violations of 100, 52.4, 47.6, and 47.6%, respectively. Parameters, such as Mn, Ca²⁺, NO₃^-, and CO₃^2-, were within the WHO guideline values for drinking water in all the samples. The highest level of significant correlation was found to exist between Na⁺ and Cl^- (r = 0.84, α = 0.01). Six principal components, which explained 83.5% of the variation in water quality, were extracted with the first (34.1%) and second components (15.7%) representing the influence of mineral dissolution and anthropogenic practices, respectively, on the hydrochemistry of the area. Four hydrochemical clusters were identified with distinctly partitioned water quality. Further analysis revealed that 38, 29, 24, and 9% of the samples were the Na-K-HCO₃, Na-K-Cl-SO₄, Ca-Mg-HCO₃, and Ca-Mg-Cl-SO₄ types, respectively. Anthropogenic activities are increasing threat to groundwater quality in the study location and therefore call for urgent attention. There is also a need for routine monitoring of groundwater in Abeokuta.

Prevalence and extent of enamel defects in the permanent teeth of 8-year-old Nigerian children

OBJECTIVES

Enamel formation is a vulnerable developmental process, susceptible to environmental influences such as excessive systemic fluoride (F) exposure and infant/childhood disease. This study determined prevalence and extent of developmental enamel defects (DDE) and dental fluorosis in 8-year-old Nigerians and explored associations with key predictors.

METHODS

A sample of 322 healthy 8-year-olds (155 males, 167 females) from primary schools in lower and higher water F areas of (i) rural and (ii) urban parts of Oyo State in south-west Nigeria (n = 4 areas) (in which the mean (SD) F concentration of community water supplies ranged from 0.07 (0.02) to 2.13 (0.64) mg F/L) were dentally examined using modified DDE (mDDE) and Thylstrup and Fejerskov (TF) indices. Drinking waters, cooking waters and toothpaste samples were analysed for F concentration using a F ion-selective electrode (F-ISE). Information on infant/childhood diseases, infant feeding and tooth cleaning practices was obtained from parents/legal guardians. Data were analysed using ANOVA, chi-square tests, Spearman correlation and binary logistic regression as appropriate.

RESULTS

Mean (SD) F concentration of actual drinking and actual cooking waters consumed by participants was 0.25 (0.20) and 0.24 (0.14) mg F/L respectively in the urban higher F area; 1.11 (1.00) and 1.16 (1.02) mg F/L, respectively in the rural higher F area (P < .05). Overall, mouth prevalence of DDE in the permanent dentition was 61.2% with a mean (SD) of 2.4 (2.2) index teeth affected. Dental fluorosis mouth prevalence was 29.8% with a mean of 2.1 (3.7) teeth affected. Prevalence and extent of DDE and dental fluorosis were greater in higher F than lower water F areas (P < .001). A weak positive correlation was seen between extent of dental fluorosis and drinking water F concentration (ρ = 0.28). The absence of infant/childhood disease was associated with a lower risk of DDE being present (P = .001), with an odds ratio of 0.43 (95% CI = 0.26, 0.71). Gender was a statistically significant (P = .014) predictor for dental fluorosis with females having a higher risk OR 1.94 (95% CI = 1.14, 3.28) of dental fluorosis than males.

CONCLUSIONS

In these Nigerian 8-year-olds (n = 322), mouth prevalence of DDE was 61.2% (mean (SD) teeth affected = 2.4 (2.2)), and a key positive predictor was a history of infant/childhood disease. With 29.8% of these children exhibiting dental fluorosis (mean (SD) teeth affected = 2.1(3.7)), drinking water F concentration was identified as a positive predictor, along with gender, with females more at risk of dental fluorosis than males.

Deterioration of teeth and alveolar bone loss due to chronic environmental high-level fluoride and low calcium exposure

OBJECTIVES

Health risks due to chronic exposure to highly fluoridated groundwater could be underestimated because fluoride might not only influence the teeth in an aesthetic manner but also seems to led to dentoalveolar structure changes. Therefore, we studied the tooth and alveolar bone structures of Dorper sheep chronically exposed to very highly fluoridated and low calcium groundwater in the Kalahari Desert in comparison to controls consuming groundwater with low fluoride and normal calcium levels within the World Health Organization (WHO) recommended range.

MATERIALS AND METHODS

Two flocks of Dorper ewes in Namibia were studied. Chemical analyses of water, blood and urine were performed. Mineralized tissue investigations included radiography, HR-pQCT analyses, histomorphometry, energy-dispersive X-ray spectroscopy and X-ray diffraction-analyses.

RESULTS

Fluoride levels were significantly elevated in water, blood and urine samples in the Kalahari group compared to the low fluoride control samples. In addition to high fluoride, low calcium levels were detected in the Kalahari water. Tooth height and mandibular bone quality were significantly decreased in sheep, exposed to very high levels of fluoride and low levels of calcium in drinking water. Particularly, bone volume and cortical thickness of the mandibular bone were significantly reduced in these sheep.

CONCLUSIONS

The current study suggests that chronic environmental fluoride exposure with levels above the recommended limits in combination with low calcium uptake can cause significant attrition of teeth and a significant impaired mandibular bone quality.

CLINICAL RELEVANCE

In the presence of high fluoride and low calcium-associated dental changes, deterioration of the mandibular bone and a potential alveolar bone loss needs to be considered regardless whether other signs of systemic skeletal fluorosis are observed or not.

Geochemical processes regulating F-, as and NO3- content in the groundwater of a sector of the Pampean Region, Argentina

The presence of F(-) and As in groundwater is common in volcanic aquifers. Excessive concentrations of these ions affect the quality of drinking water and can be harmful to health. When there is an anthropogenic source in phreatic aquifers, NO3(-) is incorporated to the groundwater components, deteriorating its quality. The objective of this work is to assess the geochemical processes that regulate the contents of F(-), As and NO3(-) of the groundwater in a sector of the Pampean Region in Argentina. This area is supplied with water by exploiting a multilayer aquifer, composed of a phreatic aquifer occurring in loess sediments and a fluvial semi-confined aquifer, separated by an aquitard. The results obtained show that the phreatic aquifer has a higher concentration of F(-), As and NO3(-) than the semi-confined aquifer. Fluoride derives from the dissolution of volcanic glass at a slightly alkaline pH and from anion exchange; however, it may also be absorbed by the reprecipitating carbonates. The As is released by desorption, with the main source being the glass and lithic fragments of the loess. The NO3(-) originates from the decomposition of organic matter, mainly in the septic tanks of the peri-urban areas. Meanwhile, the As and F(-) content in the semi-confined aquifer is lower and its origin is the result of water inflow by vertical downward infiltration from the phreatic aquifer through the aquitard. The Pampean Region is one of the areas with the largest volume of agricultural exports in the world and at present it is undergoing a strong social and economic growth. Understanding the geochemical processes that regulate the quality of drinking water is of vital importance to generate water management guidelines aiming at minimizing the deterioration of drinking water sources.

Evaluation of long-term (1960-2010) groundwater fluoride contamination in Texas

Groundwater quality degradation is a major threat to sustainable development in Texas. The aim of this study was to elucidate spatiotemporal patterns of groundwater fluoride (F) contamination in different water use classes in 16 groundwater management areas in Texas between 1960 and 2010. Groundwater F concentration data were obtained from the Texas Water Development Board and aggregated over a decadal scale. Our results indicate that observations exceeding the drinking water quality threshold of World Health Organization (1.5 mg F L) and secondary maximum contaminant level (SMCL) (2 mg F L) of the USEPA increased from 26 and 19% in the 1960s to 37 and 23%, respectively, in the 2000s. In the 2000s, F observations > SMCL among different water use classes followed the order: irrigation (39%) > domestic (20%) > public supply (17%). Extent and mode of interaction between F and other water quality parameters varied regionally. In western Texas, high F concentrations were prevalent at shallower depths (<50 m) and were positively correlated with bicarbonate (HCO) and sulfate anions. In contrast, in southern and southeastern Texas, higher F concentrations occurred at greater depths (>50 m) and were correlated with HCO and chloride anions. A spatial pattern has become apparent marked by "excess" F in western Texas groundwaters as compared with "inadequate" F contents in rest of the state. Groundwater F contamination in western Texas was largely influenced by groundwater mixing and evaporative enrichment as compared with water-rock interaction and mineral dissolution in the rest of the state.

High fluoride and low calcium levels in drinking water is associated with low bone mass, reduced bone quality and fragility fractures in sheep

Chronic environmental fluoride exposure under calcium stress causes fragility fractures due to osteoporosis and bone quality deterioration, at least in sheep. Proof of skeletal fluorosis, presenting without increased bone density, calls for a review of fracture incidence in areas with fluoridated groundwater, including an analysis of patients with low bone mass.

INTRODUCTION

Understanding the skeletal effects of environmental fluoride exposure especially under calcium stress remains an unmet need of critical importance. Therefore, we studied the skeletal phenotype of sheep chronically exposed to highly fluoridated water in the Kalahari Desert, where livestock is known to present with fragility fractures.

METHODS

Dorper ewes from two flocks in Namibia were studied. Chemical analyses of water, blood and urine were executed for both cohorts. Skeletal phenotyping comprised micro-computer tomography (μCT), histological, histomorphometric, biomechanical, quantitative backscattered electron imaging (qBEI) and energy-dispersive X-ray (EDX) analysis. Analysis was performed in direct comparison with undecalcified human iliac crest bone biopsies of patients with fluoride-induced osteopathy.

RESULTS

The fluoride content of water, blood and urine was significantly elevated in the Kalahari group compared to the control. Surprisingly, a significant decrease in both cortical and trabecular bones was found in sheep chronically exposed to fluoride. Furthermore, osteoid parameters and the degree and heterogeneity of mineralization were increased. The latter findings are reminiscent of those found in osteoporotic patients with treatment-induced fluorosis. Mechanical testing revealed a significant decrease in the bending strength, concurrent with the clinical observation of fragility fractures in sheep within an area of environmental fluoride exposure.

CONCLUSIONS

Our data suggest that fluoride exposure with concomitant calcium deficit (i) may aggravate bone loss via reductions in mineralized trabecular and cortical bone mass and (ii) can cause fragility fractures and (iii) that the prevalence of skeletal fluorosis especially due to groundwater exposure should be reviewed in many areas of the world as low bone mass alone does not exclude fluorosis.

Characterization of groundwater resources in the Trinity and Woodbine aquifers in Texas

A vast region in north-central Texas, centering on Dallas-Fort Worth metroplex, suffers from intense groundwater drawdown and water quality degradation, which led to inclusion of 18 counties of this region into Priority Groundwater Management Areas. We combined aquifer-based and county-based hydrologic analyses to (1) assess spatio-temporal changes in groundwater level and quality between 1960 and 2010 in the Trinity and Woodbine aquifers underlying the study region, (2) delve into major hydrochemical facies with reference to aquifer hydrostratigraphy, and (3) identify county-based spatial zones to aid in future groundwater management initiatives. Water-level and quality data was obtained from the Texas Water Development Board (TWDB) and analyzed on a decadal scale. Progressive water-level decline was the major concern in the Trinity aquifer with >50% of observations occurring at depths >100 m since the 1980s, an observation becoming apparent only in the 2000s in the Woodbine aquifer. Water quality degradation was the major issue in the Woodbine aquifer with substantially higher percentage of observations exceeding the secondary maximum contaminant levels (SMCL; a non-enforceable threshold set by the United State Environmental Protection Agency (USEPA)) and/or maximum contaminant level (MCL, a legally enforceable drinking water standard set by the USEPA) for sulfate (SO4(2-)), chloride (Cl(-)), and fluoride (F(-)) in each decade. In both aquifers, however, >70% of observations exceeded the SMCL for total dissolved solids indicating high groundwater salinization. Water-level changes in Trinity aquifer also had significant negative impact on water quality. Hydrochemical facies in this region sequentially evolved from Ca-Mg-HCO3 and Ca-HCO3 in the fluvial sediments of the west to Na-SO4-Cl in the deltaic sediments to the east. Sequentially evolving hydrogeochemical facies and increasing salinization closely resembled regional groundwater flow pattern. Distinct spatial zones based on homogenous hydrologic characteristics have become increasingly apparent over time indicating necessity of zone-specific groundwater management strategies.

Prophylactic effects of methyl-3-O-methyl gallate against sodium fluoride-induced oxidative stress in erythrocytes in vivo

OBJECTIVES

The purpose of this study was to demonstrate the effect of methyl-3-O-methyl gallate (M3OMG), a rare polyphenolic natural product with a potent in-vitro antioxidant effect, against sodium fluoride (NaF)-induced oxidative stress in rat erythrocytes in vivo.

METHODS

Male Wistar rats were treated daily with either M3OMG (10 and 20 mg/kg) obtained through synthesis, vitamin C (10 mg/kg) or vehicle intraperitoneally for 7 days. Oxidative stress was then induced by exposing animals to NaF (600 ppm) through drinking water for 7 days. At the end of intoxication period, rats were killed and erythrocytes isolated. The activity of antioxidant enzymes (catalase and superoxide dismutase) and levels of reduced glutathione and thiobarbituric acid reactive substances were measured in erythrocyte haemolysates.

RESULTS

NaF intoxication resulted in a 1.9-fold increase in erythrocyte lipid peroxidation associated with significant (P < 0.001) depletion of reduced glutathione level. Superoxide dismutase and catalase activity was suppressed by NaF treatment by 3.069 and 2.3 fold when compared with untreated control groups. Pretreatment of rats with M3OMG or vitamin C afforded protection against NaF-induced oxidative stress as assessed through the measured oxidant/antioxidant markers.

CONCLUSION

This finding provided in-vivo evidence for the therapeutic potential of M3OMG in combating fluoride-induced oxidative damage in cellular systems.