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Liu M, Guo W, Li M, Yang H, Lai X, Yang L, Zhang X. Physical activity modified association of urinary metals mixture and fasting blood glucose in children: From two panel studies. ENVIRONMENTAL RESEARCH 2024; 252:118767. [PMID: 38527725 DOI: 10.1016/j.envres.2024.118767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Revised: 02/23/2024] [Accepted: 03/19/2024] [Indexed: 03/27/2024]
Abstract
There is unclear evidence available on the associations between multiple metals and fasting blood glucose (FBG) in children, and whether they could be beneficial from physical activity. We included 283 children aged 4-12 years from two panel studies with 4-consecutive morning urinary 13 essential metals and 10 non-essential metals repeated across 3 seasons. We employed multiple informant model, linear mixed-effect model, and quantile g-computation to evaluate associations of single metal and their mixture with FBG and interactions with extra-school activity. The results showed that positive relations of multiple essential metals (aluminum, chromium, copper, iron, molybdenum (Mo), nickel, selenium (Se), strontium, zinc) and non-essential metals (arsenic (As), cadmium (Cd), rubidium, titanium (Ti), thallium) with FBG were the strongest at lag 0 (the health examination day), especially in overweight & obesity children (FDR <0.05). The strongest effect presented 1-fold increment in As was related to FBG increased 1.66% (95%CI: 0.84%, 2.48%) in overweight & obesity children. Notably, modification of extra-school activity showed significant, and the effects of multiple metals on FBG were attenuated in children taking total extra-school activity ≥1 h/day, and only one type of which, low or moderate & high intensity extra-school activity reached 20 min/day (Pint <0.05). For instance, each 1-fold increased As was associated with 1.41% increased FBG in overall children taking total extra-school activity <1 h/day, while that of 0.13% in those ≥1 h/day. Meanwhile, mixture of all, essential and non-essential metals were associated with increased FBG, a trend that decreased and became nonsignificant in children having certain extra-school activity, which were dominated by Mo, Se, Ti, Cd. And such relations were substantially beneficial from extra-school activity in overweight & obesity children. Accordingly, multiple essential and non-essential metals, both individual and in mixture, were positively related to FBG in children, which might be attenuated by regular physical activity.
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Affiliation(s)
- Miao Liu
- Department of Epidemiology, School of Public Health (Shenzhen), Sun Yat-Sen University, Shenzhen, Guangdong, China; Department of Occupational and Environmental Health, Ministry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Wenting Guo
- Department of Occupational and Environmental Health, Ministry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Meng Li
- School of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Huihua Yang
- Department of Occupational and Environmental Health, Ministry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Xuefeng Lai
- Department of Occupational and Environmental Health, Ministry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Liangle Yang
- Department of Occupational and Environmental Health, Ministry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Xiaomin Zhang
- Department of Occupational and Environmental Health, Ministry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
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Gatzke-Kopp LM, Willoughby M, Kress AM, McArthur K, Wychgram C, Folch DC, Brunswasser S, Dabelea D, Elliott AJ, Hartert T, Karagas M, McEvoy CT, VanDerslice JA, Wright RO, Wright RJ. Airborne Lead Exposure and Childhood Cognition: The Environmental Influences on Child Health Outcomes (ECHO) Cohort (2003-2022). Am J Public Health 2024; 114:309-318. [PMID: 38382019 PMCID: PMC10882396 DOI: 10.2105/ajph.2023.307519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/23/2024]
Abstract
Objectives. To examine whether a previously reported association between airborne lead exposure and children's cognitive function replicates across a geographically diverse sample of the United States. Methods. Residential addresses of children (< 5 years) were spatially joined to the Risk-Screening Environmental Indicators model of relative airborne lead toxicity. Cognitive outcomes for children younger than 8 years were available for 1629 children with IQ data and 1476 with measures of executive function (EF; inhibitory control, cognitive flexibility). We used generalized linear models using generalized estimating equations to examine the associations of lead, scaled by interquartile range (IQR), accounting for individual- and area-level confounders. Results. An IQR increase in airborne lead was associated with a 0.74-point lower mean IQ score (b = -0.74; 95% confidence interval = -1.00, -0.48). The association between lead and EF was nonlinear and was modeled with a knot at the 97.5th percentile of lead in our sample. Lead was significantly associated with lower mean inhibitory control but not with cognitive flexibility. This effect was stronger among males for both IQ and inhibitory control. Conclusions. Early-life exposure to airborne lead is associated with lower cognitive functioning. (Am J Public Health. 2024;114(3):309-318. https://doi.org/10.2105/AJPH.2023.307519).
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Affiliation(s)
- Lisa M Gatzke-Kopp
- Lisa M. Gatzke-Kopp is with the Department of Human Development and Family Studies, Pennsylvania State University, University Park. Michael Willoughby is with the Department of Education and Workforce Development, RTI International, Raleigh, NC. Amii M. Kress, Kristen McArthur, and Cara Wychgram are with the Department of General Epidemiology and Methodology, Johns Hopkins University, Baltimore, MD. David C. Folch is with the Department of Geography, Planning and Recreation, Northern Arizona University, Flagstaff. Steve Brunswasser is with the Department of Psychology, Rowan University, Glassboro, NJ. Dana Dabelea is with the Colorado School of Public Health, University of Colorado Anshutz Medical Campus, Aurora. Amy J. Elliott is with the Avera Research Institute, Sioux Falls, SD. Tina Hartert is with the Center for Health Services Research, Vanderbilt University, Nashville, TN. Margaret Karagas is with the Department of Epidemiology, Dartmouth Geisel School of Medicine, Lebanon, NH. Cindy T. McEvoy is with the Department of Pediatrics, Oregon Health Sciences University, Portland. James A. VanDerslice is with the Department of Public Health, University of Utah School of Medicine, Salt Lake City. Robert O. Wright and Rosalind J. Wright are with the Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Michael Willoughby
- Lisa M. Gatzke-Kopp is with the Department of Human Development and Family Studies, Pennsylvania State University, University Park. Michael Willoughby is with the Department of Education and Workforce Development, RTI International, Raleigh, NC. Amii M. Kress, Kristen McArthur, and Cara Wychgram are with the Department of General Epidemiology and Methodology, Johns Hopkins University, Baltimore, MD. David C. Folch is with the Department of Geography, Planning and Recreation, Northern Arizona University, Flagstaff. Steve Brunswasser is with the Department of Psychology, Rowan University, Glassboro, NJ. Dana Dabelea is with the Colorado School of Public Health, University of Colorado Anshutz Medical Campus, Aurora. Amy J. Elliott is with the Avera Research Institute, Sioux Falls, SD. Tina Hartert is with the Center for Health Services Research, Vanderbilt University, Nashville, TN. Margaret Karagas is with the Department of Epidemiology, Dartmouth Geisel School of Medicine, Lebanon, NH. Cindy T. McEvoy is with the Department of Pediatrics, Oregon Health Sciences University, Portland. James A. VanDerslice is with the Department of Public Health, University of Utah School of Medicine, Salt Lake City. Robert O. Wright and Rosalind J. Wright are with the Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Amii M Kress
- Lisa M. Gatzke-Kopp is with the Department of Human Development and Family Studies, Pennsylvania State University, University Park. Michael Willoughby is with the Department of Education and Workforce Development, RTI International, Raleigh, NC. Amii M. Kress, Kristen McArthur, and Cara Wychgram are with the Department of General Epidemiology and Methodology, Johns Hopkins University, Baltimore, MD. David C. Folch is with the Department of Geography, Planning and Recreation, Northern Arizona University, Flagstaff. Steve Brunswasser is with the Department of Psychology, Rowan University, Glassboro, NJ. Dana Dabelea is with the Colorado School of Public Health, University of Colorado Anshutz Medical Campus, Aurora. Amy J. Elliott is with the Avera Research Institute, Sioux Falls, SD. Tina Hartert is with the Center for Health Services Research, Vanderbilt University, Nashville, TN. Margaret Karagas is with the Department of Epidemiology, Dartmouth Geisel School of Medicine, Lebanon, NH. Cindy T. McEvoy is with the Department of Pediatrics, Oregon Health Sciences University, Portland. James A. VanDerslice is with the Department of Public Health, University of Utah School of Medicine, Salt Lake City. Robert O. Wright and Rosalind J. Wright are with the Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Kristen McArthur
- Lisa M. Gatzke-Kopp is with the Department of Human Development and Family Studies, Pennsylvania State University, University Park. Michael Willoughby is with the Department of Education and Workforce Development, RTI International, Raleigh, NC. Amii M. Kress, Kristen McArthur, and Cara Wychgram are with the Department of General Epidemiology and Methodology, Johns Hopkins University, Baltimore, MD. David C. Folch is with the Department of Geography, Planning and Recreation, Northern Arizona University, Flagstaff. Steve Brunswasser is with the Department of Psychology, Rowan University, Glassboro, NJ. Dana Dabelea is with the Colorado School of Public Health, University of Colorado Anshutz Medical Campus, Aurora. Amy J. Elliott is with the Avera Research Institute, Sioux Falls, SD. Tina Hartert is with the Center for Health Services Research, Vanderbilt University, Nashville, TN. Margaret Karagas is with the Department of Epidemiology, Dartmouth Geisel School of Medicine, Lebanon, NH. Cindy T. McEvoy is with the Department of Pediatrics, Oregon Health Sciences University, Portland. James A. VanDerslice is with the Department of Public Health, University of Utah School of Medicine, Salt Lake City. Robert O. Wright and Rosalind J. Wright are with the Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Cara Wychgram
- Lisa M. Gatzke-Kopp is with the Department of Human Development and Family Studies, Pennsylvania State University, University Park. Michael Willoughby is with the Department of Education and Workforce Development, RTI International, Raleigh, NC. Amii M. Kress, Kristen McArthur, and Cara Wychgram are with the Department of General Epidemiology and Methodology, Johns Hopkins University, Baltimore, MD. David C. Folch is with the Department of Geography, Planning and Recreation, Northern Arizona University, Flagstaff. Steve Brunswasser is with the Department of Psychology, Rowan University, Glassboro, NJ. Dana Dabelea is with the Colorado School of Public Health, University of Colorado Anshutz Medical Campus, Aurora. Amy J. Elliott is with the Avera Research Institute, Sioux Falls, SD. Tina Hartert is with the Center for Health Services Research, Vanderbilt University, Nashville, TN. Margaret Karagas is with the Department of Epidemiology, Dartmouth Geisel School of Medicine, Lebanon, NH. Cindy T. McEvoy is with the Department of Pediatrics, Oregon Health Sciences University, Portland. James A. VanDerslice is with the Department of Public Health, University of Utah School of Medicine, Salt Lake City. Robert O. Wright and Rosalind J. Wright are with the Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
| | - David C Folch
- Lisa M. Gatzke-Kopp is with the Department of Human Development and Family Studies, Pennsylvania State University, University Park. Michael Willoughby is with the Department of Education and Workforce Development, RTI International, Raleigh, NC. Amii M. Kress, Kristen McArthur, and Cara Wychgram are with the Department of General Epidemiology and Methodology, Johns Hopkins University, Baltimore, MD. David C. Folch is with the Department of Geography, Planning and Recreation, Northern Arizona University, Flagstaff. Steve Brunswasser is with the Department of Psychology, Rowan University, Glassboro, NJ. Dana Dabelea is with the Colorado School of Public Health, University of Colorado Anshutz Medical Campus, Aurora. Amy J. Elliott is with the Avera Research Institute, Sioux Falls, SD. Tina Hartert is with the Center for Health Services Research, Vanderbilt University, Nashville, TN. Margaret Karagas is with the Department of Epidemiology, Dartmouth Geisel School of Medicine, Lebanon, NH. Cindy T. McEvoy is with the Department of Pediatrics, Oregon Health Sciences University, Portland. James A. VanDerslice is with the Department of Public Health, University of Utah School of Medicine, Salt Lake City. Robert O. Wright and Rosalind J. Wright are with the Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Steve Brunswasser
- Lisa M. Gatzke-Kopp is with the Department of Human Development and Family Studies, Pennsylvania State University, University Park. Michael Willoughby is with the Department of Education and Workforce Development, RTI International, Raleigh, NC. Amii M. Kress, Kristen McArthur, and Cara Wychgram are with the Department of General Epidemiology and Methodology, Johns Hopkins University, Baltimore, MD. David C. Folch is with the Department of Geography, Planning and Recreation, Northern Arizona University, Flagstaff. Steve Brunswasser is with the Department of Psychology, Rowan University, Glassboro, NJ. Dana Dabelea is with the Colorado School of Public Health, University of Colorado Anshutz Medical Campus, Aurora. Amy J. Elliott is with the Avera Research Institute, Sioux Falls, SD. Tina Hartert is with the Center for Health Services Research, Vanderbilt University, Nashville, TN. Margaret Karagas is with the Department of Epidemiology, Dartmouth Geisel School of Medicine, Lebanon, NH. Cindy T. McEvoy is with the Department of Pediatrics, Oregon Health Sciences University, Portland. James A. VanDerslice is with the Department of Public Health, University of Utah School of Medicine, Salt Lake City. Robert O. Wright and Rosalind J. Wright are with the Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Dana Dabelea
- Lisa M. Gatzke-Kopp is with the Department of Human Development and Family Studies, Pennsylvania State University, University Park. Michael Willoughby is with the Department of Education and Workforce Development, RTI International, Raleigh, NC. Amii M. Kress, Kristen McArthur, and Cara Wychgram are with the Department of General Epidemiology and Methodology, Johns Hopkins University, Baltimore, MD. David C. Folch is with the Department of Geography, Planning and Recreation, Northern Arizona University, Flagstaff. Steve Brunswasser is with the Department of Psychology, Rowan University, Glassboro, NJ. Dana Dabelea is with the Colorado School of Public Health, University of Colorado Anshutz Medical Campus, Aurora. Amy J. Elliott is with the Avera Research Institute, Sioux Falls, SD. Tina Hartert is with the Center for Health Services Research, Vanderbilt University, Nashville, TN. Margaret Karagas is with the Department of Epidemiology, Dartmouth Geisel School of Medicine, Lebanon, NH. Cindy T. McEvoy is with the Department of Pediatrics, Oregon Health Sciences University, Portland. James A. VanDerslice is with the Department of Public Health, University of Utah School of Medicine, Salt Lake City. Robert O. Wright and Rosalind J. Wright are with the Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Amy J Elliott
- Lisa M. Gatzke-Kopp is with the Department of Human Development and Family Studies, Pennsylvania State University, University Park. Michael Willoughby is with the Department of Education and Workforce Development, RTI International, Raleigh, NC. Amii M. Kress, Kristen McArthur, and Cara Wychgram are with the Department of General Epidemiology and Methodology, Johns Hopkins University, Baltimore, MD. David C. Folch is with the Department of Geography, Planning and Recreation, Northern Arizona University, Flagstaff. Steve Brunswasser is with the Department of Psychology, Rowan University, Glassboro, NJ. Dana Dabelea is with the Colorado School of Public Health, University of Colorado Anshutz Medical Campus, Aurora. Amy J. Elliott is with the Avera Research Institute, Sioux Falls, SD. Tina Hartert is with the Center for Health Services Research, Vanderbilt University, Nashville, TN. Margaret Karagas is with the Department of Epidemiology, Dartmouth Geisel School of Medicine, Lebanon, NH. Cindy T. McEvoy is with the Department of Pediatrics, Oregon Health Sciences University, Portland. James A. VanDerslice is with the Department of Public Health, University of Utah School of Medicine, Salt Lake City. Robert O. Wright and Rosalind J. Wright are with the Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Tina Hartert
- Lisa M. Gatzke-Kopp is with the Department of Human Development and Family Studies, Pennsylvania State University, University Park. Michael Willoughby is with the Department of Education and Workforce Development, RTI International, Raleigh, NC. Amii M. Kress, Kristen McArthur, and Cara Wychgram are with the Department of General Epidemiology and Methodology, Johns Hopkins University, Baltimore, MD. David C. Folch is with the Department of Geography, Planning and Recreation, Northern Arizona University, Flagstaff. Steve Brunswasser is with the Department of Psychology, Rowan University, Glassboro, NJ. Dana Dabelea is with the Colorado School of Public Health, University of Colorado Anshutz Medical Campus, Aurora. Amy J. Elliott is with the Avera Research Institute, Sioux Falls, SD. Tina Hartert is with the Center for Health Services Research, Vanderbilt University, Nashville, TN. Margaret Karagas is with the Department of Epidemiology, Dartmouth Geisel School of Medicine, Lebanon, NH. Cindy T. McEvoy is with the Department of Pediatrics, Oregon Health Sciences University, Portland. James A. VanDerslice is with the Department of Public Health, University of Utah School of Medicine, Salt Lake City. Robert O. Wright and Rosalind J. Wright are with the Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Margaret Karagas
- Lisa M. Gatzke-Kopp is with the Department of Human Development and Family Studies, Pennsylvania State University, University Park. Michael Willoughby is with the Department of Education and Workforce Development, RTI International, Raleigh, NC. Amii M. Kress, Kristen McArthur, and Cara Wychgram are with the Department of General Epidemiology and Methodology, Johns Hopkins University, Baltimore, MD. David C. Folch is with the Department of Geography, Planning and Recreation, Northern Arizona University, Flagstaff. Steve Brunswasser is with the Department of Psychology, Rowan University, Glassboro, NJ. Dana Dabelea is with the Colorado School of Public Health, University of Colorado Anshutz Medical Campus, Aurora. Amy J. Elliott is with the Avera Research Institute, Sioux Falls, SD. Tina Hartert is with the Center for Health Services Research, Vanderbilt University, Nashville, TN. Margaret Karagas is with the Department of Epidemiology, Dartmouth Geisel School of Medicine, Lebanon, NH. Cindy T. McEvoy is with the Department of Pediatrics, Oregon Health Sciences University, Portland. James A. VanDerslice is with the Department of Public Health, University of Utah School of Medicine, Salt Lake City. Robert O. Wright and Rosalind J. Wright are with the Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Cindy T McEvoy
- Lisa M. Gatzke-Kopp is with the Department of Human Development and Family Studies, Pennsylvania State University, University Park. Michael Willoughby is with the Department of Education and Workforce Development, RTI International, Raleigh, NC. Amii M. Kress, Kristen McArthur, and Cara Wychgram are with the Department of General Epidemiology and Methodology, Johns Hopkins University, Baltimore, MD. David C. Folch is with the Department of Geography, Planning and Recreation, Northern Arizona University, Flagstaff. Steve Brunswasser is with the Department of Psychology, Rowan University, Glassboro, NJ. Dana Dabelea is with the Colorado School of Public Health, University of Colorado Anshutz Medical Campus, Aurora. Amy J. Elliott is with the Avera Research Institute, Sioux Falls, SD. Tina Hartert is with the Center for Health Services Research, Vanderbilt University, Nashville, TN. Margaret Karagas is with the Department of Epidemiology, Dartmouth Geisel School of Medicine, Lebanon, NH. Cindy T. McEvoy is with the Department of Pediatrics, Oregon Health Sciences University, Portland. James A. VanDerslice is with the Department of Public Health, University of Utah School of Medicine, Salt Lake City. Robert O. Wright and Rosalind J. Wright are with the Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
| | - James A VanDerslice
- Lisa M. Gatzke-Kopp is with the Department of Human Development and Family Studies, Pennsylvania State University, University Park. Michael Willoughby is with the Department of Education and Workforce Development, RTI International, Raleigh, NC. Amii M. Kress, Kristen McArthur, and Cara Wychgram are with the Department of General Epidemiology and Methodology, Johns Hopkins University, Baltimore, MD. David C. Folch is with the Department of Geography, Planning and Recreation, Northern Arizona University, Flagstaff. Steve Brunswasser is with the Department of Psychology, Rowan University, Glassboro, NJ. Dana Dabelea is with the Colorado School of Public Health, University of Colorado Anshutz Medical Campus, Aurora. Amy J. Elliott is with the Avera Research Institute, Sioux Falls, SD. Tina Hartert is with the Center for Health Services Research, Vanderbilt University, Nashville, TN. Margaret Karagas is with the Department of Epidemiology, Dartmouth Geisel School of Medicine, Lebanon, NH. Cindy T. McEvoy is with the Department of Pediatrics, Oregon Health Sciences University, Portland. James A. VanDerslice is with the Department of Public Health, University of Utah School of Medicine, Salt Lake City. Robert O. Wright and Rosalind J. Wright are with the Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Robert O Wright
- Lisa M. Gatzke-Kopp is with the Department of Human Development and Family Studies, Pennsylvania State University, University Park. Michael Willoughby is with the Department of Education and Workforce Development, RTI International, Raleigh, NC. Amii M. Kress, Kristen McArthur, and Cara Wychgram are with the Department of General Epidemiology and Methodology, Johns Hopkins University, Baltimore, MD. David C. Folch is with the Department of Geography, Planning and Recreation, Northern Arizona University, Flagstaff. Steve Brunswasser is with the Department of Psychology, Rowan University, Glassboro, NJ. Dana Dabelea is with the Colorado School of Public Health, University of Colorado Anshutz Medical Campus, Aurora. Amy J. Elliott is with the Avera Research Institute, Sioux Falls, SD. Tina Hartert is with the Center for Health Services Research, Vanderbilt University, Nashville, TN. Margaret Karagas is with the Department of Epidemiology, Dartmouth Geisel School of Medicine, Lebanon, NH. Cindy T. McEvoy is with the Department of Pediatrics, Oregon Health Sciences University, Portland. James A. VanDerslice is with the Department of Public Health, University of Utah School of Medicine, Salt Lake City. Robert O. Wright and Rosalind J. Wright are with the Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Rosalind J Wright
- Lisa M. Gatzke-Kopp is with the Department of Human Development and Family Studies, Pennsylvania State University, University Park. Michael Willoughby is with the Department of Education and Workforce Development, RTI International, Raleigh, NC. Amii M. Kress, Kristen McArthur, and Cara Wychgram are with the Department of General Epidemiology and Methodology, Johns Hopkins University, Baltimore, MD. David C. Folch is with the Department of Geography, Planning and Recreation, Northern Arizona University, Flagstaff. Steve Brunswasser is with the Department of Psychology, Rowan University, Glassboro, NJ. Dana Dabelea is with the Colorado School of Public Health, University of Colorado Anshutz Medical Campus, Aurora. Amy J. Elliott is with the Avera Research Institute, Sioux Falls, SD. Tina Hartert is with the Center for Health Services Research, Vanderbilt University, Nashville, TN. Margaret Karagas is with the Department of Epidemiology, Dartmouth Geisel School of Medicine, Lebanon, NH. Cindy T. McEvoy is with the Department of Pediatrics, Oregon Health Sciences University, Portland. James A. VanDerslice is with the Department of Public Health, University of Utah School of Medicine, Salt Lake City. Robert O. Wright and Rosalind J. Wright are with the Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
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Abd Elnabi MK, Elkaliny NE, Elyazied MM, Azab SH, Elkhalifa SA, Elmasry S, Mouhamed MS, Shalamesh EM, Alhorieny NA, Abd Elaty AE, Elgendy IM, Etman AE, Saad KE, Tsigkou K, Ali SS, Kornaros M, Mahmoud YAG. Toxicity of Heavy Metals and Recent Advances in Their Removal: A Review. TOXICS 2023; 11:580. [PMID: 37505546 PMCID: PMC10384455 DOI: 10.3390/toxics11070580] [Citation(s) in RCA: 31] [Impact Index Per Article: 31.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Revised: 06/14/2023] [Accepted: 06/24/2023] [Indexed: 07/29/2023]
Abstract
Natural and anthropogenic sources of metals in the ecosystem are perpetually increasing; consequently, heavy metal (HM) accumulation has become a major environmental concern. Human exposure to HMs has increased dramatically due to the industrial activities of the 20th century. Mercury, arsenic lead, chrome, and cadmium have been the most prevalent HMs that have caused human toxicity. Poisonings can be acute or chronic following exposure via water, air, or food. The bioaccumulation of these HMs results in a variety of toxic effects on various tissues and organs. Comparing the mechanisms of action reveals that these metals induce toxicity via similar pathways, including the production of reactive oxygen species, the inactivation of enzymes, and oxidative stress. The conventional techniques employed for the elimination of HMs are deemed inadequate when the HM concentration is less than 100 mg/L. In addition, these methods exhibit certain limitations, including the production of secondary pollutants, a high demand for energy and chemicals, and reduced cost-effectiveness. As a result, the employment of microbial bioremediation for the purpose of HM detoxification has emerged as a viable solution, given that microorganisms, including fungi and bacteria, exhibit superior biosorption and bio-accumulation capabilities. This review deals with HM uptake and toxicity mechanisms associated with HMs, and will increase our knowledge on their toxic effects on the body organs, leading to better management of metal poisoning. This review aims to enhance comprehension and offer sources for the judicious selection of microbial remediation technology for the detoxification of HMs. Microbial-based solutions that are sustainable could potentially offer crucial and cost-effective methods for reducing the toxicity of HMs.
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Affiliation(s)
- Manar K. Abd Elnabi
- Botany Department, Faculty of Science, Tanta University, Tanta 31527, Egypt; (M.K.A.E.); (N.E.E.); (M.M.E.); (S.H.A.); (S.A.E.); (M.S.M.); (E.M.S.); (N.A.A.); (A.E.A.E.); (I.M.E.); (A.E.E.); (K.E.S.); (Y.A.-G.M.)
- Biotechnology Program, Institute of Basic and Applied Science (BAS), Egypt-Japan University of Science and Technology, New Borg El-Arab City 21934, Egypt
| | - Nehal E. Elkaliny
- Botany Department, Faculty of Science, Tanta University, Tanta 31527, Egypt; (M.K.A.E.); (N.E.E.); (M.M.E.); (S.H.A.); (S.A.E.); (M.S.M.); (E.M.S.); (N.A.A.); (A.E.A.E.); (I.M.E.); (A.E.E.); (K.E.S.); (Y.A.-G.M.)
| | - Maha M. Elyazied
- Botany Department, Faculty of Science, Tanta University, Tanta 31527, Egypt; (M.K.A.E.); (N.E.E.); (M.M.E.); (S.H.A.); (S.A.E.); (M.S.M.); (E.M.S.); (N.A.A.); (A.E.A.E.); (I.M.E.); (A.E.E.); (K.E.S.); (Y.A.-G.M.)
| | - Shimaa H. Azab
- Botany Department, Faculty of Science, Tanta University, Tanta 31527, Egypt; (M.K.A.E.); (N.E.E.); (M.M.E.); (S.H.A.); (S.A.E.); (M.S.M.); (E.M.S.); (N.A.A.); (A.E.A.E.); (I.M.E.); (A.E.E.); (K.E.S.); (Y.A.-G.M.)
| | - Shawky A. Elkhalifa
- Botany Department, Faculty of Science, Tanta University, Tanta 31527, Egypt; (M.K.A.E.); (N.E.E.); (M.M.E.); (S.H.A.); (S.A.E.); (M.S.M.); (E.M.S.); (N.A.A.); (A.E.A.E.); (I.M.E.); (A.E.E.); (K.E.S.); (Y.A.-G.M.)
| | - Sohaila Elmasry
- Microbiology Department, Faculty of science, Damanhour University, Behaira 22514, Egypt;
| | - Moustafa S. Mouhamed
- Botany Department, Faculty of Science, Tanta University, Tanta 31527, Egypt; (M.K.A.E.); (N.E.E.); (M.M.E.); (S.H.A.); (S.A.E.); (M.S.M.); (E.M.S.); (N.A.A.); (A.E.A.E.); (I.M.E.); (A.E.E.); (K.E.S.); (Y.A.-G.M.)
| | - Ebrahim M. Shalamesh
- Botany Department, Faculty of Science, Tanta University, Tanta 31527, Egypt; (M.K.A.E.); (N.E.E.); (M.M.E.); (S.H.A.); (S.A.E.); (M.S.M.); (E.M.S.); (N.A.A.); (A.E.A.E.); (I.M.E.); (A.E.E.); (K.E.S.); (Y.A.-G.M.)
| | - Naira A. Alhorieny
- Botany Department, Faculty of Science, Tanta University, Tanta 31527, Egypt; (M.K.A.E.); (N.E.E.); (M.M.E.); (S.H.A.); (S.A.E.); (M.S.M.); (E.M.S.); (N.A.A.); (A.E.A.E.); (I.M.E.); (A.E.E.); (K.E.S.); (Y.A.-G.M.)
| | - Abeer E. Abd Elaty
- Botany Department, Faculty of Science, Tanta University, Tanta 31527, Egypt; (M.K.A.E.); (N.E.E.); (M.M.E.); (S.H.A.); (S.A.E.); (M.S.M.); (E.M.S.); (N.A.A.); (A.E.A.E.); (I.M.E.); (A.E.E.); (K.E.S.); (Y.A.-G.M.)
| | - Ibrahim M. Elgendy
- Botany Department, Faculty of Science, Tanta University, Tanta 31527, Egypt; (M.K.A.E.); (N.E.E.); (M.M.E.); (S.H.A.); (S.A.E.); (M.S.M.); (E.M.S.); (N.A.A.); (A.E.A.E.); (I.M.E.); (A.E.E.); (K.E.S.); (Y.A.-G.M.)
| | - Alaa E. Etman
- Botany Department, Faculty of Science, Tanta University, Tanta 31527, Egypt; (M.K.A.E.); (N.E.E.); (M.M.E.); (S.H.A.); (S.A.E.); (M.S.M.); (E.M.S.); (N.A.A.); (A.E.A.E.); (I.M.E.); (A.E.E.); (K.E.S.); (Y.A.-G.M.)
| | - Kholod E. Saad
- Botany Department, Faculty of Science, Tanta University, Tanta 31527, Egypt; (M.K.A.E.); (N.E.E.); (M.M.E.); (S.H.A.); (S.A.E.); (M.S.M.); (E.M.S.); (N.A.A.); (A.E.A.E.); (I.M.E.); (A.E.E.); (K.E.S.); (Y.A.-G.M.)
| | - Konstantina Tsigkou
- Department of Chemical Engineering, University of Patras, 1 Karatheodori str, 26504 Patras, Greece;
| | - Sameh S. Ali
- Botany Department, Faculty of Science, Tanta University, Tanta 31527, Egypt; (M.K.A.E.); (N.E.E.); (M.M.E.); (S.H.A.); (S.A.E.); (M.S.M.); (E.M.S.); (N.A.A.); (A.E.A.E.); (I.M.E.); (A.E.E.); (K.E.S.); (Y.A.-G.M.)
- Biofuels Institute, School of the Environment and Safety Engineering, Jiangsu University, Zhenjiang 212013, China
| | - Michael Kornaros
- Department of Chemical Engineering, University of Patras, 1 Karatheodori str, 26504 Patras, Greece;
| | - Yehia A.-G. Mahmoud
- Botany Department, Faculty of Science, Tanta University, Tanta 31527, Egypt; (M.K.A.E.); (N.E.E.); (M.M.E.); (S.H.A.); (S.A.E.); (M.S.M.); (E.M.S.); (N.A.A.); (A.E.A.E.); (I.M.E.); (A.E.E.); (K.E.S.); (Y.A.-G.M.)
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