Association between human exposure to heavy metals/metalloid and occurrences of respiratory diseases, lipid peroxidation and DNA damage in Kumasi, Ghana

The oxidative potential of fine ambient particulate matter in Xinxiang, North China: Pollution characteristics, source identification and regional transport

Atmospheric fine particulate matter (PM2.5) can trigger the production of cytotoxic reactive oxygen species (ROS), which can trigger or exacerbate oxidative stress and pulmonary inflammation. We collected 111 daily (∼24 h) ambient PM2.5 samples within an urban region of North China during four seasons of 2019-2020. PM2.5 samples were examined for carbonaceous components, water-soluble ions, and elements, together with their oxidative potential (represent ROS-producing ability) by DTT assay. The seasonal peak DTTv was recorded in winter (2.86 ± 1.26 nmol min-1 m-3), whereas the DTTm was the highest in summer (40.6 ± 8.7 pmol min-1 μg-1). WSOC displayed the highest correlation with DTT activity (r = 0.84, p < 0.0001), but the influence of WSOC on the elevation of DTTv was extremely negligible. Combustion source exhibited the most significant and robust correlation with the elevation of DTTv according to the linear mixed-effects model result. Source identification investigation using positive matrix factorization displayed that combustion source (36.2%), traffic source (30.7%), secondary aerosol (15.7%), and dust (14.1%) were driving the DTTv, which were similar to the results from the multiple linear regression (MLR) analysis. Backward trajectory analysis revealed that the major air masses originate from local and regional transportation, but PM2.5 OP was more susceptible to the influence of short-distance transport clusters. Discerning the influence of chemicals on health-pertinent attributes of PM2.5, such as OP, could facilitate a deep understanding of the cause-and-effect relationship between PM2.5 and impacts.

Associations between individual and mixed urinary metal exposure and dyslipidemia among Chinese adults: Data from the China Multi-Ethnic Cohort Study

The prevalence of dyslipidemia is increasing, and it has become a significant global public health concern. Some studies have demonstrated contradictory relationships between urinary metals and dyslipidemia, and the combined effects of mixed urinary metal exposure on dyslipidemia remain ambiguous. In this study, we examined how individual and combined urinary metal exposure are associated with the occurrence of dyslipidemia. According to the data from the 2018-2019 baseline survey database of the China Multi-Ethnic Cohort (CMEC) Study, a population of 9348 individuals was studied. Inductively coupled plasmamass spectrometry (ICP-MS) was used to measure 21 urinary metal concentrations in the collected adult urinary samples. The associations between urinary metals and dyslipidemia were analyzed by logistic regression, weighted quantile sum regression (WQS), and quantile-based g-computation (qgcomp), controlled for potential confounders to examine single and combined effects. Dyslipidemia was detected in 3231 individuals, which represented approximately 34.6 % of the total population. According to the single-exposure model, Al and Na were inversely associated with the risk of dyslipidemia (OR = 0.95, 95 % CI: 0.93, 0.98; OR = 0.89, 95 % CI: 0.83, 0.95, respectively), whereas Zn, Ca, and P were positively associated (OR = 1.69, 95 % CI: 1.42, 2.01; OR = 1.12, 95 % CI: 1.06, 1.18; OR = 1.21, 95 % CI: 1.09, 1.34, respectively). Moreover, Zn and P were significantly positively associated even after adjusting for these metals, whereas Al and Cr were negatively associated with the risk of dyslipidemia. The results of the WQS and qgcomp analyses showed that urinary metal mixtures were positively associated with the risk of dyslipidemia (OR = 1.26, 95 % CI: 1.15, 1.38; OR = 1.09, 95 % CI: 1.01, 1.19). This positive association was primarily driven by Zn, P, and Ca. In the sensitivity analyses with collinearity diagnosis, interaction, and stratified analysis, the results remained, confirming the reliability of the study findings. In this study, the individual and combined effects of urinary Zn, P, and Ca on dyslipidemia were determined, which provided novel insights into the link between exposure to metals and dyslipidemia.

Role of Metals on SARS-CoV-2 Infection: a Review of Recent Epidemiological Studies

PURPOSE OF REVIEW

Metals and metalloids are known for their nutritional as well as toxic effects in humans. In the context of the SARS-CoV-2 pandemic, understanding the role of metals on COVID-19 infection is becoming important due to their role in infectious diseases. During the past 2 years, a significant number of studies have examined the impact of metals and metalloids on COVID-19 morbidity and mortality. We conducted a systematic review of peer-reviewed manuscripts on the association of metals and metalloids with SARS-CoV-2 infection and COVID-19 severity published since the onset of the pandemic.

RECENT FINDINGS

We searched for epidemiological studies available through the PubMed database published from January 2020 to December 2022. Of 92 studies identified, 20 met our inclusion criteria. These articles investigated the association of zinc (Zn), iron (Fe), selenium (Se), manganese (Mn), cadmium (Cd), arsenic (As), copper (Cu), magnesium (Mg), chromium (Cr), and/or lead (Pb) levels on SARS-CoV-2 infection and/or COVID-19 severity. Of the ten metals and metalloids of interest that reported either positive, negative, or no associations, Zn yielded the highest number of articles (n = 13), followed by epidemiological studies on Se (n = 7) and Fe (n = 5). Elevated serum Zn and Se were associated with reduced COVID-19 severity and mortality. Similarly, higher levels of serum Fe were associated with lower levels of cellular damage and symptoms of SARS-CoV-2 infection and with faster recovery from COVID-19. On the other hand, higher serum and urinary Cu and serum Mg levels were associated with higher COVID-19 severity and mortality. Along with the positive or negative effects, some studies reported no impact of metals on SARS-CoV-2 infection. This systematic review suggests that metals, particularly Zn, Fe, and Se, may help reduce the severity of COVID-19, while Cu and Mg may aggravate it. Our review suggests that future pandemic mitigation strategies may evaluate the role of Zn, Se, and Fe as potential therapeutic interventions.

Association between exposure to mixture of heavy metals and hyperlipidemia risk among U.S. adults: A cross-sectional study

Previous studies have suggested that exposure to heavy metals might increase the risk of hyperlipidemia. However, limited research has investigated the association between exposure to mixture of heavy metals and hyperlipidemia risk. To explore the independent and combined effects of heavy metal exposure on hyperlipidemia risk, this study involved 3293 participants from the National Health and Nutrition Examination Survey (NHANES), including 2327 with hyperlipidemia and the remaining without. In the individual metal analysis, the logistic regression model confirmed the positive effects of barium (Ba), cadmium (Cd), mercury (Hg), Lead (Pb), and uranium (U) on hyperlipidemia risk, Ba, Cd, Hg and Pb were further validated in restricted cubic splines (RCS) regression model and identified as positive linear relationships. In the metal mixture analysis, weighted quantile sum (WQS) regression, Bayesian kernel machine regression (BKMR), and quantile-based g computation (qgcomp) models consistently revealed a positive correlation between exposure to metal mixture and hyperlipidemia risk, with Ba, Cd, Hg, Pb, and U having significant positive driving roles in the overall effects. These associations were more prominent in young/middle-aged individuals. Moreover, the BKMR model uncovered some interactions between specific heavy metals. In conclusion, this study offers new evidence supporting the link between combined exposure to multiple heavy metals and hyperlipidemia risk, but considering the limitations of this study, further prospective research is required.

Functional characterization of a DNA-damage repair/tolerance 100 (DRT100) gene in Sedum alfredii Hance for genome stability maintenance and Cd hypertolerance

Cd contamination is a world-wild concern for its toxicity and accumulation in food chain. Sedum alfredii Hance (Crassulaceae) is a zinc (Zn) and cadmium (Cd) hyperaccumulator native to China and widely applied for the phytoremediation at Zn or Cd contaminated sites. Although many studies report the uptake, translocation and storage of Cd in S. alfredii Hance, limited information is known about the genes and underlying mechanisms of genome stability maintenance under Cd stress. In this study, a gene resembling DNA-damage repair/toleration 100 (DRT100) was Cd inducible and designated as SaDRT100. Heterologous expression of SaDRT100 gene in yeasts and Arabidopsis thaliana enhanced Cd tolerance capability. Under Cd stress, transgenic Arabidopsis with SaDRT100 gene exhibited lower levels of reactive oxygen species (ROS), fewer Cd uptake in roots and less Cd-induced DNA damage. Evidenced by the subcellular location in cellular nucleus and expression in aerial parts, we suggested the involvement of SaDRT100 in combating Cd-induced DNA damage. Our findings firstly uncovered the roles of SaDRT100 gene in Cd hypertolerance and genome stability maintenance in S. alfredii Hance. The potential functions of DNA protection make SaDRT100 gene a candidate in genetic engineering for phytoremediation at multi-component contaminated sites.

Health benefits from substituting raw biomass fuels for charcoal and briquette fuels: In vitro toxicity analysis

PM_2.5 (particulate matters with diameter ≤ 2.5 μm) from biomass fuel combustion has been identified as a major cause of cardiopulmonary diseases. Briquette and charcoal are two representative processed fuels that exhibit different emission characteristics. This study compared three types of biomass fuels (maize straw, wheat straw, and wood branches) and their respective processed fuels in terms of their emission factors (EFs). The bioreactivity of human alveolar epithelial (A549) cells to exposure to various fuel-emitted PM_2.5 was assessed. The EFs of lactic dehydrogenase (LDH) and interleukin-6 (IL-6) were calculated to compare actual cytotoxicity. The PM_2.5 EFs of maize and wheat straw were higher than those of wood branches, and following the processes of briquetting and carbonization, the EFs of PM_2.5 and chemical components were effectively reduced. Cell membrane damage and inflammatory responses were observed after A549 cell exposure to PM_2.5 extracts. The expression of bioreactivity to briquettes and charcoals was lower than that to raw fuels. The EFs of LDH and IL-6 were also significantly reduced after briquetting and carbonization. This underscores the necessity of fuel treatment for reducing cytotoxicity. The crucial chemical components that contributed to cell oxidative and inflammatory responses were identified, including organic and elemental carbon, water-soluble ions (e.g., K⁺, Mg²⁺, and Ca²⁺), metals (e.g., Fe, Cr, and Ni), and high-molecular-weight PAHs. This study elucidated the similarities and differences of PM_2.5 emissions and cytotoxicity of three types of biomass fuel and demonstrated the positive effects of fuel treatment on reducing adverse pulmonary effects.

Multivariate studies and heavy metal pollution in soil from gold mining area

Mining generates large volumes of waste, which if not regulated can release toxic metals, causing widespread environmental contamination. This study focused on heavy metal contamination in topsoil within a mining area at Nangodi in the Northern Region of Ghana. A total of 24 soil samples were collected from the study area and control samples were analyzed for Hg, Pb, Cd, As, Cr, and Fe using atomic absorption spectroscopy. Results of Pollution Index estimations and Geo-accumulation index (Igeo) classified the soil samples as moderately contaminated to heavily contaminated. Soil samples were severely enriched with As and moderately enriched with b, and Hg. Multivariate analyses such as factor analysis and cluster analysis were employed to examine the relationship between the metals and also differentiate the influence of the natural background content of metals from that due to human activities. Factor analysis identified three polluted soil factor associations. Cadmium, Fe, As, and Pb associated with factor 1, were due to anthropogenic activities. The high intercorrelation revealed by As and Pb shows similarity in their sources. Factor two dominated by Hg is considered an anthropogenic component. Factor 3 correlated with Cr and can be considered a natural component. Correlation analysis and cluster analysis supported each other. Results from the bi-plots showed that sites S1, S8, S11, and S18, have similar metal composition as the control site. Heavy metal contents in soils sampled from Zones A and B have been influenced by the mining activities as seen from the associations of these sites in the bi-plots. The results are useful for metal source identification, and can contribute to monitoring and regulatory programs.

Investigating the neurotoxicity of environmental pollutants using zebrafish as a model organism: A review and recommendations for future work

With the continuous development of precise detection technology, more and more pollutants have been detected in the environment. Among them, neurotoxic pollutants have attracted extensive attention due to their serious threat to vertebrates, invertebrates, and the whole ecosystem. Compared with other model organisms, zebrafish (Danio rerio) have become an important aquatic model to study the neurotoxicity of environmental pollutants because of their excellent molecular/physiological characteristics. At present, the research on the toxicity of environmental pollutants to the zebrafish nervous system focuses on morphology and behavior regulation, oxidative stress, gene expression, synthesis and release of neurotransmitters, and neuron development. However, studies on epigenetic toxicity, blood-brain barrier damage, and regulation of the brain-gut-microbiota axis still require further research at the molecular and signaling levels to clarify the toxic mechanisms of pollutants. This paper reviews the research on the toxic effects of pollutants in the environment (heavy metals and organic compounds) on the nervous system of zebrafish, summarizes and comments on the main research findings. The discussion of the problems, hot spots in the current research, and the prospects of the contents to be further studied are also included in this paper.

Mortality due to noninfectious lower respiratory diseases: A spatiotemporal, cross-sectional study

Background and Aims

Geography plays an important role in the incidence of respiratory diseases. The aim of this study was to investigate the epidemiology and geographical distribution of death due to noninfectious lower respiratory diseases (NILRDs).

Methods

Data related to all death due to NILRD in Kerman Province between 2012 and 2018 were extracted from the National Mortality Registry. The underlying causes of death were extracted from the registry based on the assigned codes from ICD-10 (International Classification of Diseases 10th Revision) classification. The existence of spatial clusters and outliers was evaluated using local indicators of spatial association statistics.

Results

The frequency of death due to NILRD was 8005 persons during the 7 years of the study. The main cause of death was chronic lower respiratory disease (54.2%). Other causes of death were, respectively, lung diseases due to external agents (1.09%), other respiratory diseases mainly affecting the interstitium (1.16%), other diseases of pleura (0.57%), and other diseases of the respiratory system (42.13%). The age- and sex-adjusted mortality rates due to NILRD in the north and center of the province increased significantly from 2012 to 2018. Also, the results of cluster analysis identified northern regions as the clustered areas of NILRD.

Conclusions

Our findings showed a significant increase in mortality due to NILRD in Kerman Province during the 7 years of the study. To reduce this type of death, health policymakers should have environmental health plans and basic solutions, such as a warning system to reduce the commuting on highly air-polluted days and to control pollutants, especially in the industrial areas of the north of this province.

Association of urinary or blood heavy metals and mortality from all causes, cardiovascular disease, and cancer in the general population: a systematic review and meta-analysis of cohort studies

Amounting epidemiological evidence has shown detrimental effects of heavy metals on a wide range of diseases. However, the effect of heavy metal exposure on mortality in the general population remains unclear. The primary objective of this study was to clarify the associations between heavy metals and mortality from all causes, cardiovascular disease (CVD), and cancer based on prospective studies. We comprehensively searched Pubmed, Embase, and Web of Science electronic databases to identify studies published from their inception until 1 March 2022. Investigators identified inclusion criteria, extracted study characteristics, and assessed the methodological quality of included studies according to standardized guidelines. Meta-analysis was conducted if the effect estimates of the same outcome were reported in at least three studies. Finally, 42 original studies were identified. The results of meta-analysis showed that cadmium and lead exposure was significantly associated with mortality from all causes, CVD, and cancer in the general population. Moderate evidence suggested there was a link between arsenic exposure and mortality. The adverse effects of mercury and other heavy metals on mortality were inconclusive. Epidemiological evidence for the joint effect of heavy metal exposure on mortality was still indeterminate. In summary, our study provided compelling evidence that exposure to cadmium, lead, and arsenic were associated with mortality from all causes, CVD, and cancer, while the evidence on other heavy metals, for example mercury, was insignificant or indeterminate. Nevertheless, further prospective studies are warranted to explore the joint effects of multiple metal exposure on mortality.

Assessing oxidative stress resulting from environmental exposure to metals (Oids) in a middle Eastern population

Concentrations of metals and metalloids derived mainly from anthropogenic activities have increased considerably in the environment. Metals might be associated with increase reactive oxygen species (ROS) damage, potentially related to several health outcomes. This study has recruited 200 adult participants, including 110 males and 90 females in Shiraz (Iran), to investigate the relationship between chronic exposure to metals and ROS damage by analyzing malondialdehyde (MDA) and 8-Oxo-2'-deoxyguanosine (8-OHdG) concentrations, and has evaluated the associations between chronic metal exposure and ROS damage using regression analysis. Our findings showed participants are chronically exposed to elevate As, Ni, Hg, and Pb levels. The mean urinary concentrations of 8-OHdG and MDA were 3.8 ± 2.35 and 214 ± 134 µg/g creatinine, respectively. This study shows that most heavy metals are correlated with urinary ROS biomarkers (R ranges 0.19 to 0.64). In addition, regression analysis accounting for other confounding factors such as sex, age, smoking status, and teeth filling with amalgam highlights that Al, Cu, Si and Sn are associated with 8-OHdG concentrations, while an association between Cr and MDA and 8-OHdG is suggested. Smoking cigarettes and water-pipe is considered a significant contributory factor for both ROS biomarkers (MDA and 8-OHdG).

Joint association of polycyclic aromatic hydrocarbons and heavy metal exposure with pulmonary function in children and adolescents aged 6-19 years

Studies have reported associations between polycyclic aromatic hydrocarbon (PAH) or heavy metal (HM) exposure and respiratory diseases. However, evidence of their joint associations with pulmonary function, especially in children and adolescents aged 6-19 years, is lacking. We utilized cross-sectional data from 1,734 children and adolescents aged 6-19 years collected in the National Health and Nutrition Examination Survey 2007-2012 and analysed mixed PAH and mixed HM exposures and their joint association with pulmonary function by applying weighted quantile sum (WQS) regression and Bayesian kernel machine regression (BKMR). Multivariate linear regressions were carried out to determine the relationships between individual urinary PAH metabolites or blood HM levels and pulmonary function indices. We found that mixed PAHs and HMs were negatively related to forced expiratory volume in 1 s (FEV1) in subjects aged 6-12 years (all p values < 0.05). We found synergistic associations of PAH and HM exposure on pulmonary function impairment, mainly in children; lead (Pb) was the most damaging. In the analysis of individual PAH metabolites or HMs, Pb exposure was negatively associated with FEV1 values in all subgroups (all p values < 0.05). Thus, our findings indicate that increased PAH or HM exposure is associated with impairments to pulmonary function and that this association is more pronounced in children.

Health consequences of disinfection against SARS-CoV-2: Exploring oxidative stress damage using a biomonitoring approach

Individuals who get involved in the disinfection of public settings using sodium hypochlorite might suffer adverse health effects. However, scarce information is available on the potential oxidative stress damage caused at low concentrations typically used for disinfection. We aimed to assess whether exposure to sodium hypochlorite during the COVID-19 pandemic causes oxidative stress damage in workers engaged in disinfection tasks. 75 operators engaged in the disinfection of public places were recruited as the case group, and 60 individuals who were not exposed to disinfectant were chosen as the control group. Spot urine samples were collected before (BE) and after exposure (AE) to disinfectants in the case group. Likewise, controls provided two spot urine samples in the same way as the case group. Urinary malondialdehyde (MDA) levels were quantified by forming thiobarbituric acid reactive substances in the urine. In addition, the concentration of 8-hydroxy-2'-deoxyguanosine (8-OHdG) in the urine was determined using an ELISA kit. Results showed significant differences in the urinary levels of oxidative stress markers, where median 8-OHdG (AE case: 3.84 ± 2.89 μg/g creatinine vs AE control 2.54 ± 1.21 μg/g creatinine) and MDA (AE case: 169 ± 89 μg/g creatinine vs AE control 121 ± 47 μg/g creatinine) levels in case group AE samples were 1.55 and 1.35-times higher than the control group AE samples (P < 0.05), respectively. Besides, urinary levels of oxidative stress markers in AE samples of the case group were significantly higher than in BE samples (8-OHdG BE 3.40 ± 1.95 μg/g creatinine, MDA BE 136 ± 51.3 μg/g creatinine, P < 0.05). Our results indicated that exposure to even low levels of sodium hypochlorite used in disinfection practices might cause oxidative stress related damage. With this in mind, implementing robust protective measures, such as specific respirators, is crucial to reduce the health burdens of exposure to disinfectants.

Combined effects of exposure to polycyclic aromatic hydrocarbons and metals on oxidative stress among healthy adults in Caofeidian, China

Exposure to polycyclic aromatic hydrocarbons (PAHs) and metals is associated with many adverse effects on human health, accompanied by oxidative stress. This study aimed to investigate the effects of co-exposure to PAHs and metals on oxidative stress in healthy adults. A preliminary longitudinal panel study was conducted between 2017 and 2018 in 45 healthy college students in Caofeidian, China. Six urinary monohydroxylated-PAHs (OH-PAHs), ten metals, 8-hydroxydeoxyguanosine (8-OHdG), and 8-iso-prostaglandin-F2α (8-iso-PGF2α) were measured. Linear mixed effects (LME) models and Bayesian kernel machine regression (BKMR) models were used to explore the associations of urinary OH-PAHs and metals with 8-OHdG and 8-iso-PGF2α. LME models showed that most urinary OH-PAHs and metals were positively associated with 8-OHdG and 8-iso-PGF2α. For example, a one-unit increase in the ln-transformed level of 1-hydroxypyrene (1-OHPyr) and vanadium (V) was associated with an increase of 143.8% (95% CI: 105.7 - 188.9%) and 105.8% (95% CI: 79.2-136.4%) in 8-OHdG; 8-iso-PGF2α increased by 118.9% (95% CI: 99.2-140.5%) and 83.9% (95% CI: 67.2-102.2%) with a one-unit increase in the ln-transformed level of 3-hydroxyphenanthrene (3-OHPhe) and aluminum (Al). BKMR models indicated the overall positive associations of the mixture of six OH-PAHs, ten metals, or six OH-PAHs and ten metals with 8-OHdG and 8-iso-PGF2α. Urinary 1-OHPyr and V were identified as the major contributors to the increased urinary 8-OHdG levels, while urinary 3-OHPhe and Al were the most vital contributors to the increased urinary 8-iso-PGF2α levels. The results revealed the longitudinal dose-response relationships of urinary OH-PAHs and metals with oxidative stress among healthy adults in Caofeidian; this finding serves as an evidence regarding the early health hazard caused by exposure to PAHs and metals and has implications for the environmental management of PAH and metal emissions in this area.

Exploring urinary biomarkers to assess oxidative DNA damage resulting from BTEX exposure in street children

Children are highly susceptible to environmental contaminants as their physiology and some metabolic pathways differ from adults. The present cross-sectional study aimed to assess whether exposure to benzene, toluene, ethylbenzene, o,p-xylene, and m-xylene (BTEX) affects oxidative DNA damage in street children using a biomonitoring approach. Thirty-five boys (7-13 years of age), exposed by working at a busy intersection, and 25 unexposed boys of similar age and living in the neighborhood near the busy intersection were recruited. Urinary un-metabolized BTEX levels were quantified by a headspace gas chromatography-mass spectrometry (GC-MS). Urinary malonaldehyde (MDA) was measured with spectrophotometry. Sociodemographic and lifestyle conditions information was collected by interviews using administered questionnaires. Exposed subjects provided urine before (BE) and after work exposure (AE), while unexposed boys gave a single morning sample. Urinary BTEX concentrations in BE samples were similar to unexposed. Concentrations in AE samples were 2.36-fold higher than observed in BE samples (p < 0.05) and higher than those in the unexposed group (p < 0.05). In addition, urinary MDA levels in AE samples were 3.2 and 3.07-times higher than in BE samples and in the unexposed group (p < 0.05). Environmental tobacco smoke (ETS) increased urinary BTEX and MDA levels in both groups. Our findings confirm that street children working at busy intersections are significantly exposed to BTEX, which is associated with oxidative stress. Implementing protective measures is crucial to reduce exposure and to improve health outcomes in this group.

Transfer of lead from soil to pasture grass and milk near a metallurgical complex in the Peruvian Andes

Milk quality is affected by the concentration of lead (Pb) in soil and pasture grasses used to raise cattle, especially in areas near mining-metallurgical complexes. In this study, the Pb content of soil and its transfer to grass and dairy milk in an area located to 20 km from the La Oroya Metallurgical Complex in Peru (altitude, >3,700 m s.a.l) was measured. Twenty soil samples (0–30 cm depth), 20 grass samples were collected, and 0.5 L of milk was obtained from 20 lactating cow in the communal cowshed. The Pb concentration (mg/kg) was quantified by flame atomic absorption spectrometry using a commercial Pb standard as quality control. The Pb average concentration in the soil, grass, and milk samples were 217.81 ± 39.48, 20.09 ± 2.83, and 0.58 ± 0.018 mg/kg (P < 0.01), respectively. The transfer factor (ratio of metal concentration) for Pb from soil to grass and from grass to milk was 0.095 and 0.031, respectively. The soil, grass, and milk samples all presented high Pb concentrations, with the milk samples containing 29-fold more Pb than the safety limit established by European regulations and were not suitable for human consumption or the manufacture of cheese, yogurt, and other derivatives. Our findings demonstrate that action to remediate these soils is critically needed.

Associations of plasma metal concentrations with incident dyslipidemia: Prospective findings from the Dongfeng-Tongji cohort

Metal exposures are ubiquitous around the world, while it is lack of prospective studies to evaluate the associations of exposure to multiple metal/metalloids with incident dyslipidemia. A total of 2947 participants without dyslipidemia at baseline were included in the analyses. We utilized inductively coupled plasma mass spectrometry to measure the baseline plasma metal concentrations. Unconditional logistic regression models were applied to estimate the relations between plasma metals and risk of incident dyslipidemia, and principal component analysis was performed to extract principal components of metals. During 5.01 ± 0.31 years of follow-up, 521 subjects were diagnosed with incident dyslipidemia. After multivariable adjustment, the odds ratios (ORs) of dyslipidemia comparing the highest quartiles to the lowest were 1.58 (95% CI: 1.20, 2.08; P_trend = 0.001) for aluminum, 1.34 (95% CI: 1.03, 1.75; P_trend = 0.03) for arsenic, 1.44 (1.09, 1.91; P_trend = 0.03) for strontium, and 1.47 (95% CI: 1.09, 2.00; P_trend = 0.005) for vanadium. The four metals also showed significant associations with the subtypes of dyslipidemia, including low HDL-C and high LDL-C. The first principal component, which mainly represented aluminum, arsenic, barium, lead, vanadium, and zinc, was associated with increased risk of incident dyslipidemia, and the adjusted OR was 1.40 (95% CI: 1.07, 1.84; P_trend = 0.02) comparing extreme quartiles. The study indicated that elevated plasma aluminum, arsenic, strontium, and vanadium concentrations were associated with a higher incidence of dyslipidemia. These findings highlight the importance of controlling metal exposures for dyslipidemia prevention.

Carbon nanotubes/Al2O3 composite derived from catalytic reforming of the pyrolysis volatiles of the mixture of polyethylene and lignin for highly-efficient removal of Pb(ii)

In the present study, the coked catalysts derived from catalytic reforming of the pyrolysis volatiles of polyethylene (PE), lignin (LG) and their mixture were developed as low-cost and environmentally-friendly carbon materials-containing composites to remove heavy metal ions from aqueous solution. The composites were thoroughly characterized by SEM, TEM, XRD, TGA and FT-IR and then their adsorption capability towards Pb(ii) was investigated. It is found that curved cone-shape carbon nanotubes (CNTs) with abundant structural defects and O-containing surface functional groups, such as C–O, C Created by potrace 1.16, written by Peter Selinger 2001-2019 ]]> O and –OH, can be obtained from the catalytic reforming of the mixture of PE and LG. The CNT-containing catalyst composite presents a superior adsorption capability towards Pb(ii) when it is employed in Pb(ii) removal. Adsorption isotherm and adsorption kinetics studies show that the adsorption process can be well simulated by the Langmuir isotherm and pseudo-second-order model, demonstrating that the adsorption is subjected to a homogeneous and chemical process. The calculated maximum adsorption capacity is as high as 146.08 mg g⁻¹, which is much higher than most of the adsorbents reported. Moreover, thermodynamic analysis reveals that the adsorption is spontaneous and endothermic. Accordingly, the used catalyst from the catalytic reforming can be developed as a low-cost and highly-efficient adsorbent.

The coked catalysts derived from catalytic reforming of the pyrolysis volatiles of polyethylene, lignin and their mixture were developed as low-cost and high-efficient carbon materials-containing composites to remove heavy metal ions from water.

Occupational exposure to potentially toxic elements in the foundry industry: an integrated environmental and biological monitoring

Industrial foundry processes release metal dust and fumes into the environment. Our study evaluated the exposure to potentially toxic elements in foundry workers. The assessed samples consisted of air particulate matter (n = 42), urine (n = 194), and blood (n = 167). Six workers had high concentrations of arsenic (As) in urine and one of them had a high cadmium (Cd) content in blood, according to Biological Exposure Index from the American Conference of Governmental Industrial Hygienists. The work task significantly influenced the concentrations of cobalt (Co), copper (Cu), iron (Fe), and manganese (Mn) in air, barium (Ba) in urine, and lead (Pb) and cesium (Cs) in blood, while the employment years affected concentrations of Mn, tin (Sn), and uranium (U) in urine and iodine (I) in blood. Arsenic, Pb, Co, and Cd in particulate matter and biological matrices presented significant covariation by working activity, supporting the occupational exposure. In this study, subjects were occupationally exposed to multiple potentially toxic elements. Carcinogenic and noncarcinogenic risks were associated with As, Co, Ni, and Mn exposure.

Associations of essential and toxic metals/metalloids in whole blood with both disease severity and mortality in patients with COVID-19

The variations and dynamics of essential and toxic metal(loid)s in patients with COVID-19 may associate with the progression and fatal outcome of the disease, which still remains to investigate. In the present study, a retrospective analysis was performed in a cohort of 306 confirmed COVID-19 patients admitted to Tongji hospital (Wuhan, China) from February 10 to March 15, 2020. Whole blood levels of essential and/or toxic metal(loid)s were analyzed, including magnesium, calcium, chromium, manganese, iron, copper, zinc, arsenic, cadmium, mercury, thallium, and lead according to the disease severity and outcome. Compared to the non-severe COVID-19 patients, severe cases showed significant higher levels of whole blood calcium, chromium, and copper, but lower levels of magnesium, manganese, iron, zinc, arsenic, thallium, and lead. These differences were further found consistently across the clinical course since the disease onset by longitudinal analysis. Among the severe patients, chromium and cadmium were higher in the deceased group compared to the recovered group, while arsenic was lower. Whole blood iron, age, and sex were determined to be independent factors associated with the disease severity, while chromium, cadmium, and the comorbidity of cardiovascular disease were determined to be independent factors associated with the mortality. These results suggest that variations of whole blood metal(loid)s may be associated with the severe illness and fatal outcome of COVID-19, which could be persistently monitored and would be helpful in the evaluation of the dynamic changes in patients with COVID-19.

Ambient particulate matter compositions and increased oxidative stress: Exposure-response analysis among high-level exposed population

BACKGROUND

Oxidative stress has been suggested to be one of the key drivers of health impact of particulate matter (PM). More studies on the oxidative potential of PM alone, but fewer studies have comprehensively evaluated the effects of external and internal exposure to PM compositions on oxidative stress in population.

OBJECTIVE

To comprehensively investigate the exposure-response relationship between PM and its main compositions with oxidative stress indicators.

METHODS

We conducted a cross-sectional study including 768 participants exposed to particulates. Environmental levels of fine particulate matter (PM_2.5), polycyclic aromatic hydrocarbons (PAHs) and metals in PM were measured, and urinary levels of PAHs metabolites and metals were measured as internal dose, respectively. Multivariable linear regression models were used to analyze the correlations of PM exposure and urinary levels of 8-hydroxy-2́'-deoxyguanosine (8-OHdG), and 8-iso-prostaglandin-F2α (8-iso-PGF2α) and malondialdehyde (MDA).

RESULTS

The concentration of both PM_2.5 and total PAHs was significantly correlated with increased urinary 8-OHdG, 8-iso-PGF2α and MDA levels (all p < 0.05). The levels of 4 essential metals all showed significant exposure-response increase in urinary 8-OHdG in both current and non-current smokers (all p < 0.05); ambient selenium, cobalt and zinc were found to be significantly correlated with urinary 8-iso-PGF2α (p = 0.002, 0.003, 0.01, respectively); only selenium and cobalt were significantly correlated with urinary MDA (p < 0.001, 0.01, respectively). Furthermore, we found each one-unit increase in urinary total OH-PAHs generated a 0.32 increase in urinary 8-OHdG, a 0.22 increase in urinary 8-iso-PGF2α and a 0.19 increase in urinary MDA (all p < 0.001). Furthermore, it was found that the level of 12 urinary metals all showed significant and positive correlations with three oxidative stress biomarkers in all subjects (all p < 0.001).

CONCLUSIONS

Our systematic molecular epidemiological study showed that particulate matter components could induce increased oxidative stress on DNA and lipid. It may be more important to monitor and control the harmful compositions in PM rather than overall particulate mass.

Combined exposure to heavy metals in PM2.5 and pediatric asthma

BACKGROUND

Asthma is the most common chronic allergic disease in children; it affects more than 300 million people worldwide. Information on the association between exposure to ambient heavy metals and incidence of pediatric asthma is limited.

OBJECTIVE

We sought to evaluate the effects of heavy metals during pregnancy and infancy periods with asthma and identify a sensitive time window, clarifying the effect of ambient heavy metals on lung development.

METHODS

A total of 171,281 children, who were born from 2004 to 2011 in Taichung City, were followed until 2014. Concentrations of ambient heavy metals such as arsenic (As), cadmium (Cd), mercury (Hg), and lead (Pb) were obtained from the Weather Research and Forecasting/Chem model, considering the top 75 emission sources in Taiwan. The distributed lag nonlinear model was used to investigate the relationship between combined exposure to heavy metals in 2.5 μm particulate matter and asthma in pregnant women and 1-year-old infants.

RESULTS

We identified 31,277 new asthma cases from the birth cohort. After adjustment for socioeconomic status, maternal age, maternal atopy, maternal anemia, and maternal kidney disease, distributed lag nonlinear model results revealed positive associations of asthma with exposure to Pb during gestational weeks 1 to 14 and 21 to 40, and 1 to 3 weeks after birth. Regarding the sensitivity analyses, coexposure to Pb and As, coexposure to Pb and Cd, and coexposure to Pb and Hg were positively associated with asthma onset as well.

CONCLUSIONS

Our study suggested that combined exposure to Pb with As, Cd, and Hg during early and late gestational weeks was associated with the incidence of pediatric asthma.

Past and present anthropic environmental stress reflect high susceptibility of natural freshwater ecosystems in Romania

The concentrations of twelve heavy metals and trace elements (Cr, Mn, Co, Ni, Cu, As, Cd, Pb, Hg, Zn, Fe, and Al) in bed sediment and river freshwater that received sewage discharge, industrial wastewater inputs and mining residue were discussed. Spatial distribution, intra-annual trends and diffuse flux in 2019 in the middle and lower reaches of Olt River Basin (ORB) were investigated using inductively coupled mass spectrometry (ICP-MS) and atomic absorption spectroscopy (AAS). We applied correlation and principal component analysis (PCA) to quantify metal distribution relationship within environmental factors (pH, air temperature) and organic matter existing in the ORB. Moreover, the ⁸⁷Sr/⁸⁶Sr and ²⁰⁶Pb/²⁰⁷Pb isotope ratios analysis was employed to conclude the possible origin of the contamination. PCA analysis categorized metal presence in the four-component model, which explains 91% (May), 92% (July) and 93% (September) of the variance and indicates the potential origins of pollutants. The HCA and correlation analysis emphasized the relationship between trace elements, heavy metals in water and sediments and physicochemical characteristics of water. It was observed a high discrepancy in metal distribution between riverbed sediments and water body. In September, correlation indices highlighted sparse positive relationship with trace elements in water and mainly negative correlation values with trace elements from sediments. The origin of pollutants in sediments and water appear to be both natural and human-related activities. In all seasons increased the total exchangeable concentration of Ni, Cu and Zn in the sediments downstream sewage treatment plants and upstream of dams. The consideration of environmental factors and physicochemical characteristics of water is required to develop strategies for pollution management, assessment and mitigation in the actual condition of climate change. This study evaluated the heavy metals pollution in the Olt River Basin over three periods in 2019 under human-induced changes.

Adsorption of Hg(II) in an Aqueous Solution by Activated Carbon Prepared from Rice Husk Using KOH Activation

With the development of industry, the discharge of wastewater containing mercury ions posed a serious threat to human health. Using biomass waste as an adsorbent to treat wastewater containing mercury ions was a better way due to its positive impacts on the environment and resource saving. In this research, activated carbon (AC) was prepared from rice husk (RH) by the KOH chemical activation method. The characterization results of scanning electron microscopy (SEM), Brunauer-Emmett-Teller (BET), Fourier transform infrared (FTIR), Raman spectroscopy, and X-ray photoelectron spectroscopy (XPS) showed that rice husk-activated carbon (RHAC) had good pore structure and oxygen-containing functional groups. The influences of contact time, initial concentration of Hg(II), adsorbent dosage, pH, and ionic strength on mercury ion removal were investigated. The Langmuir model was most suitable for the adsorption isotherm of RHAC, and its maximum adsorption capacity for Hg(II) was 55.87 mg/g. RHAC still had a high removal capacity for Hg(II) after five regeneration cycles. RHAC had excellent removal efficiency for mercury ion wastewater. At the same time, RH could be used as a nonpolluting and outstanding characteristic adsorbent material.

Adsorption, desorption and coadsorption behaviors of sulfamerazine, Pb(II) and benzoic acid on carbon nanotubes and nano-silica

In this study, nano-silica (Nano-SiO₂), oxidized (O-CNTs) and graphitized multi-walled carbon nanotubes (G-CNTs) were applied as model adsorbents to study the adsorption, desorption and coadsorption behaviors of sulfamerazine (SMR), Pb(II) and benzoic acid (BA). The results showed that charge assisted H-bond (CAHB) formation played an important role in adsorption of SMR and BA on O-riched nanomaterials. The adsorption capacities of Pb(II) on CNTs were 21.46- 26.77 times higher than that on Nano-SiO₂, which was mainly attributed to surface complexation and cation-π interaction. The fraction of Pb²⁺ adsorbed in the inside channel of CNTs should not be ignored. In coexisting systems, the absolute sorption inhibition of the SMR (ΔQ_e^SMR) was compared with the amount of competitor adsorbed. Competitive sorption was observed as indicated by adding Pb(II) decreased adsorption of SMR on Nano-SiO₂ (ΔQ_e^SMR > 0), but hardly affected SMR adsorption on CNTs (ΔQ_e^SMR ≈ 0) which was attributed to cation-π interaction. In addition, CAHB formed between SMR and Nano-SiO₂ (ΔpK_a ≈ 4.34) was weaker than that formed between SMR and O-CNTs (ΔpK_a ≈ 3.15), which also consequently resulted in stronger competition of Pb(II) to SMR on Nano-SiO₂ than that on O-CNTs. Moreover, coexisting BA increased adsorption of SMR on Nano-SiO₂ and G-CNTs (ΔQ_e^SMR < 0), but did not result in an apparent competition on SMR adsorption by O-CNTs (ΔQ_e^SMR ≈ 0). These results emphasize that the environmental behaviors of a certain pollutant should be assessed carefully by considering the presence of other pollutants.

The impact of household air cleaners on the oxidative potential of PM2.5 and the role of metals and sources associated with indoor and outdoor exposure

The health effects associated with human exposure to airborne fine particulate matter (PM_2.5) have been linked to the ability of PM_2.5 to facilitate the production of excess cellular reactive oxygen species (oxidative potential). Concern about the adverse human health impacts of PM_2.5 has led to the increased use of indoor air cleaners to improve indoor air quality, which can be an important environment for PM_2.5 exposure. However, the degree to which the oxidative potential of indoor and personal PM_2.5 can be influenced by an indoor air cleaner remains unclear. In this study we enrolled 43 children with physician diagnosed asthma in suburban Shanghai, China and collected two paired-sets of 48-h indoor, outdoor, and personal PM_2.5 exposure samples. One set of samples was collected under "real filtration" during which a functioning air cleaner was installed in the child's bedroom, and the other ("false filtration") with an air cleaner without internal filters. The PM_2.5 samples were characterized by inductively coupled plasma mass spectroscopy for elements, and by an alveolar macrophage assay for oxidative potential. The sources of metals contributing to our samples were determined by the EPA Positive Matrix Factorization model. The oxidative potential was lower under real filtration compared to sham for indoor (median real/sham ratio: 0.260) and personal exposure (0.813) samples. Additionally, the sources of elements in PM_2.5 that were reduced indoors and personal exposure samples by the air cleaner (e.g. regional aerosol and roadway emissions) were found by univariate multiple regression models to be among those contributing to the oxidative potential of the samples. An IQR increase in the regional aerosol and roadway emissions sources was associated with a 107% (95% CI: 80.1-138%) and 38.1% (17.6-62.1%) increase in measured oxidative potential respectively. Our results indicate that indoor air cleaners can reduce the oxidative potential of indoor and personal exposure to PM_2.5, which may lead to improved human health.

Environmental Health Research in Africa: Important Progress and Promising Opportunities

The World Health Organization in 2016 estimated that over 20% of the global disease burden and deaths were attributed to modifiable environmental factors. However, data clearly characterizing the impact of environmental exposures and health endpoints in African populations is limited. To describe recent progress and identify important research gaps, we reviewed literature on environmental health research in African populations over the last decade, as well as research incorporating both genomic and environmental factors. We queried PubMed for peer-reviewed research articles, reviews, or books examining environmental exposures and health outcomes in human populations in Africa. Searches utilized medical subheading (MeSH) terms for environmental exposure categories listed in the March 2018 US National Report on Human Exposure to Environmental Chemicals, which includes chemicals with worldwide distributions. Our search strategy retrieved 540 relevant publications, with studies evaluating health impacts of ambient air pollution (n=105), indoor air pollution (n = 166), heavy metals (n = 130), pesticides (n = 95), dietary mold (n = 61), indoor mold (n = 9), per- and polyfluoroalkyl substances (PFASs, n = 0), electronic waste (n = 9), environmental phenols (n = 4), flame retardants (n = 8), and phthalates (n = 3), where publications could belong to more than one exposure category. Only 23 publications characterized both environmental and genomic risk factors. Cardiovascular and respiratory health endpoints impacted by air pollution were comparable to observations in other countries. Air pollution exposures unique to Africa and some other resource limited settings were dust and specific occupational exposures. Literature describing harmful health effects of metals, pesticides, and dietary mold represented a context unique to Africa. Studies of exposures to phthalates, PFASs, phenols, and flame retardants were very limited. These results underscore the need for further focus on current and emerging environmental and chemical health risks as well as better integration of genomic and environmental factors in African research studies. Environmental exposures with distinct routes of exposure, unique co-exposures and co-morbidities, combined with the extensive genomic diversity in Africa may lead to the identification of novel mechanisms underlying complex disease and promising potential for translation to global public health.

The Oxidative Potential of Personal and Household PM2.5 in a Rural Setting in Southwestern China

The chemical constituents of fine particulate matter (PM_2.5) vary by source and capacity to participate in redox reactions in the body, which produce cytotoxic reactive oxygen species (ROS). Knowledge of the sources and components of PM_2.5 may provide insight into the adverse health effects associated with the inhalation of PM_2.5 mass. We collected 48 h household and personal PM_2.5 exposure measurements in the summer months among 50 women/household pairs in a rural area of southwestern China where daily household biomass burning is common. PM_2.5 mass was analyzed for ions, trace metals, black carbon, and water-soluble organic matter, as well as ROS-generating capability (oxidative potential) by one cellular and one acellular assay. Crustal enrichment factors and a principal component analysis identified the major sources of PM_2.5 as dust, biomass burning, and secondary sulfate. Elements associated with the secondary sulfate source (As, Mo, Zn) had the strongest correlation with increased cellular oxidative potential (Spearman r: 0.74, 0.68, and 0.64). Chemical markers of biomass burning (water-soluble potassium and water-soluble organic matter) had negligible oxidative potential, suggesting that these assays may not be useful as health-relevant exposure metrics in populations that are exposed to high levels of smoke from household biomass burning.

The impact of environmental pollution on the quality of mother's milk

Breastfeeding is a gold standard of neonate nutrition because human milk contains a lot of essential compounds crucial for proper development of a child. However, milk is also a biofluid which can contain environmental pollution, which can have effects on immune system and consequently on the various body organs. Polychlorinated biphenyls are organic pollutants which have been detected in human milk. They have lipophilic properties, so they can penetrate to fatty milk and ultimately to neonate digestive track. Another problem of interest is the presence in milk of heavy metals-arsenic, lead, cadmium, and mercury-as these compounds can lead to disorders in production of cytokines, which are important immunomodulators. The toxicants cause stimulation or suppression of this compounds. This can lead to health problems in children as allergy, disorders in the endocrine system, end even neurodevelopment delay and disorder. Consequently, correlations between pollutants and bioactive components in milk should be investigated. This article provides an overview of environmental pollutants found in human milk as well as of the consequences of cytokine disorder correlated with presence of heavy metals. Graphical abstract.