Investigation of toxic heavy metals content and estimation of potential health risks in Chinese herbal medicine

Assessment of ecological and human health risks of heavy metals in soils and Polygonatum sibiricum plants from various cultivation areas in China

In this study, we collected 528 samples from 7 important Polygonatum sibiricum (P. sibiricum) planting areas in China. The P. sibiricum samples were classified into P. sibiricum Red., P. cyrtonema Hua. and P. kiugianum Col.et Hemsl. The content of the Cu, As, Zn, Cd, Pb, and Cr in P. sibiricum and soil were determined using inductively coupled plasma mass spectrometry, and the ecological and health risks were evaluated. The results showed that addition to Cu, the soil exhibits varying degrees of excessive pollution from Zn, As, Pb, Cd, and Cr exceeding permissible levels (GB15618 - 2018, Soil environmental quality-Risk control standard for soil contamination of agricultural land in China). Among them, 31.56% Zn, 22.43% As, and 22.05% Cd in soil exceeded the GB 15618 - 2018 standard. Additionally, three types of P. sibiricum soil have risks, with the risk level being P. cyrtonema Hua. > P. kiugianum Col.et Hemsl. > P. sibiricum Red. It was worth noting that the practice of artificial cultivation management may reduce the amount of As, Cd, and Cr in the soil while increasing the amount of Zn. The order of P. sibiricum bioaccumulating ability in different heavy metals was: Cd > Zn > Cu > Cr > As > Pb, and it had good tolerance to As, Pb, and Cr. In addition, the chronic daily intake, hazard quotient and hazard indexes indicate that the current Cu, Hg, As, Cd and Pb contents of P. sibiricum in China do not pose a health risk to humans. In summary, the impact of Cd in P. sibiricum should be given attention.

Health Risk Assessment of Toxic Metal(loids) Consumed Through Plant-Based Anti-diabetic Therapeutics Collected in the Northern Divisional City of Rajshahi, Bangladesh

The present study investigates human health risks upon consumption of herbal medicines in terms of ten toxic metalloids in 20 plant-based anti-diabetic therapeutics. The analysis of metalloids was determined by an atomic absorption spectrometer after microwave-assisted digestion. The computation of hazard quotients (HQ) and hazard indexes (HI) of metalloids leads to the assessment of non-carcinogenic health risks. Carcinogenic risk was assessed based on cancer slope factor (CSF) and chronic daily intake (CDI) values. Comparison with WHO regulatory cut-off points for each metalloid: seven samples for Mn, 12 samples for Hg, three samples for Cu, eight samples for Ni, four samples for Cd, two samples for Pb, one sample for Cr, and eight samples for Zn are unsafe to consume. Non-carcinogenic human health risk is predicted for Mn in seven samples, Fe in one sample, Hg in ten samples, Cu in three samples, Ni in one sample, and Pb in two samples. HI values greater than 1 predict non-carcinogenic health risk in thirteen samples. Incremental lifetime cancer risk (ILCR) remains for As (inorganic) in 12 samples, Cr (+ 6) in one sample, and Pb in no samples. To guarantee consumer safety, the implementation of strict monitoring is suggested.

High-Sensitive Hydrogel Optofluidic Microcavities for Heavy Metal Ion Detection

Hydrogels have emerged as promising sensors for detecting heavy metal ions in fluids and have been extensively developed. However, monitoring of multiple target analytes in Chinese herbs remains challenging due to subtle chemical signals and the complex composition of the extracted solutions. To address these challenges, we developed a hydrogel optofluidic sensor to amplify analyte signals through strong light-matter interactions within the hydrogel. This sensing platform integrates a hydrogel film encapsulated in a whispering-gallery-mode (WGM) microcavity for the detection of heavy metal ions, such as Pb2+ and Hg2+. The 3D cross-linked hydrophilic polymer network facilitates ion penetration from analyte solutions, inducing distinct WGM resonance shifts. The red shift in the spectral wavelength serves as a parameter to quantify the content of heavy metal ions. By modification of the hydrogel with aptamers, the optofluidic sensors achieve high sensitivity and selectivity. Finally, the platform's performance was demonstrated using Chinese herbs with varying Pb2+ concentrations, highlighting its practical applicability in real-world scenarios. The proposed hydrogel microcavity exhibit a promising method for development of functional hydrogel sensors and healthcare applications.

Cu,Ce-containing phosphotungstates as laccase-like nanozyme for colorimetric detection of Cr(VI) and Fe(Ⅲ)

Herein, a nanocomposite of Cu,Ce-containing phosphotungstates (Cu,Ce-PTs) with outstanding laccase-like activity was fabricated via a one-pot microwave-assisted hydrothermal method. Notably, it was discovered that both Fe3+ and Cr6+ could significantly enhance the electron transfer rates of Ce3+ and Ce4+, along with generous Cu2+ with high catalytic activity, thereby promoting the laccase-like activity of Cu,Ce-PTs. The proposed system can be used for the detection of Fe3+ and Cr6+ in a range of 0.667-333.33 μg/mL and 0.033-33.33 μg/mL with a low detection limit of 0.135 μg/mL and 0.0288 μg/mL, respectively. The proposed assay exhibits excellent reusability and selectivity and can be used in traditional Chinese medicine samples analysis.

Distribution of mercury and methylmercury in ice-water-sediments in lakes during the freezing period under the influence of ice cover

The presence of lake ice cover alters the subglacial water environment, thereby influencing the migration and transformation of mercury (Hg) and methylmercury (MeHg) within the ice-water-sediment media of lakes. This study investigated the occurrence characteristics of mercury and methylmercury in various environmental compartments within lakes located at high latitudes in cold regions during the freezing period. To this end, Wuliangsuhai Lake, the largest freshwater lake situated at 40°N in China, was selected as the study site. The contents of mercury and methylmercury in lake ice were determined for the first time. The percentage of methylmercury (MeHg%) and ice-water partition coefficient were analyzed. The pollution situation and health risk were evaluated by single factor pollution index. The results show that the ice body and water body of Wuliangsuhai are not polluted by mercury and methylmercury, but some sampling points in the sediment are slightly polluted. The mercury content in sediment is negatively correlated with the ice thickness, and the methylmercury content in water is positively correlated with the methylmercury content in sediment, but negatively correlated with the ice thickness. The migration ability of methylmercury in ice-water system is stronger than that of mercury. The MeHg% of water in ice period is higher than that in non-freezing period, which is different from other lakes without ice sheet. The results show that in the dynamic equilibrium of methylation and demethylation in the high-latitude lake water, the methylation is higher in the ice period than in the non-freezing period due to the influence of light intensity, while the mercury in the non-freezing period is more susceptible to the demethylation.

Melamine-Derived Mesoporous Carbon for Efficient and Selective Removal of Trace Hg(II) from Honeysuckle Decoction

Melamine-derived mesoporous carbon, which was obtained from pyrolysis of modified melamine, was employed for the purpose of eliminating trace amounts of Hg(II) from honeysuckle decoction. The specific surface area of the mesoporous carbons with N-functional (MCN1) was 648.372 m2·g-1. The chemical composition and morphology of MCN1 were thoroughly examined, and a comprehensive analysis led to the identification of its formation mechanism. A noteworthy association has been identified between the adsorption efficacy and the chemical composition of MCN1. In the elimination of trace mercury in aqueous solutions over a broad pH range (pH 2-9), MCN1 demonstrates high effectiveness, approaching 100%. Adsorption kinetics and isotherm results indicate that a more accurate representation of Hg(II) adsorption on MCN1 is provided by pseudo-second-order kinetics and Freundlich models, with chemical adsorption being the dominant mechanism. This study further examined the removal of chlorogenic acid, a bioactive component, by MCN1. The findings imply that MCN1 has a noteworthy 80% efficacy in removing mercury from honeysuckle decoction while maintaining the purity of its medicinal ingredients, particularly chlorogenic acid. As a result, utilizing MCN1 for the adsorption of Hg(II) in honeysuckle decoction appears to be a reasonable approach.

Toxicity study of mineral medicine haematitum

ETHNOPHARMACOLOGICAL RELEVANCE

Haematitum, a time-honored mineral-based Chinese medicine, has been used medicinally in China for over 2000 years. It is now included in the Chinese Pharmacopoeia and used clinically for treating digestive and respiratory diseases. The Chinese Materia Medica records that it is toxic and should not be taken for a long period, but there are few research reports on the toxicity of Haematitum and its potential toxicity mechanisms.

AIM OF THE STUDY

This study aimed to evaluate the toxicity of Haematitum and calcined Haematitum, including organ toxicity, neurotoxicity, and reproductive toxicity. Further, it is also necessary to explore the mechanism of Haematitum toxicity and to provide a reference for the safe clinical use of the drug.

MATERIALS AND METHODS

The samples of Haematitum and calcined Haematitum decoctions were prepared. KM mice were treated with samples by gavage for 10 days, and lung damage and apoptosis were assessed by HE staining and TUNEL staining of lung tissues respectively. Metabolomics analysis was performed by HPLC-MS. Metallomics analysis was performed by ICP-MS. In addition, C. elegans was used as a model for 48 h exposure to examine the neurotoxicity and reproductive toxicity-related indices of Haematitum, including locomotor behaviors, growth and development, reproductive behaviors, AChE activities, sensory behaviors, apoptosis, and ROS levels.

RESULTS

The use of large doses of Haematitum decoction caused lung damage in mice. Neither calcined Haematitum decoction nor Haematitum decoction at clinically used doses showed organ damage. Metabolomics results showed that disorders in lipid metabolic pathways such as sphingolipid metabolism and glycerophospholipid metabolism may be important factors in Haematitum-induced pulmonary toxicity. High doses of Haematitum decoction caused neurological damage to C. elegans, while low doses of Haematitum decoction and calcined Haematitum decoction showed no significant neurotoxicity. Decoction of Haematitum and calcined Haematitum did not show reproductive toxicity to C. elegans. Toxicity was also not observed in the control group of iron (Ⅱ) and iron (Ⅲ) ions in equal amounts with high doses of Haematitum.

CONCLUSIONS

Haematitum is relatively safe for routine doses and short-term use. Calcination can significantly reduce Haematitum toxicity, and this study provides a reference for safe clinical use.

Physiological response mechanism of heavy metal-resistant endophytic fungi isolated from the roots of Polygonatum kingianum

This study aims to evaluate the tolerance of endophytic fungi isolated from the fibrous roots of Polygonatum kingianum to arsenic (As) and cadmium (Cd) and their physiological response mechanisms. Five isolated strains were obtained with EC50 values for As(V) ranging from 421 to 1281 mg/L, while the other three strains tolerated Cd(II) with an EC50 range of 407-1112 mg/L. Morphological and molecular identification indicated that these eight strains were Cladosporium spp. belonging to dark septate endophytes (DSEs). The contents of metal ions in mycelium sharply increased, reaching 38.87 mg/kg for strain MZ-11 under As(V) stress and 0.33 mg/kg for fungus PR-2 under Cd(II). The physiological response revealed that the biomass decreased with increasing concentrations of As(V) or Cd(II), and the activity of superoxide dismutase significantly improved under the corresponding EC50 -concentration As/Cd of the strains, as well as the contents of antioxidant substances, including metallothionein, glutathione, malondialdehyde, melanin, and proline. Taken together, the filamentous fungi of Cladosporium spp. accounted for a high proportion of fungi isolated from the fibrous roots of P. kingianum and had a strong capacity to tolerate As(V) or Cd(II) stress by improving antioxidase activities and the content of antioxidant substances, and immobilization of metal ions in hyphae.

Correlation Between Toxic Elements and Pesticide Residues in Medicinal Herbs Available in Pharmaceutical Market

The use of medicinal plants for self-medication of minor health conditions has become a widespread practice in contemporary society. Few consumes, however, question the contamination of these products with toxic factors resulting from the planet's increasingly polluted environment. This paper presents the levels of five toxic elements (As, Cr, Pb, Cd, and Hg) and nine organochlorine pesticides (hexachlorobenzene (HCB), lindane, heptachor, aldrin, dieldrin, endrin, p,p'DDE, p,p'DDD, and p,p'DDT) in 14 brands of regularly consumed medicinal products in Romania. The toxic elements content was determined using energy-dispersive X-ray fluorescence (EDXRF) technique, and organochlorine pesticide residues (OPCs) were quantified using gas-chromatographic method, equipped with electron capture detector (GC-ECD). The results show that in the case of Cr, Cd, and Hg, the concentrations exceeded the limit values established by World Health Organisation (WHO) for raw herbal material. The higher level of OPCs (such as p,p'DDD, p,p'DDT, aldrin, and dieldrin) was found in the samples of Hypericum perforatum-St. John's wort, Crataegus monogyna-hawthorn, and Epilobium parviflorum-hoary willowherb. The correlations between the content of toxic elements and pesticides were determined by statistical analysis. Hierarchical clustering technique was used to detect natural grouping between the toxic elements and pesticides. For herb samples, four clusters were identified, the strongest correlated cluster consisting of Pb, HCB, Cr, and Hg. A further analysis within this cluster suggested that Cr levels are statistically different from the rest of the elements.

Characteristics of heavy metal accumulation and risk assessment in understory Panax notoginseng planting system

Yunnan Province is the main planting area of the precious Chinese herbal medicines (CHM) Panax notoginseng; however, it locates the geological area with high soil heavy metals in China. The frequent land replacement due to continuous cropping obstacles and excessive application of chemicals makes P. notoginseng prone to be contaminated by heavy metals under the farmland P. notoginseng (FPn) planting. To overcome farmland shortage, understory P. notoginseng (UPn) was developed as a new ecological planting model featured by no chemicals input. However, this newly developed planting system requires urgently the soil-plant heavy metal characteristics and risk assessment. This study aimed to evaluate the pollution status of eight heavy metals in the tillage layer (0-20 cm), subsoil layer (20-40 cm) and the plants of UPn in Lancang County, Yunnan Province. Pollution index (Pi) showed that the contamination degree of heavy metals in the tillage layer and subsoil layer was Cd > Pb > Ni > Cu > Zn > Cr > Hg > As and Pb > Cd > Cu > Ni > Cr > Hg > Zn > As, respectively. Potential ecological risk index (PERI) for the tillage layer and subsoil layer was slight and middle, respectively. The exceeding standard rate of Cd, As, Pb, Hg, Cu in the UPn roots was 5.33%, 5.33%, 13.33%, 26.67% and 1.33%, respectively, while only Cd and Hg in the UPn leaves exceeded the standard 10% and 14%, respectively. The enrichment abilities of Cd and Hg in the roots and leaves of UPn were the strongest, while that of Pb was the weakest. The Hazard index (HI) and target hazard quotient (THQ) of eight heavy metals in the roots and leaves of UPn were less than 1.Therefore, our results prove that Upn has no human health risk and provide a scientific basis for the safety evaluation and extension of UPn.

ICP-MS assessment of elemental impurities and metallic contaminants in activated charcoal products

Activated charcoal is an adsorbent material which is consumed as a dietary supplement (100 mg) and as non-specific antidote treatment in acute poisoning at 0.5-1 g kg-1 body weight in infants and 50 g in adults. The ingestion of large quantities of it has aroused our interest in the presence of metals impurities. Therefore, the present study aimed to assess trace elements in activated charcoal products. Multielement analysis were performed using Inductively Coupled Plasma-Mass Spectrometry after digestion. Estimated daily Intake was calculated and compared to references doses for each element. Varying trace elements have been found: chromium (0.3383 ± 0.089 µg g-1), cadmium (0.5991 ± 0.2967 µg g-1), aluminum (0.7033 ± 0.1215 µg g-1), nickel (0.0111 ± 0.003 µg g-1), lead (0.0052 ± 0.0021 µg g-1), zinc (0.0414 ± 0.0076 µg g-1), and manganese (0.0036 ± 0.0006 µg g-1). when 50 g of activated charcoal is consumed by a 70 kg adult, aluminum estimated daily intake is 0.0005 mg/kg bw/day which exceeds the reference dose (0.0004 mg/kg bw/day). In the infants, consumption of 15 g of contaminated activated charcoal exposes to chromium, cadmium and aluminum as their estimated daily intake (0.00034; 0.0006; 0.0007 mg/kg bw/day respectively) exceed their reference doses (0.0003; 0.0005; 0.0004 mg/kg bw/day respectively). These trace elements are not without risk to consumers health. Activated charcoal products could be contaminated with elemental impurities. Pharmaceutical industries should be vigilant to raw materials (plants and wood) used in the preparation, these materials should come from unpolluted areas to avoid contaminations.

Toxicological effects, residue levels and risks of endocrine-disrupting chemicals in Chinese medicine: a review

Traditional Chinese medicine (TCM) that is used worldwide possesses the satisfactory function of disease prevention, treatment and health care, and this natural medicine seems to be favored due to its low side effects. Endocrine disrupting chemicals (EDCs), which exist in all aspects of our lives, may interfere with the synthesis, action and metabolism of human sex steroid hormones, resulting in the development and fertility problems as well as obesity and the disturbance of energy homeostasis. From planting to processing, TCM may be polluted by various EDCs. Many studies pay attention to this problem, but there are still few reviews on the residues and toxicity risks of EDCs in TCM. In this paper, researches related to EDCs in TCM were screened. The possible contamination sources of TCM from planting to processing and its toxic effects were introduced. Moreover, the residues of metals, pesticides and other EDCs in TCM as well as the health risks of human exposure to EDCs through ingestion of TCM materials were reviewed.

Preoperative Use and Discontinuation of Traditional Chinese Herbal Medicine and Dietary Supplements in Taiwan: A Cross-Sectional Questionnaire Survey

Traditional Chinese herbal medicine has widespread use in Taiwan. This cross-sectional questionnaire survey investigates the preoperative use and discontinuation of Chinese herbal medicine and dietary supplements among Taiwanese patients. We obtained the types, frequency, and sources of Chinese herbal remedies and supplements used. Among 1428 presurgical patients, 727 (50.9%) and 977 (68.4%) reported the use of traditional Chinese herbal medicine and supplements in the past one month, respectively. Only 17.5% of the 727 patients stated discontinuation of herbal remedies 4.7 ± 5.1 (1-24) days before the surgery, and 36.2% took traditional Chinese herbal medicine with concomitant physician-prescribed Western medicine for their underlying diseases. The most commonly used Chinese herbs are goji berry (Lycium barbarum) (62.9%) and Si-Shen-Tang (48.1%) in single and compound forms, respectively. The presurgical use of traditional Chinese herbal medicine was common in patients undergoing gynecologic (68.6%) surgery or diagnosed with asthma (60.8%). Women and those with a high household income had a greater tendency to use herbal remedies. This study demonstrates the high proportion of the presurgical use of Chinese herbal remedies and supplements along with physician-prescribed Western medicine in Taiwan. Surgeons and anesthesiologists should be aware of the potential adverse effects of drug-herb interaction for Chinese patients.

Preparation and modification of nanocellulose and its application to heavy metal adsorption: A review

Heavy metals are a notable pollutant in aquatic ecosystems that results in many deadly diseases of the human body after enrichment through the food chain. As an environmentally friendly renewable resource, nanocellulose can be competitive with other materials at removing heavy metal ions due to its large specific surface area, high mechanical strength, biocompatibility and low cost. In this review, the research status of modified nanocellulose for heavy metal adsorbents is primarily reviewed. Two primary forms of nanocellulose are cellulose nanocrystals (CNCs) and cellulose nanofibers (CNFs). The preparation process of nanocellulose was derived from natural plants, and the preparation process included noncellulosic constituent removal and extraction of nanocellulose. Focusing on heavy metal adsorption, the modification of nanocellulose was explored in depth, including direct modification methods, surface grafting modification methods based on free radical polymerization and physical activation. The adsorption principles of nanocellulose-based adsorbents when removing heavy metals are analyzed in detail. This review may further facilitate the application of the modified nanocellulose in the field of heavy metal removal.

Assessment of health risks associated with pesticide and heavy metal contents in Fritillaria thunbergii Miq. (Zhe Beimu)

Fritillaria thunbergii Miq. (Zhe Beimu, F. thunbergii) is widely cultivated in China's Zhejiang province, and pesticides and heavy metals are two major factors affecting its quality and safety. A total of 106 F. thunbergii samples from six main production areas were analyzed for 76 pesticides and four heavy metal content (As, Cd, Hg, and Pb). The pesticide detection rate of the samples was 66.98%; overall, the pesticide residues were very low, and residue levels ranged from 0.010 to 0.231 mg kg^-1. The detection rates of As, Cd, Hg, and Pb were 95.3%, 100%, 76.4%, and 100%, respectively. A risk assessment of human exposure to pesticides and heavy metals via intake of F. thunbergii was performed, and the results revealed that the pesticide residues and heavy metal content detected in F. thunbergii does not pose a potential risk to human health, either in the long or short term. The exposure assessment showed that the levels of pesticides and heavy metals in F. thunbergii were safe for human consumption. These results provide useful information on F. thunbergii consumption.

Intercropping of Pinellia ternata (herbal plant) with Sedum alfredii (Cd-hyperaccumulator) to reduce soil cadmium (Cd) absorption and improve yield

Soil contamination by cadmium (Cd) is of global concern, threatening not only crop production, but also supply of herbal medicine. Research studies usually grow crops with Sedum alfredii (a Cd-hyperaccumulator). However, intercropping herbal plants with S. alfredii and their interactions with hydro-chemical properties of soil are rarely considered. This study examines the growth of a herbal plant, Pinellia ternata, intercropped with S. alfredii in Cd-contaminated soil. Plant characteristics were assessed, especially biomass and Cd content of bulbil (yield and quality of P. ternata). Soil hydro-chemical properties including water retention, Cd content and organic matter were determined with statistical analyses. At low soil-Cd contamination (0.6 μg/g), bulbil biomass of intercropped P. ternata (PSL) was almost double compared with monoculture of P. ternata (PL), which is barely significant (p ≈ 0.05). The corm biomass of PSL was also significantly greater than that of PL (p < 0.05). Although soil-Cd contamination became more severe by increasing to 3 μg/g, the bulbil biomass in the intercrop was not significantly different from PL (p > 0.05). That said, it is evidenced that the yield of intercropped P. ternata was improved in Cd-contaminated soil. Such improvement was mainly attributed to reduced soil-Cd content and enhanced soil-water retention which was governed by plant roots and soil organic matters. The soil-water retention was first identified as a critical parameter in promoting plant growth under intercropping. More importantly, the bulbil-Cd content of P. ternata in PSL was significantly reduced (p < 0.05). This study demonstrates that the newly proposed intercrop is feasible to improve yield of herbal plants, and at the same time reduce heavy metal absorption and accumulation in medicinal organs, especially for P. ternata. This is anticipated to reduce the human health risk imposed by ingestion of Chinese herbal plants.

MRTCM: A comprehensive dataset for probabilistic risk assessment of metals and metalloids in traditional Chinese medicine

Traditional Chinese medicine (TCM) is still considered a global complementary or alternative medical system, but exogenous hazardous contaminants remain in TCM even after decocting. Besides, it is time-consuming to conduct a risk assessment of trace elements in TCMs with a non-automatic approach due to the wide variety of TCMs. Here, we present MRTCM, a cloud-computing infrastructure for automating the probabilistic risk assessment of metals and metalloids in TCM. MRTCM includes a consumption database and a pollutant database involving forty million rows of consumption data and fourteen types of TCM potentially toxic elements concentrations. The algorithm of probabilistic risk assessment was also packaged in MRTCM to assess the risks of eight elements with Monte Carlo simulation. The results demonstrated that 96.64% and 99.46% had no non-carcinogenic risk (hazard indices (HI) were < 1.0) for animal and herbal medicines consumers, respectively. After twenty years of exposure, less than 1% of the total carcinogenic risk (CR_t) was > 10^-4 for TCM consumers, indicating that they are at potential risk for carcinogenicity. Sensitivity analysis revealed that annual consumption and concentration were the main variables affecting the assessment results. Ultimately, a priority management list of TCMs was also generated, indicating that more attention should be paid to the non-carcinogenic risks of As, Mn, and Hg and the carcinogenic risks of As and Cr in Pheretima and Cr in Arcae Conch. In general, MRTCM could significantly enhance the efficiency of risk assessment in TCM and provide reasonable guidance for policymakers to optimize risk management.

The safety of Chinese medicine: A systematic review of endogenous substances and exogenous residues

BACKGROUND

Safety and toxicity have become major challenges in the internationalization of Chinese medicine. Inspite of its wide application, security problems of Chinese medicine still occur from time to time, raising widespread concerns about its safety. Most of the studies either only partially discussed the intrinsic toxicities or extrinsic harmful residues in Chinese medicine, or briefly described detoxification and attenuation methods. It is necessary to systematically discuss Chinese medicine's extrinsic and intrinsic toxic components and corresponding toxicity detoxification or detection methods as a whole.

PURPOSE

This review comprehensively summarizes various toxic components in Chinese medicine from intrinsic and extrinsic. Then the corresponding methods for detoxification or detection of toxicity are highlighted. It is expected to provide a reference for safeguards for developing and using Chinese medicine.

METHODS

A literature search was conducted in the databases, including PubMed, Web of Science,Wan-fang database, and the China National Knowledge Infrastructure (CNKI). Keywords used were safety, toxicity, intrinsic toxicities, extrinsic harmful residues, alkaloids, terpene and macrolides, saponins, toxic proteins, toxic crystals, minerals, heavy metals, pesticides, mycotoxins, sulfur dioxide, detoxification, detection, processing (Paozhi), compatibility (Peiwu), Chinese medicine, etc., and combinations of these keywords. All selected articles were from 2006 to 2022, and each was assessed critically for our exclusion criteria. Studies describe the classification of toxic components of Chinese medicine, the toxic effects and mechanisms of Chinese medicine, and the corresponding methods for detoxification or detection of toxicity.

RESULTS

The toxic components of Chinese medicines can be classified as intrinsic toxicities and extrinsic harmful residues. Firstly, we summarized the intrinsic toxicities of Chinese medicine, the adverse effects and toxicity mechanisms caused by these components. Next, we focused on the detoxification or attenuation methods for intrinsic toxicities of Chinese medicine. The other main part discussed the latest progress in analytical strategies for exogenous hazardous substances, including heavy metals, pesticides, and mycotoxins. Beyond reviewing mainstream instrumental methods, we also introduced the emerging biochip, biosensor and immuno-based techniques.

CONCLUSION

In this review, we provide an overall assessment of the recent progress in endogenous toxins and exogenous hazardous substances concerning Chinese medicine, which is expected to render deeper insights into the safety of Chinese medicine.

De Novo transcriptome combined with physiological analyses revealed key genes for cadmium accumulation in Zhe-Maidong (Ophiopogon japonicus)

INTRODUCTION

Cadmium (Cd) is a toxic heavy metal that severely threatens safe food production. Zhe-Maidong, a well-known Chinese traditional herbal medicine, is susceptible to Cd stress. However, the characteristics of Cd transformation and migration, as well as the regulatory system for genes conferring Cd accumulation of Zhe-Maidong, remains an essential issue to be addressed.

METHODS

Zhe-Maidong seedling growth in Cd-contaminated and uncontaminated soil was conducted for 90 days. The Cd concentration was determined by inductively coupled plasma-mass spectrometry, and the Cd²⁺ fluorescence probe detected Cd distributions. The root transcriptome of Zhe-Maidong was then evaluated using various Cd stress hydroponic treatments designated Cd-0, Cd-M, and Cd-H.

RESULTS AND DISCUSSION

The enrichment factor (EF) value in the root was four times that of the leaves, indicating that the root has a high ability to absorb and accumulate Cd. The Cd²⁺ were mainly distributed in the root hair and the epidermis in both roots and leaves, revealing that the epidermal cells of roots may collect Cd²⁺ and also have an outstanding role in Cd²⁺ uptake. A total of 50 DEGs involved in Cd translocation and accumulation were identified. Among these DEGs, ANN, ABCC2/4, HMA1- 5, and CCX gene expression were positively correlated with EF-root, EF-leaf, EF-total, Cd-leaf, Cd-root, and Cd-plant, indicating their role in Cd transport and accumulation under Cd-stress. These data could be helpful in uncovering the Cd accumulation characteristics in Zhe-Maidong, as well as provide a bioinformatic foundation for investigations on finding gene functions and the screening of candidate genes related to Cd accumulation.

Medicinal Plant Growth in Heavy Metals Contaminated Soils: Responses to Metal Stress and Induced Risks to Human Health

Accelerating heavy metal pollution is a hot issue due to a continuous growth in consumerism and increased activities in various global industries. Soil contamination with heavy metals has resulted in their incorporation into the human food web via plant components. Accumulation and amplification of heavy metals in human tissues through the consumption of medicinal plants can have hazardous health outcomes. Therefore, in this critical review we aim to bring together published information on this subject, with a special highlight on the knowledge gaps related to heavy metal stress in medicinal plants, their responses, and human health related risks. In this respect, this review outlines the key contamination sources of heavy metals in plants, as well as the absorption, mobilization and translocation of metal ions in plant compartments, while considering their respective mechanisms of detoxification. In addition, this literature review attempts to highlight how stress and defensive strategies operate in plants, pointing out the main stressors, either biotic or abiotic (e.g., heavy metals), and the role of reactive oxygen species (ROS) in stress answers. Finally, in our research, we further aim to capture the risks caused by heavy metals in medicinal plants to human health through the assessment of both a hazard quotient (HQ) and hazard index (HI).

Trace heavy metals and harmful elements in roots and rhizomes of herbs: Screening level analysis and health risk assessment

Objective

Heavy metal and harmful element contamination are frequently reported in Chinese herbal medicines (CHMs), and roots and rhizomes parts showed a higher content than other parts. To investigate the residue level and assess the potential human health risk of heavy metals and harmful elements in roots and rhizomes, 720 batches of the sample representing 20 species of herbs from different sources were collected.

Methods

The content of Pb, Cd, As, Hg, and Cu in the digests was determined using ICP-MS. The chronic hazard index estimate based on non-cancer hazard quotient (HQ) was applied for potential health risk assessment of Pb, Cd, As, Hg, and Cu via consumption of CHMs.

Results

Compared with the Chinese limit standard (Chinese Pharmacopoeia Commission, 2020 edition) of Pb, Cd, As, Hg, and Cu in Ginseng Radix et Rhizoma, the exceedance percentage of Pb in total samples was 14.1%, which were generally far higher than Cd, As, Hg, and Cu. Health risk assessment results based on hazard quotient calculating showed that total HQ of Cu, Pb, As, Cd, and Hg in Pulsatillae Radix and Clematidis Radix et Rhizoma exceeded 1, with the value of 1.543 and 1.235. Besides, Arsenic had the highest HQ value (0.957) in Pulsatillae Radix.

Conclusion

Consuming raw materials of Pulsatillae Radix and Clematidis Radix et Rhizoma may pose a potential risk and Arsenic residues in Pulsatillae Radix deserved special attention.

Process optimization for the synthesis of functionalized Au@AgNPs for specific detection of Hg2+ based on quality by design (QbD)

The current study highlights the advantages of using the quality by design (QbD) approach to synthesise and optimize SERS substrates for the detection of Hg²⁺. Considering that the performance of Au@AgNPs is affected by many factors, Plackett–Burman (PB) experimental design was used to determine the critical process parameters (CPPs) for evaluating the performance of Au@AgNPs. The quantitative relationships between the CPPs and the critical quality attributes (CQAs) were assessed by Box-Behnken Design (BBD). The optimal design space for Au@AgNPs was calculated via a Monte Carlo algorithm. Finally, detection of Hg²⁺ in the range of 1 ∼ 100 ng mL⁻¹ (R² = 0.9891) was achieved by SERS in combination with 4,4-bipyridine (Dpy) as signal molecules. The recoveries for licorice ranged from 83.53% to 92.96%. Specificity and practicality studies indicated that the method based on the QbD concept and design space not only met the optimal performance of Au@AgNPs but also improved the rapid detection of Hg²⁺ in Chinese medicine samples.

The current study highlights the advantages of using the quality by design (QbD) approach to synthesise and optimize SERS substrates for the detection of Hg²⁺.

Ceramisation of hazardous elements: Benefits and pitfalls of the inertisation through silicate ceramics

The addition of wastes to silicate ceramics can considerably expand the compositional spectrum of raw materials with a possible inclusion of hazardous components. The present work quantitatively examines relevant literature to determine whether the benefits of incorporating hazardous elements (HEs) into silicate ceramics outweigh the pitfalls. The mobility of various HEs (Ba, Zn, Cu, Cr, Mo, As, Pb, Ni, and Cd) has been parameterised by three descriptors (immobilisation efficiency, mobilised fraction, and hazard quotient) using leaching data. HEs can be incorporated into both crystalline and glassy phases, depending on the ceramic body type. Moreover, silicate ceramics exhibit a remarkably high immobilisation efficiency (often exceeding 99.9%), as accomplished for Ba, Cd, Ni, and Zn elements. The pitfalls of the inertization process include an insufficient stabilisation of incorporated HEs, as indicated by the high hazard quotients (beyond the permissible limits established for inert materials) obtained in some cases for Mo, As, Cr, Pb, and Cu elements. Such behaviour is related to oxy-anionic complexes (Mo, As, Cr) that can form their own phases or are not linked to the tetrahedral framework of aluminosilicate glass. Pb and Cu elements are preferentially partitioned to glass with a low coordination number, while As and especially Mo are not always stabilised in silicate ceramics. These drawbacks necessitate conducting additional studies to develop appropriate inertisation strategies for these elements.

Heavy Metals and Probabilistic Risk Assessment via Pheretima (a Traditional Chinese Medicine) Consumption in China

Earthworms are known to accumulate inorganic contaminants from the soil; they are also used as a traditional Chinese medicine (TCM) called Pheretima, which might cause safety problems with long-term exposure. Here, this study was conducted to determine and analyze the level of heavy metal contamination such as arsenic (As), cadmium (Cd), chromium (Cr), copper (Cu), mercury (Hg), manganese (Mn), nickel (Ni), and lead (Pb) in Pheretima and then explore the probabilistic health risks caused by 8 heavy metals in 98 batches of Pheretima using Monte Carlo simulation. A risk assessment strategy was conducted to assess heavy metal-associated health risk of Pheretima based on consumption data. For random consumption sampling, the results found that the non-carcinogenic risk of As is higher than the acceptable level, and the carcinogenic risk levels of As and Cr exceeded the acceptable risk recommended by the USEPA. Cr and As were regarded as the priority metals for risk control in the present study. Finally, it was recommended that the dosing frequency should be less than 24 d/y. In general, this study conducted a probabilistic risk assessment of heavy metals in Pheretima, which would be of significance for policy makers to take effective strategies to improve the quality and safety of Pheretima.

Impacts of heavy metals and medicinal crops on ecological systems, environmental pollution, cultivation, and production processes in China

Heavy metals are widely distributed in the environment due to the natural processes and anthropogenic human activities. Their migration into no contaminated areas contributing towards pollution of the ecosystems e.g. soils, plants, water and air. It is recognized that heavy metals due to their toxicity, long persistence in nature can accumulate in the trophic chain and cause organism dysfunction. Although the popularity of herbal medicine is rapidly increasing all over the world heavy metal toxicity has a great impact and importance on herbal plants and consequently affects the quality of herbal raw materials, herbal extracts, the safety and marketability of drugs. Effective control of heavy metal content in herbal plants using in pharmaceutical and food industries has become indispensable. Therefore, this review describes various important factors such as ecological and environmental pollution, cultivation and harvest of herbal plants and manufacturing processes which effects on the quality of herbal plants and then on Chinese herbal medicines which influence human health. This review also proposes possible management strategies to recover environmental sustainability and medication safety. About 276 published studies (1988-2021) are reviewed in this paper.

Assessment of heavy metal content of commonly consumed herbal medicines in Sindh, Pakistan

In Pakistan, herbal medicines are extensively consumed by a major portion of people for the treatment of numerous ailments. Nowadays, the contamination of heavy metals in herbal medicines is a serious concern due to its toxic effects on human health. In the present study, quantitative evaluation of four heavy metals, namely, iron (Fe), cadmium (Cd), nickel (Ni), and copper (Cu), was carried out in forty herbal medicines, frequently sold in the markets of Sukkur and Khairpur, Pakistan, without any quality assurance. Conventional wet acid digestion method was used for the dissolution of samples, and the concentration of heavy metals was determined by using flame atomic absorption spectrometry. Diverse concentration of metals was observed in different herbal medicines. The levels of Fe, Cd, Ni, and Cu were in the range of 30.3-798 mg/kg, 0.002-0.007 mg/kg, 1.52-27.3 mg/kg, and 15.2-194 mg/kg, respectively. The findings of our study were also compared with the WHO maximum permissible limits. It was observed that the concentrations of these heavy metals in most of the analyzed samples were within the permissible limits set by the WHO. Only a few samples of herbal medicines exceeded the recommended levels of Ni and Cu. These medicines should be regularly checked for quality assurance to avoid chronic exposure of metal to human beings.