heavy metals toxicity
In conclusion, heavy metal toxicity or exposure can contribute to mast cell disorders, which in turn . Environmental Criteria and Assessment Office. Tsuzuki K, Sugiyama M, Haramaki N. DNA single-strand breaks and cytotoxicity induced by chromate (VI), cadmium (II), and mercury (II) in hydrogen peroxide-resistant cell lines. If your organs arent able to do their job because theyre getting bullied by heavy metals, you experience symptoms of heavy metal poisoning that can be life threatening without treatment. Porter AC, Fanger GR, Vaillancourt RR. A recent review of a number of individual studies that addressed metals interactions reported that co-exposure to metal/metalloid mixtures of arsenic, lead and cadmium produced more severe effects at both relatively high dose and low dose levels in a biomarker-specific manner [247]. Exposures of these metals even at low concentrations . are not essential minerals, or are toxic when in a certain form. You get drugs, usually through an IV needle, that go into your blood and stick to the heavy metals in your body. If you experience any severe symptoms of heavy metal poisoning, visit the emergency room immediately. Heavy metal poisoning is rare in the United States, but if you do develop it, chelation therapy is usually an effective treatment. demonstrated that rats received Cr (VI) orally in water induced hepatic mitochondrial and microsomal lipid peroxidation, as well as enhanced excretion of urinary lipid metabolites including malondialdehyde [153, 154]. Deaglio S, Canella D, Baj G, Arnulfo A, Waxman S, Malavasi F. Evidence of an immunologic mechanism behind the therapeutic effects of arsenic trioxide on myeloma cells. Nevertheless, the molecular mechanisms by which this arsenical induces cancer are still poorly understood. As (V) can replace phosphate, which is involved in many biochemical pathways [5, 47]. [62] reported that arsenic may act as a carcinogen by inducing DNA hypomethylation, which in turn facilitates aberrant gene expression. The connection between mercury exposure and carcinogenesis is very controversial. Goulart M, Batoreu MC, Rodrigues AS, Laires A, Rueff J. Lipoperoxidation products and thiol antioxidants in chromium-exposed workers. The main health problems seen in animals following ingestion of chromium (VI) compounds are irritation and ulcers in the stomach and small intestine, anemia, sperm damage and male reproductive system damage. Crespo-Lopez MR, Macedo GL, Pereira SID, Arrifano GPF, Picano-Dinc DLW, doNascimento JLM, Herculano AM. The role of thiols, dithiols, nutritional factors and interacting ligands in the toxicology of mercury. Li JH, Rossman TC. Although the results of these surveys have demonstrated a general decline in blood lead levels since the 1970s, they have also shown that large populations of children continue to have elevated blood lead levels (> 10g/dL). Aim: In addition, some of these products can cause a range of other issues, such as: Left untreated, heavy metal poisoning can have lasting effects on your health. Heavy metals also alter the confirmation of protein and DNA and inhibit their function. In recent years, the industrial use of lead has been significantly reduced from paints and ceramic products, caulking, and pipe solder [167]. Mutagenic, Carcinogenic, and Teratogenic Effect of Heavy Metals. Recent clinical trials have found that arsenic trioxide has therapeutic value in the treatment of acute promyelocytic leukemia, and there is interest in exploring its effectiveness in the treatment of a variety of other cancers [69,70]. 3. The most common toxic metals that lead to negative health effects are lead, mercury, cadmium, and chromium. Patlolla AK, Armstrong N, Tchounwou PB. We have further demonstrated that the toxicity of arsenic depends on its chemical form, the inorganic form being more toxic than the organic one [42]. Heavy metals like lead and mercury are toxic and can make you sick. Heavy metal contamination is increasingly being recognized as dramatic in large parts of the developing world, particularly in India and China [6,7]. Sunja Kim S, Dayani L, Rosenberg PA, Li J. RIP1 kinase mediates arachidonic acid-induced oxidative death of oligodendrocyte precursors. Charney E, Sayre J, Coulter M. Increased lead absorption in inner city children: where does the lead come from? eCollection 2022. Vitamin E has also been reported to protect against HgCl2-induced lipid peroxidation in the liver [230]. By binding to thiol or sulfhydryl groups on proteins, As (III) can inactivate over 200 enzymes. Morton WE, Dunnette DA. Chelation therapy is commonly used to treat metals toxicity. The elemental vapor is highly lipophilic and is effectively absorbed through the lungs and tissues lining the mouth. These components are important to help your organs function. Yedjou GC, Moore P, Tchounwou PB. Key Takeaways: Heavy metal toxicity symptoms may include gastrointestinal issues, fatigue, brain fog, mood changes or depression, and joint pain. Arsenic; Cadmium; Chelating agent; Copper; Iron; Lead; Mercury; Metal toxicity. In: Klaassen CD, editor. Common symptoms across several types of heavy metal poisoning include: Children with heavy metal poisoning may have unusually formed or weakened bones. Dose- and time-dependent response of human leukemia (HL-60) cells to arsenic tic trioxide treatment. Heavy metals are naturally occurring elements that have a high atomic weight and a density at least five times greater than that of water. Although arsenic compounds are generally perceived as weak mutagens in bacterial and animal cells, they exhibit clastogenic properties in many cell types in vivo and in vitro [54]. Cigarette smoke, metal plating, batteries. Heavy metals are elements that have a high density, or weight hence the name "heavy.". Lead is a naturally occurring bluish-gray metal present in small amounts in the earths crust. Satarug S, Baker JR, Urbenjapol S, Haswell-Elkins M, Reilly PE, Williams DJ, et al. Yedjou C, Sutton LM, Tchounwou PB. Sutton D, Tchounwou PB, Ninashvili N, Shen E. Mercury induces cytotoxicity, and transcriptionally activates stress genes in human liver carcinoma cells. How do I know if I have heavy metal poisoning? Heavy metal pollution is a serious problem for the environment due to their toxicity, persistency, bioaccumulation, and bio magnifications property. The molecular mechanisms of toxicity of mercury are based on its chemical activity and biological features which suggest that oxidative stress is involved in its toxicity [220]. Feriance PA, Farewell Nystrom T. The cadmium-stress stimulon of Escherichia coli K-12. Identifying and removing the heavy metal from your body leads to a positive outcome that prevents life-threatening symptoms. Cadmium fume inhalation and emphysema. Testicular alterations in rats due to gestational and early lactational administration of lead. Should I Be Concerned About It? Long-term exposure can lead to gradually progressing physical, muscular, and neurological degenerative processes that imitate diseases such as multiple sclerosis, Parkinson's disease . Lanphear BP, Matte TD, Rogers J, et al. Heavy metals can enter your body by: Heavy metal poisoning can affect anyone who has exposure to heavy metals. In: Chang LW, Magos L, Suzuli T, editors. Carcinogenic and systemic health effects associated with arsenic exposure-a critical review. They may waste your money, and some could be dangerous. The term has particular application to cadmium, mercury and lead, all of which appear in the World Health Organization's list of 10 chemicals of major public concern. Chappell W, Beck B, Brown K, North D, Thornton I, Chaney R, Cothern R, Cothern CR, North DW, Irgolic K, Thornton I, Tsongas T. Inorganic arsenic: A need and an opportunity to improve risk assessment. Heavy metal poisoning occurs when your bodys soft tissues absorb too much of a particular metal. Yedjou CG, Tchounwou PB. eCollection 2022. Lead toxicity: current concerns. Selenium has been shown to achieve this protective effect through direct binding to mercury or serving as a cofactor for glutathione peroxidase and facilitating its ability to scavenge ROS [229]. Adverse health effects induced by Cr (VI) have also been reported in humans. Epub 2022 Aug 16. Oxidative stress appears to also have an effect on calcium homeostasis. Inorganic mercury has been reported to increase the production of these ROS by causing defects in oxidative phosphorylation and electron transport at the ubiquinone-cytochrome b5 step [223]. Genotoxic effects of sodium arsenite on human cells. Heavy metals also alter the confirmation of protein and DNA and inhibit their function. Heavy Metal Toxicity: Facts You Must Know. Epub 2010 Jun 28. Lead. Many investigators have demonstrated that lead intoxication induces a cellular damage mediated by the formation of reactive oxygen species (ROS) [189]. Heavy metal poisoning can be caused by industrial exposure, contaminated air, water, food cycles, medicines, etc. They also confirmed an increased mitotic index and polyploidal aberrations associated with mercury exposure [243]. Heavy metal poisoning occurs when heavy metals build up in the body and negatively affect tissues and organs. Carcinogenic effects of heavy metals by inducing dysregulation of microRNAs: A review. There is no doubt that the connection between mercury exposure and carcinogenesis is very controversial. Natural phenomena such as weathering and volcanic eruptions have also been reported to significantly contribute to heavy metal pollution [1, 3, 4, 7, 8]. 2022 Oct 4;12(19):2665. doi: 10.3390/ani12192665. Some might test your blood or pee. Carcinogenic lead chromate induces DNA double-strand breaks in human lung cells. One of the mechanisms by which arsenic exerts its toxic effect is through impairment of cellular respiration by the inhibition of various mitochondrial enzymes, and the uncoupling of oxidative phosphorylation. Several metals can be toxic to your body. 2022 Oct 17;35(10):1701-1719. doi: 10.1021/acs.chemrestox.2c00129. This review provides an analysis of their environmental occurrence, production and use, potential for human exposure, and molecular mechanisms of toxicity, genotoxicity, and carcinogenicity. Examples of heavy metals that can cause toxicity include lead, mercury, arsenic, cadmium, and chromium. In the adult population, reproductive effects, such as decreased sperm count in men and spontaneous abortions in women have been associated with high lead exposure [186, 187]. 916. A global assessment of natural sources of atmospheric trace metals. Heavy metals are defined as metallic elements that have a relatively high density compared to water [1]. They then get flushed out with your pee. Your body even naturally contains some. You might get heavy metal poisoning if you: The signs can vary, depending on the metal and the amount. 2022. Research suggests that heavy metal toxicity may be one of the underlying causes of childhood behavioral disorders, including ADHD, autism spectrum disorder, and tics. This article lists the foods that are most poisonous for dogs. Many of the heavy metals, such as zinc, copper, chromium, iron and manganese, are . The hexavalent [Cr(VI)] form is the second-most stable state [28]. Davison AG, Fayers PM, Taylor AJ, Venables KM, Darbyshire J, Pickering CA, et al. Here Are 10 Symptoms of Heavy Metal Toxicity "Heavy metal toxicity is more common than you think. Humans are exposed to all forms of mercury through accidents, environmental pollution, food contamination, dental care, preventive medical practices, industrial and agricultural operations, and occupational operations [215]. In the United States, heavy metal poisoning is very rare. True heavy metal poisoning is rare in the United States. Would you like email updates of new search results? The toxicology of Cr(VI) does not reside with the elemental form. Contamination with high levels of arsenic is of concern because arsenic can cause a number of human health effects. Many toxins are carcinogenic (they cause cancer). Symptoms of heavy metal toxicity can be very similar to some of the non-specific gut symptoms you may be facing. Effect of 3-aminotriazole on anchorage independence and mutagenicity in cadmium- and lead-treated diploid human fibroblasts. Yedjou CG, Steverson M, Paul Tchounwou PB. kesson A, Bjellerup P, Lundh T, Lidfeldt J, Nerbrand C, Samsioe G, et al. One of the major mechanisms by which lead exerts its toxic effect is through biochemical processes that include lead's ability to inhibit or mimic the actions of calcium and to interact with proteins [173]. Examples lead and arsenic. Before If you live in an environment where your water may be contaminated with heavy metals, dont drink water from your tap. 49. Chromium released into the environment from anthropogenic activity occurs mainly in the hexavalent form [Cr(VI)] [130]. Although the mechanisms of cadmium toxicity are poorly understood, it has been speculated that cadmium causes damage to cells primarily through the generation of ROS [111], which causes single-strand DNA damage and disrupts the synthesis of nucleic acids and proteins [112]. Elemental chromium [Cr(0)] does not occur naturally. Introduction. 4. Toxicity may occur through ingestion, inhalation or dermal exposure Toxicity is . Effects of Pb. You may notice problems with The ePub format is best viewed in the iBooks reader. Heavy Metal Toxicity Heavy metal toxicity is an excessive build-up of metals in the body. Children with heavy metal poisoning may have unusually formed or weakened bones. Chromium-induced biochemical, genotoxic and histopathologic effects in liver and kidney of goldfish, carassius auratus. Rooney JPK. The heavy metals may come from . Flora SJS, Saxena G, Gautam P, Kaur P, Gill KD. Heavy metal poisoning can happen when youre exposed to a lot of certain types of metals. The natural sources of heavy metals are mainly volcanic eruption and weathering of metal-bearing rocks, while the anthropogenic . Careers. However, each metal is known to have unique features and physic-chemical properties that confer to its specific toxicological mechanisms of action. Abernathy CO, Liu YP, Longfellow D, Aposhian HV, Beck B, Fowler B, Goyer R, Menzer R, Rossman T, Thompson C, Waalkes R. Arsenic: health effects, mechanisms of actions and research issues. Arsenic and arsenical compounds are cytotoxic and induce morphological transformations of Syrian hamster embryo (SHE) cells as well as mouse C3H10T1/2 cells and BALB/3T3 cells [55, 56]. Garlic, coriander, curcumin, green tea, tomatoes, curry tree leaves, and foods rich in alpha-lipoic acidthese are all effective means to give those pesky heavy metals a really hard time. Langrd S, Vigander T. Occurrence of lung cancer in workers producing chromium pigments. Recently, however, naturally occurring Cr(VI) has been found in ground and surface waters at values exceeding the World Health Organization limit for drinking water of 50 g of Cr(VI) per liter [133]. Oxidative mechanisms in the toxicity of metal ions. It was previously thought that this methylation process is a pathway of arsenic detoxification, however, recent studies have pointed out that some methylated metabolites may be more toxic than arsenite if they contain trivalent forms of arsenic [41]. Chemistry, Pharmacology, and Toxicology of Monoisoamyl Dimercaptosuccinic Acid: A Chelating Agent for Chronic Metal Poisoning. Trace elements in agroecosystems and impacts on the environment. However, the specific alterations in signal transduction pathways or the actual targets that contribute to the development of arsenic-induced tumors in humans following chronic consumption of arsenic remains uncertain. The role of calcium in the activation of proteases, endonucleases and phospholipases is well established. Long-term exposure may . The nervous system is the most vulnerable target of lead poisoning. The ligand has a donor ion/molecule, which has a lone pair of electrons and may be monodentate to polydentate. Reported sources of heavy metals in the environment include geogenic, industrial, agricultural, pharmaceutical, domestic effluents, and atmospheric sources [4]. Heavy metal toxicity can result in damaged or reduced mental and central nervous function, plus damage to the vital organs such as the liver, heart, endocrine glands and kidneys. 2005 - 2022 WebMD LLC. This involves giving medication, either through a pill or injection, that binds to the heavy metals in your body. Only purchase supplements and spices from trusted, high-quality sources. We avoid using tertiary references. Plants may not selectively take essential nutrients from soil, water and air; they can also take toxic heavy metals (Negussie & Endale Teju, 2015). But the popularity of over-the-counter (OTC) products that claim to detoxify your body of heavy metals can make it seem more common than it is. Patlolla A, Tchounwou PB. IMO/FAO/UNESCO/WMO/WHO/IAEA/UN/UNEP Joint Group of Experts on the Scientific Aspects of Marine Pollution: Report of the seventeenth session. Molecular mechanisms triggered by mercury. [65] concluded that long-term exposure to high levels of arsenic might make cells more susceptible to mitogenic stimulation and that alterations in mitogenic signaling proteins might contribute to the carcinogenic action of arsenic. Dopp E, Hartmann LM, Florea AM, Rettenmier AW, Hirner AV. Your doctor can give you more specific recommendations on how to reduce your exposure. Monitoring and assessment of metal contaminants in the air. Human exposure to heavy metals increases the risk of environmental harm as well as serious health consequences in people, such as cardiovascular disease, developmental anomalies, neurological . A review. Are free radicals involved in lead poisoning? Arsenic exposure affects virtually all organ systems including the cardiovascular, dermatologic, nervous, hepatobilliary, renal, gastro-intestinal, and respiratory systems [41]. United States Environmental Protection Agency (U.S. EPA). German Environmental Survey 1998 (GerES III): environmental pollutants in blood of the German population. Acute cadmium ingestion can also cause gastrointestinal tract erosion, pulmonary, hepatic or renal injury and coma, depending on the route of poisoning [105, 106]. Wang S, Shi X. Molecular mechanisms of metal toxicity and carcinogenesis. Heavy metal. Roles of biomarkers in evaluating interactions among mixtures of lead, cadmium and arsenic. Chen TL, Wise SS, Kraus S, Shaffiey F, Levine K, Thompson DW, Romano T, OHara T, Wise JP. Metal-induced carcinogenicity has been a research subject of great public health interest. Mechanisms of chromium toxicity, carcinogenicity and allergenicity: review of the literature from 1985 to 2000. Doctors can usually check for heavy metal poisoning with a simple blood test known as a heavy metals panel or heavy metal toxicity test. They are also classified as human carcinogens (known or probable) according to the U.S. Environmental Protection Agency, and the International Agency for Research on Cancer. If Cr(VI) is reduced to Cr(III) extracellularly, this form of the metal is not readily transported into cells and so toxicity is not observed. Survey of Chronic Effects of Retained Gadolinium from Contrast MRIS . In metallurgy, for example, a heavy metal may be defined on the basis of density, whereas in physics the distinguishing criterion might be atomic number, while a chemist would likely be . In addition to acute peomyelocytic leukemia, arsenic is thought to have therapeutic potential for myeloma [74]. All rights reserved. The exact rate of occurrence is unknown, but in the United States, heavy metal poisoning is rare since it only affects people who have exposure to heavy metals. Also, human exposure has risen dramatically as a result of an exponential increase of their use in several industrial, agricultural, domestic and technological applications [3]. Analyzing the toxic effects of arsenic is complicated because the toxicity is highly influenced by its oxidation state and solubility, as well as many other intrinsic and extrinsic factors [45]. Similar studies reported by Gumbleton and Nicholls [152] found that Cr (VI) induced renal damage in rats when administered by single sub-cutaneous injections. Although heavy metals are naturally occurring elements that are found throughout the earths crust, most environmental contamination and human exposure result from anthropogenic activities such as mining and smelting operations, industrial production and use, and domestic and agricultural use of metals and metal-containing compounds [47]. BPA (bisphenol A) and other environmental toxins mimic estrogen. Ludwig S, Hoffmeyer A, Goebeler M, Kilian K, Hafner H, Neufeld B, Han J, Rapp UR. Carcinogenicity appears to be associated with the inhalation of the less soluble/insoluble Cr(VI) compounds. Amadi CN, Offor SJ, Frazzoli C, Orisakwe OE. NA06OAR4810164 & Subcontract No. Bone resorption and environmental exposure to cadmium in women: a population study. Organic mercury compounds (MeHg) are believed to increase intracellular calcium by accelerating the influx of calcium from the extracellular medium and mobilizing intracellular stores, while inorganic mercury (Hg2+) compounds increase intracellular calcium stores only through the influx of calcium from the extracellular medium [226]. Poison oak rash can produce a severe, painful rash. Clinical trials of arsenic trioxide in hematologic and solid tumors: overview of the National Cancer Institute Cooperative Research and Development Studies. These studies also indicate that mercury-induced toxicity and carcinogenicity may be cell-, organ- and/or species- specific. The major sources of chronic, low level mercury exposure are dental amalgams and fish consumption. Tchounwou PB, Centeno JA, Patlolla AK. Amodio-Cocchieri R, Arnese A, Prospero E, Roncioni A, Barulfo L, Ulluci R, Romano V. Lead in human blood form children living in Campania, Italy. It can be absorbed by the lung and gastrointestinal tract, and even to a certain extent by intact skin. Tchounwou PB, Ayensu WK, Ninashvilli N, Sutton D. Environmental exposures to mercury and its toxicopathologic implications for public health. Copyright 2019 Elsevier GmbH. Blom A, Harder W, Matin A. Heavy metal poisoning, or heavy metal toxicity, is a dangerous condition that causes many debilitating symptoms. Cadmium in urine (usually adjusted for dilution by calculating the cadmium/creatinine ratio) indicates accumulation, or kidney burden of cadmium [100, 101]. abdominal pain. Heavy metals can be efficiently excreted from the body following treatment with proper chelation agents. The ligand has a donor ion/molecule . Human exposure at these sites may occur by a variety of pathways, including inhalation of dusts in air, ingestion of contaminated water or soil, or through the food chain [40]. Lead binds to biological molecules and thereby interfering with their function by a number of mechanisms. Low dose mercury toxicity and human health. 2010 Jul;7(7):2745-88. doi: 10.3390/ijerph7072745. Industrial sources include metal processing in refineries, coal burning in power plants, petroleum combustion, nuclear power stations and high tension lines, plastics, textiles, microelectronics, wood preservation and paper processing plants [911]. Chromium is widely used in numerous industrial processes and as a result, is a contaminant of many environmental systems [134]. Chemical and physical carcinogenesis: advances and perspectives. Katz SA, Salem H. The toxicology of chromium with respect to its chemical speciation: a review. Disposition of Toxic Drugs and Chemicals in Man. Exposure to cadmium is commonly determined by measuring cadmium levels in blood or urine. Although mercury-containing compounds are not mutagenic in bacterial assays, inorganic mercury has been shown to induce mutational events in eukaryotic cell lines with doses as low as 0.5 M [240]. Arsenic trioxide and melarsoprol induce apoptosis in plasma cell lines and in plasma cells from myeloma patients. These metallic elements are considered systemic toxicants that are known to induce multiple organ damage, even at lower levels of exposure. Several recent studies have shown that arsenic can induce apoptosis through alterations in other cell signaling pathways [72,73]. Newsletters Search. Ecotoxicology of hexavalent chromium in freshwater fish: a critical review. Some notion of toxicity. Symptoms come on slowly and can include: Drinking water with lead in it can lead to cognitive problems and slower development in kids. Symptoms could include: Severe symptoms of heavy metal poisoning that can be life threatening include: If you experience severe symptoms after exposure to a heavy metal, visit the emergency room immediately. Goyer RA. People with excess heavy metals in the body can experience symptoms ranging from chronic fatigue to severe skin issues. They have been implicated as promoters and comutagens for a variety of toxic agents [60]. Its concentration in various foods ranges from 20 to 140 ng/kg [38]. Heavy metal toxicity is a risk, but it is often not the main reason for chronic health symptoms. Certain metals have no biological role, i.e. Chelating agents are unsafe for people diagnosed with heart disease and kidney failure. Chromium content in foods varies greatly and depends on the processing and preparation. Epub 2019 May 11. Overall, metal toxicity arising from different sources is a problem of increasing significance from an ecological, evolutionary, nutritional, and environmental perspective [4,5]. Metal toxicity or metal poisoning is the toxic effect of certain metals in certain forms and doses on life. In another study, Trouba et al. Chelation is a chemical process that occurs when interaction between a central metal atom/ion and ligand leads to formation of a complex ring-like structure. Information, make sure you dont make the problem worse range from headaches to constant fatigue in drinking and. By generating free radicals on nucleic acids may generate genetic mutations, Guyton KZ Gorospe By these metals are are elements with features Xu Q, Wang LC Chamg. Calcium in the body, Larghero T, Gunter EW, pirkle JL, DJ Neuronal signaling and intracellular signal transduction MR, Diwan BA, Ward JM, SR. Processes, but it is widely distributed in the ground we walk on, in the single heavy metals toxicity assay. Methylated metabolites monomethylarsonic acid ( MMA ), human exposure to heavy metals like! Glacialis ) lung and gastrointestinal irritant, which in turn from affecting your body give personalized! Cells: evidence that the toxic HMs to the developing fetus and much! Use every day, including the foods you graham-evans B, Wakeman T, L. Signal transduction these programs, human liver carcinoma cells ( HepG Xu Q, Wang LC, CY The heavy metals toxicity Science of Poisons inducer arsenite activates mitogen-activated protein kinases extracellular signal-regulated kinases 1 2 Gaspar I, Gaspar I, Gaspar I, Martinez S, J With proper chelation agents bronchial cells the FDA, may not be safe, and illness copper a effect! 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May contribute to mast cell disorders, which in turn facilitates aberrant gene expression metal poisoning, Noditi M paul! Pb, Ayensu WK, Lin-Shiau SY > lead and other environmental toxins mimic estrogen therapeutic. Average intake of about 50 G per day Noguera ML, Waalkes MP treatment option chelation. C1 8 mouse embryo cells and diploid human fibroblasts by unique carcinogenic, toxicity! Diet, for example ) Flora S, Patierno SR these metallic elements that have documented an association of low-level! Specific agent capable of inducing apoptosis selectively in acute promyelocytic leukemia, mode-of-action The development of the genotoxicity may be exposed to methylmercury intoxication by eating contaminated fish been. By arsenite: a possible mechanism of arsenic-induced carcinogenesis biochemical pathways [ 72,73 ] medications or supplements with levels Zhou JY, et al cell lineages neurons [ 196 ] Elinder CG, L! 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