Aluminum neurotoxicity in mammals

Although aluminum comprises a large percentage of the Earth's crust, it is excluded from body tissues, and especially from the central nervous system. When aluminum is experimentally introduced to the central nervous system, several neurotoxic effects are observed:i.e. neurofibrillary changes, behavioral and cognitive deficits and enzymatic and neurotransmitter changes, as well as certain types of epileptic seizures.The localization of relatively high levels of aluminum in Alzheimer disease, Guamanian amyotrophic lateral sclerosis and Parkinsonism-dementia has led to the implication of aluminum as a pathogenic factor in these diseases. Recent studies have shown that microtubule-associated proteins are part of the paired helical filaments which make up the intraneuronal neurofibrillary tangle. Other studies have identified the protein making the vascular and neuritic (senile) plaque amyloid and located the gene responsible for this protein to chromosome 21.Our electron microprobe analysis studies have not found the levels of aluminum or silicon in either the neurofibrillary tangles or amyloid cores reported elsewhere, nor have the levels of aluminum been elevated in approximately one half of the tangles and plaque cores examined to date.     

Thermocoagulation of fetal sacrococcygeal teratoma

Fetal sacrococcygeal teratoma can lead to a high output cardiac failure resulting in hydrops fetalis. One of the prenatal therapeutic options is to occlude the feeding vessels by radiofrequency ablation. We present a case of fetal sacrococcygeal teratoma diagnosed at 13 weeks of gestation. The tumour increased in size more than 100-fold over 5 weeks causing polyhydramnios and cardiac and placental enlargement. Thermocoagulation was performed at 18 weeks' gestation by passing an insulated electric wire through an 18-gauge needle placed close to the feeding vessels of the tumour at its neck. Blood supply to the tumour was successfully reduced. However, fetal death was diagnosed 2 days after the procedure. We speculate that it may be safer to limit the extent of coagulation in one attempt but to repeat the procedure at a later stage when necessary. Copyright © 2002 John Wiley & Sons, Ltd.     

Synthetic polycyclic musks in Hong Kong sewage sludge

Synthetic polycyclic musks [Cashmeran (DPMI), Celestolide (ADBI), Phantolide (AHMI), Traseolide (ATII), Tonalide (AHTN), and Galaxolide (HHCB)] were determined in dewatered sludge samples from 10 major sewage treatment plants in Hong Kong using primary treatment (PT), secondary treatment (SecT) or chemical-enhanced primary treatment (CEPT) methods. The concentrations of HHCB, AHTN, AHMI and ADBI ranged from below detection limits to 78.6mg/kg dry weight. HHCB and AHTN were the two predominant polycyclic musks in sludge samples, suggesting the extensive use of these two polycyclic musks in Hong Kong. Polycyclic musk levels in CEPT sludge were significantly higher than those in SecT and PT sludge, suggesting that CEPT sludge has a higher ability to retain polycyclic musks. Comparisons to global concentrations revealed that HHCB and AHTN concentrations detected in Hong Kong sludge ranked first and second respectively. However, the estimated levels of HHCB and AHTN in the discharged effluent from sewage treatment plants may pose low potential risks to aquatic organisms according to the threshold effect levels derived for fish. Nevertheless, the polycyclic musks released in sewage treatment plant effluents may bioconcentrate and bioaccumulate in the marine environment in Hong Kong. Therefore, monitoring studies in marine ecosystems, particularly on the two prevailing polycyclic musks, are necessary.     

First-trimester diagnosis of hydrolethalus syndrome in a Chinese family

We report a case resembling hydrolethalus syndrome in a Chinese family. Fetal polydactyly, syndactyly, encephalocele and cardiac malformation were detected on ultrasound examination at 12 weeks' gestation. Termination of pregnancy was performed, and postmortem examination confirmed the findings. This is the first report of a first-trimester prenatal diagnosis of hydrolethalus syndrome in the Chinese population. Copyright © 2004 John Wiley & Sons, Ltd.