Fluoride removal and its impact on oral health in Sri Lanka's dry zone: Discussion and recommendation

Fifty percent of the dry zone areas in Sri Lanka have fluoride levels above 1 ppm. This paper discusses the ground conditions and recommends an appropriate range of fluoride in drinking water which can support preventive practices for improving the oral health of children 8-years old and younger. In efforts to address the Chronic Kidney Disease of Unknown etiology (CKDU), water treatment to reduce contaminant level in potable water has been implemented. Such treatment would also remove fluoride and has resulted in potable water with various fluoride levels, depending on concentrations in the raw water. While it is important to reduce fluoride levels, it is important to have appropriate residual levels for prevention of dental caries. It needs, however, to be noted fluoride in excess can cause dental fluorosis. In Sri Lanka's dry zone areas increasing prevalence of dental fluorosis with decreasing prevalence of dental caries has been noted. Consumption of tea and powdered milk could increase total intake of fluoride. Fluoridated toothpaste, when used properly, may, however, result in negligible intake of fluoride. Sri Lanka's hot tropical climate which results in substantial intake of fluids reinforces the need to consider reduction in water fluoride. Consideration of local studies and international standards indicate fluoride levels should be in the range of 0.225–0.500 ppm. In the range of 0.225–0.500 ppm, the prevalence of dental fluorosis and caries was only 14% and 8%, respectively, in an endemic district. When fluoride levels are above 0.500 ppm, the issue of dental fluorosis shall need to be addressed. When levels are below 0.225 ppm, oral health care services shall need to be directed at preventing dental caries.     

Quantitative structure activity relationships for carp kidney ATPase endpoint

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Prenatal diagnosis of pelvic kidney

A 30-year-old woman had serial ultrasound scans from 28 weeks' gestation which revealed the presence of a cystic area in the fetal pelvis. The ‘cyst’ remained unchanged until delivery at 41 weeks. Fetal growth and amniotic fluid volume were normal throughout. A pelvic kidney was confirmed at birth. The differential diagnosis and antenatal management of this ‘cyst’ are discussed.     

三氯卡班可以影响肾小管上皮细胞的屏障功能

三氯卡班(TCC)是一种被广泛应用于个人护理用品中的广谱型亲脂性杀菌剂,已在多种环境介质和生物体中检出。因其潜在的环境蓄积、生物累积和生物毒性效应,日益受到学者们的关注。借助TCC对NRK-52E(大鼠肾小管上皮细胞)的毒性暴露实验,通过检测细胞活力、以及与跨膜电阻和紧密连接相关的连接黏附分子1(JAM~(-1),junctional adhesion molecule 1)的蛋白表达水平,研究了TCC潜在的肾脏毒性效应。结果显示,10μmol·L~(-1)TCC处理48 h时培养细胞呈现不规则的集落;10μmol·L~(-1)和20μmol·L~(-1)TCC处理NRK-52E 24 h、48 h和72 h后可以显著抑制细胞生长;3.57μmol·L~(-1)TCC(生长抑制的48 hIC20)处理NRK-52E 48 h可以显著抑制细胞间紧密连接蛋白JAM~(-1)的表达量,并降低跨膜电阻,影响肾脏的屏障功能。本研究的结果能够为进一步揭示TCC对动物的毒害机制、评估其对动物的健康风险提供数据支持。     

An LC-MS/MS method for creatine and creatinine analysis in paraquat-intoxicated patients

Abstract

A sudden increase in serum creatinine after paraquat intoxication has been reported in several clinical studies. However, this dramatic change of creatinine may be possibly due to an interconversion of creatine-creatinine in relation to paraquat toxicity. In order to investigate the creatine-creatinine relationship, a liquid chromatography tandem mass spectrometry in combination with electrospray ionization was developed and validated for simultaneous determination of creatine and creatinine in the serum. The chromatographic separation was achieved on a Gemini® C₆-Phenyl column with a gradient elution consisting of 0.1% formic acid in ultrapure water and methanol as the mobile phase. The method yielded suitable levels of specificity and selectivity, and calibration curves of creatine and creatinine in serum were linear over the concentration range of 0.5–200?µg mL^?1. The limit of quantification of both compounds was 0.5?µg mL^?1, and the method was accurate within the recovery range of 96.23–102.75%, indicating the robustness of the method. The method was successfully applied to toxicological samples from paraquat-intoxicated patients, and the concentrations of creatine and creatinine were quantified. High creatine concentrations in serum samples were observed which may lead to high serum creatinine despite normal kidney function as creatine is converted to creatinine in proportion to its concentration.     

Food chain transfer of cadmium and lead to cattle in a lead–zinc smelter in Guizhou, China

Cadmium (Cd) and Lead (Pb) are environmental pollutants. Environmental samples and bovine tissues were collected from the areas around a lead–zinc smelter in Guizhou, China for Cd, Pb, zinc (Zn) and copper (Cu) analysis. Cd in soil (10 mg/kg) and feed (6.6 mg/kg) from the polluted areas was 10 times higher than the Chinese Standards, resulting in higher Cd in bovine kidney (38 mg/kg) and liver (2.5 mg/kg). Pb in feed (132 mg/kg) from the polluted area was much higher than unpolluted areas, causing higher Pb levels in bovine tissues. Environmental Zn was elevated, but bovine tissue Zn was normal. Cu in bovine liver decreased with increased Cd and Pb. Metals in drinking water and in bovine muscle were within the Standard range. Thus, in the areas of this lead–zinc smelter, the environment has been contaminated with Cd and Pb, which has been transferred to cattle through the food chain.     

Thimerosal in childhood vaccines contributes to accumulating mercury toxicity in the kidney

Mercury (Hg) is a hazardous chemical that accumulates in many cells and tissues, thereby producing toxicity. The kidney is a key target organ for Hg accumulation and toxicity. The contributing factors to Hg accumulation in humans include: (1) elemental and inorganic Hg exposure, often occurring by inhalation of Hg vapors; (2) exposure to methyl Hg (meHg), for example, through contaminated seafood; and (3) exposure to ethyl mercury (etHg) via thimerosal-containing vaccines. Systematic investigations on the toxic effects of etHg/thimerosal on the nervous system were carried out, and etHg/thimerosal emerged as a possible risk factor for autism and other neurodevelopmental disorders. There is, however, little known about the mechanisms and molecular interactions underlying toxicity of etHg/thimerosal in the kidney, which is the focus of the current review. Susceptible populations such as infants, pregnant women, and the elderly are exposed to etHg through thimerosal-containing vaccines, and in-depth study of the potential adverse effects on the kidney is needed. In general, toxicity occurring in association with different forms of Hg is related to: intracellular thiol metabolism and oxidative stress reactions; mitochondrial function; intracellular distribution and build-up of calcium; apoptosis; expression of stress proteins; and also interaction with the cytoskeleton. Available evidence for the etHg-induced toxicity in the kidney was examined, and the main mechanisms and molecular interactions of cytotoxicity of etHg/thimerosal exposure in kidney described. Such accumulating knowledge may help to indicate molecular pathways that, if modulated, may better handle Hg-mediated toxicity.     

Left-sided gastroschisis and bilateral multicystic dysplastic kidneys: a rare combination of anomalies

Left-sided gastroschisis is very rare. We report a case of left-sided gastroschisis associated with bilateral multicystic dysplastic kidneys. This combination of anomalies is unknown. The pathogenesis of gastroschisis is not well understood. It is now viewed as a malformation rather than disruption. The findings in this case support this view. The combination of dysplastic kidneys with ventral body wall defect suggests an early developmental defect. Copyright © 2007 John Wiley & Sons, Ltd.     

Se-Ca联合膳食干预缓解Cd诱导小鼠肝肾毒性

为探究Se-Ca联合膳食干预对生物Cd中毒的缓解效果,选取88只BALB/c小鼠,随机划分为19组,在相同饲料Cd暴露浓度下(2mg/kg)分别设置低、中、高浓度的Se和Ca单独和联合膳食干预处理,并观察30d后小鼠的生长发育、肝肾功能、氧化应激状态和组织病理变化.结果显示,Se-Ca联合干预可有效缓解Cd蓄积所致小鼠生长发育迟缓现象,且进一步促进小鼠生长;肝肾功能及氧化应激指标测定结果表明,Se-Ca联合干预对Cd暴露下小鼠肝脏AST、GSH、SOD、GSH-Px和肾脏BUN、MDA、SOD的保护效果优于单一元素干预;联合干预仅需较小剂量即可达到单独Se或Ca干预对肝肾病理损伤的最佳缓解效果.Se-Ca联合膳食干预可有效缓解Cd摄入导致的生长发育缓慢和肝肾毒性,且较之单一元素的干预效果更佳.