2015, Number 1
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Rev Esp Med Quir 2015; 20 (1)
Toxic effects of lead
Azcona-Cruz MI, Ramírez AR, Vicente-Flores G
Language: Spanish
References: 42
Page: 72-77
PDF size: 454.72 Kb.
ABSTRACT
Environmental lead exposure is a global public health problem. According
to the World Health Organization (WHO), lead exposure has
been a source of complications especially by chronic exposure, and is
estimated to cause 143 000 deaths each year. The concept of lead poisoning
(saturnism, plumbism or lead poisoning) has been defined based
on the scientific evidence regarding the toxic effects of lead, at levels
of 10 μg/dL or more in adults and 5 μg/dL or more in children; which
can originate renal and bone disorders, seizures, cerebral edema and
eventually death. It has been reported that chronic exposure promotes a
reduction of the intelligence quotient (IQ), hyperactivity and antisocial
behavior in children and adults. Lead has no known function in the
human body, but it can compete with the metabolism of calcium and
iron. Therefore WHO strongly suggests that no level of lead exposure
can be considered safe. Nowadays, diagnosis and treatment are defined;
however, recently it has taken in consideration the implementation of
specific recommendations in each population. It is important to emphasize
that lead poisoning is completely preventable, so it is relevant
the broadcasting of prevention strategies capable of reducing these
health complications, including the reconsideration of the norms and
the regulation of levels of lead in Mexico.
REFERENCES
Needleman H. Lead poisoning. Annu Rev Med 2004;55:209- 222.
Disponible en: http://www.who.int/mediacentre/factsheets/ fs379/es/
Sharmer L, Shackley MS, Harding AK. A potential new health risk from lead in used consumer products purchased in the United States. J Env Health 2010;73:8.
Azcona MI, Rothenberg SJ. Niveles de plomo en sangre en niños de 8 a 10 años y su relación con la alteración en el sistema visomotor y del equilibrio. Salud Pública Méx 2000;42(4):282-290.
Tukker A, Buist H, Van Oers L, Van der Voet E. Risks to health and environment of the use of lead in products. Resour Conserv Recycl 2006;49(2):89-109.
Krantz A, Dorevitch S. Metal exposure and common chronic diseases: A guide for the clinician. Dis Mon 2004;50:215- 262.
Verstraeten SV, Aimo L, Oteiza PI. Aluminium and lead: molecular mechanisms of brain toxicity. Arch Toxicol 2008;82(11):789-802.
Soldin OP, Miller M, Soldin SJ. Pediatric reference ranges for zinc protoporphyrin. Clin Biochem 2003;36(1):21–25.
Pagliuca A, Mufti GJ, Baldwin D, Lestas AN, Wallis RM, Bellingham AJ. Lead poisoning: clinical, biochemical, and haematological aspects of a recent outbreak. J Clin Pathol 1990;43(4):277–281.
Patrick L. Lead toxicity, a review of the literatura. Part 1: Exposure, evaluation, and treatment. Altern Med Rev 2006;11(1):2-22.
Gurer H, Ercal N. Can antioxidants be benefical in the treatment of lead poisoning? Free Radic Biol Med 2000;29(10):927-945. 77 Azcona-Cruz MI y col. Efectos tóxicos del plomo
Bechara EJ. Oxidative stress in acute intermittent porphyria and lead poisoning may be triggered by 5-aminolevulinic acid. Braz J Med Biol Res 1996;29(7):841-851.
Adonaylo VN, Oteiza PI. Pb2+ promotes lipid oxitation and alterations in membrane physical properties. Toxicology 1999;132(1):19-32.
Fiorim J, Ribeiro RF, Silveira EA, Padilha AS, et all. Low-Level Lead Exposure Increases Systolic Arterial Pressure and Endothelium-Derived Vasodilator Factors in Rat Aortas. PLoS One 2011;6(2):e17117.
Monir AU, Gundberg CM, Yagerman SE, et al. The Effect of Lead on Bone Mineral Properties From Female Adult C57/ BL6 Mice. Bone 2010;47(5):888-94.
Xie H, Holmes AL, Wise SS, Huang S, Peng C, Wise JP. Neoplastic Transformation of Human Bronchial Cells by Lead Chromate Particles. Am J Respir Cell Mol Biol 2007;37(5):544–552.
Rothenberg SJ, Kondrashov V, Manalo M, et al. Increases in hypertension and blood pressure during pregnancy with increased bone lead levels.Am J Epidemiol. 2002; 15; 156(12):1079- 87. Erratum in: Am J Epidemiol 2007;166(2):241.
Khalil N, Wilson JW, Talbott EO, Et al. Association of blood lead concentrations with mortality in older women: a prospective cohort study. Environ Health 2009;8:15.
Hou S, Yuan L, Jin P, et al. A clinical study of the effects of lead poisoning on the intelligence and neurobehavioral abilities of children. Theor Biol Med Model 2013;10:13.
Eubig PA, Aguiar A, Schantz SL. Lead and PCBs as Risk Factors for Attention Deficit/Hyperactivity Disorder. Environ Health Perspect 2010;118(12):1654–1667.
Mazumdar M, Bellinger DC, Gregas M, Abanilla K, Bacic J, Needleman HL. Low-level environmental lead exposure in childhood and adult intellectual function: a follow-up study. Environ Health 2011;10:24.
Camuglia JE, Grigoriadis G, Gilfillan CP. Lead poisoning and Burton’s line. Med J Aust 2008;189(6):339.
Liu J, Liu X, Wang W, et al. Blood Lead Concentrations and Children’s Behavioral and Emotional Problems: A Cohort Study. JAMA Pediatr 2014;168(8):737-45.
Disponible en: http://www.atsdr.cdc.gov/
Jameil NA. Maternal serum lead levels and risk of preeclampsia in pregnant women: a cohort study in a maternity hospital, Riyadh, Saudi Arabia. Int J Clin Exp Pathol 2014;7(6):3182-9.
Ramírez AV. El cuadro clínico de la intoxicación ocupacional por plomo. An Fac Med 2005;66(1):57.
Roots LM. Test available for assessing recent exposure to inorganic lead compounds and their use for screening purposes. Sci Total Environ 1979;11(1):59-68.
Disponible en: http://www.cdc.gov/mmwr/preview/ mmwrhtml/rr5608a1.htm
Disponible en: https://www.osha.gov
Disponible en: http://www.salud.gob.mx/unidades/cdi/ nom/199ssa10.html
Disponible en: http://dof.gob.mx/nota_detalle. php?codigo=5249877&fecha=
Organización Mundial de la Salud. Guía breve de métodos analíticos para determinar las concentraciones de plomo en la sangre, 2013. Disponible en: http://apps.who.int/iris/ bitstream/10665/77917/1/9789243502137_spa.pdf
Graciano J. Validity of lead exposure markers in diagnosis and surveillance. Clin Chem 1994;40(7):1387-1390.
Disponible en: http://www.insht.es/
Ding N, Cao Q, Zhao H, et al. Colorimetric Assay for Determination of Lead (II) Based on Its Incorporation into Gold Nanoparticles during Their Synthesis. Sensors (Basel) 2010;10(12):11144–11155.
Chang SH, Yoon SB, Lee JW, Lee DJ. What caused hemolytic anemia and colicky abdominal pain? Lead! Korean J Intern Med 2013;28(4):504-6.
Watanabe T, Nakatsuka H, Shimbo S, Yaginuma-Sakurai K, Ikeda M. High cadmium and low lead exposure of children in Japan. Int Arch Occup Environ Health 2012;86(8):865- 73.
Awadalla NJ, El-Helaly M, Gouida M, Mandour R, Mansour M. Sperm chromatin structure, semen quality and lead in blood and seminal fluid of infertile men. Int J Occup Environ Med 2011;2(1):27-36.
Flora SJ, Pachauri V. Chelation in Metal Intoxication. Int J Environ Res Public Health 2010;7(7):2745–2788.
Azcona-Cruz MI, Rothenberg SJ, Schnaas L, Zamora-Muñoz JS, Romero-Placeres M. Lead-glazed ceramic ware and blood lead levels of children in the city of Oaxaca, Mexico. Arch Environ Health 2000;55(3):217-22.
Disponible en: http://www.who.int/es/
Rothenberg SJ. Blood levels in children. Environ Health Perspect 2008;116(11):A47.