bisc 313 - heavy metals

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  • 7/28/2019 BISC 313 - Heavy Metals

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    Dr. Onkar S. Bains

    BISC 313

    SFU

    Spring 2013

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    Metals are probably the oldest toxins known to humans

    Lead usage may have begun prior to 2000 BC in the smelting of silver

    Arsenic was obtained during melting of copper and tin, and an early use was

    for decoration in Egyptian tombs

    The five main heavy metalsmercury (Hg), lead (Pb), cadmium

    (Cd), chromium (Cr), and arsenic (As)present the greatest

    environmental hazard due to their extensive use, their toxicity, andtheir widespread distribution

    Introduction

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    Heavy metals consist of both

    essential and non-essential

    Biological essential heavy metals

    include copper (Cu), nickel (Ni),iron (Fe) and zinc (Zn)

    Iron for instance forms an essential

    part of hemoglobin, a protein in

    our blood which transports oxygen

    from the longs to other tissues.

    Although necessary, essential

    metals become toxic at high

    concentrations.

    Non-essential heavy metalsinclude lead (Pb), mercury (Hg),

    cadmium (Cd) and tin (Sn)

    They can be tolerated at low levels,

    but become toxic as well at higher

    concentrations

    QUALITYOFHEALTH

    DOSE OF METAL

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    "Heavy metals" are chemical

    elements with a specific gravity at

    least 5 times that of water

    The specific gravity of water is 1 g/cm3

    at 4C (39F)

    Some well-known toxic metals with a

    specific gravity five or more times that

    of water are arsenic (5.8), cadmium

    (8.7), chromium (7.2), lead (11.3), and

    mercury (13.5)

    In small quantities, certain heavy

    metals are nutritionally essential

    for a healthy life

    Some of these are trace elements (i.e.,iron, copper, manganese, and zinc)

    These elements, or some form of them,

    are commonly found naturally in

    foodstuffs, fruits and vegetables, and in

    commercially available multivitaminproducts

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    Heavy metals become toxic whenthey are not metabolized by body

    and accumulate in soft tissues

    Heavy metals may enter humanbody via food, water, air, or

    absorption through the skin in

    agriculture, manufacturing,

    pharmaceutical, industrial, orresidential settings

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    Alter function of essential metals

    Toxic metals may displace essential metals as co-factors for

    enzymes

    Lifestyle factors

    Smoking contains toxic metals such as cadmium and

    arsenic

    Formation of metal complexes

    Metallothioneins form complexes with cadmium, zinc,

    copper and other metals by interacting with sulfhydrylgroups on cysteine residues

    Captured metals are transported to

    kidney for filtration and excretion

    Factors affecting toxicity of metals

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    Chemical form/speciation

    The free metal ion is considered most bioavailable and hence

    the most toxic

    Example: Metal sorption by soil (organic matter, clay minerals) makes

    metal ions less bioavailable

    Example: High pH decreases bioavailability (metals predominantly

    found an insoluble meta mineral phosphates and carbonates) while low

    pH increases bioavailability (commonly found as free ionic species or as

    soluble organometals)

    Example: Under oxidizing or aerobic conditions, metals found as soluble

    cationic forms (i.e., Cd2+ or Pb2+) while in areas rich in sulfur and sulfate-

    reducing bacteria, the sulfide that is generated is available to form non-

    toxic, insoluble sulfide deposits (i.e., CdS or PbS)

    Lipid soluble and non-ionized pass membrane easily (i.e.,

    tetraethyl lead and methylmercury)

    Some metals are more toxic in one speciation state than

    another (i.e., chromium VI is more toxic than chromium III)

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    Age

    Young children and elderly more susceptible

    to metal toxicity

    Major exposure of many toxic chemicals in children is food

    (children consume more calories per pound of body weight

    than adults)

    Also, children have increased GI tract absorption with respect

    to metals, particularly lead

    Newborns have increase exposure of toxic metals from breast

    milk contaminated with lipophilic metals

    Immune status of host Metals shown to provoke immune reactions

    (some examples of metals that can do this

    are mercury, chromium, platinum beryllium

    and nickel)

    l h f

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    Protein inactivation Can substitute in for essential metals that are involved in the binding of substrate

    to active site of enzymes

    Bind to sulfhydryl group (SH) found within proteins (thereby prevent disulfide

    bridge formation)

    Example: Microtubule function disruption (affect chromosomal separation during

    cell division or affect cilia/flagella movement)

    Oxidative stress Reflects an imbalance between systemic manifestation of reactive oxygen species

    and a biological system's ability to readily detoxify reactive intermediates or to

    repair resulting damage Heavy metals disturb redox homeostasis by stimulating formation of reactive

    oxygen species such as superoxide anions and hydroxyl radicals

    Interference with DNA transcription, translation and

    repair

    General mechanisms of toxicity

    with heavy metals

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    Mercury

    Cadmium

    Arsenic

    Lead will mention at next lecture

    Heavy metals to cover in course

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    Mercury is found in many rocks

    including coal

    When coal is burned, mercury is released into

    the environment

    Mercury that was once in the Earths

    crust could be released through a

    volcanic eruption or other geologicalactivity

    Mercury can also be released to

    environment by human activities such

    as metal smelting, iron and steelproduction, coal-fired electricity

    generation, industrial boilers, cement

    kilns, waste incineration, and use of

    products such as electrical switches

    and fluorescent lights

    Mercury

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    Elemental/metallic: Hg0

    A metallic, silvery liquid (also referred to as quicksilver) that is processed from anore called cinnabar

    Readily breaks into droplets and easily vaporizes at room

    temperature into an odorless, colorless vapor that can easily be

    inhaled

    High absorption from lungs (~80%) but poorly absorbed from

    GI tract (~20%)

    Readily absorbed due to its lack of charge and is highly lipid

    soluble

    It easily crosses cell membranes and barriers (i.e., blood-brain, placental), and

    becomes trapped in cells when it is reduced to Hg1+ or Hg2+

    Inorganic salts: Divalent or mercuric (Hg2+), Monovalent or

    mercurous (Hg1+)

    Includes complexes: examples include HgX2, HgX3-, HgX4

    2- (X=OH-, Cl-, Br-)

    Low absorption because these positively charged ions do not readily transverse cell

    membranes

    Chemical forms of mercury

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    Organic: CH3Hg+, CH3CH2Hg

    +, (CH3)2Hg

    Alkyl groups added to mercury can be dimethyl, ethyl, or methyl substituents High absorption from GI tract (~90-95%)...also readily absorbed through skin

    Absorption due to being highly lipid soluble

    Can cross blood brain and placental barrier using methionine transport system

    (molecular mimicry)

    When methyl-Hg bind toSH group on cysteine, the molecule looks similar to methionineand takes its place in the membrane transport system which normally moves methionine

    into the brain or fetus

    Able to easily bioaccumulate in organisms and biomagnify up a food chain

    Chemical forms of mercury

    methionine

    cysteine

    +

    methylmercury

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    Biomagnification of methylmercury

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    Hg2+(major dissolved form in

    freshwater), HgCl42-

    (majordissolved form in seawater

    Environmental cycling of mercury

    and

    biomagnification

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    Biomethylation Process whereby living organisms produce a direct linkage of a methyl

    group to a metal, thus forming metal-carbon bonds

    Organisms involved are as follows: Sulphate-reducing bacteria found in anoxic waters and sediments

    Some aerobic and facultatively anaerobic bacteria

    Fungi and lower algae

    Plants, animals and humans

    Demethylation

    Process whereby methyl group is removed from a molecule

    Example: bacterial enzymes efficiently transform the most toxic forms ofmercury to less toxic states

    Methylmercury lyase (MerB) acts on methylmercury to release less toxic ionic mercury

    Hg2+

    Mercury reductase (MerA) acts on Hg2+ to less toxic volatile metallic Hg0

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    Chronic mercury poisoning amonghatmakers whose felting work

    involved prolonged exposure tomercury

    Mercury was commonly used in themanufacture of felt hats, especiallyin the 19th century

    Once the fur has been rolled, beaten,and treated with mercury, it is calledfelt

    Victims developed severe anduncontrollable muscular tremorsand twitching limbs, called "hatter'sshakes"; other symptoms includeddistorted vision and confusedspeech

    Advanced cases developedhallucinations and other psychotic

    symptoms

    Mad hatter syndrome

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    Minamata Bay region on the islandof Kyushu, Japan

    The Chisso Corporation was oncea fertilizer company, and graduallyadvanced to a petrochemical andplastic-maker company

    From 1932 to 1968, an estimated

    27 tons of mercury compoundswas dumped into Minamata Bay

    Mercury accumulated in seacreatures, leading eventually tomercury poisoning in humanpopulation Fish and shellfish consumption resulted in exposure to high levels of

    methylmercury

    Microorganisms biotransformed mercury into methylmercury

    In 1952, the first incidents of mercury poisoning appear in thepopulation of Minamata Bay in Japan, caused by consumption of

    fish polluted with mercury, bringing nearly 1000 fatalities

    Case: Minamata Bay poisoning

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    Hundreds of people exhibited serious neurological problemssuch as: Difficulty walking, swallowing, speaking, and hearing

    Post mortem brain analysis revealed that many had a marked loss ofbrain weight and volume (brain atrophy)

    Children born to exposed mothers had a high rate of birth defects,including severe brain damage, mental impairment, and delayeddevelopment

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    Mass methylmercury poisoning incident that

    began in late 1971

    Iraq was rocked by a severe drought in 1971which led to ubiquitous food shortages

    Excess grain in the United States and Mexico,

    which had been treated with a methylmercury

    fungicide, was shipped as aid Grain had distinctive orange-pink color

    People suffered from parathesia (numbness of

    skin), ataxia (lack of coordination of muscle

    movements) and loss of vision, symptomssimilar to those seen when Minamata disease

    affected Japan

    The recorded death toll was 650 people, but

    figures at least ten times greater have beensuggested

    Case: Iraq poison grain disaster

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    Occurs in nature primarily in association

    with lead and zinc ores and is releasednear mines and smelters processing

    these ores

    Industrially cadmium is used as a

    pigment in paints and plastics, inelectroplating, and in making alloys and

    alkali storage batteries (e.g., nickel-

    cadmium batteries)

    Environmental exposure to cadmium ismainly from contamination of

    groundwater from smelting and

    industrial uses as well as the use of

    sewage sludge as a food-crop fertilizer

    Cadmium

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    McDonald's recalls cadmium-tainted Shrek glasses In June 2010

    12 million collectibles recalled after tests reveal cadmium in paint

    Cadmium is a known carcinogen that research shows also can cause bonesoftening and severe kidney problems

    Potential danger would be long-term exposure to low levels of cadmium,

    which could leach from paint onto child's hand, then enter the body via oral

    route of administration if hands are left unwashed

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    Cadmium is present in circulatory system

    bound primarily to metallothioneins,

    produced in the liver Cadmium + metallothionein = CdMT

    Main organ of damage following long-

    term exposure is the kidney, with the

    proximal tubules being primary site ofaction

    Following glomerular filtration in kidney,

    CdMT is re-absorbed efficiently by

    proximal tubule cells, where itaccumulates within lysosomes

    Subsequent degradation of the CdMT

    complex releases Cd2+, which inhibits

    lysosomal function, resulting in tubulecell injury

    Cadmium toxicity

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    Kidneys lose their function to remove

    acids from the blood in proximal renal

    tubular dysfunction

    Decreased H+ secretion into renal filtrate

    This dysfunction causes gout, a form of

    arthritis due to the accumulation of uric

    acid crystals in joints because of highacidity of blood (hyperuricemia)

    Theproximal renal tubular dysfunction

    also creates low phosphate levels in theblood (hypophosphatemia), causing

    muscle weakness and sometimes coma

    Decreased phophate reabsorption

    Low phosphate levels also linked to poor

    bone mineralization

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    Theproximal renal tubular dysfunction also will affect conversion

    of 25(OH) vitamin D to 1,25-(OH)2 vitamin D this will in turn

    decrease calcium reabsorption at small intestine and decrease

    bone mineralization due to low serum calcium levels

    C It i it i di i T

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    Located in the Hokuriku region on

    Honshu island of Japan

    Mining was prevalent in the Toyama

    Prefecture of Japan starting around

    the year 710

    After World War I, new mining

    technology arriving from Europe

    made the Kamioka Mines in Toyama

    among the most productive in the

    world

    Starting all the way back in 1910

    cadmium was being released in

    significant quantities into the Jinzu

    River in Toyama

    Case: Itai-itai disease in Toyama

    Prefecture

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    This was a major problem because cadmium in the

    water killed all fish, not to mention it was the major

    source for irrigation for the surrounding paddy fields, as

    well as drinking water

    In 1912, first documented case of disease emerged

    Itai-Itai resulted primarily from consumption of

    cadmium contaminated rice

    From 1939 to 1954, ~200 peopleaffected

    Itai-itai disease literally translates to

    ouch-ouch disease, named for the

    painful screams of its victims

    Major symptoms of this disease:

    Osteomalacia (softening of the bones)

    Osteoporosis (loss of bone mass and

    weakness)

    Kidney failure

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    Arsenic is a naturally occurring

    element widely distributed in theearth's crust

    Occurs naturally in soil andminerals and may enter the air,water, and land from wind-blown

    dust and may get into water fromrunoff and leaching

    Man-made sources: Smelting of gold, silver, copper, lead

    and zinc ores

    Combustion of fossil fuels

    Agricultural uses as herbicides andfungicides

    Cigarette smoke

    Occupational: largest source ismanufacture of pesticides andherbicides

    Arsenic

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    Elemental/metallic: As0 Element is a steel gray, very brittle, crystalline, semi-metallic solid

    Readily absorbed due to its lack of charge and is lipid soluble It easily crosses cell membranes and barriers

    Inorganic salts: primarily in two oxidation states (+3

    to +5) Arsenic acid: AsO(OH)3

    Arsenous acid: As(OH)3

    Arsine, AsH3, an extremely poisonous gas

    Rapidly absorbed through the lungs

    Organic: Arsenic can be methylated by bacteria, algae, fungi, vascular plants,

    and animals

    Methylated arsenic (V) compounds include: Monomethylarsonic acid,

    CH3AsO(OH)2; Dimethylarsinic acid, (CH3)2AsOOH; Trimethylarsine

    oxide, (CH3)3AsO

    Methylated arsenic (III) compounds include: Monomethylarsine,

    CH3AsH

    2; Dimethylarsine, (CH

    3)

    2AsH; Trimethylarsine, (CH

    3)3As

    Absorption due to being highly lipid soluble

    Chemical forms of arsenic

    Arsenous acid

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    Ranking of toxicity: organic

    arsenics > inorganic arsenics >elemental

    Trivalent forms more toxic thanpentavalent forms

    Acute exposure: severe

    abdominal pain, fever, cardiacarrhythmia

    Chronic exposure: muscleweakness and pain, gross edema,gastrointestinal disturbances,liver and kidney damage, swellingof peripheral nerves (neuritis),paralysis Liver injury jaundice

    Peripheral vascular diseaseblackfoot disease

    Cancer (skin, lung, kidney, bladder)

    Arsenic toxicity

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    Sporadic cases of BFD occurred as early as in the early 20th

    century, and peak incidence was noted between 1956 and 1960

    Human exposure primarily from arsenic contaminated drinkingwater (seen in southwest coast of Taiwan and Bangladesh)

    Severe form of peripheral vascular disease in which blood vessels

    in lower limbs are severely damaged, resulting eventually in

    progressive gangrene Skin disease:

    keratosis of hands and feet, and hyperpigmentation

    Blackfoot disease

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    Minimize/eliminate exposure tosources containing heavy metals

    Metallotioneins

    Phase III efflux transporters

    Chelating agents

    Decreasing heavy metal toxicity

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    The word chelation comes from Greek work chele

    meaning claw Chelators bind directly with metal ions to form stable

    complexes that remove the metal from competition

    with the body's cells

    Because a chelated metal is water soluble, it can be

    excreted readily by the kidney

    For reduction of body burdens associated with toxic metals

    Examples of chelating agents:

    1. DMPS 2,3-dimercapto-1-propanesulfonic acid

    2. DMSA dimercaptosuccinic acid

    3. D-Penicillamine

    4. EDTA ethylenediaminetetraacetic acid

    Chelating agents

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    Chelating agents have variable denticity

    Denticity refers to the number of atoms in a single ligand (chelator) that bind to a

    central atom (metal) in a coordination complex

    Monodentates (1 atom binds to metal) and polydentates (2 or more atoms binds to

    metal) Most are polydentates (ranging from 2 to 6 atoms)

    For example, EDTA is a hexadentate ligand while DMPS is a bidentate ligand

    DMPS

    Desirable attributes for chelating

    http://upload.wikimedia.org/wikipedia/commons/a/ae/Medta.png
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    Gain access to the metals

    Tightly bind and control the metals

    Not injure recipient Accelerate mobilization and/or removal

    of the metals

    Cheap

    Easy to administer

    Desirable attributes for chelating

    agents