Aposhian H Vasken, Morgan Daniel L, Queen H L Sam, Maiorino Richard M, Aposhian Mary M
Department of Molecular and Cellular Biology, The University of Arizona, Tucson, Arizona 85721-0106, USA.
J Toxicol Clin Toxicol. 2003;41(4):339-47. doi: 10.1081/clt-120022000.
Some medical practitioners prescribe GSH and vitamin C alone or in combination with DMPS or DMSA for patients with mercury exposure that is primarily due to the mercury vapor emitted by dental amalgams.
This study tested the hypothesis that GSH, vitamin C, or lipoic acid alone or in combination with DMPS or DMSA would decrease brain mercury.
Young rats were exposed to elemental mercury by individual nose cone, at the rate of 4.0 mg mercury per m3 air for 2 h per day for 7 consecutive days. After a 7-day equilibrium period, DMPS, DMSA, GSH, vitamin C, lipoic acid alone, or in combination was administered for 7 days and the brain and kidneys of the animals removed and analyzed for mercury by cold vapor atomic absorption.
None of these regimens reduced the mercury content of the brain. Although DMPS or DMSA was effective in reducing kidney mercury concentrations, GSH, vitamin C, lipoic acid alone, or in combination were not.
One must conclude that the palliative effect, if any, of GSH, vitamin C, or lipoic acid for treatment of mercury toxicity due to mercury vapor exposure does not involve mercury mobilization from the brain and kidney.
一些医学从业者为主要因牙科汞合金释放的汞蒸气而接触汞的患者单独开具谷胱甘肽(GSH)和维生素C,或与二巯基丙磺酸钠(DMPS)或二巯基丁二酸(DMSA)联合使用。
本研究检验了以下假设,即单独使用GSH、维生素C或硫辛酸,或与DMPS或DMSA联合使用会降低脑中的汞含量。
将幼鼠通过个体鼻锥暴露于元素汞中,暴露速率为每立方米空气4.0毫克汞,每天2小时,连续7天。经过7天的平衡期后,单独或联合给予DMPS、DMSA、GSH、维生素C、硫辛酸7天,然后取出动物的脑和肾,通过冷蒸气原子吸收法分析汞含量。
这些方案均未降低脑中的汞含量。虽然DMPS或DMSA能有效降低肾脏中的汞浓度,但单独使用GSH、维生素C、硫辛酸或联合使用均无此效果。
必须得出这样的结论,即GSH、维生素C或硫辛酸对汞蒸气暴露所致汞中毒的姑息作用(如果有的话)并不涉及从脑和肾中动员汞。