Food & Drug Toxicology Research Centre, ICMR-National Institute of Nutrition, Hyderabad, India.
Indian J Med Res. 2018 Dec;148(6):697-704. doi: 10.4103/ijmr.IJMR_1733_18.
The impact of environmental pollution, especially chronic low exposures of heavy metals (Pb, Cd, Hg, As, Cr, etc.) on nutritional status and health of human and livestock, has become a cause of concern. It is established that malnutrition inhibits enzyme system, alters neurotransmitter levels, degenerate myelin, glial and neural elements, lowering of IQ scores as well as impairment of fine and gross motor coordination. Chronic low-level exposure to heavy metals also results in similar type of deformities at sub-clinical level. However, additive impact of undernutrition and adverse effects of heavy metal exposure is emerging as a serious threat to health in developing countries. High blood Pb/Cd levels and low nutrient levels cause subclinical damage of organ system such as haemopoietic, renal, nervous systems in neonates, children, post-partum women, and occupationally exposed population. This could be due to chronic low-level heavy metal exposures and vis-à-vis interaction between pollutants and nutrients. Our studies are focused on the utility of biomarkers for early subclinical detection of haemopoietic and rental toxicity. Lead exposure from non-conventional sources such as toys, pet/glass bottles, etc. suggest long-term investigation. The present review compiles result of studies conducted in this area highlighting the importance of pollution-nutrition interaction. This may facilitate policymakers on developing the strategies to counter the heavy metal exposure of humans/livestock and their consequences.
环境污染,特别是重金属(铅、镉、汞、砷、铬等)的慢性低暴露,对人类和牲畜的营养状况和健康的影响,已成为人们关注的焦点。研究表明,营养不良会抑制酶系统,改变神经递质水平,使髓鞘、神经胶质和神经元退化,降低智商分数,并损害精细和粗大运动协调能力。慢性低水平暴露于重金属也会导致亚临床水平的类似畸形。然而,营养不良和重金属暴露的不良影响的累加作用,正在成为发展中国家健康的严重威胁。高血铅/镉水平和低营养水平导致新生儿、儿童、产后妇女和职业暴露人群的造血、肾脏、神经系统等器官系统的亚临床损伤。这可能是由于慢性低水平重金属暴露以及污染物和营养素之间的相互作用。我们的研究集中在生物标志物在造血和肾毒性的早期亚临床检测中的应用。来自非传统来源(如玩具、宠物/玻璃瓶等)的铅暴露提示需要进行长期研究。本综述总结了该领域研究的结果,强调了污染与营养相互作用的重要性。这可能有助于政策制定者制定策略,以应对人类/牲畜的重金属暴露及其后果。