Merino José Joaquín, Parmigiani-Izquierdo José María, Toledano Gasca Adolfo, Cabaña-Muñoz María Eugenia
Clínica CIROM, Centro de Implantología and Rehabilitación Oral Multidisciplinaria, 30001 Murcia, Spain.
Department of Neuroanatomy, Instituto Cajal (CSIC), 28002 Madrid, Spain.
Antioxidants (Basel). 2019 Apr 16;8(4):101. doi: 10.3390/antiox8040101.
The toxicity of heavy metals such as Hg is a serious risk for human health. We evaluated whether 90 days of nutritional supplementation (d90, = 16) with (CV) and extracts in conjunction with aminosulphurate (nutraceuticals) supplementation could detox heavy metal levels in patients with long-term titanium dental implants (average: three, average: 12 years in mouth) and/or amalgam fillings (average: four, average: 15 years) compared to baseline levels (d0: before any supplementation, = 16) and untreated controls (without dental materials) of similar age (control, = 21). In this study, we compared levels of several heavy metals/oligoelements in these patients after 90 days ( = 16) of nutritional supplementation with CV and aminozuphrates extract with their own baseline levels (d0, = 16) and untreated controls ( = 21); 16 patients averaging 44 age years old with long-term dental amalgams and titanium implants for at least 10 years (average: 12 years) were recruited, as well as 21 non-supplemented controls (without dental materials) of similar age. The following heavy metals were quantified in hair samples as index of chronic heavy metal exposure before and after 90 days supplementation using inductively coupled plasma-mass spectrometry (ICP-MS) and expressed as μg/g of hair (Al, Hg, Ba, Ag, Sb, As, Be, Bi, Cd, Pb, Pt, Tl, Th, U, Ni, Sn, and Ti). We also measured several oligoelements (Ca, Mg, Na, K, Cu, Zn, Mn, Cr, V, Mo, B, I, P, Se, Sr, P, Co, Fe, Ge, Rb, and Zr). The algae and nutraceutical supplementation during 90 consecutive days decreased Hg, Ag, Sn, and Pb at 90 days as compared to baseline levels. The mercury levels at 90 days decreased as compared with the untreated controls. The supplementation contributed to reducing heavy metal levels. There were increased lithium (Li) and germanium (Ge) levels after supplementation in patients with long-term dental titanium implants and amalgams. They also (d90) increased manganesum (Mn), phosphorum (P), and iron (Fe) levels as compared with their own basal levels (d0) and the untreated controls. Finally, decreased SuperOxide Dismutase-1 (SOD-1) activity (saliva) was observed after 90 days of supplementation as compared with basal levels (before any supplementation, d0), suggesting antioxidant effects. Conversely, we detected increased SOD-1 activity after 90 days as compared with untreated controls. This SOD-1 regulation could induce antioxidant effects in these patients. The long-term treatment with algae extract and aminosulphurates for 90 consecutive days decreased certain heavy metal levels (Hg, Ag, Sn, Pb, and U) as compared with basal levels. However, Hg and Sn reductions were observed after 90 days as compared with untreated controls (without dental materials). The dental amalgam restoration using activated nasal filters in conjunction with long-term nutritional supplementation enhanced heavy metals removal. Finally, the long-term supplementation with these algae and aminoazuphrates was safe and non-toxic in patients. These supplements prevented certain deficits in oligoelements without affecting their Na/K ratios after long-term nutraceutical supplementation.
汞等重金属的毒性对人类健康构成严重风险。我们评估了90天的营养补充(d90,n = 16),即补充小球藻(CV)和氨基硫酸盐提取物并联合氨基硫(营养保健品),与基线水平(d0:在任何补充之前,n = 16)以及年龄相仿的未治疗对照(无牙科材料,对照组,n = 21)相比,能否降低长期使用钛牙种植体(平均:3个,平均在口腔中使用12年)和/或汞合金填充物(平均:4个,平均15年)患者体内的重金属水平。在本研究中,我们比较了这些患者在接受90天(n = 16)的小球藻和氨基硫酸盐提取物营养补充后,几种重金属/微量元素的水平与其自身基线水平(d0,n = 16)以及未治疗对照(n = 21)的差异;招募了16名平均年龄44岁、长期使用汞合金和钛牙种植体至少10年(平均:12年)的患者,以及21名年龄相仿的未补充对照(无牙科材料)。使用电感耦合等离子体质谱仪(ICP-MS)对毛发样本中的以下重金属进行定量,作为90天补充前后慢性重金属暴露的指标,并以μg/g毛发表示(铝、汞、钡、银、锑、砷、铍、铋、镉、铅、铂、铊、钍、铀、镍、锡和钛)。我们还测量了几种微量元素(钙、镁、钠、钾、铜、锌、锰、铬、钒、钼、硼、碘、磷、硒、锶、磷、钴、铁、锗、铷和锆)。连续90天补充藻类和营养保健品后,与基线水平相比,90天时汞、银、锡和铅的含量降低。与未治疗对照相比,90天时汞含量降低。补充有助于降低重金属水平。长期使用牙种植体和汞合金的患者补充后锂(Li)和锗(Ge)水平升高。与自身基线水平(d0)和未治疗对照相比,90天(d90)时锰(Mn)、磷(P)和铁(Fe)水平也升高。最后,与基线水平(在任何补充之前,d0)相比,补充90天后观察到超氧化物歧化酶-1(SOD-1)活性(唾液)降低,表明具有抗氧化作用。相反,与未治疗对照相比,90天后我们检测到SOD-1活性升高。这种SOD-1调节可能在这些患者中诱导抗氧化作用。与基线水平相比,连续90天长期使用藻类提取物和氨基硫酸盐可降低某些重金属水平(汞、银、锡、铅和铀)。然而,与未治疗对照(无牙科材料)相比,90天后观察到汞和锡含量降低。使用活性鼻过滤器结合长期营养补充进行汞合金修复可增强重金属清除。最后,长期补充这些藻类和氨基硫酸盐对患者安全无毒。长期补充营养保健品后,这些补充剂可预防某些微量元素缺乏,且不影响其钠/钾比值。