Department of Toxicology, Medical University of Bialystok, Bialystok, Poland.
J Appl Toxicol. 2023 Jan;43(1):66-88. doi: 10.1002/jat.4322. Epub 2022 Apr 1.
Nowadays, more and more attention has been focused on the risk of the neurotoxic action of cadmium (Cd) under environmental exposure. Due to the growing incidence of nervous system diseases, including neurodegenerative changes, and suggested involvement of Cd in their aetiopathogenesis, this review aimed to discuss critically this element neurotoxicity. Attempts have been made to recognize at which concentrations in the blood and urine Cd may increase the risk of damage to the nervous system and compare it to the risk of injury of other organs and systems. The performed overview of the available literature shows that Cd may have an unfavourable impact on the human's nervous system at the concentration >0.8 μg Cd/L in the urine and >0.6 μg Cd/L in the blood. Because such concentrations are currently noted in the general population of industrialized countries, it can be concluded that environmental exposure to this xenobiotic may create a risk of damage to the nervous system and be involved in the aetiopathogenesis of neurodegenerative diseases, such as Alzheimer's disease and Parkinson's disease, as well as worsening cognitive and behavioural functions. The potential mechanism of Cd neurotoxicity consists in inducing oxidative stress, disrupting the activity of enzymes essential to the proper functioning of the nervous system and destroying the homoeostasis of bioelements in the brain. Thus, further studies are necessary to recognize accurately both the risk of nervous system damage in the general population due to environmental exposure to Cd and the mechanism of this action.
如今,越来越多的人关注环境暴露下镉(Cd)的神经毒性作用风险。由于神经系统疾病的发病率不断上升,包括神经退行性变化,并认为 Cd 参与了其发病机制,因此,本综述旨在批判性地讨论这种元素的神经毒性。我们试图确定血液和尿液中 Cd 的浓度在何种情况下可能会增加对神经系统损伤的风险,并将其与其他器官和系统损伤的风险进行比较。对现有文献的综述表明,尿液中 Cd 浓度>0.8μg/L 和血液中 Cd 浓度>0.6μg/L 可能对人体神经系统产生不利影响。由于目前在工业化国家的普通人群中已经注意到了这些浓度,因此可以得出结论,环境暴露于这种外源性物质可能会对神经系统造成损害,并参与阿尔茨海默病和帕金森病等神经退行性疾病的发病机制,以及认知和行为功能的恶化。Cd 神经毒性的潜在机制包括诱导氧化应激、破坏对神经系统正常功能至关重要的酶的活性以及破坏大脑中生物元素的体内平衡。因此,有必要进一步研究,以准确识别由于环境暴露于 Cd 而导致的普通人群中神经系统损伤的风险,以及这种作用的机制。