Department of Geology, College of Science, University of Baghdad, Baghdad, Iraq.
Civil and Environmental Engineering Department, King Fahd University of Petroleum & Minerals, Dhahran 31261, Saudi Arabia; Interdisciplinary Research Center for Membranes and Water Security, King Fahd University of Petroleum & Minerals, Dhahran 31261, Saudi Arabia.
Ecotoxicol Environ Saf. 2023 Feb;251:114561. doi: 10.1016/j.ecoenv.2023.114561. Epub 2023 Jan 23.
Since genetic factors alone cannot explain most cases of Autism, the environmental factors are worth investigating as they play an essential role in the development of some cases of Autism. This research is a review paper that aims to clarify the role of the macro elements (MEs), Trace elements (TEs) and ultra-trace elements (UTEs) on human health if they are greater or less than the normal range. Aluminium (Al), cadmium Cd), lead (Pb), chromium (Cr), zinc (Zn), copper (Cu), nickel (Ni), arsenic (As), mercury (Hg), manganese (Mn), and iron (Fe) have been reviewed. Exposure to toxicants has a chemical effect that may ultimately lead to autism spectrum disorder (ASD). The Cr, As and Al are found in high concentrations in the blood of an autistic child when compared to normal child reference values. The toxic metals, particularly aluminium, are primarily responsible for difficulties in socialization and language skills disabilities. Zinc and copper are important elements in regulating the gene expression of metallothioneins (MTs), and zinc deficiency may be a risk factor for ASD pathogenesis. Autistics frequently have zinc deficiency combined with copper excess; as part of the treatment protocol, it is critical to monitor zinc and copper levels in autistic people, particularly those with zinc deficiency. Zinc deficiency is linked to epileptic seizures, which are common in autistic patients. Higher serum manganese and copper significantly characterize people who have ASD. Autistic children have significantly decreased lead and cadmium in urine, whereas they have significantly higher urine Cr. A higher level of As and Hg was found in the ASD individual's blood.
由于遗传因素单独无法解释大多数自闭症病例,因此环境因素值得研究,因为它们在某些自闭症病例的发展中起着重要作用。这项研究是一篇综述论文,旨在阐明宏量元素 (MEs)、微量元素 (TEs) 和超微量元素 (UTEs) 如果超过或低于正常范围,对人类健康的作用。本文综述了铝 (Al)、镉 (Cd)、铅 (Pb)、铬 (Cr)、锌 (Zn)、铜 (Cu)、镍 (Ni)、砷 (As)、汞 (Hg)、锰 (Mn) 和铁 (Fe)。接触有毒物质会产生化学影响,最终可能导致自闭症谱系障碍 (ASD)。与正常儿童参考值相比,自闭症儿童血液中的 Cr、As 和 Al 浓度较高。有毒金属,特别是铝,主要导致社交和语言技能障碍。锌和铜是调节金属硫蛋白 (MTs) 基因表达的重要元素,锌缺乏可能是 ASD 发病机制的一个风险因素。自闭症患者经常缺锌合并铜过多;在治疗方案中,监测自闭症患者,尤其是锌缺乏患者的锌和铜水平至关重要。锌缺乏与癫痫发作有关,而癫痫发作在自闭症患者中很常见。较高的血清锰和铜显著特征是患有 ASD 的人。自闭症儿童尿液中的铅和镉明显减少,而尿液中的 Cr 明显增加。在 ASD 个体的血液中发现了更高水平的 As 和 Hg。
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