Systematic Review of Potential Health Risks Posed by Pharmaceutical, Occupational and Consumer Exposures to Metallic and Nanoscale Aluminum, Aluminum Oxides, Aluminum Hydroxide and Its Soluble Salts

Aluminum (Al) is a ubiquitous substance encountered both naturally (as the third most abundant element) and intentionally (used in water, foods, pharmaceuticals, and vaccines); it is also present in ambient and occupational airborne particulates. Existing data underscore the importance of Al physical and chemical forms in relation to its uptake, accumulation, and systemic bioavailability. The present review represents a systematic examination of the peer-reviewed literature on the adverse health effects of Al materials published since a previous critical evaluation compiled by Krewski et al. (2007). Challenges encountered in carrying out the present review reflected the experimental use of different physical and chemical Al forms, different routes of administration, and different target organs in relation to the magnitude, frequency, and duration of exposure. Wide variations in diet can result in Al intakes that are often higher than the World Health Organization provisional tolerable weekly intake (PTWI), which is based on studies with Al citrate. Comparing daily dietary Al exposures on the basis of “total Al”assumes that gastrointestinal bioavailability for all dietary Al forms is equivalent to that for Al citrate, an approach that requires validation. Current occupational exposure limits (OELs) for identical Al substances vary as much as 15-fold. The toxicity of different Al forms depends in large measure on their physical behavior and relative solubility in water. The toxicity of soluble Al forms depends upon the delivered dose of Al+ 3 to target tissues. Trivalent Al reacts with water to produce bidentate superoxide coordination spheres [Al(O2)(H2O4)+ 2 and Al(H2O)6 + 3] that after complexation with O2•−, generate Al superoxides [Al(O2•)](H2O5)]+ 2. Semireduced AlO2• radicals deplete mitochondrial Fe and promote generation of H2O2, O2 • − and OH•. Thus, it is the Al+ 3-induced formation of oxygen radicals that accounts for the oxidative damage that leads to intrinsic apoptosis. In contrast, the toxicity of the insoluble Al oxides depends primarily on their behavior as particulates. Aluminum has been held responsible for human morbidity and mortality, but there is no consistent and convincing evidence to associate the Al found in food and drinking water at the doses and chemical forms presently consumed by people living in North America and Western Europe with increased risk for Alzheimer\u27s disease (AD). Neither is there clear evidence to show use of Al-containing underarm antiperspirants or cosmetics increases the risk of AD or breast cancer. Metallic Al, its oxides, and common Al salts have not been shown to be either genotoxic or carcinogenic. Aluminum exposures during neonatal and pediatric parenteral nutrition (PN) can impair bone mineralization and delay neurological development. Adverse effects to vaccines with Al adjuvants have occurred; however, recent controlled trials found that the immunologic response to certain vaccines with Al adjuvants was no greater, and in some cases less than, that after identical vaccination without Al adjuvants. The scientific literature on the adverse health effects of Al is extensive. Health risk assessments for Al must take into account individual co-factors (e.g., age, renal function, diet, gastric pH). Conclusions from the current review point to the need for refinement of the PTWI, reduction of Al contamination in PN solutions, justification for routine addition of Al to vaccines, and harmonization of OELs for Al substances

Exercise-induced biochemical changes and their potential influence on cancer: A scientific review

© Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-And-licensing/. Aim To review and discuss the available international literature regarding the indirect and direct biochemical mechanisms that occur after exercise, which could positively, or negatively, influence oncogenic pathways. Methods The PubMed, MEDLINE, Embase and Cochrane libraries were searched for papers up to July 2016 addressing biochemical changes after exercise with a particular reference to cancer. The three authors independently assessed their appropriateness for inclusion in this review based on their scientific quality and relevance. Results 168 papers were selected and categorised into indirect and direct biochemical pathways. The indirect effects included changes in vitamin D, weight reduction, sunlight exposure and improved mood. The direct effects included insulin-like growth factor, epigenetic effects on gene expression and DNA repair, vasoactive intestinal peptide, oxidative stress and antioxidant pathways, heat shock proteins, testosterone, irisin, immunity, chronic inflammation and prostaglandins, energy metabolism and insulin resistance. Summary Exercise is one of several lifestyle factors known to lower the risk of developing cancer and is associated with lower relapse rates and better survival. This review highlights the numerous biochemical processes, which explain these potential anticancer benefits

Black sea tsunamis and paleotsunami studies on the thrace coasts of Turkey

9th International Conference on the Mediterranean Coastal Environment, MEDCOAST 2009 --10 November 2009 through 14 November 2009 -- Sochi --It is identified that 23 moderate tsunamis hit the Black Sea's coasts during the last 2000 years. Some of these tsunamis had been catastrophic at some vulnerable spots of the coast, flooding coastal areas and drowning a few thousand people in towns and villages; such as the ones in 544/545 and 1598. Tsunamis may leave their fingerprints typically in low-energy depositional environments such as coastal wetlands, lagoons and places protected from the sea by sandy barriers. Such places protect tsunami deposits from post-depositional erosion. The topographic conditions of the Black Sea coastline of Turkey are not favourable in preservation of marine flood deposits. A few low lying beaches or marsh-filled depositional sedimentary basins on the Thrace coasts may have geomorphologic potential, even usually intercalated with fluvial effects of nearby creeks, to record and keep the clues of historical tsunami impacts. Yet there have been relatively few studies of the processes associated with tsunami sediment transport, their deposition and nature; the present study attempts to understand if a coarse grained sedimentary unit mixed with marine shell fragments observed in a trench in Kiyikoy could have been related to a historical tsunami. The soil samples were tested for their particle characterization, micro-fossil contents, standard sediment chemistry and biochemical conditions. Even though some effects of a marine intrusion were observed, the results are open to debate. For more meaningful regional explanations and to give way to numerical modelling which make the main tasks for tsunami hunting in the Black Sea, similar studies throughout the basin are needed

Evaluation of Heavy Metals in Agricultural Soils From Katsina State Nigeria

This work contributes to the monitoring of Agricultural soil pollution in Katsina State, North western Nigeria by assessing the degree of heavy metal pollution in Agricultural soil samples. The study was conducted in the year 2017 within some catchment areas located within the 3 senatorial zones that constitute to make up the state (Katsina senatorial zone: Birchi, Dutsinma and Katsina; Daura senatorial zone: Daura, Ingawa and Zango; Funtua senatorial zone: Dabai, Funtua, Kafur, Malunfashi and Matazu). Analysis for the concentration of these heavy metals; Cr, Cd, Fe, Ni, Mn, Pb and Zn was conducted by the use of AAS (by Atomic Absorption Spectrophotometry) method. . Several indices were used to assess the metal contamination levels in the Agricultural soil samples, namely; Geo-accumulation Index (Igeo), Enrichment Factor (EF), Contamination Factor (CF), Degree of Contamination (Cd) and Pollution Load Index (PLI). The result of this study has shown that generally among the heavy metals evaluated, the highest concentration was observed for Fe (range: 20.195-38.347 ppm), followed by Zn (range: 0.528-1.134 ppm), Pb (range: 0.256-0.627 ppm), Mn (range: 0.261-0.572 ppm) and Cr (range: 0.093-0.344 ppm). While Cd has the lowest concentration (range: 0.022-0.043 ppm). For all the site sampled the heavy metal Ni was below detection level (BDL). From the results of heavy metals I-geo values, according to Muller's classification, soil samples from Birchi, Daura, Dutsinma, Kafur and Zango were unpolluted (class 0) while soil samples from Dabai, Funtua, Ingawa, Katsina, Malunfashi and Matazu are moderately polluted (class 1). The result for the enrichment factor has shown that with the exception of the heavy metal Fe, which shows significant enrichment for all the sites sampled all the other heavy metals show deficiency to minimal enrichment. Also based on the contamination factors for all soil samples the heavy metal Fe has a CF values range of 1.2861-2.3240, indicating that the Agricultural soil samples are moderately contaminated with Fe. In contrast, the rest of the heavy metals exhibit low contamination in general. The value of PLI ranges from 0.2408 to 0.4935, indicating unpolluted to moderate pollution, with the sampling site for Katsina displaying the highest PLI value while the sampling site of Ingawa has the lowest PLI. The Eri values for all samples are all < 40, presenting low ecological risk. The results suggest that the Agricultural soils samples from Katsina state has low contamination by the heavy metals evaluated

Association between COVID-19 Burden, Population Vaccination Status, and Urologic Oncology Surgery Volume: A National Multicenter Cross-Sectional Study

Initial deleterious effects of the COVID-19 pandemic on urologic oncology surgeries are well described, but the possible influence of vaccination efforts and those of pandemic conditions on surgical volumes is unclear. Our aim was to examine the association between changing vaccination status and COVID-19 burden throughout the pandemic and the volume of urologic oncology surgeries in Israel. This multi-center cross-sectional study included data collected from five tertiary centers between January 2019 and December 2021. All 7327 urologic oncology surgeries were included. Epidemiological data were obtained from the Israeli Ministry of Health database. A rising trend in total urologic oncology surgery volumes was observed with ensuing COVID-19 wave peaks over time (X2 = 13.184, df = 3, p = 0.004). Total monthly surgical volumes correlated with total monthly hospitalizations due to COVID-19 (R = −0.36, p = 0.015), as well as with the monthly average Oxford Stringency Index (R = −0.31, p = 0.035). The cumulative percent of vaccinations and of new COVID-19 cases per month did not correlate with total monthly urologic surgery volumes. Our study demonstrates the gradual acclimation of the Israeli healthcare system to the COVID-19 pandemic. However, hospitalizations due to COVID-19, as well as restriction stringency, correlate with lower volumes of urologic oncological surgeries, regardless of the population’s vaccination status

Very Low Prostate PET/CT PSMA Uptake May Be Misleading in Staging Radical Prostatectomy Candidates

Purpose: to evaluate a unique subpopulation of radical prostatectomy (RP) candidates with &ldquo;negative&rdquo; prostate 68Ga-labeled prostate-specific membrane antigen (PSMA) positron emission tomography (PET) computed tomography (CT) imaging scans and to characterize the clinical implications of misleading findings. Materials and Methods: This case-control retrospective study compared the final histological outcomes of patients with &ldquo;negative&rdquo; pre-RP PSMA PET/CT prostate scans (with a prostate maximal standardized uptake value [SUVmax] below the physiologic uptake) to those with an &ldquo;intense&rdquo; prostatic tracer uptake (with a SUVmax above the physiologic uptake). The patients underwent an RP between March 2015 and July 2019 in five academic centers. Data on the demographics, comorbidities, prostate-specific antigen (PSA) and rectal exam findings, prior biopsies, imaging results, biopsies, and RP histology results were collected. Results: Ninety-seven of the 392 patients who underwent an RP had PSMA PET/CT imaging preoperatively. Fifty-two (54%) had a &ldquo;negative&rdquo; uptake (in the study group), and 45 (46%) had a &ldquo;positive&rdquo; uptake (in the control group). Only the lesion size and SUVmax values on the PSMA PET/CT differed between the groups preoperatively. On the histological analysis, only the ISUP score, seminal vesicles invasion, T stage, and positive margin rates differed between the groups (p &lt; 0.05), while 50 (96%) study group patients harbored clinically significant disease (ISUP &ge; 2), with an extra-prostatic disease in 24 (46%), perineural invasion in 35 (67%), and positive lymph nodes in 4 (8%). Conclusions: Disease aggressiveness generally correlated with an intense PSMA uptake on the preoperative PSMA PET/CT, but a subpopulation of patients with clinically significant cancer and aggressive characteristics showed a deceptively weak PSMA uptake. These data raise a concern about the unqualified application of PSMA PET/CT for staging RP candidates

Reply to Veerman et al. Comment on &ldquo;Rosenzweig et al. Very Low Prostate PET/CT PSMA Uptake May Be Misleading in Staging Radical Prostatectomy Candidates. J. Pers. Med. 2022, 12, 410&rdquo;

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