Being subjected to diverse anthropogenic pressures, from industrial to agricultural activities, estuaries have long been regarded as ecosystems particularly sensitive to contamination. A recent study addressed the potential adverse effects of the Portuguese Sado river sediment contaminants on human and ecosystem health. Several complementary approaches were used to assess the effects on human health, including: (i) an epidemiological one to characterize the exposure pathway to the estuary environment; (ii) an in vitro characterization of the genotoxic potential of sediments’ contaminants in a human cell line; (iii) an in vivo study of gene and chromosome alterations induction in LacZ plasmid-based transgenic mice. The epidemiological survey confirmed the occurrence of direct and indirect (through food chain) exposure of the local population to estuarine contaminants. On the other hand, the complex mixture of contaminants extracted from sediments, which contain metals and polycyclic aromatic hydrocarbons, was toxic to human liver cells exposed in vitro, causing cell death, oxidative stress and genetic damage [3, 4]. Furthermore, the results of an in vivo study showed a time-dependent increase in chromosome damage in blood immature erythrocytes but did not show induction of mutations in liver cells or DNA damage in blood, spleen, kidney or liver cells of exposed comparatively to control mice. Although the histopathological analysis of liver tissues did not reveal specific alterations associated with exposure, changes observed in hepatocytes structures indicated that liver function related to carbohydrate metabolism and storage was compromised, therefore revealing an important chronic effect. Overall, the complementary approaches used in this study suggested that the exposure of local populations to the Sado river estuary contaminants may have a negative impact on their health. Nevertheless, there is still a need to perform a biomonitoring study, i.e., obtain and integrate data from exposure and from cellular and molecular biomarkers of early biological effects and susceptibility in the exposed comparatively to a control population, in order to try to derive an indicator of risk of estuary-associated chronic diseases.N/
