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Although human biological indicators have been widely utilized for biomonitoring environmental pollutants in health exposure assessment, the relationship between internal and external exposure has not yet been adequately established. In this study, we collected and analyzed 61 rice, 56 pepper, and 58 soil samples, together with 107 hair, 107 blood, and 107 urine samples from residents living in selected intensive mining areas in China. Concentrations of most of the four elements considered (Pb, Cd, Hg, and Se) exceeded national standards, implying high exposure risk in the study areas. Regression analysis also revealed a correlation (0.33, P < 0.001) between the concentration of Pb in soil and that in human hair (as well as in human blood); to some extent, Pb content in hair and blood could therefore be used to characterize external Pb exposure. The correlation between Hg in rice and in human hair (up to 0.5, P < 0.001) further confirmed a significant indicative effect of human hair for Hg exposure. A significant correlation was also noted between concentrations of some elements in different human samples, for example, between Hg in hair and blood (0.641, P < 0.01) and between Cd in urine and blood (0.339, P < 0.01). To some extent, there could thus be mutual reflectance of the same heavy metal in different samples, with the possibility for complementary use in assessing heavy metal exposure.

Kashin-Beck disease (KBD), which is still active and severe in the Tibetan Plateau, is considered to be a kind of selenium (Se)-deficient disease. Highland barley as the most popular staple food in the Tibetan Plateau is one of the dominant Se sources for local people. To improve Se levels in crops in the Tibetan Plateau KBD area, the distribution and translocation of Se from soil to highland barley in both non-KBD and KBD endemic areas were investigated. The results showed that Se levels in highland barley were too low to meet the minimum requirements of human for daily intake of Se. The total Se concentrations of highland barley fractions in KBD areas were lower than that in non-KBD areas (grain P = 0.238; straw P = 0.087; root P = 0.008). However, no significant difference was observed in corresponding cultivated soil Se between the two areas (P = 0.993). The calculation of Se transfer factors indicated that the restricting step for Se translocation was from soil to root. Water-soluble, exchangeable and fulvic acid-bound Se fractions in the soil are key species dominating in this transfer process, according to their significant correlations with root Se. Se transfer from soil to root significantly increases as the pH value of soil increases (P = 0.007), and soil organic matter content decreases (P = 0.019). The information obtained may have considerable significance for proposing effective agricultural measures to increase grain Se in KBD endemic areas.

In order to figure out the prevalence of skin lesions and methylation capacity for migrant and native adult women in an endemic area for arsenic poisoning in Inner Mongolia, China, 207 adult women were selected for study subjects. The results showed that the prevalence of skin lesions for the external group, provincial group and native group was 36.54, 26.15 and 35.56 %, respectively. The nail content of arsenic and urinary concentrations of dimethylarsenic (DMA), monomethylarsenic (MMA) and inorganic arsenic (iAs) were significantly higher in women with skin lesions than in those without skin lesions. The highest urinary concentrations of DMA, MMA and iAs were 213.93, 45.72 and 45.01 μg/L in the native group. The arsenic methylation capacity index revealed that the external group had the greatest capacity, while the native group had the lowest. The odds ratios of skin lesions in relation to arsenic metabolites and arsenic methylation capacity varied widely among the three groups. Urinary MMA and iAs concentrations were positively associated with risk of skin lesions in the three groups of adult women, while primary and secondary methylation capacities were negatively related to risk of skin lesions in native and provincial groups. The external group might be more susceptible to MMA and iAs, while the provincial and native groups were more tolerance to MMA and iAs. Lower primary and secondary arsenic methylation capacities increased the risk of skin lesions in native and provincial groups. Moreover, higher nail arsenic concentration increased the risk of skin lesions of adult women.

Healthy aging is considered as the core issue of aging population. Centenarians are a symbol of healthy aging. Concentration of elements in hair is an indicator of micronutrient status, which can affect the human health. In the present study, we investigated element concentrations in the scalp hair of 255 healthy centenarians from Hainan Island, China. The pattern of intergenerational transmission of elements and the effects of confounders such as sex, age, education level, smoking habits, alcohol intake, and frequency of hospitalization on hair element concentrations were assessed. For most elements, the load in hair increased significantly through intergenerational transmission (i.e., centenarians < children < grandchildren). Our results also demonstrated that female centenarians had significantly higher concentrations of Ca, Mg, Mn, Se, and Sr but lower levels of Cr and P. The Mn level was statistically significantly lower in the primary studies group. Alcohol intake was positively associated with Cd and Na levels, whereas smoking habits showed no significant effect on all the elements. Furthermore, the frequency of hospitalization was significantly positively associated with Cd, Cu, and Pb concentration. Moreover, our analysis suggested that adequate concentrations of Fe and Se might increase the life span of centenarians, whereas excessive concentrations of P and Pb were harmful to health and reduced life span. These results imply that element concentrations could be manipulated as a therapeutic modality in geriatric disease. They might also provide reference values for diseased subjects, allowing improved diagnoses and more effective therapies, which might support effective policies on health and aging.

Now, there is a decreasing trend for the prevalence rate of Kaschin-Beck disease (KBD) in most parts of China, but the disease is still active and severe in the Tibetan Plateau for some reason. To further explore the role of selenium in the occurrence of KBD, We collected samples including drinking water, cultivated topsoil, Highland Barley grains, and tsamba in Rangtang County and Aba County, Sichuan Province and determined concentrations of selenium by Hydride Generation Atomic Fluorescence Spectrometry. Levels of selenium in the environment were analyzed in detail. Selenium in the soil-plant-food system and their relationship with prevalence rate of KBD were also discussed. The results indicate: (a) the levels of environmental selenium are very low and the study area belongs to a selenium-deficient ecological landscape; (b) the KBD becomes much more severe with decreasing environmental selenium under the selenium-deficient condition. Namely, the lower the environmental selenium is, the more severe the disease is; (c) soil selenium deficiency plays a critical role for the prevalence of local KBD, and more factors inducing selenium deficiency should be more concerned in the future.