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The accumulation of heavy metals in the body has been associated with an elevated immune response. The aim of this study was to investigate the associations among heavy metals and white blood cell (WBC) and eosinophil count in the general population in southern Taiwan. We also explored the interactions and synergetic effects of heavy metals on WBC and eosinophil count. We conducted a health survey in the general population living in southern Taiwan between June 2016 and September 2018. Seven heavy metals were measured: blood lead (Pb), and urine cadmium (Cd), copper (Cu), nickel, arsenic (As), chromium and manganese (Mn). A total of 2,447 participants were enrolled. In multivariable analysis, high concentrations of Pb (log per 1 mg/L; coefficient β, 0.332; p = 0.005) and Cu (log per 1 μg/dL; coefficient β, 0.476; p < 0.001) were significantly associated with a high WBC count. In addition, high concentrations of Pb (log per 1 mg/L; coefficient β, 0.732; p < 0.001), As (log per 1 μg/L; coefficient β, 0.133; p = 0.015), Cu (log per 1 μg/dL; coefficient β, 0.181; p = 0.018), and Cd (log per 1 μg/L; coefficient β, 0.139; p = 0.002) were significantly associated with a high eosinophil count. Further, the effect of interactions between Pb and As (coefficient β, 0.721; p = 0.029) and Mn and Cu (coefficient β, 0.482; p = 0.018) on WBC count, and As and Cu (unstandardized coefficient β, 0.558; p = 0.002) on eosinophil count were statistically significant. In conclusion, the heavy metals Pb, As, Cu, and Cd were associated with WBC and eosinophil count. In addition, synergistic effects of heavy metal poisoning on the association with WBC and eosinophil count were also observed., Competing Interests: Competing Interests: The authors have declared that no competing interest exists., (© The author(s).)

This study aims to monitor physico-chemical parameters and heavy metal (HM) levels in the water, HM levels, and haemato-biochemical changes in parasite-infected and non-infected catfish, Clarias gariepinus, in wild and cultivated origins. The outcomes of physico-chemical properties and heavy metal (HM) levels in water revealed significant variations between the two selected sites, except for cadmium metal (p< 0.05). HM concentrations in both water and organs of the two catfish origins decreased as the following decreased: Fe < Zn < Pb < Cu < As < Cd. Furthermore, the concentration of vital HM was significantly lower in wild catfish as compared to cultivated catfish, whereas non-vital HM was significantly higher in wild catfish. However, the HM accumulation in the different organs of catfish is ranked in ascending order: liver > gills > intestine > muscles. The hematological and biochemical investigations revealed a significant decline in the hemoglobin value, packed cell volume, number of red blood cells, albumin, total protein, and globulin while total aspartate aminotransferase activity, white blood cell count, alanine aminotransferase activity, glucose, and urea levels were all significantly higher in parasitic-infected catfish from two origins compared to uninfected catfish. Human health hazards, as evaluated by non-carcinogenic risk (hazard index and target hazard quotient), estimated daily intake, and carcinogenic risk, were all below the benchmark's allowable range. Nonetheless, the outcome of the health risk assessment suggests that consumption of the muscles of catfish from wild and cultivated origins cannot pose considerable health risks for children and adult consumers. Additionally, the prevalence of parasites can be used as a surrogate indicator to predict the possible impact of metal pollution and bioaccumulation. Consequently, this study suggests that Egypt's environmental management conducts routine HM monitoring in the studied sites to reduce potential health risks. [ABSTRACT FROM AUTHOR]

Heavy metals including nickel have adverse effects on hematological system and red blood cells antioxidant defense. The purpose of the study is to examine the possible corrective effect of fig (Ficus carica L.) extract (FCE) on hematological parameters and antioxidant enzyme activities in red blood cells of rats exposed to sub-lethal concentration of nickel. Male Wistar rats were exposed to nickel chloride (10 mg/kg) and then treated or no with FCE (350 mg/kg) for 4-weeks. The intoxication induces alteration of haematological parameters and enhances blood haemolysis, generates oxidative stress induced decrease in the antioxidant enzyme activities and depletion in reduced glutathione levels in intoxicated group compared to the control group. The oral administration of FCE increase significantly hemoglobin levels (Hb), red blood cells count (RBC), hematocrit (Ht) and decreases white blood cells counts (WBC), and platelets in F. carica treated groups, and also the extract increase the GSH-Px and SOD antioxidant activity, GSH reserves in red blood cells, and reduces lipids peroxidation. The present study concludes that fig fruits may exhibit potent antioxidant potential for erythrocytes and have a positive effect on hematological system. [ABSTRACT FROM AUTHOR]

Welders are exposed to metal ions or oxides through direct contact at occupational sites or indirectly through uptake from contaminated dust or air. This study was a case-control study designed to assess the levels of some heavy metals and the hematological profile of welders (cases) as compared to nonwelders (controls) from Bibiani Anhwiaso Bekwai District of Ghana, comparatively to determine whether their values are within acceptable international range. A quantitative-based survey using structured questionnaires was used to collect demographic data from purposively selected welders (n = 40) and nonwelders (n = 40) from the study area. Five (5 mL) blood samples were collected from the study participants and analyzed for blood cell count as well as levels of Mn, Fe, Pb, and Zn. There were no significant differences in the Mn, Zn, and Fe levels between the welders and nonwelders (p=0.431, 0.53 vs. 0.23 mg/L, p=0.05, 0.41 vs. 0.15, p=0.886, 1.82 vs. 1.11). The level of Pb was, however, significantly lower among welders compared to the nonwelders (p=0.016, 0.09 < 0.3 mg/L). The total white blood cell count did not differ significantly between welders and nonwelders (p=0.365, 5.16 vs. 4.85 × 109/L). However, the mixed cell fraction was significantly higher among welders compared to nonwelders (p=0.027, 0.34 × 109/L > 0.28 × 109/L). Red blood cell count and indices showed no significant differences between the welders and nonwelders. Hemoglobin levels in welders were, however, higher (14.47 g/dL) but this was not statistically significant compared to their nonwelder counterparts (13.85 g/dL). It was concluded from the study that welders in Bibiani Anhwiaso Bekwai District of the Western Region of Ghana had elevated levels of Pb in their bodies. This was associated with an increase in mixed white blood cell fraction platelets. However, the recorded levels were within the accepted physiological limits suggesting that the heavy metal exposure of welders had no clinically pathological significance. [ABSTRACT FROM AUTHOR]

Background: Occupational welding fumes contain varieties of toxic metal particles and may affect cardiovascular system like the Particulate Matters (PM). Few studies have focused on the effects of toxic metals on the hemodynamic balance; however, the reporting results were not consistent. This study aimed to investigate the association between toxic metals exposure (Chromium (Cr), Manganese (Mn) and Lead (Pb)) and blood hemostatic parameters status after a 3-week exposure cessation among workers exposed to welding fumes. Methodology: Structured interviews and biological samplings were conducted for 86 male workers without a history of Anemia and Cardiovascular diseases (CVDs) and working in a confined space to construct crude oil tanks. Metal levels of Cr, Mn and Pb in urine were measured during the working days using Inductively Coupled Plasma Mass Spectrometer (ICP-MS) method. The concentrations of hemostatic proteins in blood (White blood cell counts (WBC), Lymphocytes, Monocyte, Eosinophil, Neutrophil, Hematocrit (Hct) were assessed after a 3 weeks exposure cessation. Workers were divided into groups based on occupation type (welder group and non-welder group), and based on metal levels (high and low exposure groups) for comparison. Linear regression models were used to explore the association between metal exposure and multiple blood hemostatic parameters adjusted for age, Body Mass Index (BMI), and smoking status. Results: Urine Mn and Cr level of the welder group was significantly higher than the non-welder group (Mn: 0.96 VS 0.22 ug/g creatinine, p < 0.001; Cr: 0.63 VS 0.22 ug/g creatinine, p < 0.01). The mean value of Hct in the welder group was 44.58 ± 2.84 vol%, significantly higher than the non-welder group (43.07 ± 3.31 vol%, p = 0.026). The median value of WBC in the high Mn-exposed group (6.93 ± 1.59 X 106 Cell/ml) was significantly lower than the low Mn-exposed group (7.90 ± 2.13 X 106 Cell/ml, p = 0.018). The linear regression analyses showed that there was a significantly negative association between log transformed WBC value and the Mn exposure groups (high and low) after adjusting for age, BMI, and smoking status (β = - 0.049, p = 0.045), but no significant result was found between WBC and occupation types (welder and non-welder) (p > 0.05). Multiple linear regression analysis also showed positive association between Hct and occupational types (welder and non-welders) (β = 0.014, p = 0.055). The other hemostatic parameters were not different from controls when divided by occupation type or metal level groups. Conclusions: Our results showed that welders were exposed to about 3 to 4 times higher Mn and Cr concentrations than non-welders. Moreover, one third of the non-welders were exposed to high-exposure groups of Mn and Cr metals. Regression models revealed a significant association of the WBC counts with the Mn exposure group. Therefore, we infer that Mn exposure may play a significant role on the blood hemostatic parameters of workers in the confined space. Hazard identification for non-welders should also be conducted in the confined space. [ABSTRACT FROM AUTHOR]

The current study was conducted to assess the hematological and histopathological changes in major carp (Catla catla) exposed to different concentrations of copper (Cu) and cadmium (Cd). For this purpose, Catla catla fish, weighing approximately 230–235 g, were randomly divided into four groups and then exposed to acute doses of Cu (1.25 ppm), Cd (4.5 ppm), and their mixture (2.25 ppm) for 96 h and then 20, 30, and 40% respectively for a period of 30 days. Results showed that red blood cells (RBCs), hemoglobin (Hb), hematocrit (Hct), lymphocyte, and monocyte decreased significantly, while the total white blood cell count and neutrophil population significantly increased in experimental groups as compared with the control one. Histopathological examination of liver tissues showed karyorrhexis, hepatic cells degeneration, congestion, and hemorrhages. Microscopic analysis of gills' sections revealed lamellar atrophy, telangiectasia, and necrosis of lamellar epithelial cells. In the kidneys, different histopathological ailments like atrophy of glomeruli, necrosis of renal tubular cells, increased urinary spaces, degeneration of renal tubules, and melanomacrophage aggregates were observed, while in the intestine, atrophy of villi, sloughing of epithelial villi, and congestion were seen after 30 days of exposure. In conclusion, the study indicates that exposure to Cu and Cd for longer period of time causes adverse hematological and histopathological changes in Catla catla fish. [ABSTRACT FROM AUTHOR]

Exposure to cement dust has been documented to cause various occupational and long-term health complications both in human and animal. However, investigations on the extent of toxicity associated with cement dust exposure have been limited by lack of suitable model for controlled laboratory exposures. In this study, a glass house animal exposure chamber was fabricated using a plexi-glass and a blowing fan of adjustable revolution. Model simulations were validated using experimental data showing the effects of cement dust exposure on haematological indices, trace element status and gastrointestinal motility in rats. Thirty male Wistar rats were randomly divided into three groups. The unexposed group (n = 10) served as control while the other groups were exposed for five hours daily to cement dust (200g) at a revolution of 2400-3000rpm. Blood collected was analysed for some haematological variables as well as plasma concentrations of cadmium, lead, silicon, aluminium, manganese, calcium, iron and magnesium. Organ weights were measured and histopathological features of the kidney, lungs stomach and liver were assessed to determine the degree of tissue damage. Intestinal motility was assessed in vivo using the Charcoal meal method while colonic motility was studied by measuring the distance travelled by beads inserted 2cm into the distal colon through the anal opening. Data were expressed as Mean ± SEM, analysed using one-way ANOVA and p<0.05 was significant. Blood analysis from exposed rats on days 14 and 28 showed significant increase in concentrations of Calcium, Silicon, Manganese, Iron, Lead, Cadmium, Aluminium and magnesium compared with unexposed animals. Significant reductions were observed in haematocrit values, red and white blood cell counts after cement dust exposure. Also, significant increases were observed in the neutrophil-lymphocyte ratio and erythrocyte sedimentation rate in exposed rats compared with control. There was a significant decrease in organ weights - stomach, lungs, kidney when compared with control. Rats exposed to cement dust had significantly decreased small intestinal motility but increased colonic transit time. Histopathological examination from exposed rats revealed peribronchiolar infiltration by lymphocytes in the lungs while gastric gland was severely infiltrated by inflammatory cells. The results from this study are comparable to data obtained from earlier reported on haematological and heavy metals in humans occupationally exposed to cement. [ABSTRACT FROM AUTHOR]

The construction of hydropower projects discharges effluents to aquatic bodies. The effluents consist of different chemicals including heavy metals. The current study assessed the effects of effluents discharged from an under-construction hydropower project on the bioaccumulation of heavy metals in the tissues of critically endangered Tor putitora (Hamilton, 1822) in the river Panjkora. The subsequent toxic impacts of higher bioaccumulation of heavy metals on different biochemical, hematological, and serum biochemical profiles were also studied. Different biochemical changes were observed in the tissues of T. putitora including stress biomarkers such as reactive oxygen species, lipid peroxidation, total protein contents, antioxidant enzymes (peroxidase, superoxide dismutase, catalase, reduced glutathione, glutathione reductase, and glutathione-s-transferase), acetylcholinesterase, and whole-body cortisol. The hematotoxic effects were also observed as the count of red blood cells, hematocrit, and hemoglobin decreased whereas the count of white blood cells increased. Serum biochemical analysis revealed that cholesterol, urea, total bilirubin, and glucose concentration increased, whereas total proteins and albumin decreased with an increase in the concentration of heavy metals across the sampling sites. The fish from the river was found to be under severe stress as compared to the fish from the reference site. To mitigate the current scenario, stocking fish in an appropriate amount is suggested. The fish diversity and water quality should be assessed at regular intervals to avoid further deterioration and diversity loss. The safety and conservation of wild fisheries should be ensured by implementing strict environmental protection and fishing laws. • Hydropower projects discharge toxic effluents and deteriorate the rivers ecosystem. • Tor putitora in polluted rivers bioaccumulate toxic metals in several tissues. • Heavy metals cause stress and compromise the overall wellbeing of the Tor putitora. [ABSTRACT FROM AUTHOR]

The dynamics of urinary trace elements in patients with COVID-19 still remains to be investigated. A retrospective study was performed on a cohort of 138 confirmed COVID-19 patients for their urinary levels of essential and/or toxic metals including chromium, manganese, copper, arsenic, selenium, cadmium, mercury, thallium and lead according to the different disease severity (severe or non-severe) and outcome (recovered or deceased). Urinary concentrations of chromium, manganese, copper, selenium, cadmium, mercury and lead after creatinine adjustment were found to be higher in severe patients than the non-severe cases with COVID-19. And among the severe cases, these elements were also higher in the deceased group than the recovered group. When the weeks of the post-symptom onset were taken in account, the changes of these urinary elements were existed across the clinical course since the disease onset. These urinary elements were found to be mostly positively inter-correlated, and further positively correlated with other laboratory inflammatory parameters including serum cytokines (IL-1B, IL2R, IL6, IL8, IL10, TNFα), ferritin, and neutrophil count and white blood cell count. As a independently predictive factor, urinary creatinine-adjusted copper of ≥25.57 μg/g and ≥99.32 μg/g were associated with significantly increased risk of severe illness and fatal outcome in COVID-19, respectively. These results suggest abnormities in urinary levels of the trace metals were tightly associated with the severe illness and fatal outcome of COVID-19. • Cr, Mn, Cu, Se, Cd, Hg, Pb were higher while As, Tl were lower in severe cases. • The changes of the urinary elements were existed across the clinical course. • The urinary elements correlated with laboratory inflammatory parameters. • Cu ≥ 25.57 μg/g creatinine as an independent risk factor for severe illness. • Cu ≥ 99.32 μg/g creatinine as an independent risk factor for fatal outcome. [ABSTRACT FROM AUTHOR]