LEAD TOXICITY AND HEALTH EFFECTS- A COMPREHENSIVE REVIEW
Main Article Content
Lead is a heavy metal with a low melting point and is bluish-gray, soft, thick, and malleable. It is frequently present in the environment at concentrations less than 50 mg/kg. Although Pb is often found in high amounts in nature, its presence in water is primarily attributed to human pollution and artificial activity. Pb is one of several elements, the effects of which can be harmful to human health and the environment. There are also concerns that Pb may be carcinogenic and harmful to humans. The biological half-life of Pb in the human body varies from 28 to 40 days in the blood to several years or even decades in the bone and other body tissues, and the danger associated with Pb poisoning is still unknown because of the wide range of clinical manifestations. Pb exposure has been linked to lung diseases, cardiovascular problems, neurological impact, renal impairment, reproductive toxicity, and potentially carcinogenic effects. Exposure time, diet, health status, age and general well-being can all play a role, in how individuals respond to lead poisoning. The FDA has set reference levels (IRLs) for exposure at 8.8 μg per day for women of reproductive age and 12.5 μg per day for adults. It can enter the body through either the digestive or the respiratory system. It is important to take steps to maintain a lifestyle that promotes preventive measures and enhances public health by ensuring regular monitoring of individuals who face frequent exposure to heavy metals, particularly Pb. To effectively monitor and prevent Pb exposure, it is crucial to establish comprehensive screening programs for high-risk populations and prioritize public health initiatives that focus on promoting healthy lifestyles and minimizing environmental pollution.
World Health Organization. (2015). WHO estimates of the global burden of foodborne diseases: foodborne disease burden epidemiology reference group 2007-2015. World Health Organization.
Kayiranga, A., Li, Z., Isabwe, A., Ke, X., Simbi, C. H., Ifon, B. E., ... & Sun, X. (2023). The effects of heavy metal pollution on Collembola in urban soils and associated recovery using biochar remediation: A review. International Journal of Environmental Research and Public Health, 20(4), 3077.
Kumar, A., Kumar, A., MMS, C. P., Chaturvedi, A. K., Shabnam, A. A., Subrahmanyam, G., ... & Yadav, K. K. (2020). Lead toxicity: health hazards, influence on food chain, and sustainable remediation approaches. International journal of environmental research and public health, 17(7), 2179.
World Health Organization (WHO). (2018). Action is Needed on Chemicals of Major Public Health Concern. WHO, 2010. 2018-04-20]. http://www. who. int/ipcs/features/10chemicals_en. pdf.
ATSDR. Case studies in Environmental Medicine (CSEM) Lead Toxicity. Available online: https: //www.atsdr.cdc.gov/csem/lead/docs/CSEM-Lead_toxicity_508.pdf (accessed on 27 November 2017).
Pais, I., & Jones Jr, J. B. (1997). The handbook of trace elements. Crc Press.
Flora, G., Gupta, D., & Tiwari, A. (2012). Toxicity of lead: a review with recent updates. Interdisciplinary toxicology, 5(2), 47-58.
Assi, M. A., Hezmee, M. N. M., Sabri, M. Y. M., & Rajion, M. A. (2016). The detrimental effects of lead on human and animal health. Veterinary world, 9(6), 660.
Shahid, M., Khalid, S., Abbas, G., Shahid, N., Nadeem, M., Sabir, M., ... & Dumat, C. (2015). Heavy metal stress and crop productivity. Crop production and global environmental issues, 1-25.
Violante, A. U. D. N., Cozzolino, V. U. D. N., Perelomov, L. P. S. U., Caporale, A. G., & Pigna, M. U. D. N. (2010). Mobility and bioavailability of heavy metals and metalloids in soil environments. Journal of soil science and plant nutrition, 10(3), 268-292.
IARC. Agents Classified by the IARC Monographs. Volume 1–123. Available online: https://monographs. iarc.fr/wp-content/uploads/2019/02/List_of_Classifications.pdf (accessed on 24 November 2019).
EPA-IRIS. Lead and Compounds (Inorganic); CASRN 7439-92-1. Integrated Risk Information System (IRIS), Chemical Assessment Summary. Available online: https://cfpub.epa.gov/ncea/iris/iris_documents/ documents/subst/0277_summary.pdf (accessed on 30 December 2019).
WHO. Lead Poisoning and Health. Available online: https://www.who.int/newsroom/fact-sheets/detail/leadpoisoning-and-health (accessed on 1 September 2019).
Abadin, H., Ashizawa, A., Llados, F., & Stevens, Y. W. (2007). Toxicological profile for lead.
Zhang, R., Wilson, V. L., Hou, A., & Meng, G. (2015). Source of lead pollution, its influence on public health and the countermeasures. International Journal of Health, Animal Science and Food Safety, 2(1).
Edition, F. (2011). Guidelines for drinking-water quality. WHO chronicle, 38(4), 104-8.
Jusko, T. A., Henderson Jr, C. R., Lanphear, B. P., Cory-Slechta, D. A., Parsons, P. J., & Canfield, R. L. (2008). Blood lead concentrations< 10 μg/dL and child intelligence at 6 years of age. Environmental health perspectives, 116(2), 243-248.
Singh, J., & Kalamdhad, A. S. (2011). Effects of heavy metals on soil, plants, human health and aquatic life. Int J Res Chem Environ, 1(2), 15-21.
Debnath, B., Singh, W. S., & Manna, K. (2019). Sources and toxicological effects of lead on human health. Indian Journal of Medical Specialties, 10(2), 66-71.
Levallois, P., Barn, P., Valcke, M., Gauvin, D., & Kosatsky, T. (2018). Public health consequences of lead in drinking water. Current environmental health reports, 5, 255-262.
Rabin R. The lead industry and lead water pipes “A Modest Campaign”. Am J Public Health. 2008 Sept;98(9):1584–92.
Lanphear BP. The conquest of lead poisoning: a Pyrrhic victory. Environ Health Perspect. 2007 Oct;115(10): A484–5.
Sharmer, L., Shackley, M. S., & Harding, A. K. (2010). A potential new health risk from lead in used consumer products purchased in the United States. Journal of Environmental Health, 73(5), 8-13.
Sanders, T., Liu, Y., Buchner, V., & Tchounwou, P. B. (2009). Neurotoxic effects and biomarkers of lead exposure: a review. Reviews on environmental health, 24(1), 15-46.
Mandal, G. C., Mandal, A., & Chakraborty, A. (2022). The toxic effect of lead on human health: A review. Human Biology and Public Health, 3.
Collin, M. S., Venkatraman, S. K., Vijayakumar, N., Kanimozhi, V., Arbaaz, S. M., Stacey, R. S., ... & Swamiappan, S. (2022). Bioaccumulation of lead (Pb) and its effects on human: A review. Journal of Hazardous Materials Advances, 7, 100094.
Kwon, J. A., Kim, B., Kim, E., & Kwon, K. (2023). Interaction between blood cadmium and lead concentration and physical activity on hypertension from the Korean national health and nutrition examination survey in 2008–2013. BMC Public Health, 23(1), 703.
Natasha, Dumat, C., Shahid, M., Khalid, S., & Murtaza, B. (2020). Lead pollution and human exposure: forewarned is forearmed, and the question now becomes how to respond to the threat! Lead in Plants and the Environment, 33-65.
Guimarães, D., Carvalho, M. L., Geraldes, V., Rocha, I., Alves, L. C., & Santos, J. P. (2012). Lead in liver and kidney of exposed rats: Aging accumulation study. Journal of Trace Elements in Medicine and Biology, 26(4), 285-290.
Ayranci, E., & Duman, O. (2004). Binding of lead ion to bovine serum albumin studied by ion selective electrode. Protein and Peptide Letters, 11(4), 331-337.
Wong, D. L., Merrifield-MacRae, M. E., & Stillman, M. J. (2017). Lead (II) binding in metallothioneins. Lead: Its Effects on Environment and Health, 17, 241.
Eiró, L. G., Ferreira, M. K. M., Frazão, D. R., Aragão, W. A. B., Souza-Rodrigues, R. D., Fagundes, N. C. F., ... & Lima, R. R. (2021). Lead exposure and its association with neurological damage: systematic review and meta-analysis. Environmental Science and Pollution Research, 28, 37001-37015.
Kargar-Shouroki, F., Mehri, H., & Sepahi-Zoeram, F. (2023). Biochemical and hematological effects of lead exposure in Iranian battery workers. International journal of occupational safety and ergonomics, 29(2), 661-667.
Rastogi, S. K. (2008). Renal effects of environmental and occupational lead exposure. Indian journal of occupational and environmental medicine, 12(3), 103-106.
Vaziri, N. D., & Gonick, H. C. (2008). Cardiovascular effects of lead exposure. Indian Journal of Medical Research, 128(4), 426-435.
Telišman, S., Čolak, B., Pizent, A., Jurasović, J., & Cvitković, P. (2007). Reproductive toxicity of low-level lead exposure in men. Environmental research, 105(2), 256-266.
Schütz, A., Olsson, M., Jensen, A., Gerhardsson, L., Börjesson, J., Mattsson, S., & Skerfving, S. (2005). Lead in finger bone, whole blood, plasma and urine in lead-smelter workers: extended exposure range. International archives of occupational and environmental health, 78, 35-43.
Boskabady, M., Marefati, N., Farkhondeh, T., Shakeri, F., Farshbaf, A., & Boskabady, M. H. (2018). The effect of environmental lead exposure on human health and the contribution of inflammatory mechanisms, a review. Environment international, 120, 404-420.
Fenga, C., Gangemi, S., Di Salvatore, V., Falzone, L., & Libra, M. (2017). Immunological effects of occupational exposure to lead. Molecular medicine reports, 15(5), 3355-3360.
Ortega, D. R., Esquivel, D. F. G., Ayala, T. B., Pineda, B., Manzo, S. G., Quino, J. M., ... & de la Cruz, V. P. (2021). Cognitive impairment induced by lead exposure during lifespan: Mechanisms of lead neurotoxicity. Toxics, 9(2).
Virgolini, M. B., & Aschner, M. (2021). Molecular mechanisms of lead neurotoxicity. In Advances in neurotoxicology (Vol. 5, pp. 159-213). Academic Press.
Ramírez Ortega, D., González Esquivel, D. F., Blanco Ayala, T., Pineda, B., Gómez Manzo, S., Marcial Quino, J., ... & Pérez de la Cruz, V. (2021). Cognitive Impairment Induced by lead exposure during Lifespan: mechanisms of lead neurotoxicity. Toxics, 9(2), 23.
Sharma, P., Chambial, S., & Shukla, K. K. (2015). Lead and neurotoxicity. Indian Journal of Clinical Biochemistry, 30(1), 1-2.
Bihaqi, S. W. (2019). Early life exposure to lead (Pb) and changes in DNA methylation: relevance to Alzheimer’s disease. Reviews on environmental health, 34(2), 187-195.
Weisskopf, M. G., Weuve, J., Nie, H., Saint-Hilaire, M. H., Sudarsky, L., Simon, D. K., ... & Hu, H. (2010). Association of cumulative lead exposure with Parkinson’s disease. Environmental health perspectives, 118(11), 1609-1613.
Guilarte, T. R., Opler, M., & Pletnikov, M. (2012). Is lead exposure in early life an environmental risk factor for Schizophrenia? Neurobiological connections and testable hypotheses. Neurotoxicology, 33(3), 560-574.
Dongre, N. N., Suryakar, A. N., Patil, A. J., Ambekar, J. G., & Rathi, D. B. (2011). Biochemical effects of lead exposure on systolic & diastolic blood pressure, heme biosynthesis and hematological parameters in automobile workers of north Karnataka (India). Indian Journal of Clinical Biochemistry, 26, 400-406.
Capitao, C., Martins, R., Santos, O., Bicho, M., Szigeti, T., Katsonouri, A., ... & Virgolino, A. (2022). Exposure to heavy metals and red blood cell parameters in children: A systematic review of observational studies. Frontiers in pediatrics, 10, 921239.
Nakhaee, S., Amirabadizadeh, A., Brent, J., & Mehrpour, O. (2019). Impact of chronic lead exposure on liver and kidney function and haematologic parameters. Basic & clinical pharmacology & toxicology, 124(5), 621-628.
Costa, J. R. M. A., Mela, M., de Assis, H. C. D. S., Pelletier, É., Randi, M. A. F., & de Oliveira Ribeiro, C. A. (2007). Enzymatic inhibition and morphological changes in Hoplias malabaricus from dietary exposure to lead (II) or methylmercury. Ecotoxicology and Environmental Safety, 67(1), 82-88.
Yimthiang, S., Pouyfung, P., Khamphaya, T., Kuraeiad, S., Wongrith, P., Vesey, D. A., ... & Satarug, S. (2022). Effects of environmental exposure to cadmium and lead on the risks of diabetes and kidney dysfunction. International journal of environmental research and public health, 19(4), 2259.
Hammond, P. B., Lerner, S. I., Gartside, P. S., Hanenson, I. B., Roda, S. B., Foulkes, E. C., ... & Pesce, A. J. (1980). The relationship of biological indices of lead exposure to the health status of workers in a secondary lead smelter. Journal of Occupational Medicine, 475-484.
M Brzóska, M., Borowska, S., & Tomczyk, M. (2016). Antioxidants as a potential preventive and therapeutic strategy for cadmium. Current drug targets, 17(12), 1350-1384.
Dai, H., Huang, Z., Deng, Q., Li, Y., Xiao, T., Ning, X., ... & Yuan, H. (2015). The effects of lead exposure on serum uric acid and hyperuricemia in Chinese adults: a cross-sectional study. International Journal of Environmental Research and Public Health, 12(8), 9672-9682.
Krishnan, E., Lingala, B., & Bhalla, V. (2012). Low-level lead exposure and the prevalence of gout: an observational study. Annals of internal medicine, 157(4), 233-241.
Valcke, M., Ouellet, N., Dubé, M., Sidi, E. A. L., LeBlanc, A., Normandin, L., ... & Ayotte, P. (2019). Biomarkers of cadmium, lead and mercury exposure in relation with early biomarkers of renal dysfunction and diabetes: results from a pilot study among aging Canadians. Toxicology letters, 312, 148-156.
Hsieh, N. H., Chung, S. H., Chen, S. C., Chen, W. Y., Cheng, Y. H., Lin, Y. J., ... & Liao, C. M. (2017). Anemia risk in relation to lead exposure in lead-related manufacturing. BMC public health, 17, 1-12.
Ray, R. R. (2016, December). Haemotoxic effect of lead: a review. In Proceedings of the Zoological Society (Vol. 69, pp. 161-172). Springer India.
Poręba, R., Gać, P., Poręba, M., & Andrzejak, R. (2011). Environmental and occupational exposure to lead as a potential risk factor for cardiovascular disease. Environmental toxicology and pharmacology, 31(2), 267-277.
Navas-Acien, A., Guallar, E., Silbergeld, E. K., & Rothenberg, S. J. (2007). Lead exposure and cardiovascular disease—a systematic review. Environmental health perspectives, 115(3), 472-482.
Kumar, S. (2018). Occupational and environmental exposure to lead and reproductive health impairment: an overview. Indian journal of occupational and environmental medicine, 22(3), 128-137.
Balachandar, R., Bagepally, B. S., Kalahasthi, R., & Haridoss, M. (2020). Blood lead levels and male reproductive hormones: a systematic review and meta-analysis. Toxicology, 443, 152574.
Hertz‐Picciotto, I. (2000). The evidence that lead increases the risk for spontaneous abortion. American journal of industrial medicine, 38(3), 300-309.
Patelarou, E., & Kelly, F. J. (2014). Indoor exposure and adverse birth outcomes related to fetal growth, miscarriage and prematurity—A systematic review. International journal of environmental research and public health, 11(6), 5904-5933.
Triche, E. W., & Hossain, N. (2007, August). Environmental factors implicated in the causation of adverse pregnancy outcome. In Seminars in perinatology (Vol. 31, No. 4, pp. 240-242). WB Saunders.
UGWUJA, E. I., Ejikeme, B., & Obuna, J. A. (2011). Impacts of elevated prenatal blood lead on trace element status and pregnancy outcomes in occupationally non-exposed women.
Sewberath Misser, V. H., Hindori-Mohangoo, A. D., Shankar, A., Wickliffe, J. K., Lichtveld, M. Y., & Mans, D. R. (2022). Prenatal exposure to mercury, manganese, and Lead and adverse birth outcomes in Suriname: A population-based birth cohort study. Toxics, 10(8), 464.
Lin, S., Hwang, S. A., Marshall, E. G., & Marion, D. (1998). Does paternal occupational lead exposure increase the risks of low birth weight or prematurity? American Journal of Epidemiology, 148(2), 173-181.
Wang, Y. Y., Sui, K. X., Li, H., & Ma, H. Y. (2009). The effects of lead exposure on placental NF-κB expression and the consequences for gestation. Reproductive toxicology, 27(2), 190-195.
Anjum, M. R., Madhu, P., Reddy, K. P., & Reddy, P. S. (2017). The protective effects of zinc in lead-induced testicular and epididymal toxicity in Wistar rats. Toxicology and Industrial Health, 33(3), 265-276.
Kumar, S. R., & Devi, A. S. (2018). Lead toxicity on male reproductive system and its mechanism: a review. Research Journal of Pharmacy and Technology, 11(3), 1228-1232.
Yang, H., Liu, R., Liang, Z., Zheng, R., Yang, Y., Chai, L., & Wang, H. (2019). Chronic effects of lead on metamorphosis, development of thyroid gland, and skeletal ossification in Bufo gargarizans. Chemosphere, 236, 124251.
Álvarez-Lloret, P., Lee, C. M., Conti, M. I., Terrizzi, A. R., González-López, S., & Martínez, M. P. (2017). Effects of chronic lead exposure on bone mineral properties in femurs of growing rats. Toxicology, 377, 64-72.
Ciosek, Ż., Kot, K., Kosik-Bogacka, D., Łanocha-Arendarczyk, N., & Rotter, I. (2021). The effects of calcium, magnesium, phosphorus, fluoride, and lead on bone tissue. Biomolecules, 11(4), 506.
Shah, F., Ullah, N., Kazi, T. G., Khan, A., Kandhro, G. A., Afridi, H. I., ... & Farooq, U. (2016). Lead assessment in biological samples of children with different gastrointestinal disorders. Biological trace element research, 169, 41-45.
Tangahu, B. V., Sheikh Abdullah, S. R., Basri, H., Idris, M., Anuar, N., & Mukhlisin, M. (2011). A review on heavy metals (As, Pb, and Hg) uptake by plants through phytoremediation. International journal of chemical engineering, 2011.
Parks, C. G., Miller, F. W., Pollard, K. M., Selmi, C., Germolec, D., Joyce, K., ... & Humble, M. C. (2014). Expert panel workshop consensus statement on the role of the environment in the development of autoimmune disease. International journal of molecular sciences, 15(8), 14269-14297.
Harshitha, P., Bose, K., & Dsouza, H. S. (2024). Influence of lead-induced toxicity on the inflammatory cytokines. Toxicology, 503, 153771.
Dietert, R. R., & Piepenbrink, M. S. (2006). Lead and immune function. Critical reviews in toxicology, 36(4), 359-385.
Pottier, G., Viau, M., Ricoul, M., Shim, G., Bellamy, M., Cuceu, C., ... & Sabatier, L. (2013). Lead exposure induces telomere instability in human cells. PloS one, 8(6), e67501.
Yedjou, C. G., Tchounwou, H. M., & Tchounwou, P. B. (2016). DNA damage, cell cycle arrest, and apoptosis induction caused by lead in human leukemia cells. International journal of environmental research and public health, 13(1), 56.
Mukherjee, S. (2017). Gestational lead exposure shortens cell cycle length and activates developmental molecular network of neurogenesis in postnatal retina.
Ahn, J., Park, M. Y., Kang, M. Y., Shin, I. S., An, S., & Kim, H. R. (2020). Occupational lead exposure and brain tumors: Systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 17(11), 3975.
Tong, S., Schirnding, Y. E. V., & Prapamontol, T. (2000). Environmental lead exposure: a public health problem of global dimensions. Bulletin of the world health organization, 78(9), 1068-1077.
Getaneh, Z., Mekonen, S., & Ambelu, A. (2014). Exposure and health risk assessment of lead in communities of Jimma town, southwestern Ethiopia. Bulletin of environmental contamination and toxicology, 93, 245-250.
Richter, P. A. (2013). Trends in tobacco smoke exposure and blood lead levels among youths and adults in the United States: the National Health and Nutrition Examination Survey, 1999–2008. Preventing chronic disease, 10.
Bartal, M. (2001). Health effects of tobacco use and exposure. Monaldi archives for chest disease, 56(6), 545-554.
Kumar, S., Islam, R., Akash, P. B., Khan, M. H. R., Proshad, R., Karmoker, J., & MacFarlane, G. R. (2022). Lead (Pb) contamination in agricultural products and human health risk assessment in Bangladesh. Water, Air, & Soil Pollution, 233(7), 257.
Collin, S., Baskar, A., Geevarghese, D. M., Ali, M. N. V. S., Bahubali, P., Choudhary, R., ... & Swamiappan, S. (2022). Bioaccumulation of lead (Pb) and its effects in plants: A review. Journal of Hazardous Materials Letters, 3, 100064.
Falcó, G., Llobet, J. M., Bocio, A., & Domingo, J. L. (2006). Daily intake of arsenic, cadmium, mercury, and lead by consumption of edible marine species. Journal of agricultural and food chemistry, 54(16), 6106-6112.
Guy, R. H. (1999). Metals and the skin: topical effects and systemic absorption. CRC Press.
Mahaffey, K. R. (1974). Nutritional factors and susceptibility to lead toxicity. Environmental health perspectives, 7, 107-112.
Słota, M., Wąsik, M., Stołtny, T., Machoń-Grecka, A., Kasperczyk, A., Bellanti, F., ... & Kasperczyk, S. (2021). Relationship between lead absorption and iron status and its association with oxidative stress markers in lead-exposed workers. Journal of Trace Elements in Medicine and Biology, 68, 126841.
Hoet, P. (2005). Speciation of lead in occupational exposure and clinical health aspects. Handbook of Elemental Speciation II–Species in the Environment, Food, Medicine and Occupational Health, 252-276.
Turner, A. (2019). Heavy metals in the glass and enamels of consumer container bottles. Environmental science & technology, 53(14), 8398-8404.
Dignam, T., Kaufmann, R. B., LeStourgeon, L., & Brown, M. J. (2019). Control of lead sources in the United States, 1970-2017: public health progress and current challenges to eliminating lead exposure. Journal of Public Health Management and Practice, 25, S13-S22.
Hajeb, P., Sloth, J. J., Shakibazadeh, S. H., Mahyudin, N. A., & Afsah‐Hejri, L. (2014). Toxic elements in food: occurrence, binding, and reduction approaches. Comprehensive Reviews in Food Science and Food Safety, 13(4), 457-472.
Sinicropi, M. S., Amantea, D., Caruso, A., & Saturnino, C. (2010). Chemical and biological properties of toxic metals and use of chelating agents for the pharmacological treatment of metal poisoning. Archives of toxicology, 84, 501-520.
Hanfi, M. Y., Mostafa, M. Y., & Zhukovsky, M. V. (2020). Heavy metal contamination in urban surface sediments: sources, distribution, contamination control, and remediation. Environmental monitoring and assessment, 192, 1-21.
Khalid, S., Shahid, M., Dumat, C., Niazi, N. K., Bibi, I., Gul Bakhat, H. F. S., ... & Javeed, H. M. R. (2017). Influence of groundwater and wastewater irrigation on lead accumulation in soil and vegetables: Implications for health risk assessment and phytoremediation. International journal of phytoremediation, 19(11), 1037-1046.