RESEARCH








Treatment Techniques & Results

EFFECTS OF NUTRIENT SUPPLEMENTS ON BLOOD LEAD LEVELS

Drs. Hongqiao Zhang, Xuetao Bai, Xingquan Zheng

Introduction

Many studies have shown that the lead in the blood of a pregnant woman can cross the placenta and enter the embryo/fetus, which is called 'prenatal lead exposure'. Excessive prenatal lead exposure not only leads to abortion, stillbirth, premature delivery and decrease of the height and weight of the newborn, but also causes cognitive impairment of the affected child. The lead burden level of women of childbearing age is tending to rise in China. Reducing the children's prenatal lead exposure and effectively lowering the lead burden level of women of childbearing age are both important and imperative tasks in China.

It is well known that the key to reducing children's prenatal lead exposure is to decrease the high blood lead level of pregnant women through lead expelling therapy. Although the usual clinical method of lead expelling therapy can effectively decrease the lead burden, it is contraindicated in pregnant women. The chelating agents usually used in lead expelling therapy are non-selective. They not only cause the loss of some essential trace elements, but also enhance the transplacental shift of lead, causing deformation of the fetus. Therefore, researchers are getting more and more interested in the diminishing effect of nutrients on lead toxicity. It has been reported that vitamin B1, B6, metal elements Ca, Zn, Fe and some other nutrients can reduce blood lead level, but there were few reports involving the combined effectiveness of nutrients.

Three nutrient mixtures listed below were investigated in their effectiveness of diminishing lead from dams and their fetus.

1. Test solution 1?30mg/L vitamin B1, 35mg/L vitamin B6, 10mg/L folic acid, 0.1mg/L taurine in de-ionized water.

2. Test solution 2?A natural Chinese medicine rich in calcium, 6 g/L (=800mg ca2+/L)

3. test solution 3?1.8g/L Ca2+?0.3g/L Zn2+?1.05g/L Fe3+?1.46mg/L SeO32- in de-ionized water.

The pHs of above mixtures are adjusted to 7.1 with NaOH.

Methods and Results

Trial 1:

Fifty female Wistar rats weighted 120-140g were randomly divided into 5 groups. The test schedule for the 5 groups were listed in table1. At 20th day of pregnancy, the animals were sacrificed, and lead content in the blood, cerebrum, cerebellum, liver, kidney and femur of dams, and lead content in fetal brain, fetal liver, placenta, and the whole fetus were determined by graphite atomic absorption spectrometry.

 

Table 1: The test schedule of trial 1

Days Group 1

(Negative control)

Group 2

(Positive control)

Group 3

(Test solution 1)

Group 4

(Test solution 2)

Group 5

(Test solution 3)

1-3 Adaptive period
4-32 Tap water 50 mgPb2+/L in de-ionized water
33 Take blood for lead determination
33~40 Tap water 50 mgPb2+/L in de-ionized water Test solution 1 + 50 mgPb2+/L Test solution 2 + 50 mgPb2+/L Test solution 3 + 50 mgPb2+/L
Start mating with normal male rats to end of test

There were no significant difference among all the groups in food consumption, body gain of dam before mating and fetus, number of fetus, and number of deformed or absorbed fetus. Fig.1 and 3 illustrate the lead content in dam and fetus, respectively. Fig.2 and 4 illustrate the effect of test solution on lead content of dams and fetus compared to that of positive controls (group 2). It indicates that only test solution 2 (group 4) lowered the lead in blood, liver, kidney, cerebrum and cerebellum of dam and in the brain and liver of the fetus and whole fetus and placenta of fetus, significantly. Solution 1 (group 3) had only slight effectiveness in lowering lead content in brain, and liver of fetus. Since in this trial, the nutrient mixture was mixed with Pb before feeding it to rats, we can not exclude that the effectiveness is due to combination of lead with the components of the mixture, forming less absorbable Pb compound in the digestive tract. Therefore, trial 2 was designed and conducted.

Trial 2

In this trial, only nutrient mixture 2 was tested to ensure the significant effectiveness on lowering lead burden showed in trial 1. Pb were given alternatively every other day to exclude the combination of Pb with the components in mixture in vitro. The test schedules of this trial are listed in Table 2, and the results are illustrated in figure 5 as the percentage of the

Table 2 the test schedule of trial 2
weeks Group 1

(negative control)

Group 2

(positive control)

Group 3

(test solution 2)

1~5 50 mg Pb2+/L in de-ionized water
  1 take blood from each rats for Pb measurement,

2 8 rats were sacrificed, and lead content in cerebellum, cerebellum, liver, kidney and bone were determined.

6~11 Tape water Tape water and Pb containing water were drunk ad lib every other day, alternatively Solution 2 and Pb containing water were drunk ad lib every other day, alternatively
  All rats were sacrificed, and lead content in blood, cerebrum, cerebellum, liver, kidney and bone were determined.

difference between the control groups (negative control and positive control). It indicates that mixture 2 can lower body burden of lead significantly. It decreased 61.7%, 93.2%, 72.5% and 84.4% of lead concentration in blood, liver, brain and kidney, respectively, as compared to the positive control group.

Nutrient supplements might decrease body burden both in dams and fetus. Attention must be paid to the adverse effect of unsuitable combination of nutrients. Test mixture 2 is a hopeful substance for reducing body burden of lead, but further investigation is needed before we can use it safely in human beings.

Fig.1: Lead content in tissues of dam

 

Fig.2: Effectiveness of test mixtures as compared to positive control

 

Fig.3 lead content in tissues of fetus

 

Fig.4: Lead burden as compared to positive control group

 

Fig 5: The effectiveness of test mixture 2 as compared to positive control group.

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