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Toxic Effects of Mercury on the Cardiovascular System Contents: (Then abstracts follow below). 1. Marked elevation of myocardial trace elements in idiopathic dilated cardiomyopathy compared with secondary cardiac dysfunction. Frustaci et al., (1999). J. Am. Coll. Cardiol. 33:1578-83. (10334427) 2. Intake of Mercury From Fish, Lipid Peroxidation, and the Risk of Myocardial Infarction and Coronary, Cardiovascular, and Any Death in Eastern Finnish Men. Jukka et al., (1995) Circulation. 91:645-655. (91/3/645) 3. Effects of mercury on the isolated heart muscle are prevented by DTT and cysteine. Vassallo et al., (1999). Toxicol. Appl. Pharmacol. 156:113-118. (10198276) 4. The chamber exposure of laboratory rats to metal oxides originating from metal producing industry. Kovacikova and Chorvatovicova (1997). Physiol. Res. 46:41-45. (9728520) 5. Mercury effects on the contractile activity of isolated heart muscle. Oliveira et al., (1994). Toxicol. Appl. Pharmacol. 128:86-91. (8079358) 6. Mercury compounds: lipophilicity and toxic effects on isolated myocardial tissue. Halbach (1990). Arch. Toxicol. 64:315-319. (2386431) 7. The relationship between mercury from dental amalgam and the cardiovascular disease. Siblerud (1990). Sci. Total Environ. 99:23-35. (2270468) 8. Hemodynamic and electrophysiological effects of mercury in intact anesthetized rabbits and in isolated perfused hearts. Rhee and Choi (1989). Exp. Mol. Pathol. 50:281-290. (2721650) 9. Cardiovascular homeostasis in rats chronically exposed to mercuric chloride. Carmignani and Boscolo (1984). Arch. Toxicol. Suppl. 7:383-388. (6596006) 10. Mechanisms in cardiovascular regulation following chronic exposure of male rats to inorganic mercury. Carmignani et al., (1983). Toxicol. Appl. Pharmacol. 69:442-450. (6879611) 11. Mortality in mice infected with an amyocarditic coxsackievirus and given a subacute dose of mercuric chloride. South PK et al., (2001). TJ. Toxicol Environ Health A. 63(7):511-23. (11497332) Citations Chosen by: Boyd Haley, Ph.D., Chairman of Chemistry Department, University of Kentucky, USA http://iaomt.org/testfoundation/amalgam.htm#Cardiovascular Abstracts: 1. Marked elevation of myocardial trace elements in idiopathic dilated cardiomyopathy compared with secondary cardiac dysfunction. Frustaci et al., (1999). J. Am. Coll. Cardiol. 33:1578-83. (10334427) 1. Published Research Showing A Possible Link Between Environmental Mercury Exposure and Heart Disease Marked Elevation of Myocardial Trace Elements in Idiopathic Dilated Cardiomyopathy Compared With Secondary Dysfunction Frustaci, A., 2Magnavita, N., 1Chimenti, C., 2Caldarulo, M., 3Sabbioni, E., 3Pietra, R., 4Cellini, C., 4 Possati, G.F. and 1Maseri, A. 1 Department of Cardiology, 2Department of Occupational Medicine, and 3Department of Cardiac Surgery, Catholic University, Rome Italy and CEC 4Environmental Institute Joint Research Center Ispra, Rome, Italy 1 Journal of the American College of Cardiology Vol. 33, No. 6, 1999, pp. 1578-1583 Objectives: We sought to investigate the possible pathogenic role of myocardial trace elements (TE) in patients with various forms of cardiac failure. Background: Both myocardial TE accumulation and deficiency have been associated with the development of heart failure indistinguishable from an idiopathic dilated cardiomyopathy. Methods: Myocardial and muscular content of 32 TE has been assessed in biopsy samples of 13 patients (pts) with clinical, hemodynamic and histologic diagnosis of idiopathic dilated cardiomyopathy (IDCM), all without past or current exposure to TE. One muscular and one left ventricular (LV) endomyocardial specimen from each patient, drawn with metal contamination-free technique, were analyzed by neutron activation analysis and compared with 1) similar surgical samples from patients with valvular (12 pts) and ischemic (13 pts) heart disease comparable for age and degree of LV dysfunction; 2) papillary and skeletal muscle surgical biopsies from 10 pts with mitral stenosis and normal LV function, and 3) LV endomyocardial biopsies from four normal subjects. Results: A large increase (>10,000 times for mercury and antimony) of TE concentration has been observed in myocardial but not in muscular samples in all pts with IDCM. Patients with secondary cardiac dysfunction had mild increase (<5 times) of myocardial TE and normal muscular TE. In particular, in pts with IDCM mean mercury concentration was 22,000 times (178,400 ng/g vs. 8 ng/g), antimony 12,000 times (19,260 ng/g vs. 1.5 ng/g), gold 11 times (26 ng/g vs. 2.3 ng/g), chromium 13 times (2,300 ng/g vs. 177 ng/g) and cobalt 4 times (86.5 ng/g vs. 20 ng/g) higher than in control subjects. Conclusions: A large, significant increase of myocardial TE is present in IDCM but not in secondary cardiac dysfunction. The increased concentration of TE in pts with IDCM may adversely affect mitochondrial activity and myocardial metabolism and worsen cellular function. To order a copy of this abstract or a complete copy of this study from the National Library of Medicine see the following: Marked elevation of myocardial trace elements in idiopathic dilated cardiomyopathy compared with secondary cardiac dysfunction. Frustaci et al., (1999). J. Am. Coll. Cardiol. 33:1578-83. (10334427) 2. Intake of Mercury From Fish, Lipid Peroxidation, and the Risk of Myocardial Infarction and Coronary, Cardiovascular, and Any Death in Eastern Finnish Men. Jukka et al., (1995) Circulation. 91:645-655. (91/3/645) Intake of Mercury From Fish, Lipid Peroxidation, and the Risk of Myocardial Infarction and Coronary, Cardiovascular, and Any Death in Eastern Finnish Men Jukka T. Salonen, MD, PhD, MScPH; Kari Seppänen, MSc; Kristiina Nyyssönen, MSc; Heikki Korpela, MD, PhD; Jussi Kauhanen, MD, PhD; Marjatta Kantola, MSc; Jaakko Tuomilehto, MD, PhD; Hermann Esterbauer, PhD; Franz Tatzber, PhD; Riitta Salonen, MD, PhD From the Research Institute of Public Health (J.T.S., K.S., K.N., J.K., R.S.) and Departments of Community Health and General Practice (H.K.) and Chemistry (M.K.), University of Kuopio, Finland; the Department of Epidemiology and Health Promotion (J.T.), the National Public Health Institute of Finland, Helsinki, Finland; and the Institute of Biochemistry (H.E., F.T.), University of Graz, Austria. Correspondence to Prof Jukka T. Salonen, University of Kuopio, PO Box 1627, 70211 Kuopio, Finland. Background Even though previous studies have suggested an association between high fish intake and reduced coronary heart disease (CHD) mortality, men in Eastern Finland, who have a high fish intake, have an exceptionally high CHD mortality. We hypothesized that this paradox could be in part explained by high mercury content in fish. Methods and Results We studied the relation of the dietary intake of fish and mercury, as well as hair content and urinary excretion of mercury, to the risk of acute myocardial infarction (AMI) and death from CHD, cardiovascular disease (CVD), and any cause in 1833 men aged 42 to 60 years who were free of clinical CHD, stroke, claudication, and cancer. Of these, 73 experienced an AMI in 2 to 7 years. Of the 78 deceased men, 18 died of CHD and 24 died of CVD. Men who had consumed local nonfatty fish species had elevated hair mercury contents. In Cox models with the major cardiovascular risk factors as covariates, dietary intakes of fish and mercury were associated with significantly increased risk of AMI and death from CHD, CVD, and any death. Men in the highest tertile (2.0 µg/g) of hair mercury content had a 2.0-fold (95% confidence interval, 1.2 to 3.1; P=.005) age- and CHD-adjusted risk of AMI and a 2.9-fold (95% CI, 1.2 to 6.6; P=.014) adjusted risk of cardiovascular death compared with those with a lower hair mercury content. In a nested case-control subsample, the 24-hour urinary mercury excretion had a significant (P=.042) independent association with the risk of AMI. Both the hair and urinary mercury associated significantly with titers of immune complexes containing oxidized LDL. Conclusions These data suggest that a high intake of mercury from nonfatty freshwater fish and the consequent accumulation of mercury in the body are associated with an excess risk of AMI as well as death from CHD, CVD, and any cause in Eastern Finnish men and this increased risk may be due to the promotion of lipid peroxidation by mercury. http://circ.ahajournals.org/cgi/content/abstract/91/3/645id=988754535598_145 http://circ.ahajournals.org/cgi/content/full/91/3/645id=988754554551_3830 Mercury Ups Heart Disease Risk Science Daily Magazine http://www.sciencedaily.com/releases/2002/04/020429073754.htm Co-authors include Jyrki K.Virtanen M.S.c., R.D.; Sari Voutilainen Ph.D., R.D.; Tiina H. Rissanen, M.Sc, R.D.; Jaakko Mursu, M.Sc, R.D.; Meri Vanharanta, M.Sc, R.D.; Kari Seppanen; and Jari Laukkanen, M.D. American Heart Association Meeting Report 04/24/2002 HONOLULU, April 24 - Finnish men with the highest concentrations of mercury in their hair also had the highest death rates from cardiovascular disease, congestive heart failure and stroke, according to a study presented today at the American Heart Association's Asia Pacific Scientific Forum. Mercury content in the hair is a marker for the amount of methyl mercury, a toxic form of the element, accumulated in the body by eating contaminated fish. Some scientists believe that the amalgam in dental fillings may also be a significant source of mercury, but questions remain about whether the mercury in dental fillings, which is inorganic, is absorbed into the body. "Although consumption of fish may be healthy in general, some fish may contain methyl mercury in amounts harmful for humans," says study author Jukka T. Salonen, M.D., Ph.D, MScP.H., professor of epidemiology at the Research Institute of Public Health at the University of Kuopio in Finland. In the Kuopio Ischemic Heart Disease Risk Factor (KIHD) study, a total of 2,005 men without heart disease, between 42 and 60 years old were divided into four groups based on the mercury content of their hair, and tracked for an average of 12 years. Heart disease was defined as a history of an acute coronary event, like a heart attack, or angina pectoris, stroke or other cardiovascular event. The researchers controlled for other risk factors that could have affected their results, including age, levels of high-density lipoprotein (HDL, "good" cholesterol), lowdensity lipoprotein (LDL, "bad" cholesterol), triglycerides, family history of coronary heart disease, systolic blood pressure, weight and intake of fatty acids and antioxidants. The men who scored in the top 25 percent for hair mercury content had a 60 percent increased risk of death from CVD compared to the men in the lower mercury content. Those same men had a 70 percent increased risk of coronary heart disease alone, says Salonen. The amount of mercury in the hair was determined by flow injection analysis-cold vapor atomic absorption spectrometry and amalgamation, one of several tests available to determine mercury content. "Men who consumed 30 grams or more of fish daily - had 56 percent higher average hair mercury than those whose daily consumption was less than 30 grams. Those same men also tended to consume certain types of 'predatory' fish," says Salonen. Fish higher in the food chain - i.e., those who eat smaller contaminated fish - tend to have the highest levels of methyl mercury. "The results also showed that men whose hair mercury levels were in the top 20 percent had a 32 percent faster increase in the thickness of the inner walls of their arteries, a measure of atherosclerosis, compared to men in the rest of the group. Atherosclerosis is the build-up of fatty plaque in arteries and is the underlying process that causes cardiovascular disease. Previous studies have shown that increasing dietary levels of fish containing omega-3 fatty acids benefits people with cardiovascular disease, as well as healthy people. The American Heart Association currently recommends that individuals consume two servings of fish weekly, both for the benefits of omega-3 fatty acids, and because fish tends to be low in saturated fats, which contribute to elevated cholesterol levels. "These results from Kuopio are intriguing, but preliminary, and should be viewed in the context of many other studies that have shown a clear cardiovascular benefit to consuming fish on a regular basis," says Barbara V. Howard, Ph.D., chair of the American Heart Association's Nutrition Committee and president of MedStar Research Institute in Washington, D.C. "It is important to note that this is an observational study, and the conclusions do not prove a direct relationship between the amount of mercury in the hair and heart attacks. There may be factors such as the socio-economic status of the men or other dietary factors that are hard to measure, that account for the higher risk," says Howard. Researchers became interested in looking at an association between mercury and cardiovascular disease because mercury has been shown to promote the oxidation of low-density lipoproteins in the arteries. Oxidation is a major component in the development of atherosclerosis. In addition, mercury can interfere with the antioxidant effects of selenium, an essential trace element found mainly in plant foods, and in the U.S., in grains and meat. The KIHD study is an ongoing, population-based study designed to investigate risk factors for cardiovascular diseases and their outcomes among men in Eastern Finland. Previous studies with shorter follow-up periods from the same research group found a strong association between high hair mercury content and an increased risk of death. Researchers wanted to retest these results over a longer follow-up period. "It should be noted that we are not against eating fish per se," adds Salonen. "What these results mainly say is that one should avoid regular consumption of old, large predatory fish, in which mercury levels are high, especially when caught from sources that are known to have a high mercury content. Our best advice is to consume a variety of fish, preferably young and small, from different lakes and seas in order to avoid possible high local levels of mercury." The American Heart Association suggests consuming fish such as mackerel, lake trout, herring, sardines, albacore tuna and salmon twice a week. Co-authors include Jyrki K.Virtanen M.S.c., R.D.; Sari Voutilainen Ph.D., R.D.; Tiina H. Rissanen, M.Sc, R.D.; Jaakko Mursu, M.Sc, R.D.; Meri Vanharanta, M.Sc, R.D.; Kari Seppanen; and Jari Laukkanen, M.D. American Heart Association 3. Effects of mercury on the isolated heart muscle are prevented by DTT and cysteine. Vassallo et al., (1999). Toxicol. Appl. Pharmacol. 156:113-118. (10198276) Toxicol Appl Pharmacol. 1999 Apr 15;156(2):113-8. Effects of mercury on the isolated heart muscle are prevented by DTT and cysteine. Vassallo DV, Moreira CM, Oliveira EM, Bertollo DM, Veloso TC. Department of Physiological Sciences, Federal University of Espirito Santo, Vitoria, ES, Brazil. The protective effects of dithiothreitol (DTT, 50 microM) and cysteine (CYS, 100 microM) against toxic effects of HgCl2 (1, 2.5, 5, and 10 microM) were studied in isolated, isometrically contracting rat papillary muscles. Force reduction promoted by Hg2+ was prevented by both DTT and CYS. Also, after both treatments, no significant changes in dF/dt were observed. A progressive reduction in the time to peak tension was observed when increased concentrations of HgCl2 were used after CYS and DTT treatment. This was an indication that the enhancement of calcium release from the sarcoplasmic reticulum produced by mercury was not affected by DTT and CYS. Tetanic contractions were also studied. After treatment with DTT or CYS tetanic tension did not change. No significant reduction of tetanic tension was observed during treatment with 1 microM Hg2+ but its reduction was observed after 5 microM Hg2+. Myosin ATPase activity was also affect by Hg2+, being completely blocked by 1 microM Hg2+ and reduced by 50% with 0.15 microM Hg2+. Full activity was restored by using 500 nM DTT. These findings suggest that several but not all toxic effects of Hg2+ on the mechanical activity of the heart muscle are prevented by protectors of SH groups such as DTT and CYS. The enhancement of the Ca2+ release from the sarcoplasmic reticulum by Hg2+ during activation was not affected by prior treatment with DTT and CYS, suggesting that interactions with SH groups may not be important for the activation of the Ca2+ channel of the sarcoplasmic reticulum. Copyright 1999 Academic Press. 4. The chamber exposure of laboratory rats to metal oxides originating from metal producing industry. Kovacikova and Chorvatovicova (1997). Physiol. Res. 46:41-45. (9728520) Physiol Res. 1997;46(1):41-5. The chamber exposure of laboratory rats to metal oxides originating from metal producing industry. Kováciková Z, Chorvatovicová D. Institute of Preventive and Clinical Medicine, Slovak Academy of Sciences, Bratislava, Slovak Republic. Laboratory rats were exposed to the inhalation of dust from an agglomeration unit which is the greatest contributor to dust pollution in the vicinity of a mercury producing plant. The exposure lasted for 6 months (4 hours daily, 5 days per week), the concentration of aerosol in the chamber was 10 mg x m(-3). After finishing the exposure, the animals were examined and compared with the controls which were held under standard laboratory conditions. The number of alveolar macrophages was highly elevated (P< 0.001) in the exposed animals, Mg2+ ATPase activity in the heart muscle was decreased. The alanine aminotransferase activity in the serum was not changed, the aspartate aminotransferase was slightly enhanced. No differences in the frequency of abnormal sperm and in the frequency of polychromatic erythrocytes in bone marrow were detected. 5. Mercury effects on the contractile activity of isolated heart muscle. Oliveira et al., (1994). Toxicol. Appl. Pharmacol. 128:86-91. (8079358) Toxicol Appl Pharmacol. 1994 Sep;128(1):86-91. Mercury effects on the contractile activity of isolated heart muscle. Oliveira EM, Vassallo DV, Sarkis JJ, Mill JG. Department of Biochemistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil. The toxic effects of HgCl2 (1, 2.5, 5, and 10 microM) were studied in isolated, isometrically contracting rat papillary muscles and frog ventricular strips. In rat papillary muscles 1 microM Hg2+ produced a small increase in the force of contraction. Higher concentrations of HgCl2 produced a dose-dependent decrease in contractile force. The rate of force development was affected differently, increasing at 1 and 2.5 microM Hg2+ and decreasing to control levels at 5 and 10 microM Hg2+. This was the result of a progressive reduction in the time to peak tension observed when HgCl2 concentrations increased. This effect probably reflects the binding of Hg2+ to SH groups inducing Ca2+ release from the sarcoplasmic reticulum. The relative potentiation of postrest contractions was used as an index of sarcoplasmic reticulum activity. It was measured after pauses of increasing duration and was reduced at concentrations of 1 microM Hg2+ when compared to that of the control. A further decrement in the relative potentiation was observed with higher Hg2+ concentrations, indicating that the activity of the sarcoplasmic reticulum was depressed by mercury in a dose-dependent manner. Tetanic contractions were also studied in the rat myocardium. The tetanic tension did not change during treatment with 1 microM Hg2+ but decreased with 5 microM Hg2+, suggesting a toxic effect on the contractile proteins only at high Hg2+ concentrations. Frog ventricular strips were studied using the same HgCl2 concentrations and no effects on either force or relative potentiation were observed. These findings suggest that Hg2+ promotes dose-dependent toxic effects on heart muscle via actions on the sarcolemma, the sarcoplasmic reticulum, and contractile proteins. 6. Mercury compounds: lipophilicity and toxic effects on isolated myocardial tissue. Halbach (1990). Arch. Toxicol. 64:315-319. (2386431) Arch Toxicol. 1990;64(4):315-9. Mercury compounds: lipophilicity and toxic effects on isolated myocardial tissue. Halbach S. Gesellschaft für Strahlen- und Umweltforschung, Institut für Toxikologie, Neuherberg, Federal Republic of Germany. Lipophilicity is suggested to modulate the diffusion and the cytotoxic effects of mercury compounds. To investigate this, the positive inotropic effect of four Hg compounds (HgCl2, CH3HgCl, chlormerodrin, bromomercurihydroxypropane) was studied in catecholamine-depleted isolated heart muscle preparations. The rate of development of the positive effect was inversely correlated to the concentration in the case of HgCl2 and chlormerodrin, i.e. the product of concentration (c) and time to half-maximal effect (t50) remained constant. This was in accordance with the assumption of a permeation-controlled rate of action, as was shown earlier for p-chloromercuriphenyl-sulfonic acid. In addition, the c X t50 values of the individual mercurials decreased hyperbolically with the increase in lipophilicity as measured by the octanol/water partition. The results support the view that the toxicity of mercurials increases with their lipid solubility. In conjunction with the previously reported negative inotropic effect of Hg compounds, a model is proposed allocating thiol groups responsible for the negative inotropic action to lipid compartments within the cell membrane, while SH groups conveying the increase in contraction force are thought to be situated at the internal surface of the sarcolemma. 7. The relationship between mercury from dental amalgam and the cardiovascular disease. Siblerud (1990). Sci. Total Environ. 99:23-35. (2270468) Sci Total Environ. 1990 Dec 1;99(1-2):23-35. The relationship between mercury from dental amalgam and the cardiovascular system. Siblerud RL. Department of Physiology, College of Veterinary Medicine and Biological Sciences, Colorado State University, Fort Collins 80523. The findings presented here suggest that mercury poisoning from dental amalgam may play a role in the etiology of cardiovascular disorders. Comparisons between subjects with and without amalgam showed amalgam-bearing subjects had significantly higher blood pressure, lower heart rate, lower hemoglobin, and lower hematocrit. Hemoglobin, hematocrit, and red blood cells were significantly lower when correlated to increased levels of urine mercury. The amalgam subjects had a greater incidence of chest pains, tachycardia, anemia, fatigue, tiring easily, and being tired in the morning. The data suggest that inorganic mercury poisoning from dental amalgam does affect the cardiovascular system. 8. Hemodynamic and electrophysiological effects of mercury in intact anesthetized rabbits and in isolated perfused hearts. Rhee and Choi (1989). Exp. Mol. Pathol. 50:281-290. (2721650) Exp Mol Pathol. 1989 Jun;50(3):281-90. Hemodynamic and electrophysiological effects of mercury in intact anesthetized rabbits and in isolated perfused hearts. Rhee HM, Choi BH. Department of Pharmacology, Oral Roberts University School of Medicine, Tulsa, Oklahoma 74171. Using intact anesthetized rabbits and isolated perfused hearts, the hemodynamic and electrophysiological effects of mercury (Hg) were examined in order to assess the role of cardiovascular dysfunction in Hg intoxication. The most consistent and prominent cardiovascular effect was a significant reduction in blood pressure. This cardiodepressive action was probably brought about by the primary action of Hg on the heart rather than by altered sympathetic activity, as evidenced by normal renal nerve activity at times when the hemodynamic actions of Hg were clearly manifest. Although the principal target organ for the toxic actions of inorganic Hg is the kidney, chronic exposure to both inorganic and organic Hg frequently results in signs and symptoms of CNS dysfunction. The profound hemodynamic effects of Hg that we have observed emphasize the potential importance of Hg cardiotoxicity and indicate the need to differentiate between the primary and the secondary effects of Hg intoxication on CNS tissues for evaluation of the toxic effects of Hg compounds. 9. Cardiovascular homeostasis in rats chronically exposed to mercuric chloride. Carmignani and Boscolo (1984). Arch. Toxicol. Suppl. 7:383-388. (6596006) Arch Toxicol Suppl. 1984;7:383-8. Cardiovascular homeostasis in rats chronically exposed to mercuric chloride. Carmignani M, Boscolo P. Two groups of male Sprague-Dawley rats received from weaning 50 micrograms/ml of mercury as mercuric chloride (HgCl2) in drinking water for 320 and 350 days. Hg exposure increased cardiac inotropism, without chronotropic changes, in both groups, and induced arterial hypertension in the rats exposed for 350 days. In the exposed rats, cardiovascular responses to the stimulation of peripheral alpha and beta adrenoceptors were decreased and increased, respectively, possibly through a reduced intracellular availability of calcium ions for contractile mechanisms. Hg exposure did not affect either vagal or sympathetic activity or cardiovascular reactivity to several physiological agonists. On the other hand, Hg exposure induced baroreflex hyposensitivity and produced a drastic alteration of the levels of copper and zinc in brain and kidney. 10. Mechanisms in cardiovascular regulation following chronic exposure of male rats to inorganic mercury. Carmignani et al., (1983). Toxicol. Appl. Pharmacol. 69:442-450. (6879611) Toxicol Appl Pharmacol. 1983 Jul;69(3):442-50. Mechanisms in cardiovascular regulation following chronic exposure of male rats to inorganic mercury. Carmignani M, Finelli VN, Boscolo P. In this study we verified the possibility that chronic exposure to inorganic mercury may induce hemodynamic changes in the rat by affecting some neurogenic and/or humoral mechanisms regulating cardiovascular function. For this reason, aortic blood pressure, maximum rate of rise of the left ventricular pressure, heart rate, and electrocardiogram were monitored under pentothal anesthesia in rats which received 50 micrograms/ml of mercury (as HgCL2) in drinking water for 320 days and in control rats. No pressor or electrocardiographic changes were found in mercury-treated animals, which showed increase of cardiac inotropism and decrease of the pressor and inotropic responses to bilateral carotid occlusion. Cardiovascular responses to bilateral vagotomy and iv hexamethonium under vagotomy were unchanged in the mercuryexposed rats. In these animals both pressor and inotropic responses to iv norepinephrine and to higher doses of epinephrine were reduced, while the vascular beta-adrenergic response to 0.125 micrograms/kg of iv epinephrine was potentiated. Cardiovascular responses to acetylcholine, angiotensin I, angiotensin II, bradykinin, histamine, and serotonin did not differ in the two groups of rats. These results indicated that chronic mercury exposure affects cardiovascular function by interfering with the baroreflex mechanisms and/or the reactivity to catecholamines. Higher amounts of mercury were found in kidney, but the metal was significantly accumulated also in urine, blood, and brain. Mercury exposure greatly increased the levels of copper and zinc, but not that of iron, in brain and kidney. The increased accumulation of copper and zinc in tissues may be related in part to the mercury-induced synthesis of metallothionein, a protein able to bind these essential metals. It may be suggested that zinc and copper interact with mercury in inducing cardiovascular changes. 11. Mortality in mice infected with an amyocarditic coxsackievirus and given a subacute dose of mercuric chloride. South PK et al., (2001). TJ. Toxicol Environ Health A. 63(7):511-23. (11497332) Mortality in mice infected with an amyocarditic coxsackievirus and given a subacute dose of mercuric chloride. South PK, Morris VC, Levander OA, Smith AD. Beltsville Human Nutrition Research Center, US Department of Agriculture, Agricultural Research Service, Maryland 20705-2350, USA. J Toxicol Environ Health A (2001) Aug 10;63(7):511-23. http://www.ncbi.nlm.nih.gov/entrez/PubMed&list_uids=11497332&dopt=Abstract An amyocarditic strain of coxsackievirus B3 (CVB3/0) induces heart damage when inoculated into selenium (Se)-deficient mice. Mercury (Hg), an Se antagonist, is known to aggravate viral infections. The experiments reported here assessed the effect of prior Hg treatment in mice subsequently inoculated with an amyocarditic strain of coxsackievirus. A pilot study showed that under our conditions the maximum tolerated dose of HgCl 2 in uninfected mice was 6 mg HgCl 2/kg body weight. In the main study, doses of 0, 3 or 6 mg HgCl2/kg body weight were administered intraperitoneally (ip) to 7-wk-old male mice fed a standard chow diet. Two hours later, half the mice were inoculated ip with CVB3/0. Ten days postinoculation, no mortality was observed in mice given only virus. In mice not given virus, 10% injected with 6 mg HgCl2/kg body weight died. On the other hand, 64% of the mice given both virus and 6 mg HgCl2/kg body weight died. Fifteen percent of the hearts from virus-infected mice given 3 mg HgCl2/kg body weight and 33% of the hearts from virus-infected mice given 6 mg HgCl2/kg body weight exhibited a higher incidence of lesions than hearts from mice-given virus alone. Moreover, viral heart titers were elevated in infected mice injected with 6 mg HgCl2/kg body weight compared to infected mice receiving no Hg. Thus, an amyocarditic coxsackievirus given to mice after a nonlethal subacute dose of Hg results in mortality, increased incidence of heart lesions, and elevated viral heart titers. These results demonstrate the important role of toxic elements in determining the severity of viral infections. Abstracts compiled here by Simon Rees, sourced from citations chosen in 2006 by: Boyd Haley, Ph.D., Chairman of Chemistry Department, University of Kentucky, USA http://iaomt.org/testfoundation/amalgam.htm http://iaomt.org/testfoundation/heartdis.htm