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Aluminum Poisoning with Emphasis on Its Mechanism and Treatment of Intoxication

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EMERGENCY MEDICINE INTERNATIONAL
卷 2022, 期 -, 页码 -

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HINDAWI LTD
DOI: 10.1155/2022/1480553

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Aluminum poisoning is a global health problem that affects multiple organs. Aluminum is widely used in daily life and industries, and residues can be found in various products. Excessive exposure to aluminum compounds can lead to complex effects such as disruption of enzymes, protein synthesis, and DNA repair. Aluminum poisoning can affect blood, musculoskeletal system, kidney, liver, respiratory, and nervous system, and its extent can be diagnosed through testing aluminum compounds in different samples. Chelator agents like deferoxamine are used for treatment, and combination therapies are recommended.
Aluminum poisoning has been reported in some parts of the world. It is one of the global health problems that affect many organs. Aluminum is widely used daily by humans and industries. Residues of aluminum compounds can be found in drinking water, food, air, medicine, deodorants, cosmetics, packaging, many appliances and equipment, buildings, transportation industries, and aerospace engineering. Exposure to high levels of aluminum compounds leads to aluminum poisoning. Aluminum poisoning has complex and multidimensional effects, such as disruption or inhibition of enzymes activities, changing protein synthesis, nucleic acid function, and cell membrane permeability, preventing DNA repair, altering the stability of DNA organization, inhibition of the protein phosphatase 2A (PP2A) activity, increasing reactive oxygen species (ROS) production, inducing oxidative stress, decreasing activity of antioxidant enzymes, altering cellular iron homeostasis, and changing NF-kB, p53, and JNK pathway leading to apoptosis. Aluminum poisoning can affect blood content, musculoskeletal system, kidney, liver, and respiratory and nervous system, and the extent of poisoning can be diagnosed by assaying aluminum compounds in blood, urine, hair, nails, and sweat. Chelator agents such as deferoxamine (DFO) are used in the case of aluminum poisoning. Besides, combination therapies are recommended.

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