Aluminium Toxicosis: a Review of Toxic Actions and Effects
Interdiscip Toxicol. 2019; Vol. 12(2): 45–70. interdisciplinary doi: 10.2478/intox-2019-0007 Copyright © 2019 SETOX & IEPT CEM SASc. This is an Open Access article distributed under the terms of the Creative Commons Attri- bution-NonCommercial-NoDerivatives 4.0 License (https://creativecommons.org/licenses/ by-nc-nd/4.0). REVIEW ARTICLE Aluminium toxicosis: a review of toxic actions and effects Ikechukwu Onyebuchi IGBOKWE 1, Ephraim IGWENAGU 1, Nanacha Afifi IGBOKWE 2 1 Department of Veterinary Pathology, Faculty of Veterinary Medicine, University of Maiduguri, Maiduguri, Nigeria 2 Department Veterinary Physiology and Biochemistry, Faculty of Veterinary Medicine, University of Maiduguri, Maiduguri, Nigeria ITX120219A01 • Received: 22 November 2018 • Accepted: 29 August 2019 ABSTRACT Aluminium (Al) is frequently accessible to animal and human populations to the extent that intoxications may occur. Intake of Al is by inhalation of aerosols or particles, ingestion of food, water and medicaments, skin contact, vaccination, dialysis and infusions. Toxic actions of Al induce oxidative stress, immunologic alterations, genotoxicity, pro-inflammatory effect, peptide denaturation or transformation, enzymatic dysfunction, metabolic derangement, amyloidogenesis, membrane perturbation, iron dyshomeostasis, apoptosis, necrosis and dysplasia. The pathological conditions associated with Al toxicosis are desquamative interstitial pneumonia, pulmonary alveolar proteinosis, granulomas, granulomatosis and fibrosis, toxic myocarditis, thrombosis and ischemic stroke, granulo- matous enteritis, Crohn’s disease, inflammatory bowel diseases, anemia, Alzheimer’s disease, dementia, sclerosis, autism, macrophagic myofasciitis, osteomalacia, oligospermia and infertility, hepatorenal disease, breast cancer and cyst, pancreatitis, pancreatic necrosis and diabetes mellitus. The review provides a broad overview of Al toxicosis as a background for sustained investigations of the toxicology of Al compounds of public health importance.
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