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1677581 
Journal Article 
Urinary delta-ALA: A potential biomarker of exposure and neurotoxic effect in rats co-treated with a mixture of lead, arsenic and manganese 
Andrade, V; Mateus, ML; BatorĂ©u, MC; Aschner, M; Marreilha dos Santos, AP 
2013 
NeuroToxicology
ISSN: 0161-813X
EISSN: 1872-9711 
ELSEVIER SCIENCE BV 
AMSTERDAM 
38 
Elsevier 
33-41 
English 
Lead (Pb), arsenic (As) and manganese (Mn) are neurotoxic elements that often occur in mixtures for which practically no information is available on biomarkers (BMs) for the evaluation of exposure/effects. Exposures to these metals may increase delta-aminolevulinic acid (delta-ALA), which in itself may potentiate neurotoxicity. The objective of this study was to investigate the utility of urinary delta-ALA (delta-ALA-U) levels as BM of exposure and/or neurotoxic effects induced by this mixture. Five groups of Wistar rats were treated for 8 days with Pb (5mg/kg), As (60mg/L), Mn (10mg/kg), the 3-metal mixture (same doses of the single metals), and control group. Motor activity was evaluated and 24-h urine collected before and after the treatment. 24-hours (h) after the last dose, the rats were sacrificed and the brains removed for analyses. Delta-ALA and metal levels were determined in brain and urine. Co-treated rats showed a significant (p<0.05) correlation between increased Pb, As, Mn and delta-ALA levels in the brain and decreased motor activity. Delta-ALA-U concentrations were higher in the mixture-treated group than the sum of the delta-ALA-U levels in each single-treated groups and discriminated (p<0.05) between the mixture and untreated rats. Moreover, delta-ALA-U was correlated (p<0.05) with brain delta-ALA levels. These results establish that treatments with this metal mixture exacerbate behavioral dysfunction, increasing most prominently brain Pb levels. This study is the first to establish that delta-ALA-U levels represent a sensitive BM of exposure/neurotoxic effect to this metal mixture. 
Metal mixtures; Lead, arsenic and manganese; Neurotoxicity; Biomarkers; Delta-aminolevulinic acid 
IRIS
• Arsenic Hazard ID
          PubMed
          Considered New
          PubMed
          ToxNet
          Considered New
          ToxNet
          Excluded
               Toxnet Duplicates
          WOS
          ToxNet
          Excluded
               Toxnet Duplicates
          ToxNet
          Excluded
               Toxnet Duplicates
     2. Lit Search Updates through Oct 2015
          PubMed
          WOS
          ToxNet
          Considered
     7. Other Studies through Oct 2015
          Episodic exposure/acute exposure
• Arsenic (Inorganic)
     1. Literature
          Lit search updates through Oct 2015
     3. Hazard ID Screening
          Other potentially supporting studies
• Arsenic Susceptibility
     Life Stages Citation Mapping
          15%-20%
NAAQS
• ISA - Lead (2024 Final Project Page)
     Title-Abstract Screening (SWIFT-AS) - Included
          Title-Abstract Screening (SWIFT-AS) - Included
     Full-Text Screening Included
          Full-Text Screening Included