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This study examined the association between early exposure to thimerosal, a mercury-containing preservative used in vaccines, and neuropsychological outcomes in children. Among the 42 neuropsychological outcomes assessed, only a few significant associations were identified, and the associations were small and both positive and negative. These findings suggest that exposure to thimerosal-containing vaccines does not reduce neuropsychological functioning in children. The findings from this study suggest that exposure to thimerosal-containing vaccines does not reduce neuropsychological functioning in children. Thimerosal has been used as a preservative in vaccines since the 1930s. It is 49.6% mercury by weight and is metabolized into ethyl mercury and thiosalicylate. 1 In 1999, the Food and Drug Administration (FDA) estimated that infants who were immunized according to the recommended schedule could receive amounts of mercury exceeding the limits set by the Environmental Protection Agency for exposure to methyl mercury. 2 As a precautionary measure, the Public Health Service and the American Academy of Pediatrics urged vaccine manufacturers to remove thimerosal from all infant vaccines as soon as was practical and recommended that studies be carried out . . .

Because of increasing awareness of the potential neurotoxicity of even low levels of organomercury compounds, analytical techniques are required for determination of low concentrations of ethylmercury (EtHg) and methylmercury (MeHg) in biological samples. An accurate and sensitive method has been developed for simultaneous determination of methylmercury and ethylmercury in vaccines and biological samples. MeHg and EtHg were isolated by acid leaching (H₂SO₄-KBr-CuSO₄), extraction of MeHg and EtHg bromides into an organic solvent (CH₂Cl₂), then back-extraction into Milli-Q water. MeHg and EtHg bromides were derivatized with sodium tetrapropylborate (NaBPr₄), collected at room temperature on Tenax, separated by isothermal gas chromatography (GC), pyrolysed, and detected by cold-vapour atomic fluorescence spectrometry (CV AFS). The repeatability of results from the method was approximately 5-10% for EtHg and 5-15% for MeHg. Detection limits achieved were 0.01 ng g-¹ for EtHg and MeHg in blood, saliva, and vaccines and 5 ng g-¹ for EtHg and MeHg in hair. The method presented has been shown to be suitable for determination of background levels of these contaminants in biological samples and can be used in studies related to the health effects of mercury and its species in man. This work illustrates the possibility of using hair and blood as potential biomarkers of exposure to thiomersal.

This review covers the toxicology of mercury and its compounds. Special attention is paid to those forms of mercury of current public health concern. Human exposure to the vapor of metallic mercury dates back to antiquity but continues today in occupational settings and from dental amalgam. Health risks from methylmercury in edible tissues of fish have been the subject of several large epidemiological investigations and continue to be the subject of intense debate. Ethylmercury in the form of a preservative, thimerosal, added to certain vaccines, is the most recent form of mercury that has become a public health concern. The review leads to general discussion of evolutionary aspects of mercury, protective and toxic mechanisms, and ends on a note that mercury is still an \"element of mystery.\"

Although the molecular mechanisms underlying methylmercury toxicity are not entirely understood, the observed neurotoxicity in early-life is attributed to the covalent binding of methylmercury to sulfhydryl (thiol) groups of proteins and other molecules being able to affect protein post-translational modifications from numerous molecular pathways, such as glutamate signaling, heat-shock chaperones and the antioxidant glutaredoxin/glutathione system. However, for other organomercurials such as ethylmercury or thimerosal, there is not much information available. Therefore, this review critically discusses current knowledge about organomercurials neurotoxicity—both methylmercury and ethylmercury—following intrauterine and childhood exposure, as well as the prospects and future needs for research in this area. Contrasting with the amount of epidemiological evidence available for methylmercury, there are only a few in vivo studies reporting neurotoxic outcomes and mechanisms of toxicity for ethylmercury or thimerosal. There is also a lack of studies on mechanistic approaches to better investigate the pathways involved in the potential neurotoxicity caused by both organomercurials. More impactful follow-up studies, especially following intrauterine and childhood exposure to ethylmercury, are necessary. Childhood vaccination is critically important for controlling infectious diseases; however, the safety of mercury-containing thimerosal and, notably, its effectiveness as preservative in vaccines are still under debate regarding its potential dose-response effects to the central nervous system.

Occupational mercury poisoning is a significant work-related illness due to that mercury vapor and its compounds can enter the human body and cause systemic damage. Therefore, regular blood mercury monitoring is essential for occupationally exposed individuals. Among existing detection methods, mercury analyzers are widely used for direct blood mercury determination. Despite the utility of direct mercury analyser (DMA), their application to blood samples is often compromised by limitations such as method instability and mercury carryover. To address these challenges, this study introduces a DL-cysteine-assisted determination method. It is based on the principle that DL-cysteine forms stable complexes with mercury in blood, thereby mitigating container adsorption and memory effects. Specifically, DL-cysteine solution was incorporated into both the mercury calibration standards and the blood samples within the sample boat prior to analysis using a DMA. The limit of detection was 0.5 μg/L, and the limit of quantification was 1.5 μg/L. Method accuracy, evaluated by spiked recovery, ranged from 99.14% to 99.92%. Experiments demonstrated that the stability, recovery, and repeatability of the direct mercury determination method were improved by introducing DL-cysteine, which offers practical value in enhancing the performance of direct mercury determination methods and is suitable for routine blood mercury monitoring.

Isotope ratio measurements characterizing ²⁰²Hg/²⁰⁰Hg in NIST SRM 3133 Mercury Standard Solution were undertaken by multicollector inductively coupled plasma mass spectrometry employing NIST SRM 997 Tl for mass bias correction by use of the slope and the intercept obtained from a natural logarithmic plot of each session of measurements of ²⁰²Hg/²⁰⁰Hg against ²⁰⁵Tl/²⁰³Tl. The calculated value of 1.285333 ± 0.000192 (mean and one standard deviation, n = 40) for the mass bias corrected ²⁰²Hg/²⁰⁰Hg was then used for mass bias correction of other Hg isotope pairs. Ratios of 0.015337 ± 0.000011, 1.68770 ± 0.00054, 2.3056 ± 0.0015, 1.3129 ± 0.0013, 2.9634 ± 0.0038, and 0.67937 ± 0.0013 (expanded uncertainty, k = 2) were obtained for ¹⁹⁶Hg/¹⁹⁸Hg, ¹⁹⁹Hg/¹⁹⁸Hg, ²⁰⁰Hg/¹⁹⁸Hg, ²⁰¹Hg/¹⁹⁸Hg, ²⁰²Hg/¹⁹⁸Hg, and ²⁰⁴Hg/¹⁹⁸Hg, respectively. Reduction of Hg(II) to Hg⁰ in solutions of SRM 3133 was then undertaken using SnCl₂, NaBH₄, UV photolysis in the presence of formic acid, and ethylation of Hg(II) using NaBEt₄. These reactions induced significant isotope fractionation with maximum values of 1.17 ± 0.07, 1.08 ± 0.09, 1.34 ± 0.07, and 3.59 ± 0.09[per thousand] (one standard deviation, 1SD, n = 5) for δ ²⁰²/¹⁹⁸Hg relative to the initial isotopic composition in the solution following 85-90% reduction of the Hg by SnCl₂, NaBH₄, UV photolysis, and ethylation with NaBEt₄, respectively. Mass-dependent fractionation was found to be dominant for all reduction processes. [graphic removed]

Neurodevelopment as Gesell development scores (GDSs) in relation to mercury exposure in infants (<6 months of age) of one urban center and two rural villages, respectively, of fisherman and cassiterite miners. Mean total hair-Hg (HHg) concentrations of infants from Itapuã (3.95±1.8 ppm) were statistically (P=0.0001) different from those of infants from Porto Velho (3.84±5.5 ppm) and Bom Futuro (1.85±0.9 ppm). Differences in vaccine coverage among these populations resulted in significantly higher (P=0.0001) mean ethylmercury (EtHg) exposure in urban infants (150 μg) than in infants from either village (41.67 μg, Itapuã; 42.39 μg, Bom Futuro). There was an inverse significant (Spearman r=−0.2300; P=0.0376) correlation between HHg and GDS for infants from Porto Velho, but not for the rural infants from Bom Futuro (Spearman r=0.1336; P=0.0862) and Itapuã (Spearman r=0.1666; P=0.5182). Logistic regression applied to variables above or below the median GDS showed that EtHg exposure (estimated probability=−0.0157; P=0.0070) and breastfeeding score (estimated probability=−0.0066; P=0.0536) score were significantly associated with GDS. Conclusion. In nurslings whose mothers are exposed to different levels of fish-MeHg (HHg), a higher score of neurological development at six months was negatively associated with exposure to additional TCV-EtHg. Results should be interpreted with caution because of unaccounted variables.

A simplified thiourea-based chromatography method, originally developed for methyl and inorganic mercury, was adapted to separate methylmercury (MeHg), ethylmercury (EtHg), and inorganic mercury (HgII) in infants' hair. Samples were weighed and leached with an acidic thiourea solution. Leachates were concentrated on a polymeric resin prior to analysis by Hg-thiourea liquid chromatography/cold vapor atomic fluorescence spectrometry. All but one sample showed small amounts of EtHg, and four of the six analyzed samples had proportionally higher HgII as a percent of total Hg. Breastfed infants from riverine Amazonian communities are exposed to mercury in breast milk (from high levels of maternal sources that include both fish consumption and dental amalgam) and to EtHg in vaccines (from thimerosal). The method proved sensitive enough to detect and quantify acute EtHg exposure after shots of thimerosal-containing vaccines. Based on work with MeHg and HgII, estimated detection limits for this method are 0.050, 0.10, and 0.10 ng g−1 for MeHg, HgII, and EtHg, respectively, for a 20-mg sample. Specific limits depend on the amount of sample extracted and the amount of extract injected.

Humans are exposed to different mercurial compounds from various sources, most frequently from dental fillings, preservatives in vaccines, or consumption of fish. Among other toxic effects, these substances interact with the immune system. In high doses, mercurials are immunosuppressive. However, lower doses of some mercurials stimulate the immune system, inducing different forms of autoimmunity, autoantibodies, and glomerulonephritis in rodents. Furthermore, some studies suggest a connection between mercury exposure and the occurrence of autoantibodies against nuclear components and granulocyte cytoplasmic proteins in humans. Still, the underlying mechanisms need to be clarified. The present study investigates the formation of neutrophil extracellular traps (NETs) in response to thimerosal and its metabolites ethyl mercury (EtHg), thiosalicylic acid, and mercuric ions (Hg 2+ ). Only EtHg and Hg 2+ triggered NETosis. It was independent of PKC, ERK1/2, p38, and zinc signals and not affected by the NADPH oxidase inhibitor DPI. Instead, EtHg and Hg 2+ triggered NADPH oxidase-independent production of ROS, which are likely to be involved in mercurial-induced NET formation. This finding might help understanding the autoimmune potential of mercurial compounds. Some diseases, to which a connection with mercurials has been shown, such as Wegener’s granulomatosis and systemic lupus erythematosus, are characterized by high prevalence of autoantibodies against neutrophil-specific auto-antigens. Externalization in the form of NETs may be a source for exposure to these self-antigens. In genetically susceptible individuals, this could be one step in the series of events leading to autoimmunity.

Using synchrotron x-ray fluorescence mapping, we have examined the uptake and localization of organic mercury in zebrafish larvae. Strikingly, the greatest accumulation of methyl and ethyl mercury compounds was highly localized in the rapidly dividing lens epithelium, with lower levels going to brain, optic nerve, and various other organs. The data suggest that the reported impairment of visual processes by mercury may arise not only from previously reported neurological effects, but also from direct effects on the ocular tissue. This novel approach is a powerful tool for directly investigating the molecular toxicology of heavy metals, and should be equally applicable to the study of a wide range of elements in developing embryos.