Long-Term Environmental Methylmercury Exposure Is Associated with Peripheral Neuropathy and Cognitive Impairment among an Amazon Indigenous Population

Widespread contamination of the Amazon basin with mercury has been reported to occur since at least the mid-80s due to heavy gold mining activity. Although initial studies have indicated that this may lead to deleterious neurological consequences to the indigenous populations living in the region, f...

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Main Authors: Bruno H. Rebouças, Gabriel T. Kubota, Rogério A. A. Oliveira, Bruna D. Pinto, Roberta M. Cardoso, Ana C. S. Vasconcellos, Paulo C. Basta
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Toxics
Subjects:
Online Access:https://www.mdpi.com/2305-6304/12/3/212
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author Bruno H. Rebouças
Gabriel T. Kubota
Rogério A. A. Oliveira
Bruna D. Pinto
Roberta M. Cardoso
Ana C. S. Vasconcellos
Paulo C. Basta
author_facet Bruno H. Rebouças
Gabriel T. Kubota
Rogério A. A. Oliveira
Bruna D. Pinto
Roberta M. Cardoso
Ana C. S. Vasconcellos
Paulo C. Basta
author_sort Bruno H. Rebouças
collection DOAJ
description Widespread contamination of the Amazon basin with mercury has been reported to occur since at least the mid-80s due to heavy gold mining activity. Although initial studies have indicated that this may lead to deleterious neurological consequences to the indigenous populations living in the region, further research is needed to better characterize the neurological burden of such long-term exposure. With this aim, a cross-sectional exploratory study has been conducted with the Yanomami indigenous population residing in a northern Amazon region. All participants underwent a structured interview; detailed neurological examination, including assessment for cognitive, motor, coordination, and sensory functions; and laboratorial testing for serum hemoglobin, blood glucose, and methylmercury levels in hair samples. This study enrolled 154 individuals of 30.9 ± 16.8 years of age, of which 56.1% were female. Mean methylmercury levels in hair were 3.9 ± 1.7 µg/g. Methylmercury levels in hair > 6.0 µg/g were found in 10.3%. Among participants with hair methylmercury levels ≥ 6.0 μg/g, the prevalences of peripheral neuropathy and reduced cognitive performance were, respectively, 78.8% (95%CI 15–177%, <i>p</i> = 0.010) and 95.9% (95%CI 16–230.8%, <i>p</i> = 0.012) higher than those of individuals with lower levels. These results suggest that chronic mercury exposure may lead to significant and potentially irreversible neurotoxicity to Yanomami population living in the northern Amazon basin.
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spelling doaj.art-591473622c1f4bbc9a891e1e3217e8a62024-03-27T14:06:15ZengMDPI AGToxics2305-63042024-03-0112321210.3390/toxics12030212Long-Term Environmental Methylmercury Exposure Is Associated with Peripheral Neuropathy and Cognitive Impairment among an Amazon Indigenous PopulationBruno H. Rebouças0Gabriel T. Kubota1Rogério A. A. Oliveira2Bruna D. Pinto3Roberta M. Cardoso4Ana C. S. Vasconcellos5Paulo C. Basta6Department of Neurology, Hospital das Clínicas, Faculty of Medicine, University of São Paulo (USP), Sao Paulo 05403-000, BrazilDepartment of Neurology, Hospital das Clínicas, Faculty of Medicine, University of São Paulo (USP), Sao Paulo 05403-000, BrazilDepartment of Neurology, Hospital das Clínicas, Faculty of Medicine, University of São Paulo (USP), Sao Paulo 05403-000, BrazilDepartment of Neurology, Hospital das Clínicas, Faculty of Medicine, University of São Paulo (USP), Sao Paulo 05403-000, BrazilDepartment of Neurology, Hospital das Clínicas, Faculty of Medicine, University of São Paulo (USP), Sao Paulo 05403-000, BrazilLaboratory of Professional Education in Health Surveillance, Polytechnic School of Health Joaquim Venacio (EPSJV), Oswald Cruz Foundation (Fiocruz), Rio de Janeiro 21040-900, BrazilProgram of Post-Graduation in Public Health and Environment, National School of Public Health (ENSP), Oswald Cruz Foundation (Fiocruz), Rio de Janeiro 21040-900, BrazilWidespread contamination of the Amazon basin with mercury has been reported to occur since at least the mid-80s due to heavy gold mining activity. Although initial studies have indicated that this may lead to deleterious neurological consequences to the indigenous populations living in the region, further research is needed to better characterize the neurological burden of such long-term exposure. With this aim, a cross-sectional exploratory study has been conducted with the Yanomami indigenous population residing in a northern Amazon region. All participants underwent a structured interview; detailed neurological examination, including assessment for cognitive, motor, coordination, and sensory functions; and laboratorial testing for serum hemoglobin, blood glucose, and methylmercury levels in hair samples. This study enrolled 154 individuals of 30.9 ± 16.8 years of age, of which 56.1% were female. Mean methylmercury levels in hair were 3.9 ± 1.7 µg/g. Methylmercury levels in hair > 6.0 µg/g were found in 10.3%. Among participants with hair methylmercury levels ≥ 6.0 μg/g, the prevalences of peripheral neuropathy and reduced cognitive performance were, respectively, 78.8% (95%CI 15–177%, <i>p</i> = 0.010) and 95.9% (95%CI 16–230.8%, <i>p</i> = 0.012) higher than those of individuals with lower levels. These results suggest that chronic mercury exposure may lead to significant and potentially irreversible neurotoxicity to Yanomami population living in the northern Amazon basin.https://www.mdpi.com/2305-6304/12/3/212mercury poisoningneurotoxicity syndromesindigenous peoplescognitive dysfunctionmethylmercury compoundspolyneuropathy
spellingShingle Bruno H. Rebouças
Gabriel T. Kubota
Rogério A. A. Oliveira
Bruna D. Pinto
Roberta M. Cardoso
Ana C. S. Vasconcellos
Paulo C. Basta
Long-Term Environmental Methylmercury Exposure Is Associated with Peripheral Neuropathy and Cognitive Impairment among an Amazon Indigenous Population
Toxics
mercury poisoning
neurotoxicity syndromes
indigenous peoples
cognitive dysfunction
methylmercury compounds
polyneuropathy
title Long-Term Environmental Methylmercury Exposure Is Associated with Peripheral Neuropathy and Cognitive Impairment among an Amazon Indigenous Population
title_full Long-Term Environmental Methylmercury Exposure Is Associated with Peripheral Neuropathy and Cognitive Impairment among an Amazon Indigenous Population
title_fullStr Long-Term Environmental Methylmercury Exposure Is Associated with Peripheral Neuropathy and Cognitive Impairment among an Amazon Indigenous Population
title_full_unstemmed Long-Term Environmental Methylmercury Exposure Is Associated with Peripheral Neuropathy and Cognitive Impairment among an Amazon Indigenous Population
title_short Long-Term Environmental Methylmercury Exposure Is Associated with Peripheral Neuropathy and Cognitive Impairment among an Amazon Indigenous Population
title_sort long term environmental methylmercury exposure is associated with peripheral neuropathy and cognitive impairment among an amazon indigenous population
topic mercury poisoning
neurotoxicity syndromes
indigenous peoples
cognitive dysfunction
methylmercury compounds
polyneuropathy
url https://www.mdpi.com/2305-6304/12/3/212
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