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Autism Studies and Related Medical Conditions, January 2009 - TACA

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drinking water, <strong>and</strong> medications <strong>and</strong> from sources unique to infants <strong>and</strong> children<br />

such as breast milk, soil ingestion, <strong>and</strong> medications used specifically by<br />

pregnant women <strong>and</strong> children. We also need a better underst<strong>and</strong>ing of the unique<br />

biological actions of Al that may occur during developmental periods, <strong>and</strong> unique<br />

aspects of the developing organism that make it more or less susceptible to Al<br />

toxicity.<br />

Publication Types:<br />

Review<br />

PMID: 8772800 [PubMed - indexed for MEDLINE]<br />

19: J Toxicol Environ Health. 1996 Aug 30;48(6):569-84.<br />

Aluminum toxicokinetics.<br />

Exley C, Burgess E, Day JP, Jeffery EH, Melethil S, Yokel RA.<br />

Department of Chemistry, Keele University, Staffordshire, United Kingdom.<br />

cha38@keele.ac.uk<br />

In this study of the toxicokinetics of aluminum we have examined some of the<br />

fundamental issues that currently define our underst<strong>and</strong>ing of the toxicology of<br />

aluminum in humans. There is a vast literature on this subject, <strong>and</strong> it was not<br />

our aim to review this literature but to use it to develop our underst<strong>and</strong>ing of<br />

the toxicokinetics of aluminum <strong>and</strong> to identify critical <strong>and</strong> unresolved issues<br />

related to its toxicity. In undertaking this task we have chosen to define the<br />

term toxicokinetics to encompass those factors that influence both the lability<br />

of aluminum in a body <strong>and</strong> the sites at which aluminum is known to accumulate,<br />

with or without consequent biological effect. We have approached our objective<br />

from the classical pharmacological approach of ADME: the absorption,<br />

distribution, metabolism, <strong>and</strong> excretion of aluminum. This approach was successful<br />

in identifying several key deficits in our underst<strong>and</strong>ing of aluminum<br />

toxicokinetics. For example, we need to determine the mechanisms by which<br />

aluminum crosses epithelia, such as those of the gastrointestinal tract <strong>and</strong> the<br />

central nervous system, <strong>and</strong> how these mechanisms influence both the subsequent<br />

transport <strong>and</strong> fate of the absorbed aluminum <strong>and</strong> the concomitant nature <strong>and</strong><br />

severity of the biological response to the accumulation of aluminum. Our hope in<br />

highlighting these unresolved issues (summarized in Table 1) is that they will be<br />

addressed in future research.<br />

Publication Types:<br />

Review PMID: 8772799 [PubMed - indexed for MEDLINE]<br />

<strong>Autism</strong> <strong>Studies</strong> & <strong>Related</strong> <strong>Medical</strong> <strong>Conditions</strong> – <strong>TACA</strong> © Page 140

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