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Mechanisms of aluminium neurotoxicity in oxidative stress-induced ...

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INTRODUCTION<br />

3.5 mg may be <strong>in</strong>creased by the frequent use <strong>of</strong> <strong>alum<strong>in</strong>ium</strong>-conta<strong>in</strong><strong>in</strong>g antiperspirants<br />

and non-prescription drugs (Weburg and Berstad 1986, Flarend et al. 2001), as well as<br />

by occupational exposure to this metal (Meyer-Baron et al. 2007).<br />

Putative mechanisms <strong>of</strong> <strong>alum<strong>in</strong>ium</strong> <strong>neurotoxicity</strong><br />

No biological function has yet been attributed to <strong>alum<strong>in</strong>ium</strong>, for which reason it<br />

is considered a nonessential metal (Yokel 2002a). However, <strong>alum<strong>in</strong>ium</strong> <strong>neurotoxicity</strong><br />

was first outl<strong>in</strong>ed by Dölken <strong>in</strong> 1897. S<strong>in</strong>ce then, <strong>alum<strong>in</strong>ium</strong> accumulation <strong>in</strong> the bra<strong>in</strong><br />

has been repetitively l<strong>in</strong>ked to various neurodegenerative diseases (Yokel 2000, Zatta et<br />

al. 2003, Kawahara 2005). As a matter <strong>of</strong> fact, this non-redox active metal has been<br />

demonstrated to be a toxicant that is implicated <strong>in</strong> dialysis encephalopathy (Alfrey et al.<br />

1976), osteomalacia (Park<strong>in</strong>son et al. 1979), non-iron responsible anemia (Elliot et al.<br />

1978), and also l<strong>in</strong>ked to many other diseases <strong>in</strong>clud<strong>in</strong>g AD (Exley 1999, Flaten 2001,<br />

Gupta et al. 2005), amyotrophic lateral sclerosis (Kurland 1988), and PD (Dexter et al.<br />

1989, Yasui et al. 1992, Good et al. 1992). Alum<strong>in</strong>ium was shown to be<br />

overaccumulated <strong>in</strong> the bra<strong>in</strong> <strong>of</strong> post-mortem patients compared to healthy <strong>in</strong>dividuals<br />

(Perl et al. 1982, Yasui et al. 1992, Ward and Mason 1987)<br />

Many reviews have been published on the toxic effects <strong>of</strong> <strong>alum<strong>in</strong>ium</strong>.<br />

Nevertheless, and despite all hitherto reported data concern<strong>in</strong>g <strong>alum<strong>in</strong>ium</strong> <strong>neurotoxicity</strong>,<br />

no s<strong>in</strong>gle unify<strong>in</strong>g mechanism responsible for its <strong>neurotoxicity</strong> has been identified.<br />

Therefore, several <strong>in</strong>terl<strong>in</strong>ked hypotheses have been proposed, highlight<strong>in</strong>g dist<strong>in</strong>ct<br />

events as a basis for the beg<strong>in</strong>n<strong>in</strong>g <strong>of</strong> <strong>alum<strong>in</strong>ium</strong> toxic bra<strong>in</strong> damage.<br />

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