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revised final - Agency for Toxic Substances and Disease Registry ...

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MERCURY 210<br />

2. HEALTH EFFECTS<br />

Strain <strong>and</strong> sex differences in renal mercury content in mice are attributable, in part, to differences in tissue<br />

glutathione content <strong>and</strong> to differences in renal γ-glutamyltranspeptidase activity, which is controlled, at<br />

least in part, by testosterone (Tanaka et al. 1991, 1992). The correlation of hepatic glutathione (or plasma<br />

glutathione) with the rate of renal uptake of methylmercury suggests that methylmercury is transported to<br />

the kidneys as a glutathione complex (Tanaka et al. 1991). In addition to strain <strong>and</strong> sex differences in renal<br />

mercury content, it has also been demonstrated using mice (133–904 days old) that the ratio of mercury in<br />

the brain to that in the liver <strong>and</strong> the kidneys increased significantly with age (Massie et al. 1993).<br />

In a study of the absorption of inorganic mercury by the rat jejunum, Foulkes <strong>and</strong> Bergman (1993) found<br />

that while tissue mercury could not be rigorously separated into membrane-bound <strong>and</strong> intracellular<br />

compartments (as can the heavy metal cadmium), its uptake into the jejunum includes a relatively<br />

temperature-insensitive <strong>and</strong> rapid influx into a pool readily accessible to suitable extracellular chelators. A<br />

separate, slower <strong>and</strong> more temperature-sensitive component, however, leads to the filling of a relatively<br />

chelation-resistant compartment. Nonspecific membrane properties, such as surface charge or membrane<br />

fluidity, might account <strong>for</strong> mucosal mercury uptake (Foulkes <strong>and</strong> Bergman 1993).<br />

2.4.2 Mechanisms of <strong>Toxic</strong>ity<br />

High-affinity binding of the divalent mercuric ion to thiol or sulfhydryl groups of proteins is believed to be<br />

a major mechanism <strong>for</strong> the biological activity of mercury (Clarkson 1972a; Hughes 1957; Passow et al.<br />

1961). Because proteins containing sulfhydryl groups occur in both extracellular <strong>and</strong> intracellular<br />

membranes <strong>and</strong> organelles, <strong>and</strong> because most sulfhydryl groups play an integral part in the structure or<br />

function of most proteins, the precise target(s) <strong>for</strong> mercury is not easily determined, if indeed there is a<br />

specific target. Possibilities include the inactivation of various enzymes, structural proteins, or transport<br />

processes (Bulger 1986); or alteration of cell membrane permeability by the <strong>for</strong>mation of mercaptides<br />

(Sahaphong <strong>and</strong> Trump 1971). Binding may also occur to other sites (e.g., amine, carboxyl groups) that are<br />

less favored than sulfhydryl groups. A variety of mercury-induced alterations are being investigated,<br />

including increased oxidative stress, disruption of microtubule <strong>for</strong>mation, increased permeability of the<br />

blood-brain barrier, disruption of protein synthesis, disruption of DNA replication <strong>and</strong> DNA polymerase<br />

activity, impairment of synaptic transmission, membrane disruption, impairment of the immune response,<br />

<strong>and</strong> disruption in calcium homeostasis. These alterations may be acting singly or in combination.

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