2019
DOI: 10.1007/s00267-019-01234-y
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Critical Review of Exposure and Effects: Implications for Setting Regulatory Health Criteria for Ingested Copper

Abstract: Decades of study indicate that copper oral exposures are typically not a human health concern. Ingesting high levels of soluble copper salts can cause acute gastrointestinal symptoms and, in uncommon cases, liver toxicity in susceptible individuals with repeated exposure. This focused toxicological review evaluated the current literature since the last comprehensive reviews (2007)(2008)(2009)(2010). Our review identified limitations in the existing United States and international guidance for determining an or… Show more

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Cited by 349 publications
(176 citation statements)
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“…This approach is regularly used in environmental literature as a source of toxicity factors. However, there are currently many widely accepted oral RfD values for these essential elements given the complexity of assessing limits for their intake due to their U-shaped dose-response curve [ 2 , 62 ]. As a result, the health effects corresponding to the use of this derivation for oral exposure may differ from those reported for exposure via drinking water.…”
Section: Resultsmentioning
confidence: 99%
“…This approach is regularly used in environmental literature as a source of toxicity factors. However, there are currently many widely accepted oral RfD values for these essential elements given the complexity of assessing limits for their intake due to their U-shaped dose-response curve [ 2 , 62 ]. As a result, the health effects corresponding to the use of this derivation for oral exposure may differ from those reported for exposure via drinking water.…”
Section: Resultsmentioning
confidence: 99%
“…Copper has been used as a palaeodietary indicator [8,61,62], but the relationship between its presence in food, uptake in the gastrointestinal tract, and subsequent deposition in bones is unclear [63][64][65]. High concentrations of Cu have been detected in archaeological remains from individuals thought to have been involved in mining Cu or manufacturing objects from it [51,66,67].…”
Section: Copper and Pb As Socioeconomic Indicatorsmentioning
confidence: 99%
“…Copper ions are one of the most widespread metals used in industry [ 3 ]. Among the three forms in which copper can be found, Cu 2+ is considered to be the most toxic [ 4 , 5 ], leading to negative impacts on human health and the environment [ 6 , 7 , 8 ]. The allowable limit of copper ions in drinking water was established by World Health Organization at 2 mg/L.…”
Section: Introductionmentioning
confidence: 99%