2000
DOI: 10.1080/009841000156493
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Humic Acid-Induced Echinocyte Transformation in Human Erythrocytes: Characterization of Morphological Changes and Determination of the Mechanism Underlying Damage

Abstract: Blackfoot disease (BFD) is a peripheral arterial occlusive disease found among human inhabitants along the southwest coast of Taiwan. Well water used for drinking and cooking contains humic acid (HA), which may be a possible etiological factor. In this study, HA toxicity was investigated in human erythrocytes and was found to induce echinocytic formation. Morphological changes occurred in both a concentration- and time-dependent fashion. The presence of HA was also observed to facilitate the loading of erythro… Show more

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Cited by 16 publications
(2 citation statements)
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“…Blackfoot disease (BFD) is an endemic chronic peripheral vascular disease that occurs along the southwest coast of Taiwan [1,2,3]. Patients with similar symptoms were also found in China, The Philippines, India, Romania, Mexico, Chile and Argentina [4,5,6].…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Blackfoot disease (BFD) is an endemic chronic peripheral vascular disease that occurs along the southwest coast of Taiwan [1,2,3]. Patients with similar symptoms were also found in China, The Philippines, India, Romania, Mexico, Chile and Argentina [4,5,6].…”
Section: Introductionmentioning
confidence: 99%
“…The disease results in black discoloration and ulceration of the extremities. After gangrene develops, entire limbs are eventually affected [1,2]. A causal association between BFD and drinking well water has been revealed by an epidemiological study [7].…”
Section: Introductionmentioning
confidence: 99%