2017
DOI: 10.1007/s00204-017-2100-0
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Metal chelators and neurotoxicity: lead, mercury, and arsenic

Abstract: This article reviews the clinical use of the metal chelators sodium 2,3-dimercapto-1-propanesulfonate (DMPS), meso-2,3-dimercaptosuccinic acid (DMSA), and calcium disodium edetate (CaEDTA, calcium EDTA) in overexposure and poisonings with salts of lead (Pb), mercury (Hg), and arsenic (As). DMSA has considerably lower toxicity than the classic heavy metal antagonist BAL (2,3-dimercaptopropanol) and is also less toxic than DMPS. Because of its adverse effects, CaEDTA should be replaced by DMSA as the antidote of… Show more

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Cited by 99 publications
(40 citation statements)
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“…These drugs or their analogs offer therapeutic benefit in acute arsenic poisoning when administered promptly [200]. Due to the limited ability of crossing the blood-brain barrier, loss of essential metals in the body, low cellular membrane penetration, and potential side effects in the kidney and liver, the use of metal chelators is limited [197,201].…”
Section: Potential Application Of Antioxidants To Rescue Arsenic Toximentioning
confidence: 99%
“…These drugs or their analogs offer therapeutic benefit in acute arsenic poisoning when administered promptly [200]. Due to the limited ability of crossing the blood-brain barrier, loss of essential metals in the body, low cellular membrane penetration, and potential side effects in the kidney and liver, the use of metal chelators is limited [197,201].…”
Section: Potential Application Of Antioxidants To Rescue Arsenic Toximentioning
confidence: 99%
“…There is convincing evidence that some metals, notably chromium and nickel, can cause cancer, and tentative evidence for many more [10]. The form of metals may increase their toxicity: dimethyl mercury and tetraethyl lead are particularly dangerous since they may easily enter the body and remain there as a result of their high lipid solubility [4,11]. Volatile metals and their compounds may also be dangerous since they may enter the body through the lungs [12], while organomercurials may pass through the placenta [13].…”
Section: Introductionmentioning
confidence: 99%
“…However, due to the rather high toxicity of BAL, and the necessity of frequent and inconvenient intramuscular administrations [91,92], the clinical use of this drug is currently restricted to only the initial treatment for few days after acute As intoxications [93]. Water-soluble and less toxic derivatives of BAL have been developed for therapeutic use, viz.…”
Section: Treatment Of Arsenic Poisoningmentioning
confidence: 99%