Student or educator? Sign up with your school email and get 6 months of Pro free.
Cited by 200

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Mercury in human brain, blood, muscle and toenails in relation to exposure: an autopsy study

Open access
Björkman, Lars, Lundekvam, Birgitte F, Lægreid, Torgils, Bertelsen, Bjørn I, Morild, Inge, Lilleng, Peer, Lind, Birger, Palm, Brita, Vahter, Marie·2007·Environmental Health

Abstract

BACKGROUND: The main forms of mercury (Hg) exposure in the general population are methylmercury (MeHg) from seafood, inorganic mercury (I-Hg) from food, and mercury vapor (Hg0) from dental amalgam restorations. While the distribution of MeHg in the body is described by a one compartment model, the distribution of I-Hg after exposure to elemental mercury is more complex, and there is no biomarker for I-Hg in the brain. The aim of this study was to elucidate the relationships between on the one hand MeHg and I-Hg in human brain and other tissues, including blood, and on the other Hg exposure via dental amalgam in a fish-eating population. In addition, the use of blood and toenails as biological indicator media for inorganic and organic mercury (MeHg) in the tissues was evaluated. METHODS: Samples of blood, brain (occipital lobe cortex), pituitary, thyroid, abdominal muscle and toenails were collected at autopsy of 30 deceased individuals, age from 47 to 91 years of age. Concentrations of total-Hg and I-Hg in blood and brain cortex were determined by cold vapor atomic fluorescence spectrometry and total-Hg in other tissues by sector field inductively coupled plasma-mass spectrometry (ICP-SFMS). RESULTS: The median concentrations of MeHg (total-Hg minus I-Hg) and I-Hg in blood were 2.2 and 1.0 microg/L, and in occipital lobe cortex 4 and 5 microg/kg, respectively. There was a significant correlation between MeHg in blood and occipital cortex. Also, total-Hg in toenails correlated with MeHg in both blood and occipital lobe. I-Hg in both blood and occipital cortex, as well as total-Hg in pituitary and thyroid were strongly associated with the number of dental amalgam surfaces at the time of death. CONCLUSION: In a fish-eating population, intake of MeHg via the diet has a marked impact on the MeHg concentration in the brain, while exposure to dental amalgam restorations increases the I-Hg concentrations in the brain. Discrimination between mercury species is necessary to evaluate the impact on Hg in the brain of various sources of exposure, in particular, dental amalgam exposure.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1186/1476-069x-6-30

Cites

1 of 1 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 1 references

Research works printed but not linked: 54

  1. Socialstyrelsen: Kvicksilver/amalgam hälsorisker (LEK-rapporten). Rapport från socialstyrelsens expertgrupp med uppgift att utreda effekter av lågdosexponering för kvicksilver. 1987, Stockholm: Socialstyrelsen
  2. Socialstyrelsen: Blir man sjuk av amalgam? Rapport från Socialstyrelsens expertgrupp. 1994, Stockholm: Socialstyrelsen
  3. Health Canada: The Safety of Dental Amalgam. Minister of Supply and Services Canada. 1996, Accessed September 27, 2007, [ http://www.hc-sc.gc.ca/dhp-mps/alt_formats/hpfb-dgpsa/pdf/md-im/dent_amalgam_e.pdf ]
  4. Norwegian Board of Health: The use of dental filling materials in Norway. 1999, Oslo: Norwegian Board of Health, Accessed September 27, 2007, [ http://www.helsetilsynet.no/upload/Publikasjoner/andrepublikasjoner/use_dental_filling_materials_norway_ik-2675.pdf ]
  5. Gay DD, Cox RD, Reinhardt JW: Chewing releases mercury from fillings. Lancet. 1979, 1: 985-986. 10.1016/S0140-6736(79)91773-2. · DOI
  6. Björkman L, Lind B: Factors influencing mercury evaporation rate from dental amalgam fillings. Scand J Dent Res. 1992, 100: 354-360.
  7. Nylander M, Friberg L, Lind B: Mercury concentrations in the human brain and kidneys in relation to exposure from dental amalgam fillings. Swed Dent J. 1987, 11: 179-187.
  8. Sällsten G, Thoren J, Barregård L, Schutz A, Skarping G: Long-term use of nicotine chewing gum and mercury exposure from dental amalgam fillings. J Dent Res. 1996, 75: 594-598. · DOI
  9. Kingman A, Albertini T, Brown LJ: Mercury concentrations in urine and whole blood associated with amalgam exposure in a US military population. J Dent Res. 1998, 77: 461-471. · DOI · Paper page
  10. International Programme on Chemical Safety: Environmental health criteria 118. Inorganic mercury. 1991, Geneva: World Health Organization
  11. Vahter M, Åkesson A, Lind B, Björs U, Schutz A, Berglund M: Longitudinal study of methylmercury and inorganic mercury in blood and urine of pregnant and lactating women, as well as in umbilical cord blood. Environ Res. 2000, 84: 186-194. 10.1006/enrs.2000.4098. · DOI · Paper page
  12. Berglund M, Lind B, Björnberg KA, Palm B, Einarsson O, Vahter M: Inter-individual variations of human mercury exposure biomarkers: a cross-sectional assessment. Environ Health. 2005, 4: 20-10.1186/1476-069X-4-20. · DOI · Paper page
  13. Rodushkin I, Ödman F, Olofsson R, Axelsson MD: Determination of 60 elements in whole blood by sector field inductively coupled plasma mass spectrometry. Journal of Analytical Atomic Spectrometry. 2000, 15: 937-944. 10.1039/b003561k. · DOI
  14. Axelsson MD, Rodushkin I: Multi-element analysis of body fluids by double-focusing ICP-MS. Transworld Res Network Recent Res Devel Pure & Applied Chem. 2001, 5: 51-66.
  15. Engström E, Stenberg A, Senioukh S, Edelbro R, Baxter DC, Rodushkin I: Multi-elemental characterization of soft biological tissues by inductively coupled plasma-sector field mass spectrometry. Analytica Chimica Acta. 2004, 521: 123-135. 10.1016/j.aca.2004.06.030. · doi:10.1016/j.aca.2004.06.030
  16. Rodushkin I, Axelsson MD: Application of double focusing sector field ICP-MS for multielemental characterization of human hair and nails. Part I. Analytical methodology. Sci Total Environ. 2000, 250: 83-100. 10.1016/S0048-9697(00)00369-7. · DOI
  17. Rodushkin I, Engström E, Stenberg A, Baxter DC: Determination of low-abundance elements at ultra-trace levels in urine and serum by inductively coupled plasma-sector field mass spectrometry. Anal Bioanal Chem. 2004, 380 (2): 247-257. 10.1007/s00216-004-2742-7. · DOI
  18. Baxter DC, Rodushkin I, Engström E, Klockare D, Waara H: Methylmercury measurement in whole blood by isotope-dilution GC-ICPMS with 2 sample preparation methods. Clin Chem. 2007, 53: 111-116. 10.1373/clinchem.2007.072520. · DOI
  19. Olstad ML, Holland RI, Wandel N, Pettersen AH: Correlation between amalgam restorations and mercury concentrations in urine. J Dent Res. 1987, 66: 1179-1182. · doi:10.1177/00220345870660061701
  20. Ahlqwist M, Bengtsson C, Furunes B, Hollender L, Lapidus L: Number of amalgam tooth fillings in relation to subjectively experienced symptoms in a study of Swedish women. Community Dent Oral Epidemiol. 1988, 16: 227-231. 10.1111/j.1600-0528.1988.tb01760.x. · DOI
  21. Ahlqwist M, Bengtsson C, Lapidus L: Number of amalgam fillings in relation to cardiovascular disease, diabetes, cancer and early death in Swedish women. Community Dent Oral Epidemiol. 1993, 21: 40-44. 10.1111/j.1600-0528.1993.tb00717.x. · DOI
  22. Björkman L, Pedersen NL, Lichtenstein P: Physical and mental health related to dental amalgam fillings in Swedish twins. Community Dent Oral Epidemiol. 1996, 24: 260-267. 10.1111/j.1600-0528.1996.tb00856.x. · DOI
  23. Factor-Litvak P, Hasselgren G, Jacobs D, Begg M, Kline J, Geier J, Mervish N, Schoenholtz S, Graziano J: Mercury derived from dental amalgams and neuropsychologic function. Environ Health Perspect. 2003, 111: 719-723. · doi:10.1289/ehp.5879
  24. Bates MN, Fawcett J, Garrett N, Cutress T, Kjellstrom T: Health effects of dental amalgam exposure: a retrospective cohort study. Int J Epidemiol. 2004, 33: 894-902. 10.1093/ije/dyh164. · DOI
  25. Bellinger DC, Daniel D, Trachtenberg F, Tavares M, McKinlay S: Dental amalgam restorations and children's neuropsychological function: the New England Children's Amalgam Trial. Environ Health Perspect. 2007, 115: 440-446. · DOI
  26. Kingman A, Albers JW, Arezzo JC, Garabrant DH, Michalek JE: Amalgam exposure and neurological function. Neurotoxicology. 2005, 26: 241-255. 10.1016/j.neuro.2004.09.008. · DOI
  27. Buzalaf MA, Pessan JP, Alves KM: Influence of growth rate and length on fluoride detection in human nails. Caries Res. 2006, 40: 231-238. 10.1159/000092231. · DOI
  28. Grandjean P, Budtz-Jorgensen E: Total imprecision of exposure biomarkers: implications for calculating exposure limits. Am J Ind Med. 2007, 50: 712-719. 10.1002/ajim.20474. · DOI
  29. Vahter ME, Mottet NK, Friberg LT, Lind SB, Charleston JS, Burbacher TM: Demethylation of methyl mercury in different brain sites of Macaca fascicularis monkeys during long-term subclinical methyl mercury exposure. Toxicol Appl Pharmacol. 1995, 134: 273-284. 10.1006/taap.1995.1193. · DOI
  30. Björkman L, Mottet K, Nylander M, Vahter M, Lind B, Friberg L: Selenium concentrations in brain after exposure to methylmercury: relations between the inorganic mercury fraction and selenium. Arch Toxicol. 1995, 69: 228-234. 10.1007/s002040050163. · doi:10.1007/s002040050163
  31. Weihe P, Grandjean P, Debes F, White R: Health implications for Faroe islanders of heavy metals and PCBs from pilot whales. Sci Total Environ. 1996, 186: 141-148. 10.1016/0048-9697(96)05094-2. · DOI
  32. Pedersen MB, Hansen JC, Mulvad G, Pedersen HS, Gregersen M, Danscher G: Mercury accumulations in brains from populations exposed to high and low dietary levels of methyl mercury. Concentration, chemical form and distribution of mercury in brain samples from autopsies. Int J Circumpolar Health. 1999, 58: 96-107.
  33. Passos CJ, Mergler D, Lemire M, Fillion M, Guimaraes JR: Fish consumption and bioindicators of inorganic mercury exposure. Sci Total Environ. 2007, 373: 68-76. 10.1016/j.scitotenv.2006.11.015. · DOI
  34. Yarema MC, Becker CE: Key concepts in postmortem drug redistribution. Clin Toxicol (Phila). 2005, 43: 235-241. · doi:10.1081/clt-200058950 · Paper page
  35. Jokstad A, Thomassen Y, Bye E, Clench-Aas J, Aaseth J: Dental amalgam and mercury. Pharmacol Toxicol. 1992, 70: 308-313. · doi:10.1111/j.1600-0773.1992.tb00478.x
  36. Vamnes JS, Eide R, Isrenn R, Høl PJ, Gjerdet NR: Blood mercury following DMPS administration to subjects with and without dental amalgam. Sci Total Environ. 2003, 308: 63-71. 10.1016/S0048-9697(02)00630-7. · doi:10.1016/s0048-9697(02)00630-7
  37. Lygre GB, Høl PJ, Eide R, Isrenn R, Gjerdet NR: Mercury and silver in saliva from subjects with symptoms self-related to amalgam fillings. Clin Oral Investig. 1999, 3: 216-218. 10.1007/s007840050104. · doi:10.1007/s007840050104
  38. af Geijersstam E, Sandborgh-Englund G, Jonsson F, Ekstrand J: Mercury uptake and kinetics after ingestion of dental amalgam. J Dent Res. 2001, 80: 1793-1796. · doi:10.1177/00220345010800090401
  39. Barregård L, Sällsten G, Järvholm B: People with high mercury uptake from their own dental amalgam fillings. Occup Environ Med. 1995, 52: 124-128. · DOI
  40. Jonsson F, Sandborgh-Englund G, Johanson G: A compartmental model for the kinetics of mercury vapor in humans. Toxicol Appl Pharmacol. 1999, 155: 161-168. 10.1006/taap.1998.8585. · doi:10.1006/taap.1998.8585
  41. Custodio HM, Harari R, Gerhardsson L, Skerfving S, Broberg K: Genetic influences on the retention of inorganic mercury. Arch Environ Occup Health. 2005, 60: 17-23. · DOI
  42. Gundersen N, Lie A: Kvikksølveksponering på tannlegekontorer. Nor Tannlegefor Tid. 1981, 91: 219-226.
  43. Lenvik K, Woldbæk T, Halgard K: Kvikksølveksponering blant tannhelsepersonell. Nor Tannlegeforen Tid. 2006, 116: 350-356.
  44. Kosta L, Byrne AR, Zelenko V: Correlation between selenium and mercury in man following exposure to inorganic mercury. Nature. 1975, 254: 238-239. 10.1038/254238a0. · DOI · Paper page
  45. Nylander M, Friberg L, Eggleston D, Björkman L: Mercury accumulation in tissues from dental staff and controls in relation to exposure. Swed Dent J. 1989, 13: 235-243.
  46. Falnoga I, Tusek-Znidaric M, Horvat M, Stegnar P: Mercury, selenium, and cadmium in human autopsy samples from Idrija residents and mercury mine workers. Environ Res. 2000, 84: 211-218. 10.1006/enrs.2000.4116. · doi:10.1006/enrs.2000.4116
  47. Weiner JA, Nylander M: The relationship between mercury concentration in human organs and different predictor variables. Sci Total Environ. 1993, 138: 101-115. 10.1016/0048-9697(93)90408-X. · DOI
  48. Khayat AI: Disposition of metallic mercury vapor and mercuric chloride in adult and fetal tissues: influence of pretreatment with ethyl alcohol, aminotriazole, selenium, and tellurium. PhD-thesis. Uppsala University, Abstracts of Uppsala dissertations from the Faculty of Pharmacy. 1985
  49. Saxe SR, Wekstein MW, Kryscio RJ, Henry RG, Cornett CR, Snowdon DA, Grant FT, Schmitt FA, Donegan SJ, Wekstein DR, Ehmann WD, Markesbery WR: Alzheimer's disease, dental amalgam and mercury. J Am Dent Assoc. 1999, 130: 191-199. · DOI
  50. Nylander M, Weiner J: Relation between mercury and selenium in pituitary glands of dental staff. Br J Ind Med. 1989, 46: 751-752.
  51. Björkman L: Studies on dental amalgam and mercury exposure, accumulation and effects. PhD-thesis. Institute of Environmental Medicine, Karolinska institutet. 1995
  52. Nylander M, Friberg L, Weiner J: Muscle biopsy as an indicator for predicting mercury concentrations in the brain. Br J Ind Med. 1990, 47: 575-576.
  53. Horvat M: Current status and future needs for biological and environmental reference materials certified for methylmercury compounds. Chemosphere. 1999, 39: 1167-1179. 10.1016/S0045-6535(99)00185-X. · doi:10.1016/s0045-6535(99)00185-x
  54. NRCC, Institute for National Measurement Standards: LUTS-1. Non Defatted Lobster Hepatopancreas. Reference Material for Trace Metals. Ottawa: National Research Council of Canada. Institute for National Measurement Standards. 2005, Accessed September 27, 2007, [ http://inms-ienm.nrc-cnrc.gc.ca/calserv/crm_files_e/LUTS1_certificate.pdf ]

Cited by

See all 200

Metadata

Authors
Björkman, L., Lundekvam, B. F., Lægreid, T., Bertelsen, B. I., Morild, I., Lilleng, P., Lind, B., Palm, B., & Vahter, M.
Venue
Environmental Health
Published
2007-10-11
Volume
6
Issue
1
Pages
30-30
ISSN
1476-069X (ISSN-L)
OpenAlex
W2168194798
Cited by
200
References
1
FWCI
5.92
Type
journal article
Language
en
Open access
gold

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

How to cite

Cite CoChat for the checks on this page, and the paper for its own findings.

This page
CoChat. (2026). Citation check: Mercury in human brain, blood, muscle and toenails in relation to exposure: an autopsy study. https://app.cochat.ai/papers/10.1186/1476-069x-6-30
The paper
Björkman, L., Lundekvam, B. F., Lægreid, T., Bertelsen, B. I., Morild, I., Lilleng, P., Lind, B., Palm, B., & Vahter, M. (2007). Mercury in human brain, blood, muscle and toenails in relation to exposure: an autopsy study. Environmental Health. https://doi.org/10.1186/1476-069x-6-30

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.