Cited by 283Aluminum toxicity and tolerance in plants and animalsHeavy Metal Exposure and ToxicityTrace Elements in Health

Aluminum as a toxicant

Open access
Becaria, A, Campbell, A, Bondy, SC·2002·Toxicology and Industrial Health

Abstract

Although aluminum is the most abundant metal in nature, it has no known biological function. However, it is known that there is a causal role for aluminum in dialysis encephalopathy, microcytic anemia, and osteomalacia. Aluminum has also been proposed to play a role in the pathogenesis of Alzheimer's disease (AD) even though this issue is controversial. The exact mechanism of aluminum toxicity is not known but accumulating evidence suggests that the metal can potentiate oxidative and inflammatory events, eventually leading to tissue damage. This review encompasses the general toxicology of aluminum with emphasis on the potential mechanisms by which it may accelerate the progression of chronic age-related neurodegenerative disorders.

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 · 10.1191/0748233702th157oa

Cites

Statistics

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

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Aluminium can be a metallic toxicant to humans and animals when there is a high body burden of the metal after natural or unnatural exposure.

    “The Al ion has no physiological role in metabolic processes (Exley and House, 2011) but it can be a metallic toxicant to humans and animals (Becaria et al., 2002) when there is high body burden of the metal after natural or unnatural exposure (Exley, 2013).”

    From Aluminium toxicosis: a review of toxic actions and effects (2019) · cites this paper as Becaria et al., 2002

Self-check

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

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

Cites

No references could be resolved yet.

Research works printed but not linked: 35

  1. Alfrey, A.C., LeGendre, G.R. and Kaehny, W.D. 1976: The dialysis encephalopathy syndrome. Possible aluminum intoxication. The New England Journal of Medicine 294, 184¡/88.
  2. Altmann, P., Cunningham, J., Dhanesha, U., Ballard, M., Thompson, J. and Marsh, F. 1999: Disturbance of cerebral function in people exposed to drinking water contami- nated with aluminium sulphate: retrospective study of the Camelford water incident. British Medical Journal 319, 807¡/11.
  3. Becaria, A., Bondy, S.C. and Campbell, A. 2003: Aluminum and copper interact in the promotion of oxidative but not in ammatory events: implications for Alzheimer's disease. Journal of Alzheimer's Disease 5, 31 ¡/38.
  4. Berthon, G. 1996: Chemical speciation studies in relation to aluminum metabolism and toxicity. Coordination Chem- istry Review 149, 241¡/80.
  5. Bishop, N.J., Morley, R., Day, J.P. and Lucas, A. 1997: Aluminum neurotoxicity in preterm infants receiving intravenous-feeding solutions. The New England Journal of Medicine 336, 1557¡/61.
  6. Bushinsky, D.A., Sprague, S.M., Hallegot, P., Girod, C., Chabala, J.M. and Levi-Setti, R. 1995: Effects of alumi- num on bone surface ion composition. Journal of Bone and Mineral Research 10, 1988¡/97.
  7. Cadman, E.D., Witte, D.G. and Lee, C.M. 1994: Regulation of the release of interleukin-6 from human astrocytoma cells. Journal of Neurochemistry 63, 980¡/87.
  8. Campbell, A., Becaria, A., Sharman, K. and Bondy, S.C. (in press): Chronic exposure to aluminum in drinking water increases in ammatory parameters selectively in the brain. Journal of Neuroscience Research.
  9. Colangelo, V., Schurr, J., Ball, M.J., Pelaez, R.P., Bazan, N.G. and Lukiw, W.J. 2002: Gene expression pro ling of 12633 genes in Alzheimer hippocampal CA1: transcription and neurotrophic factor down-regulation and up-regulation of apoptotic and pro-in ammatory signaling. Journal of Neuroscience Research 70, 462¡/73.
  10. Corain, B., Bombi, G.G., Tapparo, A., Perazzolo, M. and Zatta, P. 1996: Aluminum toxicity and metal speciation: established data and open questions. Coordination Chem- istry Review 149, 11 ¡/22.
  11. De Leo, M.E., Borrello, S., Passantino, M., Palazzotti, B., Mordente, A., Daniele, A., Flippini, V., Galeotti, T. and Masullo, C. 1998: Oxidative stress and overexpression of manganese superoxide dismutase in patients with Alzhei- mer's disease. Neuroscience Letters 250, 173¡/76.
  12. Demircan, M., Ergun, O., Coker, C., Yilmaz, F., Avanoglu, S. and Ozok, G. 1998: Aluminum in total parenteral nutri- tion solutions produces portal in ammation in rats. Journal of Pediatric Gastroenterology and Nutrition 26, 274¡/78.
  13. Dunn, C.J. 1991: Cytokines as mediators of chronic in am- matory disease. In Kimball, E.S., editor, Cytokines and in ammation. Boca Raton, FL: CRC Press, 1 ¡/35.
  14. Exley, C., Burgess, E., Day, J.P., Jeffery, E.H., Melethil, S. and Yokel, R.A. 1996: Aluminum toxicokinetics. Journal of Toxicology and Environmental Health 48, 569¡/84.
  15. Halliwell, B. 1992: Reactive oxygen species and the central nervous system. Journal of Neurochemistry 59, 1609¡/23.
  16. Harris, W.R., Berthon, G., Day, J.P., Exley, C., Flaten, T.P., Forbes, W.F., Kiss, T., Orvig, C. and Zatta, P.F. 1996: Speciation of aluminum in biological systems. Journal of Toxicology and Environmental Health 48, 543¡/68.
  17. Hensley, K., Pye, Q.N., Tabatabaie, T., Stewart, C.A. and Floyd, R.A. 1998: Reactive oxygen involvement in neuro- degenerative pathways. In Wood, P.L., editor, Neuroin- ammation. New Jersey, NJ: Humana Press Inc., 265¡/80.
  18. Kochian, L.V. and Jones, D.L. 1997: Aluminum toxicity and resistance in plants. In Yokel, R.A. and Golub, M.S., editors, Research issues in aluminum toxicity. Washington, DC: Taylor & Francis, 69 ¡/89.
  19. Nunomura, A., Perry, G., Pappolla, M.A., Wade, R., Hirai, K., Chiba, S., Smith, M.A. 1999: RNA oxidation is a prominent feature of vulnerable neurons in Alzheimer's disease. The Journal of Neuroscience 19, 1959¡/64.
  20. Orfan, N.A., Dykewicz, M.S. and Barnowsky, L. 1995: Extensive subcutaneous brosis in a patient treated with alum precipitated allergenic extract. Annals of Allergy, Asthma and Immunology 75, 453¡/56.
  21. Phelps, K.R., Naylor, K., Brien, T.P., Wilbur, H. and Haqqie, S.S. 1999: Encephalopathy after bladder irrigation with alum: case report and literature review. The American Journal of the Medical Sciences 318, 181¡/85.
  22. Platt, B., Fiddler, G., Riedel, G. and Henderson, Z. 2001: Aluminium toxicity in the rat brain: histochemical and immunocytochemical evidence. Brain Research Bulletin 55, 257¡/67.
  23. Powell, J.J., Whitehead, M.W., Ainley, C.C., Kendall, M.D., Nicholson, J.K. and Thompson, R.P. 1999: Dietary minerals in the gastrointestinal tract: hydroxypolymerisa- tion of aluminium is regulated by luminal mucins. Journal of Inorganic Biochemistry 75, 167¡/80.
  24. Regnstrom, K., Ragnarsson, E.G., Rydell, N., Sjoholm, I., Artursson, P. 2002: Tetanus antigen modulates the gene expression pro le of aluminum phosphate adjuvant in spleen lymphocytes in vivo. Pharmacogenomics Journal 2, 57 ¡/64.
  25. Rondeau, V., Commenges, D., Jacqmin-Gadda, H. and Darti- gues, J.F. 2000: Relationship between aluminum concen- trations in drinking water and Alzheimer's disease: an 8- year follow-up study. American Journal of Epidemiology 152, 1.
  26. Russo, L.S., Beale, G., Sandroni, S. and Ballinger, W.E. 1991: Aluminum toxicity in undialyzed patients with chronic renal failure. Journal of Neurology, Neurosurgery and Psychiatry 55, 697¡/700.
  27. Savory, J., Exley, C., Forbes, W.F., Huang, Y., Joshi, J.G., Kruck, T., McLachlan, D.R.C. and Wakayama, I. 1997: Can the controversy of the role of aluminum in Alzhei- mer's disease be resolved? What are the suggested approaches to this controversy and methodological issues to be considered? In Yokel, R.A. and Golub, M.S., editors, Research issues in aluminum toxicity. Washington, DC: Taylor & Francis, 185¡/205.
  28. Shi, B. and Haug, A. 1990: Aluminum uptake by neuroblas- toma cells. Journal of Neurochemistry 55, 551¡/58.
  29. Short, A.I., Winney, R.J. and Robson, J.S. 1980: Reversible microcytic hypochromic anaemia in dialysis patients due to aluminum intoxication. Proceedings of the European Dialysis and Transplant Association 17, 226¡/33.
  30. Sjo ¨gren, B., Elinder, C.G., Iregren, A., McLachlan, D.R.C. and Riihimaki, V. 1997: Occupational aluminum exposure and its health effects. In Yokel, R.A. and Golub, M.S., editors, Research issues in aluminum toxicity. Washington, DC: Taylor & Francis, 165¡/83.
  31. Smith, M.A., Hirai, K., Hsiao, K., Pappolla, M.A., Harris, P.L.R., Siedlak, S.L., Tabaton, M. and Perry, G. 1998: Amyloid-b deposition in Alzheimer transgenic mice is associated with oxidative stress. Journal of Neurochemistry 70, 2212¡/15.
  32. Smith, R.W. 1996: Kinetic aspects of aqueous aluminum chemistry: environmental implications. Coordination Chemistry Review 149, 81 ¡/93.
  33. Sparling, D.W. and Campbell, P.G.C. 1997: Ecotoxicology of aluminum to sh and wildlife. In Yokel, R.A. and Golub, M.S., editors, Research issues in aluminum toxicity. Washington, DC: Taylor & Francis, 47¡/68.
  34. Taylor, G.A., Moore, P.B., Ferrier, I.N., Tyrer, S.P. and Edwardson, J.A. 1998: Gastrointestinal absorption of aluminium and citrate in man. Journal of Inorganic Biochemistry 69, 165¡/69.
  35. Zhou, Y., Richardson, J.S., Mombourquette, M.J. and Weil, J.A. 1995: Free radical formation in autopsy samples of Alzheimer and control cortex. Neuroscience Letters 195, 89 ¡/92.

Cited by

Sorted by citations

Authors
Becaria, A., Campbell, A., & Bondy, S.
Affiliations
University of California, Irvine (US)
Corresponding author
Becaria, A
Venue
Toxicology and Industrial Health
Published
2002-08
Volume
18
Issue
7
Pages
309-320
ISSN
  • 0748-2337 (ISSN-L)
  • 1477-0393
OpenAlex
W1990576414
Cited by
283
References
0
Citations by year
2026: 10 · 2025: 6 · 2024: 11 · 2023: 13 · 2022: 18 · 2021: 12 · 2020: 14 · 2019: 12 · 2018: 15 · 2017: 19 · 2016: 12 · 2015: 19 · 2014: 17 · 2013: 15 · 2012: 9
FWCI
0.16
Type
journal article
Language
en
Open access
Locations
  • Toxicology and Industrial Health (publishedVersion)
  • PubMed (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion, cc-by)
Funders
  • National Institutes of Health
  • National Institute on Aging (AG-16794, R01AG016794)
  • National Institute of Environmental Health Sciences (ES7992, R01ES007992)
Topics
  • Life Sciences › Agricultural and Biological Sciences › Plant Science › Aluminum toxicity and tolerance in plants and animals
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Heavy Metal Exposure and Toxicity
  • Health Sciences › Nursing › Nutrition and Dietetics › Trace Elements in Health
Keywords
aluminum toxicity, dialysis encephalopathy, microcytic anemia, osteomalacia, Alzheimer's disease, neurodegeneration, oxidative stress, inflammation, metal accumulation, age-related neurodegenerative disorders
MeSH terms
Aluminum, Alzheimer Disease, Anemia, Macrocytic, Animals, Environmental Pollutants, Humans, Inflammation, Osteomalacia, Oxidative Stress, Anemia, Iron-Deficiency, Neurodegenerative Diseases

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