Is Manganese safe?
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Introduction
Manganese (Mn) is an essential trace element required for various biological processes, including enzymatic reactions and antioxidant functions. However, excessive exposure to manganese can lead to toxicity, particularly affecting the nervous system. This synthesis examines the safety of manganese based on findings from multiple research studies.
Key Insights
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Neurotoxicity and Cognitive Impairment:
- Excessive manganese exposure, particularly through inhalation in occupational settings, can lead to neurodegenerative disorders similar to Parkinson's disease, known as manganism. This condition is characterized by symptoms such as dystonia, bradykinesia, and cognitive impairments .
- Children exposed to high levels of manganese in drinking water show decreased intellectual function, lower cognitive performance, and poorer school performance .
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Occupational and Environmental Exposure:
- Chronic exposure to manganese-laden dust in industrial settings can cause neuropsychological changes, including irritability, loss of equilibrium, and motor function impairments .
- Environmental exposure to manganese, such as through contaminated drinking water, poses a risk of neurotoxicity, particularly in children, even at levels considered safe by some standards .
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Prenatal and Neonatal Effects:
- Higher prenatal manganese exposure is associated with a higher prevalence of high ponderal index (HPI) in neonates, indicating potential adverse effects on neonatal growth.
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Mechanisms of Toxicity:
- Manganese toxicity is linked to its accumulation in the brain, particularly in the basal ganglia, leading to oxidative stress and mitochondrial dysfunction .
- Disturbances in iron homeostasis and the valence state of manganese are also implicated in its neurotoxic effects.
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Safety Thresholds and Treatment:
- The estimated safe upper limit of intracellular manganese for physiological function is narrow, and intake above this range can lead to significant health issues, particularly affecting the nervous system.
- Current treatment options for manganese toxicity, such as chelation therapy with EDTA and supplementation with levodopa, are only mildly and transiently effective.
Conclusion
Manganese, while essential in trace amounts, poses significant health risks when exposure levels exceed the narrow safe range. Occupational and environmental exposures, particularly through inhalation and contaminated drinking water, can lead to neurotoxicity and cognitive impairments. Special attention should be given to vulnerable populations, such as children and pregnant women, to mitigate these risks. Effective monitoring and regulation of manganese levels in the environment and workplace are crucial to ensure safety.
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