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Nails, Urine, Blood, and Air, and Their Impact on Human Health:
A Review
Om Prakash Bansal *
Chemistry Department, Dharam Samaj College, Aligarh, U.P., India
Article Information
Abstract:
Suggested Citation: Due to fast urbanization, industrialization, the metal industry,
Bansal, O.P. (2023). The improper waste disposal, and chemicals associated with agricultural
concentration of the potentially activities (fertilizers, pesticides), potentially toxic metals are
toxic metals in human hair, nails, discarded in water, soil, and the atmosphere (air). These metals enter
urine, blood, and air, and their the body through food, water, and air and accumulate. Some of these
impact on human health: a review. metals affect biological functions and growth in the body; some
European Journal of Theoretical and disturb endocrine gland functions; and some are accumulated in one
Applied Sciences, 1(2), 185-216.
or more organs, causing serious diseases including cancer. To assess
DOI: 10.59324/ejtas.2023.1(2).18
the potential health risk due to the accumulation of these metals in
* Corresponding author:
the human body, biomarkers are used. Hair, nails, urine, and blood
Om Prakash Bansal
are commonly used biomarkers. The review aims is to summarize
e-mail: drop1955@gmail.com
the concentration of potentially toxic metals in human hair, nails,
urine, and blood. The feeding habits (vegetarian or non-vegetarian),
sex, age, and concentration of these metals in drinking water, air, smoking, and workplace are some
factors that affect the accumulation of these metals in hairs, nails, urine, and blood. The concentration
of these metals in hair, nails, and blood was higher than in drinking water. This review also shows the
adverse effects of these metals on humans.
Keywords: human, potentially toxic metals, hairs, nails, blood, urine, health risks.
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fluoride, etc., according to the report in the Mn, Ni, and Fe, in small amounts, are essential,
February 20, 2019 edition of Hindu Business. but when their concentration exceeds the
These metals form covalent bonds with organic permissible limits, they become toxic. Metals
groups and form lipophilic ions and compounds such as As (Metalloid), Cd, Hg, and Pb are not
that bind with non-metallic elements of cellular only non-essential for humans but are highly
macromolecules to generate toxic effects. These toxic even at very low concentrations.
metals can be accumulated via the blood
circulation system in humans on exposure and
cause several adverse health effects to live Sources of Potentially Toxic Metals
organisms, including humans, on accumulation
The main sources of the contamination of the
or exposure, even at low concentrations.
environment by potentially toxic metals are:
Prolonged low-dose exposure to these toxic
metals to children causes learning and Natural
perception difficulties, resulting in behavioural The potentially toxic metals are reported in the
changes leading towards violence (Mahajan, earth’s crust since earth formation in the forms
2020). Potentially toxic metal toxicity is one of of hydroxides, sulphides, oxides, silicates,
the factors promoting violence in children of the phosphates, and chelated with organic
age group 10-19 years (WHO, 2021). compounds. Due to the weathering of rocks,
To determine the exposure levels of these metals volcanic eruptions, metal corrosion, soil erosion,
to humans, biomarkers are used. Hair, nails, forest fires, and wind-borne soil particles, these
urine, and blood are commonly used to metals enter the terrestrial and aquatic
determine the level of accumulation of these environments.
potentially toxic metals in humans. Nails and Anthropogenic Activities
hair accumulate these metals for a long period,
which allows for evaluating environmental and The major sources of these metals in the
occupational exposure to the metals. Human environment due to anthropogenic activities are:
hairs can accumulate these metals as these metals (a) The mining of metals and other metal-based
are incorporated into the hair’s protein structure industries such as smelting foundries, cement
during their growth process (Liang et al., 2017). production, the iron industry, steam power
The concentration of these metals in hair and plants, glass production, paint, textile industries,
nails indicates the average level of exposure to dental amalgam, tanning industries, landfills,
the human body and internal body tissues automobiles, and roadwork’s release a significant
(Pozebon et al., 2017). The concentration of amount of these metals into the environment
these metals in the hair, blood, and nails of (terrestrial and aquatic).
humans depends on several factors, including
sex, age, eating habits, environment, smoking, (b) Agricultural activities: Pesticides, fertilizers
etc. (Solgi & Mahmoudi, 2022). Urine is the sewage sludge used as manure and sewage water
biomarker of recently ingested toxic metals from used for irrigation of the agricultural field
food and water (Wongasuluk et al., 2021). This contain these potentially toxic metals (Cr, Cd,
review reports the concentration of the Cu, Zn, Ni, Mn, Pb, and As) as impurities. When
potentially toxic metals (As, Cd, Co, Cr, Cu, Hg, these are applied in the agricultural field, these
Ni, Pb, and Zn) in human hairs, nails, urine, and metals enter the environment.
blood. The concentration of these metals in (c) Urban runoff: Household runoff from urban
water and air is also documented. houses contains these metals (Pb, Cu, Zn, Fe,
Cd, Cr, and Ni).
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(ii) Dermal: Dermal uptake means absorption The potentially toxic metals are accumulated
through the skin. These toxic metals are bio- primarily in bones, skin, hair, myocardial tissues,
accumulated in the epidermis, hair, hair follicles, and internal parenchymal organs (liver, kidney).
and nails (Figure 2).
(iii) Inhalation: Uptake of toxic metals occurs
via inhalation of polluted air, vapours, or Potentially Toxic Metals in the Water
aerosols. The inhaled toxic metals reach the Bodies
lungs and bloodstream via the respiratory tract The major points of entry of these metals into
(Figure 3). the human body are soil, water, and air. From
the soil, these pollutants enter the food chain
(Masindi & Muedi, 2018). As these pollutants are
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