Skip to main content

Advertisement

Log in

Changes in serum seromucoid following compensatory hyperparathyroidism: A sequel to chronic fluoride ingestion

  • Published:
Indian Journal of Clinical Biochemistry Aims and scope Submit manuscript

Abstract

This study was conducted to find out the possible underlying mechanism of various manifestation of fluorosis, a disease caused by excess ingestion of fluoride. For this the fluoride belt of Jaipur district was selected. The parameters selected were serum Parathyroid hormone, the levels of which are directly affected by fluoride intake. The levels of serum seromucoid, serum and leucocyte ascorbic acid, serum sialic acid (SSA) reflects ground substance metabolism. The study was conducted on two hundred children, selected from four areas (50 from each area) consuming water containing 2.4, 4.6, 5.6 and 13.6 mg/l of fluoride. Drinking water fluoride and serum fluoride were measured by Ion selective electrode method. Serum parathyroid by RIA and all other parameters were measured spectrophotometrically. The results revealed an increase in levels of fluoride, parathyroid hormone and seromucoid in serum with increasing water fluoride concentrations. Serum Calcium and serum ascorbic acid were found in normal range, how ever leucocyte ascorbic acid were decreased. A high positive correlation among fluoride concentration in drinking water and serum parathyroid hormone (r=0.967), and, serum parathyroid hormone and serum seromucoid concentration (r=0.935) was also observed The results indicated that secondary hyperparathyroidism due to hypocalcemic stress caused by excess fluoride ingestion disturbs normal metabolism of ground substance in calcified tissues of the body reflected as altered levels of the components of ground substance in the serum.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Susheela A K. “Prevention and Control of Fluorosis”, Technical Information for Training cum Awareness Camp for Doctors, Public Health Engineers and other Officers, Published by National Technology Mission of Drinking Water, New Delhi, 1991.

    Google Scholar 

  2. WHO. Guidelines for Drinking Water quality, Vol. 2, World Health Organisation, Geneva 1984: 249pp.

    Google Scholar 

  3. PHED Survey. Fluoride Affected Villages /Habitation.1991–93.

  4. WHO. “Fluorides and Human Health”, Monograph Series No. 59, 1970.

  5. WHO. Fluorine and Fluoride, (Environmental Health Criteria 36). World Health Organization, Geneva, 1984: 93pp.

    Google Scholar 

  6. Bronner F. Parathyroid effects on sulfate metabolism: interrelationship with calcium. In: Greep RO, Talmage RV and Charles C Thomas, ediors. The parathyroids. Springfield, Illinois, USA, 1961:123–143.

    Google Scholar 

  7. Bordier PHJ, Chot ST. Quantitative histology of metabolic bone disease. In: Mac Intyre I, editor. Clinics in Endocrinology and Metabolism. WB Saunders company ltd. London. 1972, 1(1): 204–213.

    Google Scholar 

  8. Cramer CF, Suiker AP, Copp DH. Effect of Parathyroid extract on glycoprotein and polysaccharide component of serum and tissue. In: Greep RO, Talmage RV and Charles C Thomas, ediors. The parathyroids. Springfield, Illinois, USA, 1961:144–157.

    Google Scholar 

  9. Mayes PA. Carbohydrates of physiologic significance. In: Murray RK, Granner DK, Mayes PA and Rodwell VW, editors. Harper’s Biochemistry, 25th edn,. Appleton & Lange. Stamford, Connecticut, 2000: 149–159.

    Google Scholar 

  10. Canon DC, Olitzky I, Inkpen JA. Proteins. In: Henry RJ, Canon DC and Winkelman JW, editors. Clinical Chemistry — Principals and Technics. 2nd edn, Harper and Row publishers, Newyork, 1974: 405–502.

    Google Scholar 

  11. Murray RK, Keeley FW. The extracellular matrix. In: Murray RK, Granner DK, Mayes PA and Rodwell VW, editors. Harper’s Biochemistry, 25th edn, Appleton & Lange. Stamford, Connecticut. 2000: 695–714.

    Google Scholar 

  12. Teotia SPS, Teotia M, Singh DP, editors. Bone static and dynamic histomorphometry in endemic fluorosis. In: Fluoride Research 1985, studies in Environmental Science, vol. 27. Elsevier science publishers BV, Amsterdam, 1985: 347–355.

  13. Dean HT. Classification of mottled enamel diagnosis. J Am Dent Assoc 1934: 21:1421–1426.

    Google Scholar 

  14. Fuchs C, Dom D, Fuchs CA, Henning HV, Mecintosh C, Scheler F. Fluoride determination in plasma by ion selective electrode: a simplified method for the clinical laboratory. Clin Chim Acta 1975:60: 157–167.

    Article  PubMed  CAS  Google Scholar 

  15. Lindall AW, Ells JE, Roos B. Estimation of biologically active intact parathyroid hormone in normal and hyperparathyroid sera by sequential N-terminal immunoextraction and midregion radioimmunoassay. J Clin Endocrinol Metabol 1983; 57: 1007.

    CAS  Google Scholar 

  16. Weimer HE, Mohsin JR. Seromucoid estimation using orcinol reaction adopted by Rimington. Am Rev Tuberc Pulmonary Diseases 1952; 68: 594.

    Google Scholar 

  17. Seibert FB, Pfaff ML, Seibert MV. Serum sialic acid estimation by tryptophane perchloric acid reaction. Arch Biochem1948; 18: 279.

    CAS  PubMed  Google Scholar 

  18. Varley H, editor. Determination of ascorbic acid in blood and plasma. Practical clinical biochemistry, 4th edn, William Heinemann Medical books Ltd. and Interscience books Inc. New York, 1975: 635-637pp.

  19. Denson KW, Bowers EF. The determination of ascorbic acid in white blood cells. Clin Sci 1961; 21: 157–158.

    PubMed  CAS  Google Scholar 

  20. Shusheela AK, Jha M. Effect of fluoride on glycosaminoglycans of cancellous and cortical bone of rabbit. Experientia 1981; 37: 1097–1099.

    Article  Google Scholar 

  21. Gupta SK, Gupta RC, Seth AK, Gupta A. Reversal of fluorosis in children, Acta Paediatrica Japonica 1996; 38: 513–519.

    PubMed  CAS  Google Scholar 

  22. Khandare AL, Harikumar R, Sivakumar B. Severe bone deformities in young children from vitamin D deficiency and fluorosis in Bihar-India. Calcif Tissue Int 2005 Jun;76(6): 412–418

    Article  PubMed  CAS  Google Scholar 

  23. Jha M, Shusheela AK, Neelam Krishna, Rajyalaxmi K, Venkiah K. Excessive ingestion of fluoride and the significance of sialic acid: glucosaminoglycans in the serum of rabbit and human subjects. Clin toxicol 1983; 19(10): 1023–1030.

    Article  Google Scholar 

  24. Rao RL. Recent advances in research on fluoride toxicity and fluorosis. ICMR bulletin vol. 3(March), Indian Council of Medical Research 1979: 1-4pp.

  25. Pandit CG, Raghavachari TNS, Rao DS, Krishnamurti V. Endemic fluorosis in South India: A study of the factors involved in the production of mottled enamel and severe bone manifestations in adults. Indian Journal of Medical Research 1940;28:533–558.

    CAS  Google Scholar 

  26. Jenkins GN, Venkateswarlu P, Zipkin I. Physiological effects of small doses of fluoride. In: Fluoride and human health, Geneva, World Health Organization. 1970: 177-9 pp.

    Google Scholar 

  27. Cobb J. The morphological distribution of Glycogen and Glycoproteins in the cells and Extra Cellular Materials of Growing Bones, M.S. Thesis, University of Illinois, 1948.

  28. Armstrong WD, Messer H, Singer L. Effect of bone fluoride on bone resorption and metabolism. In: Friedrich Kuhlen cordt and Hans Peter Kruse, editors. Calcium Metabolism, bone and metabolic bone diseases. Proceedings of the X European Symposium on calcified tissues, Hamburg (Germany), 16–21 September 1973, Springer-verlag Berlin. Heidelberg. Newyork, 1975: 132-133pp.

    Google Scholar 

  29. Jowsey I, Riggs BL, Kelly PJ. Long term experience with fluoride and fluoride combination treatment of osteoporosis. In: Friedrich Kuhlen cordt and Hans Peter Kruse, editors. Calcium Metabolism, bone and metabolic bone diseases. Proceedings of the X European Symposium on calcified tissues, Hamburg (Germany), 16–21 September 1973, Springer-verlag Berlin. Heidelberg. Newyork, 1975: 151–154pp.

    Google Scholar 

  30. Engel MB. Mobilization of mucoprotein by parathyroid extract. A.M.A Archieves of Pathology. 1952; 53: 339–351.

    CAS  Google Scholar 

  31. Harinarayan CV, Kochupillai N, Madhu SV, Gupta N, Meunier PJ. Fluorotoxic metabolic bone disease: an osteo-renal syndrome caused by excess fluoride ingestion in the tropics. Bone 2006 Oct;39(4):907–914.

    Article  PubMed  CAS  Google Scholar 

  32. Srivastava RN, Gill DS, Moudgil A, Menon RK, Thomas M, Dandona P. Normal ionised Calcium, Parathyroid hypersecretion, and elevated Osteocalcin in a family with Fluorosis. Metabolism 1989; 38(2): 120–124.

    Article  PubMed  CAS  Google Scholar 

  33. Mikhailova NN, Anokhina AS, Ulanova EV, Fomenko DV, Kizichenko NV. Experimental studies of pathogenesis of chronic fluoride intoxication. Patol Fiziol Eksp Ter 2006; (3):19–21.

  34. Waddington RJ, Embery G, Hall RC. The influence of fluoride on proteoglycan structure using a rat odontoblast in vitro system. Calcif-Tissue-Int 1993 (May); 52(5): 392–398.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sunil Kumar Gupta.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gupta, S.K., Gupta, R.C., Gupta, K. et al. Changes in serum seromucoid following compensatory hyperparathyroidism: A sequel to chronic fluoride ingestion. Indian J Clin Biochem 23, 176–180 (2008). https://doi.org/10.1007/s12291-008-0039-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12291-008-0039-x

Key Words

Navigation