Intermediate oxidation states of chromium, i.e. Cr(V) and Cr(IV), are also proposed to play a role in chromium genotoxicity and carcinogenicity, either directly

or through reaction (e.g. via the Fenton reaction) with other Enzalutamide order cellular components, resulting in the generation of reactive oxygen species (see Fig. 4). It has been demonstrated that Cr(III) can be reduced to Cr(II) by the biological reductants, for example by l-cysteine and NAD(P)H, which in turn reacts with hydrogen peroxide via the Fenton reaction to produce hydroxyl radicals, detected by both Electron Paramagnetic Resonance spectroscopy and HPLC (Shi et al., 1993a and Shi et al., 1993b). Cr(III) species have been found to be capable of producing reactive oxygen species from both hydrogen peroxide and lipid peroxides. The formation of intermediate oxidation states of chromium, Cr(V) and Cr(IV) in both in vitro studies and in vivo animal studies administered Cr(VI) have been directly detected using EPR spectroscopy (Shi et al., 1993a and Shi et al., 1993b). In the course of the Cr(VI) reduction, many reactive oxygen species, including free radicals, such as the hydroxyl radical, singlet oxygen, superoxide see more anion are formed. Generated hydroxyl radicals are able to react with DNA

bases, e.g. guanine producing a variety of radical adducts, the best described is 8-hydroxyguanosine (8-OH-dG), a good marker of oxidative damage of an organism. Several types of DNA damage occur in chromium(VI)-exposed cells, including single-strand breaks, DNA–DNA interstrand crosslinks, DNA–protein crosslinks, chromium–DNA adducts, oxidative nucleotide

changes and chromosomal aberrations (De Flora and Wetterhahn, 1989 and Singh et al., 1998). Chromium is known to activate the MAP kinase signal transduction pathway. NF-κB, ATF-2 and p53 participate in regulation of critical cellular processes, including click here apoptosis. Cr(VI)-induced oxidative stress triggers the hypoxia signalling pathways, leading to increase in HIF-1α and VEGF protein levels. Chromium(III) deficiency in humans has been associated with cardiovascular disease, metabolic disease (e.g. diabetes) and infertility (see below). Chromium(VI) at high doses is considered to be the greatest health risk (Keegan et al., 2008). Cr(VI) enters the body by all three of routes of exposure: inhalation, ingestion or absorption through the skin. For occupational exposure, the airways and skin are the primary routes of uptake (De Flora et al., 1995). Breathing high levels of chromium(VI) can cause irritation to the nasal cavity, breathing difficulty (asthma and cough). Skin contact with certain chromium(VI) compounds can cause skin ulcers. Allergic symptoms such as redness and swelling of the skin have been reported following contacts with chromium compounds.