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DOCUMENT RESUME . ED 214 638 - AUTHOR Uphousei II,;nda L. , TITLE . Environmental Effects On Health with Special Emphasis on Neurotoxicology. Matrix No. 16. S PS 012 724 INSTiTUTION ., . Administration for Children, Tooth. and Families (DHES), Washington, D.C. . A PUS DATE Jaff..82 NOTE lip.; Paper presented at the Research Forum on Children add Youth (Washingtbn, DC, May18-19, 1981). For related docuitents, see ED 213 518-526, .105i 1)12 . , 713-715, PS 012 717-718 and PS 012.722;725. . . AVAILABLE FROM Administration for Children, Youth, and Families,. P.O. Bot.1182, Washington, DC-20013 (no price . quoted). 4 MFOUPC81 Plus Roitage.% *Child Develbpmeni; Drug Abuse; *Environmental Influences) *Eqalth Conditions; *Neurological . Iepseirments; Pesticides; Prenatal Influences; Ressa:0 Needs 4. Food tia; *Niurotoxicology; Teratology; *Toxic Substances * - *DRS- pRICIlc. DESCRIPTORS' IDENTIFIERS, ABSTRACT ' Environmental influences can skgniiimantly,effect (kothvoiitiVely. and _negatively) the developing child. Three ways in whirl' the 'environment affects theAeveloping organism are induction, fecilitetion, and maintenente. In the casetif induction the presence .-or absence Of specific stimuli totally determines whether or not a particular developmental-event-occurs, such as sexual itforsatiatios. Fncilitation is apparent when th4.rate and/or maximal level of maturation is altered, as in the case of the influesce of `thyroid hovmone.in the rats of division. The term maintenance refers-to the presence' of any environmental factors. . necessary for the preservation of an alreadfdevelopedkstate. Alternately, ins particular reference to hymen development, certain aspectS,of the environment, such is toxic compounds, heavy L. _metal*, pesticides, food additives, and parental drug abuse may have ednminately negative affects on the developing child. Although ry part of the developing organism is subject to this % envirosmental influence, -ft recent years'considerable emphasis has mid on the developing nervous.syeteem. kei.resqlt'of scientific investigationsysignificant advancas have -been made toward understasding the consequences of toxic exposure. Future research .should- increasingly emphasise. basic research approaches designed to reveal how toxicants produce their effects. in addition, special attention must-be giVen to the developing organism in any assessment. .of the consequences of.nelerotoxic Compounds. (Author/RE1 ..., *********************************************************************** * Reproductions supplied by IBRSAire the best that can be made * * , ,- from the original document. . --* e********************************************************************** At

Transcript of stimuli - ed

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DOCUMENT RESUME

. ED 214 638

- AUTHOR Uphousei II,;nda L. ,

TITLE . Environmental Effects On Health with Special Emphasison Neurotoxicology. Matrix No. 16.

S

PS 012 724

INSTiTUTION ., . Administration for Children, Tooth. and Families(DHES), Washington, D.C. . A

PUS DATE Jaff..82NOTE lip.; Paper presented at the Research Forum on

Children add Youth (Washingtbn, DC, May18-19, 1981).For related docuitents, see ED 213 518-526, .105i 1)12 .

, 713-715, PS 012 717-718 and PS 012.722;725.. .

AVAILABLE FROM Administration for Children, Youth, and Families,.P.O. Bot.1182, Washington, DC-20013 (no price

. quoted).4

MFOUPC81 Plus Roitage.%*Child Develbpmeni; Drug Abuse; *EnvironmentalInfluences) *Eqalth Conditions; *Neurological

. Iepseirments; Pesticides; Prenatal Influences;Ressa:0 Needs

4.

Food tia; *Niurotoxicology; Teratology; *ToxicSubstances

*

- *DRS- pRICIlc.

DESCRIPTORS'

IDENTIFIERS,

ABSTRACT '

Environmental influences can skgniiimantly,effect(kothvoiitiVely. and _negatively) the developing child. Three ways inwhirl' the 'environment affects theAeveloping organism are induction,fecilitetion, and maintenente. In the casetif induction the presence

.-or absence Of specific stimuli totally determines whether or not aparticular developmental-event-occurs, such as sexualitforsatiatios. Fncilitation is apparent when th4.rate and/or

maximal level of maturation is altered, as in the case of theinfluesce of `thyroid hovmone.in the rats of division. The termmaintenance refers-to the presence' of any environmental factors. .

necessary for the preservation of an alreadfdevelopedkstate.Alternately, ins particular reference to hymen development,certain aspectS,of the environment, such is toxic compounds, heavy L.

_metal*, pesticides, food additives, and parental drug abuse may haveednminately negative affects on the developing child. Althoughry part of the developing organism is subject to this %

envirosmental influence, -ft recent years'considerable emphasis hasmid on the developing nervous.syeteem. kei.resqlt'of

scientific investigationsysignificant advancas have-been made towardunderstasding the consequences of toxic exposure. Future research.should- increasingly emphasise. basic research approaches designed toreveal how toxicants produce their effects. in addition, specialattention must-be giVen to the developing organism in any assessment.

.of the consequences of.nelerotoxic Compounds. (Author/RE1

...,

************************************************************************ Reproductions supplied by IBRSAire the best that can be made **

,

,- from the original document. . --*

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\ sermtnirreifis sisucangeIpanootoeffernntre OF EDUCATION

EDUCATIONAL RESOURCES INFORMATION

CENTER MEC)XTIM documont Ms tom Motokoml

isosia hum tho moon or moon* donorkansina

CI Minor chotao now boon mods to irmovuemprodudion

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MATRIX NO. 16

ENVIRONMENTAL EFFECTS ON HEALTHWITH SPECIAL EMPHASIS ON kUROTOXICOL9GY

by

,Lynda I...Uphouse, Ph.D.PhysiologiM Psychologist A

Laboratory of Behavioral and Neurological Toxicology.National Institute of Environrntintal Health Sciences

National Institutes of Health

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PAPE RS

',PRESENTED ATTHE RESEAReii FORUM

,ONCHILDREN AND YOUTH

' May 18-19, 1981

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Convened in Washington, D.C.

Sponsored by

Federal Interagency Panel" on Early Childhood Research r'..nd Development

Federal Interagency Panel for Research and Development on Adolescence

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PublicAtion-Date: January 1912

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Research, Dernonstr and Evehiation DivisionAdministration for dram Youth and Families

of Human Development Servicesant of Health and-Human Services

Papers available from: ACYF _

P.O. Box 1182Washington, .DC 20013

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ENVIRONMENTAL EFFECTS ON HEALTH!MTH SPECIAL EMPHASIS ON NEUROTOXICOLOGY

Environmental influences on child health begin at conception and continue through- .out postnatal development. Such influbnces (positive and negative) significantlyfact Ira future adaptation. Gottlieb (IBM has categorized three voys inwhich the t affects the developing organism. These arainduclion, facili-talon, and maintenance,

. *Induction * -the~ most dramatic len d-aim least documented). In such a iituatkm, thepresence or of ipetific stimuli total y des :rMirtei whether or not a

and-sok. butt* abseroce

genitalia of-of= devek1, tact i presence of appropriate'gen' At an even later point in fi t,-semi.' 0the nervous ours. fo_the absence'of hormonal signals, the npremeds to fashion, w that in adulthood; the potential f

rterY *Wanes typical of time sensate repro-014,-estropenS) ere present, in acyclic,

,developer -The inducing hormOne for male-snows to-be litrogen Which enters the brain as

converted -to estrogens.. Because sexual 'differentiation-occurs in at keel three , it is possible

for genetic males to _develop as morphological females or v verse and forlogidal and neural, sex tt be -discoocordant The fetal- zadon

the of environment lei thethe_ fetus.r. ficient in adrenal cop

siisterns -to the pitui-f *sr adrenal steVolds (of

prOgestettme are included) occurs and.rriale-like differentiationice. .

\ .Since many envirOnmental stimuli (e.g., noise, crowiling,etc.) may be stressful tothe mother, chronic elevation of adrenal secretions is a potential source of inter-

, *trance with appropriate inducing stimuli for sexual differentiation (Joffe, 1978)..

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- eFurthermore, environmental pollutants, such as DDT, Kepone, etc., also mayaffect sexual differentiation. Both DDT and Kepone a r ert a mild estro-lenicity, and Kepone exerts clear masculinizing effects on. females when admin-istered neonatally dieing the critical period for neural sexual differentiation (Gellert,len). . I.

Facilliatiort is aprierent not when the environmental stimuli influence whether or'not a partite" event will occur, but when the rate.andior.maximalievel 9f mature-d facilitation include the effect of thyroid

and migratibil and the role of visual andiorrespective sensory Mena. For4Most

of aspect of the ., if the mind = development is shifted. .dramatically. f ir example, the devdopoent of

cells developuntil they- are

le cells. These ceAs**final

4 ton is altered. Notable.horinone .ori the rattof lxillauditory stimuli in thedove! appropriate-ti

stirritdeteddevelop in

tion in

- titers the

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a syndwbnizedtheir deve

ion;ril layer arid, as

comdination

's ability tomess hods to the,

1962),fig

most.

fits require armoryimpatatets._ over

.-hYPer-of-

most evident) effect of thenot inflUenceOusther or not, or

mental factor is races-4

low beneficial effect offitteenvirctnmental compounds

Meet on human health vniepest 10 number has 'multiplied significantly and.

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with continuing investigation, the number is bound tctsincrease. For many com-pounds, their, potential health hazard is discovered during routine investigation be-fr.tre -Marketing to the general public. For -otititrt: however, the recognition of -their-.toxicity has occurred only after the consequences of widespread contamination.Incidents gibed below represent cases in Which the potential health hazard weenot fully recogeized prior to the manifestation of toxicity in a human population,.and demonettatelhecnecessity of identifying early symptoms of toxicity.

ealtrof intoxicationIn early 1976, an outbr Kepone occurred in a factory in Hope-Kepone is the commercial. nett* for' chlordecone,4which since its

eduction In 1953,' has proved to be a highly effective pesticide. In 1975; manyhigh level Inoue* tribe cornpound,,and variousAffectedindividualsgraduallY developed tremors

and exhibitedAs a: 0

in theRiveland

ince the

Shuman at atIs in

muse* urinary,responsible for the

correlation betweenneural disruption as WellThese investigations were

in household products.'

A. tragic outbreak of ) poisoning occurr# inMichigan, in 1-9-73. A fire-mtardent that ;entailed PBB was included miltakelly insshipment of animal food adriftshipped throughout the state ofand other farm animals,burg & Spencer, 1960h

mixed with the animal foodendadention to tht loss of 30,000 cattle

seriously ill (Schaum=consequencet of this exposure are unknown.

During-the past 10 years, a significant effort has been devoted to the development ofsensitive methods for identifyin# Potential toxicants and for the early detection ofsymptoms. Tests have been devised-for-the identification of potentially carcinogeniccompounds; use of tissue cultures have been advanced for therediction of toxicity,and-44omplex biochemical and behiVioral- regimens heve been instituted for theidentification of subtle manifestations-,of low level exposure to toxic-compounds.Methods utilized in toxicological research span the entire scientific arena unitingsuch dieer,se .disciplines as molecular biology, physiology, biochemistry, pharma-=lop, Ind- PsYchologYThe immature org4ism is at a particularly higirailsk for many-environmental sub-stances (e.g., -heavy metals, pesticides, food additives) that exist in the parentalenvi which in the adult organism only temporarily disrupt thdmeinteneste of -are already established biological function, may:in the developingotganism,z totally prevent the function from fully developing and thereby -alter theentire process -Of development.' The previously -mentioned consequences of inappro-priate hormone levelt during developMent are excellent examples. Furthermore, inutero, the fetus may be disturbed-is a consequence,of maternal use,of alcohol,

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a nicotine, caffeine, or other abused drugs. Even hypertherraia, caused by excessivesauna use; has been suggested .to have teratogenit potential (Layde etal.,, 1980), andthe inclusion of blighted poiatoes in thei diet has been correlated with birth defects(Rentvick, 1972), although data are not conclusive (Emanuel & Sever, 1973; Matter-

° sonw al., 1974; Mun at A, 1975). It is not, likely that the risk to child health canbe elfininated 'cr, 'pletely. However, with appropriate research investigations and theestablishment of preventative measures; `the number of potential toxicants may bereduced, so that danger to the developing organism can be minimized.To reach maturity, the conceptus Must underggcdrriplex biochemical and morpho-logical changes. During the that stage (the predifferentiation stage), damage to the,-developing organism is usuilly elf or none. Either all cells die and no embryo isformed, or a few cells survive and produce a normal embryo. During the second.(erribrycinic) stage, however, severe malformations can result froni exposure toenvironmental compounds. It is during this period that the pedliferating cells beginto fordo/late organs and the embryo may be highly sensitive to environmental ,pol-Wants.- Essiteicfiffentnt organs mature at different rates, the same compound'mayaffect a variety of organs depencfing upon the time and duration of exposure. in thethird (fetal) stage, the probability of gross malformationdecreases since organs reacha period of marked cliffetentiation. However, some structiles, such is the netvpussystem, _remain highly.s eptible t toganic o until late pregnancy oreven- during t. .pmtnatal -maturation of thenervous swain and the transient- ex-posure to an envitormientel ttaii in:mous-system. Entire popuh ti of Tonal while others(that already be relatively , because ofthe missing of the nervous system and .its consequentfUnctioning are severely disturbed.

...

A consideration Of the special Vulnerability of develoON children must include in'awn exposure to drugs end' particularly' drugs of abuse. Although it has beenrecognized _alcohol- has twatogenic potential, only in the past decade has publicrecognizedattention paid to the Fetal Alcohol Syndrome. In 1973, Jones and coil-segues . ,a(Jones et -, 1973) described a common pattern of physicel abnormalities in indi-

Vickials Whose mothers had abused alcohol during pregnancy.`_ Since that time,hundreds of reports of Fetal Alcohol Syndrome have appeared, end- the prevalencein the population of : expression of the syndrome is estimated to be about 3 to5 live births Per (Cillrreft & Smith, 1978). Fetal Alcohol Syndrome consists .

of at least-three growth &fiat% (body weight one! length); distinctivefacial characteristics, and indications of central nervous pystern dysfunction. Nounaldisturbances range from mild to moderate mental retardation, with poor coordina-tion, neonatal Irritability, -and hyperactivity Ili childhood (Morrielay & Monet,1900). -

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Within the:clinical setting, evaluation of the consequences of prenatal exposure toany comPatmd is extremely difficult. Mothers who abuse alcohol also may abuse,

.cigarettes, other drugs, or may lack proper nutrition. Identification, assessrifint, and .-"investigation of the effects of prenatal exposure to compounds require, therefore,

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the establishment of an appropriate animal model. In the laboratory, higher mor-tality rates occur in offspring of animals receiving high concentrations of alcohol

. (Riley, 1979) and malformations may result (Chernoff, 1971; Kronick, 1976; Mor-,'Huey & Mottet, 1980):, Perhaps of equal- importance to th'equality of child healthare' the behavioral effects of alCaMriiiiposure in the absence of physical- signs ofabnormality, (Riley, 1979). Prenatal exposure produois response inhibition in ani-mals agd a propensity toward preservation of behavic, which resemble the humansymptom, of shorter -attention spans and periods of inattentiveness. Biochemicalmanifestations of alcohol expoisire include abnormal patterns of cellular piotifera-tion and adisraPtion. of CNS organization (Banerjee at et, 19781t1lingboe, 1978),

Possibly the bait doctimented example of a toxic neuronopathy is that produced bymethyl mercury (Rauh' & Charig, 1979). While the toxic effects of mercury and itsconSpounds have beerificogniZed for centuries, theY,were-not ree.Ognized-wksignift-cant environmental hteltk:= hatardsuntil-the missive outbreak of hundreds of humancases of mercury poisoning hi Mires Bay end thetliigata District /6f Japan in the1950s, -and the more recent odthreek of methylmeroury poisoningin Iraq during thewiitar of 19714972. Thecilnicel-SyinotO' nis of niethylmeroury poisoning include

disturbances and cerebellar. ataxia, with complaints of tingling and pares-fingers =followed leiter by numbness. Cerebral and cerebellar atrophy,

the ogle& findings of mercurial victims,: we consistent withitsactiOn esa neuronopathic agent However, the fetps also had high vulnetability -towardmethylmereury -toxicity. With low level, prolonged exposure, disruptions of develop-ment were eevere, With, exposed individuals displaying evidence of the-de i:orticationsyndrome:In the most severeteses,all layers of the cerebral cortex were spongy as aresat of complete of th less prolonged expoistre, theseverity of thesymptoms was reduced, buttnotor def tal disturbances, decreased alertness,sand elertgei in emotional state occurred, t the present time, it appears that theamount of physical and mental 'recovery ma by the victims of fetal-exposure willbe very slight.,

As a result of sand& inveetigatiOns, significant advances have been made towardunderstanding the consequwx2s Of toxic exposure. The number of infant deaths andfetal malformations has decreased. ,As a consequence of educational campaidevoted to reducing the-prevalence off pregnant females ingesting large quantities fsocially acceptable drugs, treks to the developing organism have declined. Furthmore, Increased knowledge *out the vulnerability of the fettikhas eliminated theroutine prescription of pinentialk dangerous compotinds to pregnant individuals:,Thebrivironmental risk to the developing fetus consequerniy`has been -redpeed stub -'

ally during the pest

Emeigence from the svomb, however, does not present the Infant with a safe a'ndsecure habitat. In -piticular, the continued maturation and organization of thenervous system postnatally- place the- infant% et special risk for's variety of neuro-Weil:ants. Children are more likely to ingest toxic substances and, once ingested,children often exhibit a low ability to meta -size the compounds. Furthermore, .

because of the immaturity of the ,blood-bi'a terrier, -the CNS of children mayreceive especially highi concentrations of inuL.,Leal materials; Environmental poi.

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lutants, therefore, may exert severe, and often fatal, influerices on the developingorganism..

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Lead poisoning is ,e best known example of an environmental toxicant forwhich children at particularly high risk. Humansc:any a greater lead burden thanthey cio,for any of the other heavy metals (Morrissey & Monet, 1980), and withinsijmlar environmental conditions; children have higher blood levels than adults

-1977). Because children indiscriminately ingest various substances, child enliving in urban environments (esPecially hi older houies in which lead paint orplaster are peeling and easily accessible), are at high risk to lead intoxication. Etnis-sion of lead via auto mbile -exhaust or industrial practice also. constitutes a threat andparticularly Is prevalentin city dwellings.' 1p addition; children appear to have an

r'''enhanced-- rate of lead absorptioit 4nireasing the.-proportion of ingested materialavailable for organismic dernagill<riorran et al., IMO).

:Clinical _symptoms- recciffriited as consequence ot teed intoxication have Peenknown- sbace ,The time of Hippocrates (Waldron, 1966). Since lead crows theplacenta (Sadiron, 196k), exposure of pregnant fetnafts to high levels of lead maycause abcitialf of the fetus (Wilson, 1077); Less severe exposure ,results 114 eri--caPhaloPathY Or _mental retat:dation (BarftroP, 19$9). Even when -such severe-anomalies are absent, affected children may develop hyperaCtivity and convulsions(Krigman- -er at; 1980). It is becoming increasingly eviditnthat_low levels of -teed

_exposure to the fetus and infant can result in mental handicap ranging from minimalbrain dentine's-to severe mental anornaties.. Leacrpoisoningalso hasbeen irriplicated in.8 variety of neurological diseases; including motor neuron disease (Campbell-et at,1970), -presenile -"dementia of Aliheimer-type changes & Mindybur,1975), diffuse dernyilination of the cerebral white matter (Verhitart, 1042), andbrain tumors -In ;children (Schreier -et al., _1977).- in animal }studies; it has been

that lead during Pre- and/or postnatal development delaysthe maturatiorsof the neitvpus system (Cope* & Fern, 1477; Want, 1973; Press, 1977; Reiter et84-1976), with the brain reliion:affected dependent open the age of exposure.

Although the p4cise Mechanisms of lead intoxication still are unknown, during thelast decade significant_ Eras been made in studying the compound.-A variety

mum-These studs" have

to sulftrickyl groups or competidiely replaces divelent ionslead on enzyme activity and membrane function are.1980) and effects of lead on mitochondria! respiration

aL, 19 impairment of estrogen end Secretion havebeen reported (Wide i Nilsson, 1977). Lead inhibits activity and

-/". affects neurotransmitter activity (Kostial &. Vouk, 1967; Cooiisr, 1973;'Shift & Hanln, 1978).

From the available data, the risk to child health from lead exposure.appews to becaused by multiple factors and differs as a function of the time of exposure of the

'developing individual. Since feed exerts multiple cellular actions, the significance ofthe exposure depend, the dynamia of the developing organism and theimportance 9f particular dr ting events to further maturation. -It is important,

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therefore, that the studies of lead toxicity be compared intimately to those ofnormal development. Otherwise, the repercussions of lead exposure to child health(and consequent therapeutic measures) will be difficult to evacuate.In spite of .thrfact that the precise, mechanisms of lead intoxication are still un-known,- recognition of the dangers of lead to the child has become widespread. Theincidence of accidental exposure has decreased. Media campaigns and eckicationalprograms to emphasized the importance of protecting children from lead con-taminated pafint and plaster, and the lead burden` has declined with the requirementthat new automobiles use unleaded fuel (Morrissey & Mottet, 1980). Chelationtherapy and modem recognitions of the dangers of lead intoxication have reducedthe mortality from childhood lead encephalopathy. However, the morbidityof atite

t lead encephalopathy remains high and the risk of minimal _brain darneg4 is stillapparentThe initial .necessity for a response to tbe problems bf lead toxicity required em-mediate action and the development. of -rapid sherapeutic procedures These Jiro-cedures, while relatively effective in reducing death and gnks manifestations otleedtoxicity; have been less successful lift:leafing with the subtle manifestations of lowlevel exposure to the compound. With the initial problem attenuated, considerablymore basic research must be applied to the study of the mode of action *Wadonthe nervous system and the consequent reductibn in die quality of child health.Pesticides Constitute another category of environment -toxicants to which childrenare likely to be exposed. Among 'these-compounds, the organophospherue corn-s poulicis and the polychlorinated ccimpounds haint received-the most extensive in-vestigation. In, neither case, howilier, have significant clinical firiffings been reportedin children: and most studies ferie.not compared neonate and adult toxicity. Yet,biochemical studies stiggest that the 'pattern of symptoms following exposure is riotthe same in the young and ii=i the adult. These compounds-exert significant influ-.*ences on the reproductive system of exposed adults (Eroschenko & Mum, 1975).and in young animals affect sexual differentiation (Gellert, 1978). In a ream study,Kepone was administered to neonatal rati on day 4 postnatal (within the Oriod ofsexual differentletlool; female neonates exttibitad precocious puberty and lerptcsductive failure in adulthood (Gellert, 1978). Thesd studies suggest thatthelem§-termconsequences of childhood exposure to peiticides have;not been fully realized. inthe case of Kepone, which appears to exert estrogenic action on the reproductivesystem° (Palmiter & 1978), they is every reason to suspect that the processof sexual differentiation may be disturbed. Even thoUghibe burden of kepone inthe environment is not increasing, developing children Stijl may. be at risk, sinceKepone is not readily degradable. in addition, other pesticides still in use mayconstitute a similar risk.

The role of nutrition child health is so widespread that it is the subject of popularpublications and mass media coverage. Food additives esert deleterious influenceson child behavior leading to hypetactivity (Connors, 1980) antisocial behavior,muscle incooftdirlation, and cognitive and perceptual difficulties (Feingold, 1979).Alteration of the diet has been claimed to be an effective therapy in a substantialportion of the cases (Connors, 1980), The proof of these claims is subject to dispute

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and prompt considerable research in the future. Study of the mechanisms ofaction of food dyes is relatively recent, but dyes have been reported to disturbneurotransmitter accumulition (Logan & 'Swanton, 1979), to alter membranepermeability Of neurons and to alter the ability of the nerve to geperate.actionpotentials (Levitan, 1979). Because or their prevalence in the human diet, foodadditives should continua to be a major topic of research interest .

Of recent concern is the Widespread use of flavor-enhancing substances, such asg lutamate and aspartate as food additives (Olney, t9 These compounds belongto a clew of substances known tp exert excitatory on the.CNS. Unlike avariety of synthetic materials, -these naturally ring corsipounds lead to relativelyspecific patterns of neuronal cell . death. -Widespread use of suchcompounds rollently has been reviewed by 01 t whO noted that thecorn-pounds _often Act additively. eft the other 4deral control of the use of thesesubstances: consider& them in isolation each other and-from -the remainder ofthe-diet. Stich occitatoxins are common additives in baby food, in_ some tool; pop,and in commercial soup, etc.. The market, is one heavily biased toward _child cdn-.sumption. Since the:Combination of witiouszericitatoxins may far exceed the nauroftoxic effects of the compound taloirtlingly, it is imperative that the avaluetion ofthese compounds-cOnsider -the-total diet of the child. Baby- food maybe safe, butbaby food plus soda pop may not _-

In summary,- during the pest decade, significant progress has been made toward theidentification wick descriptiOn Of toxic Substances. Althoughimareness of the con-tribution of environmentiii factors to human health has escalated during the pait .

two decades, resew* injts Infancy. A large pertionof the laboratory researchhas been performed o n.the adult organism. Those stuoss: that have included ges-tational and/or neonatal exposure have been relatively consistent (even across a widevariety of typed of Amite-rats' in pointing out that the developing organism does notrespond to toxicants in Ipe same mincer that the adult organism responds.

Because of the immediate concern for treatment of affected individuals and thereduction Of the thaw from the environments large amount of past research hashad-to be prirbarily _descriptive in nature. These svAs havebeen excellent, and 'nowit is possible to Ise a variety of compounds according to symptoms, site oflesion,. and ly; even mocks of action. However, -studiessearch for the mechanisms of action of the toxicants) have had o a Woburn to .

the more =descriptive endeevora In the next decade, increased emphasis must beplaced on basic research- approaches to the study of toxicants. °

loriPtion and study of Ortipounds that produce long-term, severe maleformations

considerable emphasis during the past deer -eadaehAbeen piriced on the de-

formations-and/or loss of function. These studies have been invaluahle becatise they,in fact, have been the impetus for the remor 1 of many compounds from theenvironment. However, while distressing the risk of. compounds in the environment *.It of -greet importance, it is of lesser value to those individuals already affected ontowhom low le441 risk remains imminent. £ffective therapy for those individuals requires on understanding of the modes of action of the(bxic dernpotriits.- Partitularly

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w here the developing lotion is concerned, the ability ta-evaluate the risk to lowlevel exposure to toxic nds milk** In u ng of the developmentalevents with which the compound interfre.Reconwnendstions for emphasis in the future should take the followinginto consideration. of the: obvious neeemity.of redwing wwironwisntailit-induced deaths Ind 'malformations, past reseerolehes coopenbated Off MOWSwith relatively severe on child health. As the incidence of infant *lathe hasbeen reduced, however, it > now time to increase imolai* on *We Ilmoltonitlistldfactors that reduce the lty of life. Cultural and etwiracirenental Immo* whichare of islatively recent challenge the Wickwire sap it for, mss.Over th* Pod century, keividualheve wooed clot an closer lean toincreased crowding Ind Voiliequent increase In deroky.Of

. Furthermore, reletivelOow level exposure to ainfant itch day of its lifilhe total number ofthe average child must Oboe continues toprimarily on the impact of individual swironineritelfact that-chndren drovilopiirt the 'presence of trpnymental Influences.. The conisination of those factorsostion. It Is poesib' le,_ evoci Probeblo, that =nein environMenalreduce the Indlykkare effectiveness in meeting mental challengir. Othersmay exert beneficial inNences. Since it is unlikely that we can re ova

. environmental pollutants from the child's world, we must consider ataitsushi themodification of his/her lifestyle to rogues the impact-of the toxicant.iThe Pest' der-440 has placed heal( OmPhesis on the aduft piisraulation, but he it smoltthat increasing attention to Ihechild population is rewired. Toodoologien rant:drib,/ from reecerch in embryology. developmental neurobiology, andpsychology to obtain basic information on the prinoliiles of development that makethe young especial/??, susceptible to environMental factors.,Finally, the past decade has witnessed primarily the lit ascience, and it has not yet been possible to synthesize idly accumulating data.What are the factors that are important in the relative sensitivity of the

. young and adults to parfituter toxic reds? Are there structural *birdied*.about toxic compounds that enabi predict their effects on human health? Cancompounds be grouped -the system and/or molecular action with whichthey interact? !dentin of the mechanism of action of multiple compounds areessential before general principles will emerge. However, once a skeleton ofsuch' psi os is formed, the evaluation, of additional compounds can'proceed artex fel rates.

Sum

The environment isan essential aspect of the individual's developrnegit. Its contd.. bution may be- positively providing appropriate stimuli necessary for organismicdevelopment. On the other hand,. certain aspects of the environment may havepredominantly negative effects. Although every pert of the developing organism issub:m.3 to this envirc:timental influence, in recent Years considerable emphar-Aer

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Seen platied-136file developing nqrvous systillm. In another paper, severarneurotoxi-cants, which have been identifi&tand investigated during the past 10 years, have beenoverviewed. For each of these compounds, both the developing individual and theadult can\ experience long-term consequences of ni.urotoxicant exposure. However,for manylcomonunds, the consequences of neurotoxicants are not the same in the

- neonate and adult organisms. Consequrintly, special attention must be paid to thestudy, of the developing' organism in any assessment of the consequences of neuro-tole compounds.

References'

Banerjee, S.P., Sheens, V.K., & Khanna, J.M. Nature, 1978, 276 407.Borltrop, D. In D. Barltrop& W. L. Burland (Eds.), Mineral metabolism in pediatrks..

. thrfOrri: Blackwell, 1969. Pp. 135-151.BrenovAtt, G.L., Tweedle,C.D., & Johnson, Neuroscience, 1980, 5 -1303.Campbell, A.M.G., Williams,. E.R., .& Barltrop, D. Journal of Neurology, Neuro-

firmer}, and Psychiatry 1970, 33, 877.Carpenter, S.J., & Fern, V.H. Laboratory Investigation, 1977, 37 369.Chernoff, C.F. Teratology, 1977,15, 223.

C8nnors, C.K. Food additives and hyperactive children. New York, NY: entimClarren, S.K., & Smith, D.W. New England Journai of Medicine, 1978,

Press, 1980."Ellingboo; J. In M.A. Upton, A. DiMascio, & K.P. Killam (Eds.), Psychopharnia-

cology: A ;,..uvrizion; of progress. New York, NY: Ratien Press, 1978. Pp.1853-1664

'Emanuel, I., & Sever, L. . ogy, 1973; 8, 326.troschenko, V.P, & VVilsoh, / * and Applied Pharmicology, 1975, 31

491:!1*Feinguld, B.F. In R.M: Gryder & Frankos4Eds.), ings of the Fifth FDA

Schwa" tymposium. Washington, DC: Office of-Health FDA, 1979. Pp.224-233.

Gellert, R.I. Environmental Research, 1978, 18,131.Wait S.J. Obstetrics and Gynecology, 1973, It 265.

. Gottlieb, G. In G. Gottlieb (Ed.i, Studies on, the development of behavior and thenervous system (Vol. 3): Neural and behavioral specificity. New York, NY:Academic Press, 1976. Pp. 25-54.

Holtrinan, DitHstt, & Morten, P. Nearochemical Research, 1978, 2, 195.Jaffee; J.M. le G. dotdieb (EdJ, Early influences. New York, NY: Academic.Press,

1978. Rp. 107444.Jones, K.L., Smith, D.W, llileland, C.W., Strelssguth, A.P. Lancit, 1973,1 1267.Kostial, & Vouk, V.B. British Journal of PhirmacoL Chemother., 1957,12 219.Krigman, KR, Bouldin, 'LW., & %Mak, P. In P.S. Spencer & H.H. Schaumburg

(Eds.), Experimental apd clinical neurotoxicology. Baltimore, MD:*Williams andWilkies, 1980. Pp. 490-507.

Kronick, J.B. American Journal of Obstetrics and Gynecology, 1976, 125, 676.,Layde, P.M., Edmonds,--L., & Erikson, J. TeratoiogY, 3980, 21,105.

E-10

13

Page 14: stimuli - ed

4

Levine, S. In E.L. Bliss (Ed.), Amin of behavior. New York, NY: Hoeber.1962. Pp.246-253.Levitan, H. In R.M. Gryder & V.H. Frankos (Eds.), Proceedings of the Fifth FDA. Scie4e Symptsium. Washington, DC: Office. of Health Affairs, FDA, 1979. Pp.185-191.Logan, W. & Swanson, J.M. Science, 1979, 206, 363.

Manalisi R.S., & Cooper, G.P. Nature, 1973, 243, 354.Masterson, J.G., Frost, G., Bourke, G.J., Joyce, N.M., Herity, B., & Wilson-Davis, K,British ,Journal of Preventive Social Medicine, 1974, 28, 81.Morrissey, R.E., & Mottet, N.K. Neurotoxicology, 1980, 2, 125.Mun, A.M., Barden, ES., Wilson, J.M.,& Hogan,.J.M. Teratology, 1975,11, 73.Nathanson, J.A., & Bloom, F.E. Molecular Pharmacology, 1976, 112 390.Nicholson, & Altman, J. Brain Research, 1972...4 13.Niklowitz, W.J., & Mandybur, T.I. Journal of elreitvpathology and ExperimentalNedrology, 1975, 34, 445.Olney, J.W. Neurotoxicology, 1980, 2 163.Palmiter, R.D., & Mulvihill, E.R:Science, 1978, 28 .356.Press, M.F. Acta Neuropathologica, 1977, 40 259.

, Reiter, L.W., Anderson, G.E.,. Laskey, J.W., & Cahill,, D.F. Environmental Health4 Perspectives, 1975, 12, 119.Renwick, J.H. 891.Lth Journal of Preventive Social Medicine, 1972, 26 67.Reuhl, K.R.Mthang, L.W. Neurotoxkology, 1979, 1, 21.Riley, E.P. In R.M. Gryder & V.H. Frankos (Eds.)

Proceedings of the Fifth FDAScience Symposiuin. Washington, DC: Office of Tlealth Affairs, FDA 1979. Pp.239:249. -

Rosenzweig, M.R., & Bennett, E.L. In G. Gottlieb (Ed.), Early influences NewYork, NY: Academic Press, 1978. Pp. 289-327.Schaumburg, H.H., '& Spencer, P.S. 1p P.S. Spencer & H.H. Schaumburg (Eds.),Experimental and clinical neurcitoxicology. Baltimo e, MD: Williams and Wilkins,1980. Pp. 883-889.Schreier, H.A., Sherry, N., Lk Shaughnessy, Annals of Neurology, 1977, 1, 599.Shih, T., & Hanin, 1, Life Sciencei, 1978, 23 877.Shuman, R.A., Leech, R.W., & Alvord, G.C. Archives of Neurology, 1975, 32 320.Taylor, Calabrese, VP., & Blanke, R.V. In P.J. Vinken & G.W. Bruun (Eds.),Handbook of clinical neurology (Vol. 36):- Intoxications of the nervous system.Part /.Amsterdam: North-Holland Publishing Company, 1979.U.S. Environmental Protection Agency. EPA-60018-77-107, 1977.Verrisart, W.J.C. AmericanJournal of Diseases of Children, 1942, 34 1246.Waldron, H.A. British Journal of Industrial Medicine, 1966, 23, 83.Whitsett, J.M., & Vandenbergh, J.G. In G. Gottlieb (Ed.), Early ipfluences. NewYok, NY: Academic Press, 1978. Pp. 73-106.

Wide, ., & Nilsson, 0. Teratology, 1977, 16, 273.WilsoW; J.C. In J.G. Wilson & F.C. Fraser (Eds.), Handbook of teratology (Vol. 1).New !York, NY: Plenumress, 1977. Pp. 47-74.

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