Skip to main content

Advertisement

Log in

Heavy Metal in Children’s Tooth Enamel: Related to Autism and Disruptive Behaviors?

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

To examine possible links between neurotoxicant exposure and neuropsychological disorders and child behavior, relative concentrations of lead, mercury, and manganese were examined in prenatal and postnatal enamel regions of deciduous teeth from children with Autism Spectrum Disorders (ASDs), high levels of disruptive behavior (HDB), and typically developing (TD) children. Using laser ablation inductively coupled plasma mass spectrometry, we found no significant differences in levels of these neurotoxicants for children with ASDs compared with TD children, but there was marginal significance indicating that children with ASDs have lower manganese levels. No significant differences emerged between children with HDB and TD children. The current findings challenge the notion that perinatal heavy metal exposure is a major contributor to the development of ASDs and HDB.

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.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Adams, J. B., Romdalvik, J., Ramanujam, V. M. S., & Legator, M. S. (2007). Mercury, lead, and zinc in baby teeth of children with autism versus controls. Journal of Toxicology and Environmental Health. Part A, 70(12), 1046–1051. doi:10.1080/15287390601172080.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed. text revision). Washington, DC: Author.

  • Ash, M. M., & Nelson, S. J. (2003). Wheeler’s dental anatomy, physiology and occlusion (8th ed.). St Louis: Elsevier.

    Google Scholar 

  • Bass, D. A., Hickock, D., Quig, D., & Urek, K. (2001). Trace element analysis in hair: Factors determining accuracy, precision, and reliability. Alternative Medicine Review, 6, 472–481.

    PubMed  Google Scholar 

  • Bouchard, M., Laforest, F., Vandelac, L., Bellinger, D., & Mergler, D. (2007). Hair manganese and hyperactive behaviors: Pilot study of school-age children exposed through tap water. Environmental Health Perspectives, 115(1), 122–127. doi:10.1289/ehp.9504.

    Article  PubMed  Google Scholar 

  • Braun, J. M., Kahn, R. S., Froehlich, T., Auinger, P., & Lanphear, B. P. (2006). Exposures to environmental toxicants and attention deficit hyperactivity disorder in U.S. children. Environmental Health Perspectives, 114(12), 1904–1909. doi:10.1289/ehp.9478.

    PubMed  Google Scholar 

  • Cohen, J. (1988). Statistical power for the behavioral sciences. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Costa, L. G., Aschner, M., Vitalone, A., Syversen, T., & Soldin, O. P. (2004). Developmental neuropathology of environmental agents. Annual Review of Pharmacology and Toxicology, 44(1), 87–110. doi:10.1146/annurev.pharmtox.44.101802.121424.

    Article  PubMed  Google Scholar 

  • Davidson, P. W., Myers, G. J., Cox, C., Axtell, C., Shamlaye, C., Sloane-Reeves, J., et al. (1998). Effects of prenatal and postnatal methylmercury exposure from fish consumption on neurodevelopment: Outcomes at 66 months of age in the Seychelles Child Development Study. Journal of the American Medical Association, 280(8), 701–707. doi:10.1001/jama.280.8.701.

    Article  PubMed  Google Scholar 

  • DeSoto, M. C., & Hitlan, R. T. (2010). Sorting out the spinning of autism: Heavy metals and the question of incidence. Acta Neurobiologiae Experimentalis, 70, 165–176.

    Article  PubMed  Google Scholar 

  • Dietrich, K. N., Ris, M. D., Succop, P. A., Berger, O. G., & Bornschein, R. L. (2001). Early exposure to lead and juvenile delinquency. Neurotoxicology and Teratology, 23(6), 511–518. doi:10.1016/S0892-0362(01)00184-2.

    Article  PubMed  Google Scholar 

  • Ericson, J. E., Crinella, F. M., Clarke-Stewart, K. A., Allhusen, V. D., Chan, T., & Robertson, R. T. (2007). Prenatal manganese levels linked to childhood behavioral disinhibition. Neurotoxicology and Teratology, 29(2), 181–187. doi:10.1016/j.ntt.2006.09.020.

    Article  PubMed  Google Scholar 

  • Farmer, J. G., MacKenzie, A. B., & Moody, G. H. (2006). Human teeth as historical biomonitors of environmental and dietary lead: Some lessons from isotopic studies of 19th and 20th century archival material. Environmental Geochemistry and Health, 28, 421–430. doi:10.1007/s10653-006-9041-5.

    Article  PubMed  Google Scholar 

  • Fergusson, J. E., & Purchase, N. G. (1987). The analysis and levels of lead in human teeth: A review. Environmental Pollution, 46, 11–44. doi:10.1016/0269-7491(87)90143-6.

    Article  PubMed  Google Scholar 

  • Fido, A., & Al-Saad, S. (2005). Toxic trace elements in the hair of children with autism. Autism, 9(3), 290–298. doi:10.1177/1362361305053255.

    Article  PubMed  Google Scholar 

  • Fido, A., Dashti, H., & Al-Saad, S. (2002). Biological correlates of childhood autism: Trace elements. Trace Elements and Electrolytes, 19, 205–208.

    Google Scholar 

  • Froehlich, T. E., Lanphear, B. P., Auinger, P., Hornung, R., Epstein, J. N., Braun, J., et al. (2009). Association of tobacco and lead exposures with attention-deficit/hyperactivity disorder. Pediatrics, 124, e1054–e1063. doi:10.1542/peds.2009-0738.

    Article  PubMed  Google Scholar 

  • Gentile, P. S., Trentalange, M. J., Zamichek, W., & Coleman, M. (1983). Trace elements in the hair of autistic and control children. Journal of Autism and Developmental Disorders, 13(2), 205–206. doi:10.1007/BF01531820.

    Article  PubMed  Google Scholar 

  • Goldberg, W. A., Osann, K., Filipek, P. A., Laulhere, T., Jarvis, K., Modahl, C., et al. (2003). Language and other regression: Assessment and timing. Journal of Autism and Developmental Disorders, 33, 607–616, doi:10.1023/B:JADD.0000005998.47370.ef.

    Article  PubMed  Google Scholar 

  • Grafodatskaya, D., Chung, B., Szatmari, P., & Weksburg, R. (2010). Autism spectrum disorders and epigenetics. Journal of the American Academy of Child and Adolescent Psychiatry, 49, 794–809. doi:10.1016/j.jaac.2010.05.005.

    Article  PubMed  Google Scholar 

  • Grandjean, P., & Landrigan, P. (2006). Developmental neurotoxicity of industrial chemicals. The Lancet, 368(9553), 2167–2178. doi:16/S0140-6736(06)69665-7.

    Article  Google Scholar 

  • Heron, J., Golding, J., & the ALSPAC Study Team. (2004). Thimerosal exposure in infants and developmental disorders: A prospective cohort study in the United Kingdom does not support a causal association. Pediatrics, 114, 577–583. doi:10.1542/peds.2003-1176-L.

    Article  PubMed  Google Scholar 

  • Hertz-Picciotto, I., Green, P. G., Delwiche, L., Hansen, R., Walker, C., & Pessah, I. N. (2010). Blood mercury concentrations in CHARGE Study children with and without autism. Environmental Health Perspectives, 118(1), 161–166. doi:10.1289/ehp.0900736.

    PubMed  Google Scholar 

  • Honda, H., Shimizu, Y., & Rutter, M. (2005). No effect of MMR withdrawal on the incidence of autism: A total population study. Journal of Child Psychology and Psychiatry, 46, 572–579. doi:10.1111/j.1469-7610.2005.01425.x.

    Article  PubMed  Google Scholar 

  • Kalkbrenner, A. E., Daniels, J. L., Chen, J., Poole, C., Emch, M., & Morrissey, J. (2010). Perinatal exposure to hazardous air pollutants and autism spectrum disorders at age 8. Epidemiology, 21, 631–641. doi:10.1097/EDE.0b013e3181e65d76.

    Article  PubMed  Google Scholar 

  • Kang, D., Amarasiriwardena, D., & Goodman, A. H. (2004). Application of laser ablation–inductively coupled plasma-mass spectrometry (LA–ICP–MS) to investigate trace metal spatial distributions in human tooth enamel and dentine growth layers and pulp. Analytical and Bioanalytical Chemistry, 378, 1608–1615. doi:10.1007/s00216-004-2504-6.

    Article  PubMed  Google Scholar 

  • Kogan, M. D., Blumberg, S. J., Schieve, L. A., Boyle, C. A., Perrin, J. M., Ghandour, R. M., et al. (2009). Prevalence of parent-reported diagnosis of autism spectrum disorder among children in the US, 2007. Pediatrics, 124, 1395–1403. doi:10.1542/peds.2009-1522.

    Article  PubMed  Google Scholar 

  • Lakshmi Priya, M. D., & Geetha, A. (2010) Level of trace elements (copper, zinc, magnesium and selenium) and toxic elements (lead and mercury) in the hair and nail of children with autism. Biological Trace Element Research. doi:10.1007/s12011-010-8766-2.

  • Landrigan, P. J. (2010). What causes autism? Exploring the environmental contribution. Current Opinion in Pediatrics, 22, 219–225. doi:10.1097/MOP.0b013e328336eb9a.

    Article  PubMed  Google Scholar 

  • Landrigan, P. J., Trasande, L., Thorpe, L. E., Gwynn, C., Lioy, P. J., D’Alton, M. E., et al. (2006). The National Children’s Study: A 21-year prospective study of 100,000 American children. Pediatrics, 118(5), 2173–2186. doi:10.1542/peds.2006-0360.

    Article  PubMed  Google Scholar 

  • Lewandowski, T. A. (2011). Evolving understanding of the relationship between mercury exposure and autism. In L. I. Simeonov, M. V. Kochubovski, & B. G. Simeonova (Eds.), Environmental heavy metal pollution and effects on child mental development (Vol. 1, pp. 65–84). Dordrecht: Springer Netherlands. Retrieved from http://www.springerlink.com/content/l4n65m6600547417/.

  • Ljung, K., & Vahter, M. (2007). Time to re-evaluate the guideline value for manganese in drinking water? Environmental Health Perspectives, 115, 1533–1538. doi:10.1289/ehp.10316.

    Article  PubMed  Google Scholar 

  • Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (1999). Autism diagnostic observation schedule. Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • Madsen, K. M., Hviid, A., Vestergaard, M., Schendel, D., Wohlfahrt, J., Thorsen, P., et al. (2002). A population-based study of measles, mumps, and rubella vaccination and autism. New England Journal of Medicine, 347, 1477–1482.

    Article  PubMed  Google Scholar 

  • Menezes-Filho, J. A., de Novaes, C. O., Moreira, J. C., Sarcinelli, P. N., & Mergler, D. (2011). Elevated manganese and cognitive performance in school-aged children and their mothers. Environmental Research, 111, 156–163. doi:16/j.envres.2010.09.006.

    Article  PubMed  Google Scholar 

  • Nanci, A. (2008). Ten Cate’s oral histology: Development, structure, and function (7th ed.). St. Louis: Mosby.

    Google Scholar 

  • Neff, H., & Dudgeon, J. V. (2006). LA-ICP-MS analysis of ceramics and ceramic raw materials from the Gila River Indian community, Arizona, (Research Report: Institute for Integrated Research in Materials, Environments, and Society). Long Beach, CA: California State University, Long Beach.

    Google Scholar 

  • NICHD Early Child Care Research Network. (2005). Child care and child development: Results from the NICHD Study of Early Child Care and Youth Development. New York: Guilford.

  • Nigg, J. T., Knottnerus, G. M., Martel, M. M., Nikolas, M., Cavanagh, K., Karmaus, W., et al. (2008). Low blood lead levels associated with clinically diagnosed attention-deficit/hyperactivity disorder and mediated by weak cognitive control. Biological Psychiatry, 63(3), 325–331. doi:10.1016/j.biopsych.2007.07.013.

    Article  PubMed  Google Scholar 

  • Palmer, R. F., Blanchard, S., Stein, Z., Mandell, D., & Miller, C. (2006). Environmental mercury release, special education rates, and autism disorder: An ecological study of Texas. Health & Place, 12, 203–209. doi:16/j.healthplace.2004.11.005.

    Article  Google Scholar 

  • Palmer, R. F., Blanchard, S., & Wood, R. (2009). Proximity to point sources of environmental mercury release as a predictor of autism prevalence. Health & Place, 15, 18–24. doi:16/j.healthplace.2008.02.001.

    Article  Google Scholar 

  • Pelham, W. E., Gnagy, E., Greenslade, K., & Milich, R. (1992). Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 210–218.

    Article  PubMed  Google Scholar 

  • Pocock, S. J., Smith, M., & Baghurst, P. (1994). Environmental lead and children’s intelligence: A systematic review of the epidemiological evidence. British Medical Journal, 309, 1189–1197.

    Article  PubMed  Google Scholar 

  • Ris, M. D., Dietrich, K. N., Succop, P. A., Berger, O. G., & Bornschein, R. L. (2004). Early exposure to lead and neuropsychological outcome in adolescence. Journal of the International Neuropsychological Society, 10, 261–270. doi:10.1017/S1355617704102154.

    Article  PubMed  Google Scholar 

  • Rodier, P. M. (1995). Developing brain as a target of toxicity. Environmental Health Perspectives, 103(6), 73–76.

    Article  PubMed  Google Scholar 

  • Rutter, M., Le Couteur, A., & Lord, C. (2003). ADI-R: The autism diagnostic interview-revised. Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • Soden, S. E., Lowry, J. A., Garrison, C. B., & Wasserman, G. S. (2007). 24-hour provoked urine excretion test for heavy metals in children with autism and typically developing controls, a pilot study. Clinical Toxicology, 45, 476–481. doi:10.1080/15563650701338195.

    Article  PubMed  Google Scholar 

  • Speakman, R. J., & Neff, H. (2005). Laser ablation ICP-MS in archaeological research. Albuquerque, NM: University of New Mexico Press.

    Google Scholar 

  • Takser, L., Mergler, D., Hellier, G., Sahuquillo, J., & Huel, G. (2003). Manganese, monoamine metabolite levels at birth, and child psychomotor development. Neurotoxicology, 24(4–5), 667–674. doi:10.1016/S0161-813X(03)00058-5.

    Article  PubMed  Google Scholar 

  • Tvinnereim, H. M., Eide, R., Fosse, G., Wesenberg, G. R., Szøke, J., & Banoczy, J. (1996). Trace elements in primary teeth from six areas in Hungary. International Journal of Environmental Studies, 50, 267–275. doi:10.1016/S0048-9697(00)00436-8.

    Article  Google Scholar 

  • Uryu, T., Yoshinaga, J., Yanagisawa, Y., Endo, M., & Takahashi, J. (2003). Analysis of lead in tooth enamel by laser ablation-inductively coupled plasma-mass spectrometry. Analytical Sciences: The International Journal of the Japan Society for Analytical Chemistry, 19(10), 1413–1416.

    Article  Google Scholar 

  • Wang, H. L., Chen, X. T., Yang, B., Ma, F. L., Wang, S., Tang, M. L., et al. (2008). Case–control study of blood lead levels and attention deficit hyperactivity disorder in chinese children. Environmental Health Perspectives, 116(10), 1401–1406. doi:10.1289/ehp.11400.

    Article  PubMed  Google Scholar 

  • Wasserman, G. A., Liu, X., Parvez, F., Ahsan, H., Levy, D., Factor-Litvak, P., et al. (2006). Water manganese exposure and children’s intellectual function in Araihazar, Bangladesh. Environmental Health Perspectives, 114, 124–129. doi:10.1289/ehp.8030.

    PubMed  Google Scholar 

  • Windham, G. C., Zhang, L., Gunier, R., Croen, L. A., & Grether, J. K. (2006). Autism spectrum disorders in relation to distribution of hazardous air pollutants in the San Francisco Bay area. Environmental Health Perspectives, 114, 1438–1444.

    Article  PubMed  Google Scholar 

  • Wright, R. O., Amarasiriwardena, C., Woolf, A. D., Jim, R., & Bellinger, D. C. (2006). Neuropsychological correlates of hair arsenic, manganese, and cadmium levels in school-age children residing near a hazardous waste site. Neurotoxicology, 27, 210–216. doi:16/j.neuro.2005.10.001.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We thank the families that participated in this study. Also, we thank Monica Tromp for her assistance with analyses. We gratefully acknowledge the support of the Newkirk Center for Science and Society (J. Ericson, K.A. Clarke-Stewart, P.I.), NIH-CPEA (#HD 35458 to M.A. Spence), and NIH/NICHD (K.A. Clarke-Stewart, P.I.).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wendy A. Goldberg.

Additional information

Dedicated to the memory of Dr. Jonathon Ericson, whose vision was the inspiration for this research.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Abdullah, M.M., Ly, A.R., Goldberg, W.A. et al. Heavy Metal in Children’s Tooth Enamel: Related to Autism and Disruptive Behaviors?. J Autism Dev Disord 42, 929–936 (2012). https://doi.org/10.1007/s10803-011-1318-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-011-1318-6

Keywords

Navigation