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Dimercaptosuccinic Acid (DMSA), A Non-Toxic, Water-Soluble Treatment For Heavy Metal Toxicity

Miller Al
- 01 Jun 1998 - 
- Vol. 3, Iss: 3, pp 199-207
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TLDR
DMSA is a sulfhydryl-containing, water-soluble, non-toxic, orally-administered metal chelator which has been in use as an antidote to heavy metal toxicity since the 1950s and is established as the premier metal chelation compound, based on oral dosing, urinary excretion, and its safety characteristics compared to other chelating substances.
Abstract
Heavy metals are, unfortunately, present in the air, water, and food supply. Cases of severe acute lead, mercury, arsenic, and cadmium poisoning are rare; however, when they do occur an effective, non-toxic treatment is essential. In addition, chronic, low-level exposure to lead in the soil and in residues of lead-based paint; to mercury in the atmosphere, in dental amalgams and in seafood; and to cadmium and arsenic in the environment and in cigarette smoke is much more common than acute exposure. Meso-2,3-dimercaptosuccinic acid (DMSA) is a sulfhydryl-containing, water-soluble, non-toxic, orally-administered metal chelator which has been in use as an antidote to heavy metal toxicity since the 1950s. More recent clinical use and research substantiates this compound’s efficacy and safety, and establishes it as the premier metal chelation compound, based on oral dosing, urinary excretion, and its safety characteristics compared to other chelating substances. (Altern Med Rev 1998;3(3):199-207)

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Citations
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Beneficial role of monoesters of meso-2,3-dimercaptosuccinic acid in the mobilization of lead and recovery of tissue oxidative injury in rats

TL;DR: DMSA monoesters are suggested to be a better treatment option than DMSA in eliciting recovery to the altered biochemical variables and in the depletion of body lead burden.
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Lead, Mercury and Cadmium in Fish and Shellfish from the Indian Ocean and Red Sea (African Countries): Public Health Challenges

TL;DR: In this paper, the authors assess the incidence of Pb, Hg and Cd in seafood from African countries on the Indian and the Red Sea coasts and the level of their monitoring and control, where the direct consumption of seafood without quality control are frequently due to the poverty in many African countries.
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Changes in brain biogenic amines and haem biosynthesis and their response to combined administration of succimers and Centella asiatica in lead poisoned rats

TL;DR: Substantial changes in biochemical variables indicative of alterations in the central nervous system and haem biosynthesis were investigated to determine the toxicity in male Wistar rats, and supplementation of C. asiatica during chelation could be recommended for achieving optimum effects of chelation therapy.
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Dietary bioavailability of cadmium, inorganic mercury, and zinc to a marine fish: Effects of food composition and type

TL;DR: The results indicated that metal contamination in commercial fish diet was probably underestimated in fish aquaculture and metal AEs tended to decrease with increasing dietary metal concentrations.
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Selective depression effect in flotation separation of copper–molybdenum sulfides using 2,3-disulfanylbutanedioic acid

TL;DR: In this paper, 2,3-disulfanylbutanedioic acid (DMSA) was found to be a selective depressant in the flotation separation of copper-molybdenum sulfides.
References
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Journal ArticleDOI

Dmsa and dmps-water soluble antidotes for heavy metal poisoning

TL;DR: This article reviews the pharmacological properties and the uses of two important antidotes for heavy metal poisoning, DMSA and DMPS, water soluble chemical analogs of dimercaprol, which have less toxicity, greater water solubility, and lim­ ited lipid solubilities, and are effective when given orally.
Journal ArticleDOI

Metal toxicity in the central nervous system.

TL;DR: It has been discovered that microtubules are destroyed by this form of mercury and this effect may explain the inhibition of cell division and cell migration, processes that occur only in the developmental stages, and other hypotheses will stimulate considerable experimental challenges in the future.
Journal ArticleDOI

The Effect of Dental Amalgam Restorations on Blood Mercury Levels

TL;DR: Analysis of the data from the questionnaires indicated that little or no exogenous exposure to mercury occurred among the two groups.
Journal ArticleDOI

Mercury exposure from "silver" tooth fillings: emerging evidence questions a traditional dental paradigm.

TL;DR: Animal and human experiments demonstrate that the uptake, tissue distribution, and excretion of amalgam Hg is significant, and that dental amalgam is the major contributing source to Hg body burden in humans.
Journal ArticleDOI

In vivo indices of oxidative stress in lead-exposed C57BL/6 mice are reduced by treatment with meso-2,3-Dimercaptosuccinic Acid or N-acetylcysteine

TL;DR: Results suggest that lead-induced oxidative stress in vivo can be mitigated by pharmacologic interventions, which encompass both chelating as well as thiol-mediated antioxidant functions.
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