The role of element speciation in environmental and occupational medicine

In order to evaluate the interaction with the environment or to assess absorption, binding mechanisms, reactivity and excretion of elements in humans, element speciation can provide more information than the analysis of element as a whole. Some examples that confirm the importance of speciation depend on the choice of the most appropriate indicator or representative matrix. The determination of As(III), As(V), monomethylarsonic and dimethylarsinic acids can be used to evaluate occupational exposure to As. Exposure to inorganic Hg should be measured by its content in urine, whereas in the case of exposure to alkyl Hg, blood and hair should be considered. Speciation may also be useful in studying element toxicokinetics, since it is well known that hexavalent Cr is taken up more than the trivalent form, and that species of the same metal are differently partitioned in blood. Pentavalent forms of As are absorbed more than trivalent forms, and the organic species of elements are excreted faster than inorganic species. In addition, speciation can play an important role in assessing element toxicodynamics. The toxicity of the three oxidation states of Hg differs considerably; for As a decreasing toxicity from arsenite to dimethylarsinic acid is proposed; for organotin compounds, higher toxicity for ethyl groups than for phenyl groups is reported. However, speciation in biological media is difficult when applied to other elements because of the lack of information on the existence and significance of species whose determination could be valuable. Furthermore, there may be no analytical methods that allow an accurate measurement of the species. The feasibility of speciation in occupational and environmental medicine depends mainly on our capability to solve some problems related to the identification and determination of species and on the demonstration that species measurement represents a clear improvement compared to total element determination.