Consumption of water contaminated by nitrate and its deleterious effects on the human thyroid gland: a review and update

Int J Environ Health Res. 2022 May;32(5):984-1001. doi: 10.1080/09603123.2020.1815664. Epub 2020 Aug 31.

Abstract

Nowadays, the nitrates have been established as carcinogenic components due to the endogenous formation of N-nitroso compounds, however, the consumption of water contaminated with nitrates has only been strongly related to the presence of methemoglobinemia in infants, as an acute effect, leaving out other side effects that demand attention. The thyroid gland takes relevance because it can be altered by many pollutants known as endocrine disruptors, which are agents capable of interfering with the synthesis of hormones, thus far, it is known that nitrates may disrupt the amount of iodine uptake causing most of the time hypothyroidism and affecting the metabolic functions of the organism in all development stages, resulting in an important health burden for the exposed population. Here, this review and update highlighted the impact of consumption of water contaminated with nitrates and effects on the thyroid gland in humans, concluding that nitrates could act as true endocrine disruptor.

Keywords: Nitrates; contaminated water; thyroid disruptor; thyroid dysfunction.

Publication types

  • Review

MeSH terms

  • Humans
  • Infant
  • Methemoglobinemia* / chemically induced
  • Nitrates* / toxicity
  • Thyroid Gland
  • Water
  • Water Supply

Substances

  • Nitrates
  • Water