The ignored risk: heavy metal pollution of medicine and food homologous substances

Environ Sci Pollut Res Int. 2023 Feb;30(7):18577-18587. doi: 10.1007/s11356-022-23372-3. Epub 2022 Oct 10.

Abstract

A survey was conducted to investigate the effects of cadmium (Cd), arsenic (As), chromium (Cr), lead (Pb), and copper (Cu) in medicine and food homologous substances (MFHs) on human health. Nine common and typical MFHs (Dendrobium, Bulbus lilii, Poria, Semen nelumbinis, Radix puerariae, Gardenia jasminoides, Hordeum vulgare L, Semen coicis, and Ganoderma Karst) in the form of medicinal slices ready for decoction were purchased from pharmacies. Five among the MFHs (Dendrobium, Bulbus lilii, Poria, Semen nelumbinis, and Radix puerariae) were further obtained from a local field as raw materials for comparison. The results showed that raw materials of MFHs collected from the field had higher contents of heavy metal and greater health risks than medicinal slices purchased from pharmacy. Generally, the heavy metal residues in MFHs of different medicinal parts were different, and MFHs from roots or stems had significantly higher contents of heavy metals than those from fruits or seeds. Most importantly, the contents of Cd in Bulbus lilii and As in wild Poria from field were higher than the contents described in the Pharmacopoeia of the People's Republic of China (ChP). Non-carcinogenic and carcinogenic risk assessments revealed that Poria from field had larger non-carcinogenic and carcinogenic risks to human health; Bulbus lilii showed no non-carcinogenic risk but exhibited carcinogenic risks, whereas Cr showed carcinogenic risks in all samples. Given that MFHs are incorporated in regular foods, care should be taken to minimize health hazards caused by heavy metals to human. This study creates awareness on the safety issues associated with MFHs, and provides basic information for establishing the maximum allowable contents of medicinal and food substances in normal diets.

Keywords: Heavy metals; Human health; Medicine and Food Homologous substances (MFHs); Risk assessments.

MeSH terms

  • Arsenic* / analysis
  • Cadmium / analysis
  • China
  • Chromium / analysis
  • Environmental Monitoring / methods
  • Environmental Pollution
  • Humans
  • Metals, Heavy* / analysis
  • Risk Assessment
  • Soil
  • Soil Pollutants* / analysis

Substances

  • Cadmium
  • Metals, Heavy
  • Chromium
  • Arsenic
  • Soil Pollutants
  • Soil