Potential pathological mechanisms and pharmacological interventions for cadmium-induced miscarriage

Ecotoxicol Environ Saf. 2024 Mar 15:273:116118. doi: 10.1016/j.ecoenv.2024.116118. Epub 2024 Feb 17.

Abstract

The prevalence of cadmium (Cd) contamination has emerged as a significant global concern. Exposure to Cd during pregnancy is associated with adverse pregnancy outcomes, including miscarriage. However, there is currently a lack of comprehensive summaries on Cd-induced miscarriage. Therefore, it is imperative to further strengthen research into in vivo studies, clinical status, pathological mechanisms, and pharmacological interventions for Cd-induced miscarriage. This study systematically presents the current knowledge on animal models and clinical trials investigating Cd exposure-induced miscarriage. The underlying mechanisms involving oxidative stress, inflammation, endocrine disruption, and placental dysfunction caused by Cd-induced miscarriage are also extensively discussed. Additionally, potential drug interventions such as melatonin, vitamin C, and vitamin E are highlighted for their pharmacological role in mitigating adverse pregnancy outcomes induced by Cd.

Keywords: Cadmium; Mechanism; Miscarriage; Pharmacological intervention.

Publication types

  • Review

MeSH terms

  • Abortion, Spontaneous* / chemically induced
  • Animals
  • Cadmium / toxicity
  • Female
  • Humans
  • Placenta
  • Pregnancy
  • Pregnancy Outcome
  • Vitamins

Substances

  • Cadmium
  • Vitamins