The Contribution of Fluoride to the Pathogenesis of Eye Diseases: Molecular Mechanisms and Implications for Public Health.
Review article
Waugh DT. Int J Environ Res Public Health. 2019.
Abstract
This study provides diverse lines of evidence
demonstrating that fluoride (F) exposure contributes to degenerative eye
diseases by stimulating or inhibiting biological pathways associated
with the pathogenesis of cataract, age-related macular degeneration and
glaucoma. As elucidated in this study,
F exerts this effect by
inhibiting enolase, τ-crystallin, Hsp40, Na⁺, K⁺-ATPase, Nrf2, γ -GCS,
HO-1 Bcl-2, FoxO1, SOD, PON-1 and glutathione activity, and upregulating
NF-κB, IL-6, AGEs, HsP27 and Hsp70 expression. Moreover, F exposure
leads to enhanced oxidative stress and impaired antioxidant activity.
Based on the evidence presented in this study, it can be concluded that F
exposure may be added to the list of identifiable risk factors
associated with pathogenesis of degenerative eye diseases. The broader
impact of these findings suggests that reducing F intake may lead to an
overall reduction in the modifiable risk factors associated with
degenerative eye diseases. Further studies are required to examine this
association and determine differences in prevalence rates amongst
fluoridated and non-fluoridated communities, taking into consideration
other dietary sources of F such as tea. Finally, the findings of this
study elucidate molecular pathways associated with F exposure that may
suggest a possible association between F exposure and other inflammatory
diseases. Further studies are also warranted to examine these
associations.
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