Adverse health effects from exposure to mercury (Hg) exposure from dental amalgam fillings cannot be ruled out in a small and more susceptible part of the exposed population. Individual differences in toxicokinetics may explain susceptibility to mercury. F2 mice showed a large inter-individual variation in Hg accumulation, showing that multiple genetic factors influence the Hg toxicokinetics in the mouse.
Apolipoprotein-E genotyping has been investigated as an indicator of susceptibility to heavy metal neurotoxicity. Moreover, apo-E4 is a major risk factor for neurodegenerative conditions, including Alzheimer's disease (AD). A theoretical biochemical basis for this risk factor is discussed. Apo-E genotyping warrants investigation as a clinically useful biomarker for those at increased risk of neuropathology, including AD, when subjected to long-term mercury exposures.
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