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Biology Articles » Reproductive Biology » A Review of Nitrates in Drinking Water: Maternal Exposure and Adverse Reproductive and Developmental Outcomes » Reproductive Toxicity

Reproductive Toxicity
- A Review of Nitrates in Drinking Water: Maternal Exposure and Adverse Reproductive and Developmental Outcomes

Reproductive ToxicityReproductive Toxicity

Animal studies have shown some indication that nitrate, nitrite, and N-nitroso compounds may traverse the placenta and affect the fetus in utero (Bruning-Fann and Kaneene 1993; Fan et al. 1987; Gruener et al. 1973). It has been suggested that the placental membrane is effective in separating blood circulation between mother and fetus from the fourth month of pregnancy, thus preventing methemoglobin molecules from crossing (L'hirondel and L'hirondel 2002). Others have suggested that nitrate or the reduced form (nitrite) may pass to the fetus through a system of active transport similar to that of iodide, and fetal nitrate plasma levels may exceed that of the mother (Hartman 1982). Tarburton and Metcalf (1985) found that amyl nitrite caused both adult and cord blood to oxidize from hemoglobin to methemoglobin in vitro. Cord blood was oxidized at a 5- to 6-fold greater rate than was adult blood. Whether nitrite may have the same effect in vivo and on fetal blood if it traverses the placenta is uncertain (Tarburton and Metcalf 1985).

Animal studies. Fan et al. (1987) reviewed the experimental data on reproductive toxicity and reported no evidence of teratogenic effects but found indication that nitrates and nitrites may induce abortion in experimental animals (Fan and Steinberg 1996; Fan et al. 1987; NAS 1981). These findings include increased levels of nitrite and methemoglobin in rats and subsequently in the fetuses when pregnant rats were given 2.5-50 mg/kg sodium nitrite in drinking water or through intraperitoneal injection. The possibility of increased permeability from placental damage was also tested in this study by giving another group of pregnant rats sodium nitrite after labor had begun. The first newborn had a normal methemoglobin level (1.2%), whereas those born after the chemical was given had higher levels of methemoglobin (10.1%) in their blood (Gruener et al. 1973).

Globus and Samuel (1978) orally administered 0.5 mg/day sodium nitrite to pregnant mice beginning the first day of gestation and continuing up to the 14th, 16th, or 18th day of gestation. The parameters used to measure embryotoxicity (litter size, gross anatomical defects, weight, number of resorption sites, proportion of fetal deaths) showed no significant difference between this group of mice and the control group given distilled water. The occurrence of skeletal abnormalities was similar in both groups; however, an increase in the production of red blood cells was reported for the offspring of treated mice. The investigators suggested that sodium nitrite may itself traverse the placenta, inducing methemoglobinemia in the fetus that could stimulate erythropoiesis in the hepatic cells (Globus and Samuel 1978).

Inui et al. (1979) administered doses of 125, 250, and 500 mg/kg sodium nitrite to hamsters on the 11th or 12th day of pregnancy. Other pregnant hamsters were given similar doses of sodium nitrate or similar doses of dimethylnitrosamine (positive controls). No chromosomal changes occurred in the offspring of animals treated with lower doses of sodium nitrite, but mutation occurred at the highest dose of sodium nitrite (500 mg/kg). The same dose of sodium nitrate did not produce such effects. Morphologic and neoplastic changes were observed in embryonic cells from hamsters given doses of 250 and 500 mg/kg sodium nitrite. The effects in pregnant hamsters treated with sodium nitrite were similar to those seen in the pregnant hamsters treated with dimethylnitrosamine as a positive control (Inui et al. 1979).

Cases of aborted fetuses were observed in pigs pastured in a feedlot of oats and rape. Serologic testing ruled out infectious causes for the abortions but found excessive nitrate. The report indicated that the levels of nitrate found in the rape (5.52%) and oats plants (0.53%) were not safe (Case 1957). After observing spontaneous abortions in cattle grazing in weedy pastures, Sund (1957) placed 12 pregnant heifers in pastures with soil known to have high nitrogen levels and high-nitrate weeds and eight pregnant heifers in pastures where prior treatment had killed high-nitrate weeds. Ten of the 12 heifers in the untreated pastures, compared with one of eight in the treated pastures, aborted their fetuses. Blood levels taken at weekly intervals showed low, fluctuating levels of methemoglobin in all the heifers. The study suggested no association between abortion and levels of methemoglobin. However, the report noted that the degenerative changes observed in several organs of the aborted fetuses were indicative of tissue anoxia, symptomatic of methemoglobinemia. Sund concluded that the nitrates in weeds either caused or were related to the incidence of abortion in cattle grazing in pastures with soil high in available nitrogen (Sund 1957).

Winter and Hokanson (1964) indicated that spontaneous abortion may not be a significant effect of chronic nitrate exposure at levels sufficient to induce methemoglobinemia in cattle. Fifteen heifers were given sodium nitrate daily in their feedings from 2 months of pregnancy until they aborted or gave birth. The dosage was adjusted weekly to maintain methemoglobin levels at 20-30% of total hemoglobin. Two heifers aborted (one abortion was caused by vibriosis), and two heifers died from acute nitrate poisoning.

Other adverse reproductive effects, such as mummified fetuses; lesions on the cervix, uterus, and placenta; and maternal death were also reported by earlier experimental studies reviewed by Fan et al. (1987). A more recent study examined the effects on embryo growth and viability in 48 cows between 2 and 8 weeks of gestation that were feeding on heavily fertilized grass containing high levels of nitrogen compared with those in control pasture (Laven et al. 2002). No evidence was found that embryo survival or growth was affected from 20 days onward in pregnant cows grazing in either pasture.

Two groups of cows, pregnant and nonpregnant, were fed either nitrate rations

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