{"title":"Fluoride: a double-edged sword in public health and environmental toxicology.","authors":"Maísa Rizzotto Sotili, Tatiana Staudt, Diênifer Tramontina, Nathalia de Souza Rodrigues, Gabriele Luiza Alba, Vitória Citolin Crestani, Hamid Omidian, Charise Dallazem Bertol","doi":"10.1007/s10661-025-14175-3","DOIUrl":null,"url":null,"abstract":"<p><p>Fluoride exposure has raised global concerns due to its potential neurodevelopmental, systemic, and ecological impacts. This review consolidates advancements in fluoride toxicity, highlighting molecular mechanisms like mitochondrial dysfunction, autophagy disruption, and epigenetic alterations. Prenatal exposure is linked to cognitive deficits, while systemic effects include renal, hepatic, and thyroid dysfunction. Novel therapeutic strategies, such as natural compounds and microbiota modulation, offer promise, but translational barriers persist. Real-world co-exposures amplify toxicity, underscoring the need for interdisciplinary research. Environmental contamination challenges demand innovative remediation and global policy reform. This review identifies key knowledge gaps, advocating for longitudinal studies, multi-omics integration, and sustainable interventions to mitigate fluoride's health burden and ecological risks. These findings lay a foundation for targeted public health strategies.</p>","PeriodicalId":544,"journal":{"name":"Environmental Monitoring and Assessment","volume":"197 7","pages":"710"},"PeriodicalIF":3.0000,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Environmental Monitoring and Assessment","FirstCategoryId":"93","ListUrlMain":"https://doi.org/10.1007/s10661-025-14175-3","RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENVIRONMENTAL SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Fluoride exposure has raised global concerns due to its potential neurodevelopmental, systemic, and ecological impacts. This review consolidates advancements in fluoride toxicity, highlighting molecular mechanisms like mitochondrial dysfunction, autophagy disruption, and epigenetic alterations. Prenatal exposure is linked to cognitive deficits, while systemic effects include renal, hepatic, and thyroid dysfunction. Novel therapeutic strategies, such as natural compounds and microbiota modulation, offer promise, but translational barriers persist. Real-world co-exposures amplify toxicity, underscoring the need for interdisciplinary research. Environmental contamination challenges demand innovative remediation and global policy reform. This review identifies key knowledge gaps, advocating for longitudinal studies, multi-omics integration, and sustainable interventions to mitigate fluoride's health burden and ecological risks. These findings lay a foundation for targeted public health strategies.
期刊介绍:
Environmental Monitoring and Assessment emphasizes technical developments and data arising from environmental monitoring and assessment, the use of scientific principles in the design of monitoring systems at the local, regional and global scales, and the use of monitoring data in assessing the consequences of natural resource management actions and pollution risks to man and the environment.