Beruflich Dokumente
Kultur Dokumente
com/imt
ISSN: 1547-691X (print), 1547-6901 (electronic)
J Immunotoxicol, Early Online: 19
! 2013 Informa Healthcare USA, Inc.
DOI: 10.3109/1547691X.2013.791734
Unidad de Investigacion en Genetica y Toxicologa Ambiental, UMIEZ, Campo II, FES-Zaragoza, Universidad Nacional Autonoma de Mexico,
Mexico, D.F. and 2Departamento de Biologa Celular y Tisular, Facultad de Medicina, Universidad Nacional Autonoma de Mexico, Mexico, D.F.
Abstract
Keywords
Research on the biological effects of vanadium in humans has shown that acute poisoning in
workers can manifest itself in a number of symptoms. There are no reports in humans about
reproductive and developmental effects induced by vanadium compounds in humans;
however, some studies with rats and mice indicate that vanadium can cross the placental
barrier and accumulate in fetal membranes rather than the fetus itself. In this case, probably
most consequences of administration of vanadium to pregnant females like reabsorptions,
fetal death and reduction in size can be the result of maternal toxicity. Concerning genetic and
related effects in humans exposed to different vanadium compounds, data are controversial.
Data on genotoxic effects in workers exposed to vanadium indicate that they can have an
increased risk to develop cancer, and DNA instability can give rise to an onset of genetic
syndromes, fetal malformations, and cancer. This paper presents materials presented at the
8th International Symposium on Vanadium Chemistry, Biological Chemistry, and Toxicology in a
session titled Relationship between occupational and environmental exposure to vanadium
compounds and the reprotoxic and genotoxic effects.
Introduction
The use of metals has been a decisive step in cultural and technological development. Several metals perform various, necessary
biological functions, while other metals are not required by living
organisms. Most metals, however, tend to accumulate in biological systems, and organisms display little adaptability when
metals accumulate in high concentrations, causing various
alterations.
In unicellular organisms, such disturbances can lead to changes
in DNA synthesis and repair, genetic instability, changes in
cell proliferation, or cell death. In multicellular organisms
(including humans), in addition to the effects mentioned above,
the alterations may cause cellular aging, changes in differentiation
or cell cycle progression, and the triggering of degenerative
processes, which compromise the integrity of cells and tissues.
A metal that has acquired special importance for its therapeutic
applications and toxicity is vanadium.
History
Received 1 December 2012
Revised 21 March 2013
Accepted 28 March 2013
Published online 10 May 2013
20
13
M. A. Altamirano-Lozano et al.
ion channels, such as those for phosphate and sulfate; this feature
renders V(V) very toxic. Furthermore, metabolic processes can
transform V(V) to V(IV) inside the cell (Rehder, 2003; Tracey
et al., 2007).
More detailed information about other sources of exposure are
described in other articles from the 8th International Symposium
on Vanadium Chemistry and Toxicology (August 2012). The
remainder of this paper only describes effects of vanadium agents
on genetic material and reproduction.
Vanadium genotoxicity
Human studies
Although humans are exposed to vanadium compounds either
occupationally by inhalation or via ingestion of food, few
epidemiological studies have been designed to evaluate DNA
damage in human populations (IARC, 2006). In one of the few
human studies, Ivancsits et al. (2002) evaluated the genotoxic
effects of exposure to V2O5. Forty-nine workers at a factory
producing this metal participated in the study, and it was
determined that the V concentrations in the workers serum
(7.73 mg V/L) and urine (14.57 mg V/g creatinine) were higher
than in the control group, 3.43 mg/L and 1.13 mg V/g creatinine,
respectively. However, when researchers assessed DNA damage
in blood cells using a sister chromatid exchange (SCE) assay and
single-cell gel electrophoresis (Comet assay) under alkaline
conditions, they did not observe any increase in chromatid
exchanges or DNA migration, concluding that vanadium does not
cause DNA damage in vivo.
Similarly, in another epidemiological study involving 52
workers who were exposed to V2O5, the metal concentration
in plasma was 2.2 mg V/L, which was higher than in the control
group (0.3 mg V/L). In addition, when leukocytes from whole
blood were subjected to the Comet assay, no increase in
DNA damage was observed. However, testing of micronuclei
(MN) in lymphocytes with cytokinesis blockade yielded an
observable increase in the number of micronucleated cells
and in the percentage of necrotic cells. Therefore, it was
concluded that occupational exposure might increase the risk
of contracting certain chronic degenerative diseases and that
protective measures for workers should, thus, be improved
(Ehrlich et al., 2008).
Animal studies
Animal studies have demonstrated that the accumulation of
vanadium in the body occurs in the bone, kidney, liver, spleen,
testes, intestines, and stomach, and the intracellular distribution
in these tissues indicates that the nucleus is the organelle that
retains the highest amount of vanadium, which can thus interact
with DNA (Sabbioni & Marafante, 1978; Sabbioni et al., 1991;
Villani et al., 2007). The acute toxicity of vanadium compounds is
low when administered orally, moderate when inhaled, and high
when injected intraperitoneally (IP). In addition, these studies
indicate that small animals such as rats and mice tolerate these
compounds better than do larger animals such as rabbits and
horses (IARC, 2006).
The administration of sodium orthovanadate (Na3VO4),
ammonium metavanadate (NH4VO3), and vanadyl sulfate
(SVO5), at doses of 75, 50, or 100 mg/kg, respectively, to CD-1
strain male mice intragastrically induced an increase in MN
frequency in bone marrow cells evaluated during a 72-h period.
Simultaneously, a second experiment conducted for 24 and 36 h
determined that only SVO5 caused structural chromosomal
aberrations (CAs), but that all the compounds induce numerical
CA (hypo-, hyper-, and polyploid cells), thus confirming that
DOI: 10.3109/1547691X.2013.791734
Fine particulate
matter (PM2.5)
Oil-combustion associated
elements vanadium and
nickel
Exposure throughout
pregnancy
Gestation
615 d of gestation
Vanadium pentoxide
8.5 mg/kg
615 d of gestation
Pregnant women
Mice
Mice
Mice
615 d of gestation
Rat
Mice
Rat
Mice
3 or 8 d of gestation
Species
Hamster
Males: 60 d before
mating.
Females: 14 d before
mating; through
gestation and
lactation
614 d of gestation
615 d of gestation
510 d of gestation
Period of treatment
Concentration
Ammonium
metavanadate
Vanadium pentoxide
Compound
Inhaled
Drinking water
Intraperitoneally
Intraperitoneally
Drinking water
Drinking water
Drinking water
Drinking water
Intravenous
Intraperitoneally
Route
References
Skeletal anomalies
No maternal toxicity
observed.
No adverse effects
No effects reported
No significant effects
Maternal effects
Table 1. Developmental and maternal toxicity produced by different vanadium compounds (studies listed chronologically).
4
M. A. Altamirano-Lozano et al.
J Immunotoxicol, Early Online: 19
60 d
4 or 6 h
0.751500 mg/l
5, 15, 25 mg/kg
0.02 M
0.4 mg V/kg
100 mg/kg/day
1, 10, or 100 mM
Sodium metavanadate
Vanadium tetroxide
Sodium orthovanadate
Sodium orthovanadate
Vanadium pentoxide
Sodium metavanadate
Vanadyl sulfate
Sodium metavanadate
Daily for 26 d
5 weeks
60 d
64 d before mating
12.5 mg/kg
Vanadium pentoxide
Single dose
60 d before mating
Every 3 d for 60 d
0.08 mM/kg
5, 10, 20 mg/kg/day
8.5 mg/kg bw
Concentrations
Vanadium sulfate
Sodium metavanadate
Vanadium pentoxide
Compound
Male mice
Male mice
Male mice
Male mice
Pre-pubertal rats
Rats
Rats
CD-1 male mice
Species
In vitro
Orally
Intraperitoneally
Inhaled
Intraperitoneally
Drinking water
Intraperitoneally
Drinking water
Intraperitoneally
Intratesticular
Orally
intraperitoneally
Route
Effects
Reduction in testis weight and total necrosis
No effects on fertility and reproduction
Decrease in fertility rate. Sperm count, motility,
and morphology were impaired with the
advancement of treatment. Decreased
implantation, live fetuses, and fetal weight
and increased the number of resorption/dam.
Males: increased weight of seminal vesicles,
thymus and submandibular glands
Females: no significant differences in age of
vaginal opening nor first vaginal estrus.
Ovulation rate was lower in treated animals
Reduced body and epididymis weight. Decrease
in sperm count
Increase of apoptosis and ultrastructural changes
of germ cell, but testosterone level was not
modified
No treatment-related effect on sperm chromatin
structure or on testis cell population was
observed
Significant increases in the frequencies of total
hyper-haploid sperm were found with 15 and
25 mg/kg, indicating induced non-disjunction
during male meiosis
Vanadium accumulates in the testes and
decreases the percentage of gamma-tubulin
in testicular cells (Sertoli, Leydig, and germ
cells)
Reduced sperm count associated with decreased
serum testosterone and gonadotropins level
Decreased weights of testes and accessory
reproductive organs. Reduced number and
motility of epididymal sperm. Mating tests
with untreated females revealed a decrease in
pregnancy rate and mean number of pups
delivered
Reduced sperm motility and curvilinear velocity
and numerous folds in the acrosome
membrane
Mussali-Galante et al.
(2005)
Altamirano et al.
(1991)
References
DOI: 10.3109/1547691X.2013.791734
M. A. Altamirano-Lozano et al.
Animal studies
Vanadium in the form of vanadate is a potent inhibitor of tyrosine
phosphatase inhibitors, including CDC25, in human kidney cells.
ATPase activity is necessary for the assembly and activation of
the mitotic apparatus and spindle fibers. In Xenopus and mouse
oocytes, vanadate decreases the activity of the maturationpromoting factor through inhibition of p34 cdc2 tyrosine dephosphorylation. Apparently, vanadate also inactivates the maturation
factor of porcine oocytes (i.e. vanadate potentially inhibits or
disturbs oocyte maturation and correct assembly of the mitotic
spindle). This effect compromises the segregation of oocyte
chromosomes and damages their descendants (Kim et al., 1999).
Mailhes et al. (2003) found that vanadate administered
intraperitoneally immediately after application of hCG, increased
the occurrence of premature anaphase in oocytes, while, in bone
marrow cells, vanadate also increased the percentage of tetraploids, hyperpolyploids, and premature centromere separation
in bone marrow cells. The researchers postulated that a kinasephosphatase imbalance during oocyte maturation and the
metaphase-anaphase transition produce cytogenetic abnormalities
that differ between oocytes and bone marrow cells.
The embryos of all mammals depend on the mothers system;
thus, the environment in which the mother lives is of great
importance in successful development of the offspring. Naturally,
the age and physical and nutritional status of the mother could
exert significant effects during growth in the uterus; however,
if integrity of the maternal system is altered, the change may
indirectly affect the offspring. Studies of intrauterine development
have revealed that exposure to physical and chemical agents,
infectious diseases, hormonal changes, and nutritional deficiencies or excesses are factors that directly cause abnormal embryonic or fetal development and birth defects (Scialli, 1992).
While there is little information on the reproductive toxicity
of vanadium and developmental toxicity after vanadium inhalational exposure, this metal causes toxicity in the embryo and fetus
when administered orally. However, the toxic effects of vanadate
and vanadyl have been observed only at doses remarkably higher
than the doses that can be ingested through food (Domingo,
1996). Vanadium can cross the placental barrier (Edel &
Sabbioni, 1989; Paternain et al., 1990) but appears to accumulate
in fetal membranes rather than in the fetus itself (Roshchin et al.,
1980; Hackett & Kelman, 1983; IPCS, 1988). However,
Underwood (1977) determined that the metal could accumulate
in the fetal skeleton.
Roshchin et al. (1980) reported that administration of
vanadium (oxidation state undefined) to pregnant rats on
days 21 and 22 of gestation causes accumulation of this metal
in the placenta; however, vanadium does not cross the placental
barrier. Nonetheless, the researchers observed some embryotoxic
effects, like increased mortality, when vanadium was administered on day 10 of pregnancy. Wide (1984) found that intravenous
administration of 0.15 ml of 1 mM V2O5 (V5) to mice on day 8
of gestation caused a decrease in skeletal ossification areas in 71%
of fetuses, with an increased number of non-viable implants, and
9% of fetuses examined on day 17 of gestation had a broken spine.
In hamsters, a mild transplacental effect was reported
after applying ammonium metavanadate (V5, 0.47, 1.88, and
3.75 mg NH4VO3/kg/day) intraperitoneally to pregnant females
from days 510 of gestation. No toxic effects were observed
in the mother at any dose, but skeletal abnormalities occurred,
e.g. micrognathia, supernumerary ribs, and alterations in ossification of the sternebrae. Despite these abnormalities, it was
suggested that the low incidence and lack of a dose-dependent
response was not definitive proof that NH4VO3 was teratogenic
(Carlton et al., 1982).
Edel & Sabbioni (1989), after applying intravenous injections
of pentavanadate with [48V]-labeled vanadium at doses of 0.1 mg
V5/animal to pregnant rats on day 12 of gestation, found
significant amounts of vanadium in the liver, intestine, and kidney
of fetuses, proving that vanadium in this form crosses the
placental barrier and is metabolized by the fetus. Moreover, V4
crosses the placenta and reaches the fetus, as demonstrated by the
results reported by the same authors when applying vanadyl
sulfate pentahydrate (V4) to pregnant female mice by intragastric
gavage on days 615 of pregnancy. In this case, the authors
postulated that the transport path through the placenta may be
facilitated by the formation of a complex with transferrin or
albumin.
Altamirano et al. (1991) evaluated the effect of V2O5 on the
early reproductive process in newborn rats. The researchers
intraperitoneally injected pre-pubertal male and female rats of the
CII-ZV strain every 2 d (from birth until day 21) at a dose of
12.5 mg/kg and another group of females from day 21 until the
day of the first vaginal estrus. In the pre-pubertal and juvenile
females, no differences were observed in the vaginal opening or
estrous cycle; however, the ovulation rate was decreased in
young females treated with this compound. Notably, when
juvenile females were treated from day 21 post-partum, there
was an increase in weight of the submandibular glands, thymus,
and liver. In the males, an increase was also detected in the
seminal vesicles, thymus, and submandibular glands. These
results demonstrate that, similar to other metals, the toxicology
of vanadium has sex-based differences, with the male pre-pubertal
group being more susceptible than the female group.
As with the majority of toxic agents, the path or route of
exposure is critical to the effect produced, and this phenomenon is
clearly observed in the case of vanadium compounds. The oral
administration of sodium metavanadate (20 mg NaVO3/kg/day) to
rats on days 614 of gestation does not cause embryolethal or
teratogenic effects. However, if the NaVO3 is administered via the
intraperitoneal route to female mice from days 615 of gestation
at doses of 4 or 8 mg/kg/day, then an increase occurs in the
number of resorptions, dead fetuses, and cleft palates (Gomez
et al., 1992). Although the authors of this study reported the
presence of maternal toxicity, they postulated that the effect
observed in fetuses may be caused by direct contact of vanadium
with the tissues from embryos or fetuses and not by maternal
toxicity; however, it is likely that most of the effects produced by
the administration of vanadium compounds to pregnant females
(increased percentage of resorptions, fetal death, and fetal weight
reduction) is the result of maternal toxicity caused by high doses
of the compounds (Leonard & Gerber, 1998).
The oxidation number of vanadium in compounds is also a key
factor explaining the different responses found during assessments
of developmental toxicology. For example, intra-gastric administration of sodium orthovanadate (V5; at 0, 7.5, 15, 30, or 60 mg/
kg) to mice on days 615 of gestation caused maternal toxicity
observed as decreased weight and even death; however, no
teratogenic effects or embryo lethality were observed, although
delayed ossification occurred only at the highest dose (Sanchez
et al., 1991). Furthermore, oral administration of vanadyl sulfate
pentahydrate (V4; up to 150 mg/kg/day) to female mice from
days 615 of gestation caused maternal, embryonic, and fetal
toxicity (including teratogenicity) at all dosesespecially the
highest dosetested, with cleft palate and micrognathia being
the major malformations observed (Paternain et al., 1990).
DOI: 10.3109/1547691X.2013.791734
Conclusion
Metals can operate through hormonal or genotoxic pathways,
and some metals can penetrate the bloodtestis barrier, affecting
spermatogenesis by altering the integrity of the genetic material,
altering hormone production, or affecting the cell cycle in certain
cases (e.g. during meiotic non-disjunction). This damage can
cause adverse effects in the offspring. At high doses, vanadium
compounds can damage a developing organism in the uterus, but,
apparently, this effect is mainly due to maternal toxicity. Because
vanadium salts are inefficiently transferred to the fetus itself, fetal
malformations are found only at very high doses (specific agents
and corresponding doses reviewed in Leonard & Gerber, 1998).
The available data indicate the necessity for more studies
of the effects of vanadium in occupationally-, environmentally-,
or pharmacologically-exposed human populations. As demonstrated in the present review, animal models have been shown to
indicate that the reproductive toxicity of various vanadium
compounds depends on the dose, duration of treatment, route of
administration, sex, and species that is encountered.
Declaration of interest
The authors report no conflicts of interest. The authors alone are
responsible for the content and writing of the paper.
References
Al-Attas, O. S., Daheri, N. M., and Vigo, N. T. 1995. Vanadate enhances
insulin-receptor binding in gestational diabetic human placenta.
Cell. Biochem. Funct. 13:914.
Altamirano, M., Ayala, M. E., Flores, A., et al. 1991. Sex differences in
the effects of vanadium pentoxide administration to pre-pubertal rats.
Med. Sci. Res. 19:825826.
Altamirano-Lozano, M., Alvarez-Barrera, L., and Roldan-Reyes, E. 1993.
Cytogenic and teratogenic effects of vanadium pentoxide on mice.
Med. Sci. Res. 21:711713.
lvarez-Barrera, L., Basurto-Alcantara, F.,
Altamirano-Lozano, M., A
Valverde, M., and Rojas, E. 1996. Reprotoxic and genotoxic studies
of vanadium pentoxide in male mice. Teratogen. Carcinogen. Mutagan.
16:717.
lvarez-Barrera, L., et al.
Altamirano-Lozano, M. A., Valverde, M., A
1999. Genotoxic studies of vanadium pentoxide (V2O5) in male mice.
II. Effects in several mouse tissues. Teratogen. Carcinogen. Mutagen.
19:243255.
Aragon, A. M., and Altamirano-Lozano, M. 2001. Sperm and testicular
modifications induced by sub-chronic treatments with vanadium (IV)
in CD-1 mice. Reprod. Toxicol. 15:145151.
Aragon, M. A., Ayala, M. E., Fortoul, T. I., et al. 2005. Vanadiuminduced ultrastructural changes and apoptosis in male germ cells.
Reprod. Toxicol. 20:127134.
Attia, S. M., Badary, O. A., Hamada, F. M., et al. 2005. Ortho-vanadate
increased the frequency of aneuploid mouse sperm without micronucleus induction in mouse bone marrow erythrocytes at the same dose
level. Mutat. Res. 583:158167.
Bell, M. L., Belanger, K., Ebisu, K., et al. 2010. Prenatal exposure to
fine particulate matter and birth weight: variations by particulate
constituents and sources. Epidemiology 21:884891.
Byczkowski, J. Z., and Kulkarni A. P. 1998. Oxidative stress and
pro-oxidant biological effects of vanadium. In: Vanadium in the
M. A. Altamirano-Lozano et al.
environment. Part 2 (Nriagu, J. O., ed.). New York: John Wiley & Sons,
pp. 235264.
Carlton, B. D., Beneke, M. B., and Fisher, G. L. 1982. Assessment of
teratogenicity of ammonium vanadate using Syrian golden hamsters.
Environ. Res. 29:256262.
Castellini, C., Mourvaki, E., Sartini, B., et al. 2009. In vitro toxic effects
of metal compounds on kinetic traits and ultrastructure of rabbit
spermatozoa. Reprod. Toxicol. 27:4654.
Chandra, K. A., Ghosh, R., Chatterjee, A., and Sarkar, M. 2007a.
Amelioration of vanadium-induced testicular toxicity and adrenocortical hyperactivity by Vitamin E acetate in rats. Mol. Cell. Biochem.
306:189200.
Chandra, K. A., Ghosh, R., Chatterjee, A., and Sarkar, M. 2007b. Effects
of vanadate on male rat reproductive tract histology, oxidative stress
markers, and androgenic enzyme activities. J. Inorg. Biochem. 101:
944956.
Ciranni, R., Antonetti, M., and Migliore, L. 1995. Vanadium salts induce
cytogenetic effects in in vivo-treated mice. Mutat. Res. 343:5360.
Clarkson, T. W., Nordberg, G. F., and Sager, P. R. 1985. Reproductive and
developmental toxicity of metals. Scand. J. Work. Environ. Health. 11:
145154.
Crans, D. C., Smee, J. J., Gaidamauskas, E., and Yang, L. 2004. The
chemistry and biochemistry of vanadium and biological activities
exerted by vanadium compounds. Chem. Rev. 104:849902.
Danielsson, B. R., Dencker, L., Lindgren, A., and Tjalve, H. 1984.
Accumulation of toxic metals in male reproduction organs. Arch.
Toxicol. 7:177180.
DCruz, O. J., Dong, Y., and Uckun, F. M. 1999. Spermicidal activity
of oxovanadium(IV) complexes of 1,10-phenanthroline, 2,20 -bipyridyl,
50 -bromo-20 -hydroxyacetophenone, and derivatives in humans. Biol.
Reprod. 60:435444.
DCruz, O. J., and Uckun, F. M. 2000. Vanadocene-mediated in vivo
male germ cell apoptosis. Toxicol. Appl. Pharmacol. 166:186195.
Domingo, J. L. 1996. Vanadium: a review of the reproductive and
developmental toxicity. Reprod. Toxicol. 10:175182.
Domingo, J. L., Paternain, J. L., Llobet, J. M., and Corbella, J. 1986.
Effects of vanadium on reproduction, gestation, parturition, and
lactation in rats upon oral administration. Life Sci. 39:819824.
Edel, J., and Sabbioni, E. 1989. Vanadium transport across placenta
and milk of rats to the fetus and newborn. Biol. Trace Elem. Res. 22:
265275.
Ehrlich, V. A., Nersesyan, A. K., Hoelzl, C., et al. 2008. Inhalative
exposure to vanadium pentoxide causes DNA damage in workers:
results of a multiple endpoint study. Environ. Health Perspecy. 116:
16891693.
Eriksson, U. J., and Borg L. A. 1991. Protection by free oxygen radical
scavenging enzymes against glucose-induced malformations in vitro.
Diabetologia 34:325331.
Ganguli, S., Reuland, D. J., Franklin, L. A., and Tucker, M. 1994. Effect
of vanadate on reproductive efficiency in normal and streptozin-treated
diabetic rats. Metabolism 43:13441348.
Gomez, M., Sanchez, D. J., Domingo, J. L., and Corbella, J. 1992.
Embryotoxic and teratogenic effects of intraperitoneally-administered
metavanadate in mice. J. Toxicol. Environ. Health. 37:4756.
Hackett, P. L., and Kelman, B. J. 1983. Availability of toxic trace metals
to the conceptus. Sci. Total Environ. 28:433442.
Hirao, T. 2000. Redox reactions via vanadium-induced electron transfer.
J. Inorg. Biochem. 80:2733.
IARC (International Agency for Research on Cancer). 2006. Monographs
on the Evaluation of Carcinogenic Risk to Humans. Cobalt in
Hard-Metals and Cobalt Sulphate, Gallium Arsenide, Indium
Phosphide, and Vanadium Pentoxide. Vol. 86. Lyon, France: IARC.
IPCS (International Programme on Chemical Safety). 1988. No. 81.
Vanadium. Environmental Health Criteria. Geneva: World Health
Organization.
Ivancsits, S., Pilger, A., Diem, E., et al. 2002. Vanadate induces DNA
strand breaks in culture human fibroblasts at doses relevant to
occupational exposure. Mutat. Res. 519:2535.
Jain, G. C., Pareek, H., Shama, S., et al. 2007. Reproductive toxicity of
vanadyl sulfate in male rats. J. Health Sci. 53:137141.
Kamboj, V. P., and Kar, A. B. 1964. Anti-testicular effect of metallic and
rare earth salts. J. Reprod. Fertil. 7:2128.
Kim, J. H., Do, H. J., Wang, W. H., et al. 1999. A protein tyrosine
phosphatase inhibitor, sodium orthovanadate, causes parthenogenetic
activation of pig oocytes via increase in protein tyrosine kinase
activity. Biol. Reprod. 61:900905.
DOI: 10.3109/1547691X.2013.791734
Xu, B., Chia, S. E., Tsakok, M., and Ong, C. N. 1993. Trace elements
in blood and seminal plasma and their relationship to sperm quality.
Reprod. Toxicol. 7:613618.
Yamaguchi, M., Oishi, H., and Suketa, Y. 1989. Effects of vanadium
on bone metabolism in weanling rats: zinc prevents the toxic effects
of vanadium. Res. Exp. Med. 189:4753.