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Undid revision 778145095 by 145.118.88.62 (talk) "updated" chapter is from 2005 book. see http://www.who.int/water_sanitation_health/dwq/nutrientsindw.pdf
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Biologically synthesized organofluorines have been found in microorganisms and plants,<ref name=Gribble>{{cite journal|last1 =Gribble|first1 =Gordon W.|title =Naturally occurring organofluorines|volume =3N|pages =121–136|year =2002|doi =10.1007/10721878_5|journal= The Handbook of Environmental Chemistry|series =The Handbook of Environmental Chemistry|isbn =3-540-42064-9}}</ref> but not in animals.<ref name="Murphy2003">{{Cite journal| last1 = Murphy |pmid=12738270| first1 = C.| last2 = Schaffrath| first2 = C.| last3 = O'Hagan| first3 = D.| title = Fluorinated natural products: The biosynthesis of fluoroacetate and 4-fluorothreonine in ''Streptomyces cattleya''| doi = 10.1016/S0045-6535(03)00191-7| year = 2003| journal= Chemosphere| volume = 52| issue = 2| pages =455–461}}</ref> The most common example is [[sodium fluoroacetate|fluoroacetate]], with an active poison molecule identical to commercial "1080". It is used as a [[plant defense against herbivores|defense against herbivores]] by at least 40 green plants in Australia, Brazil, and Africa;<ref name="Proudfoot">{{cite journal |last1=Proudfoot|first1 = A. T.|last2= Bradberry|first2= S. M. |last3= Vale |first3= J. A. |title=Sodium fluoroacetate poisoning |journal=Toxicological Reviews |volume=25 |issue=4 |pages=213–219 |year=2006 |pmid=17288493 |doi=10.2165/00139709-200625040-00002}}</ref> other biologically synthesized organofluorines include ω-fluoro [[fatty acid]]s, fluoroacetone, and 2-fluorocitrate.<ref name="Murphy2003"/> In bacteria, the enzyme [[adenosyl-fluoride synthase]], which makes the carbon–fluorine bond, has been isolated. The discovery was touted as possibly leading to biological routes for organofluorine synthesis.<ref>{{cite journal|last1= O'Hagan |first1=D.|last2= Schaffrath |first2=C. |last3=Cobb |first3=S. L. |last4=Hamilton |first4=J. T. |last5=Murphy |first5=C. D.|year = 2002|title = Biochemistry: Biosynthesis of an organofluorine molecule|journal= Nature |volume = 416|page = 279 |pmid = 11907567|doi = 10.1038/416279a|issue = 6878|bibcode = 2002Natur.416..279O }}</ref>
Biologically synthesized organofluorines have been found in microorganisms and plants,<ref name=Gribble>{{cite journal|last1 =Gribble|first1 =Gordon W.|title =Naturally occurring organofluorines|volume =3N|pages =121–136|year =2002|doi =10.1007/10721878_5|journal= The Handbook of Environmental Chemistry|series =The Handbook of Environmental Chemistry|isbn =3-540-42064-9}}</ref> but not in animals.<ref name="Murphy2003">{{Cite journal| last1 = Murphy |pmid=12738270| first1 = C.| last2 = Schaffrath| first2 = C.| last3 = O'Hagan| first3 = D.| title = Fluorinated natural products: The biosynthesis of fluoroacetate and 4-fluorothreonine in ''Streptomyces cattleya''| doi = 10.1016/S0045-6535(03)00191-7| year = 2003| journal= Chemosphere| volume = 52| issue = 2| pages =455–461}}</ref> The most common example is [[sodium fluoroacetate|fluoroacetate]], with an active poison molecule identical to commercial "1080". It is used as a [[plant defense against herbivores|defense against herbivores]] by at least 40 green plants in Australia, Brazil, and Africa;<ref name="Proudfoot">{{cite journal |last1=Proudfoot|first1 = A. T.|last2= Bradberry|first2= S. M. |last3= Vale |first3= J. A. |title=Sodium fluoroacetate poisoning |journal=Toxicological Reviews |volume=25 |issue=4 |pages=213–219 |year=2006 |pmid=17288493 |doi=10.2165/00139709-200625040-00002}}</ref> other biologically synthesized organofluorines include ω-fluoro [[fatty acid]]s, fluoroacetone, and 2-fluorocitrate.<ref name="Murphy2003"/> In bacteria, the enzyme [[adenosyl-fluoride synthase]], which makes the carbon–fluorine bond, has been isolated. The discovery was touted as possibly leading to biological routes for organofluorine synthesis.<ref>{{cite journal|last1= O'Hagan |first1=D.|last2= Schaffrath |first2=C. |last3=Cobb |first3=S. L. |last4=Hamilton |first4=J. T. |last5=Murphy |first5=C. D.|year = 2002|title = Biochemistry: Biosynthesis of an organofluorine molecule|journal= Nature |volume = 416|page = 279 |pmid = 11907567|doi = 10.1038/416279a|issue = 6878|bibcode = 2002Natur.416..279O }}</ref>


Fluoride is not considered an [[micronutrient|essential]] mineral element for mammals and humans.<ref name="quott">{{cite report|last1= Olivares |first1=M. |last2= Uauy |first2=R.|year = 2004| url=http://www.who.int/water_sanitation_health/dwq/en/nutoverview.pdf|title=Essential nutrients in drinking water (Draft)|publisher=[[World Health Organization|WHO]]|accessdate=30 December 2008}}</ref> Small amounts of fluoride may be beneficial for bone strength, but this is an issue only in the formulation of artificial diets.<ref name="gastroenterology1">{{cite journal|last1 = Nielsen|first1 = Forrest H.|doi = 10.1053/j.gastro.2009.07.072|title = Micronutrients in parenteral nutrition: Boron, silicon, and fluoride|pmid = 19874950|year = 2009|journal= Gastroenterology|volume = 137|issue = 5 Suppl|pages =S55–S60}}</ref> See also "[[Fluoride deficiency]]".
Fluoride is not considered an [[micronutrient|essential]] mineral element for mammals and humans.<ref name="quott">{{cite report|last1=Olivares |first1=M. |last2=Uauy |first2=R. |year=2004 |url=http://www.who.int/water_sanitation_health/dwq/en/nutoverview.pdf |title=Essential nutrients in drinking water (Draft) |publisher=[[World Health Organization|WHO]] |accessdate=30 December 2008 |deadurl=yes |archiveurl=https://web.archive.org/web/20121019174633/http://www.who.int/water_sanitation_health/dwq/en/nutoverview.pdf |archivedate=19 October 2012 |df= }}</ref> Small amounts of fluoride may be beneficial for bone strength, but this is an issue only in the formulation of artificial diets.<ref name="gastroenterology1">{{cite journal|last1 = Nielsen|first1 = Forrest H.|doi = 10.1053/j.gastro.2009.07.072|title = Micronutrients in parenteral nutrition: Boron, silicon, and fluoride|pmid = 19874950|year = 2009|journal= Gastroenterology|volume = 137|issue = 5 Suppl|pages =S55–S60}}</ref> See also "[[Fluoride deficiency]]".


==Dental care==
==Dental care==
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Water fluoridation is the controlled addition of fluoride to a [[public water supply]] to reduce tooth decay.<ref>{{cite journal |title= Recommendations for using fluoride to prevent and control dental caries in the United States |author= Centers for Disease Control and Prevention |journal= MMWR Recommendations and Reports |volume=50 |issue=RR–14 |pages=1–42 |year=2001 |pmid=11521913 |url=http://cdc.gov/mmwr/preview/mmwrhtml/rr5014a1.htm}}</ref> Its use began in the 1940s, following studies of children in a region where water is naturally fluoridated. It is now used for about two-thirds of the U.S. population on public water systems<ref name=Ripa>{{cite journal |author= Ripa, L. W. |url=http://aaphd.org/docs/position%20papers/A%20Half-Century%20of%20Community%20Water1993.pdf |archiveurl=https://web.archive.org/web/20090304021822/http://aaphd.org/docs/position%20papers/A%20Half-Century%20of%20Community%20Water1993.pdf |archivedate=2009-03-04 |title= A half-century of community water fluoridation in the United States: review and commentary |journal= Journal of Public Health Dentistry |volume=53 |issue=1 |pages=17–44 |year=1993 |pmid=8474047 |doi= 10.1111/j.1752-7325.1993.tb02666.x}}</ref> and for about 5.7% of people worldwide.<ref name=Cheng2007>{{cite journal |author1=Cheng, K. K. |author2=Chalmers, I. |author3=Sheldon, T. A. |title= Adding fluoride to water supplies |url=http://www.appgaf.org.uk/data/433-water-fluoridation.pdf| journal=BMJ |volume=335 |issue=7622 |pages=699–702 |year=2007 |pmid=17916854 |pmc=2001050 |doi=10.1136/bmj.39318.562951.BE}}</ref> Although the best available evidence shows no association with adverse effects other than fluorosis (dental and, in worse cases, skeletal), most of which is mild,<ref>{{cite book|isbn=9789350252161 |year=2011 |title=A textbook of public health dentistry|author= Marya, C. M.|page=343|publisher=JP Medical Limited}}</ref> water fluoridation has been contentious for ethical, safety, and efficacy reasons,<ref name=Cheng2007/> and [[opposition to water fluoridation]] exists despite its support by [[public health]] organizations.<ref>{{cite journal |last=Armfield|first=J. M.|title= When public action undermines public health: A critical examination of antifluoridationist literature |journal= Australia and New Zealand Health Policy |volume=4 |page=25 |year=2007 |pmid=18067684 |pmc=2222595 |doi=10.1186/1743-8462-4-25|issue=1}}</ref> The benefits of water fluoridation have lessened recently, presumably because of the availability of fluoride in other forms, but are still measurable, particularly for low income groups.<ref name="Dental caries"/> [[Systematic review]]s in 2000 and 2007 showed significant reduction of cavities in children associated with water fluoridation.<ref name=NHMRC>{{cite web |url=http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/eh41_1.pdf |accessdate=24 February 2009 |year=2007 |title= A systematic review of the efficacy and safety of fluoridation |author= National Health and Medical Research Council (Australia)}} Summary: {{cite journal |author= Yeung, C. A. |title= A systematic review of the efficacy and safety of fluoridation |journal= Evidence-Based Dentistry |volume=9 |issue=2 |pages=39–43 |year=2008 |pmid=18584000 |doi=10.1038/sj.ebd.6400578 |laydate=2007 |laysource=NHMRC}}</ref>
Water fluoridation is the controlled addition of fluoride to a [[public water supply]] to reduce tooth decay.<ref>{{cite journal |title= Recommendations for using fluoride to prevent and control dental caries in the United States |author= Centers for Disease Control and Prevention |journal= MMWR Recommendations and Reports |volume=50 |issue=RR–14 |pages=1–42 |year=2001 |pmid=11521913 |url=http://cdc.gov/mmwr/preview/mmwrhtml/rr5014a1.htm}}</ref> Its use began in the 1940s, following studies of children in a region where water is naturally fluoridated. It is now used for about two-thirds of the U.S. population on public water systems<ref name=Ripa>{{cite journal |author= Ripa, L. W. |url=http://aaphd.org/docs/position%20papers/A%20Half-Century%20of%20Community%20Water1993.pdf |archiveurl=https://web.archive.org/web/20090304021822/http://aaphd.org/docs/position%20papers/A%20Half-Century%20of%20Community%20Water1993.pdf |archivedate=2009-03-04 |title= A half-century of community water fluoridation in the United States: review and commentary |journal= Journal of Public Health Dentistry |volume=53 |issue=1 |pages=17–44 |year=1993 |pmid=8474047 |doi= 10.1111/j.1752-7325.1993.tb02666.x}}</ref> and for about 5.7% of people worldwide.<ref name=Cheng2007>{{cite journal |author1=Cheng, K. K. |author2=Chalmers, I. |author3=Sheldon, T. A. |title= Adding fluoride to water supplies |url=http://www.appgaf.org.uk/data/433-water-fluoridation.pdf| journal=BMJ |volume=335 |issue=7622 |pages=699–702 |year=2007 |pmid=17916854 |pmc=2001050 |doi=10.1136/bmj.39318.562951.BE}}</ref> Although the best available evidence shows no association with adverse effects other than fluorosis (dental and, in worse cases, skeletal), most of which is mild,<ref>{{cite book|isbn=9789350252161 |year=2011 |title=A textbook of public health dentistry|author= Marya, C. M.|page=343|publisher=JP Medical Limited}}</ref> water fluoridation has been contentious for ethical, safety, and efficacy reasons,<ref name=Cheng2007/> and [[opposition to water fluoridation]] exists despite its support by [[public health]] organizations.<ref>{{cite journal |last=Armfield|first=J. M.|title= When public action undermines public health: A critical examination of antifluoridationist literature |journal= Australia and New Zealand Health Policy |volume=4 |page=25 |year=2007 |pmid=18067684 |pmc=2222595 |doi=10.1186/1743-8462-4-25|issue=1}}</ref> The benefits of water fluoridation have lessened recently, presumably because of the availability of fluoride in other forms, but are still measurable, particularly for low income groups.<ref name="Dental caries"/> [[Systematic review]]s in 2000 and 2007 showed significant reduction of cavities in children associated with water fluoridation.<ref name=NHMRC>{{cite web |url=http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/eh41_1.pdf |accessdate=24 February 2009 |year=2007 |title= A systematic review of the efficacy and safety of fluoridation |author= National Health and Medical Research Council (Australia)}} Summary: {{cite journal |author= Yeung, C. A. |title= A systematic review of the efficacy and safety of fluoridation |journal= Evidence-Based Dentistry |volume=9 |issue=2 |pages=39–43 |year=2008 |pmid=18584000 |doi=10.1038/sj.ebd.6400578 |laydate=2007 |laysource=NHMRC}}</ref>


Sodium fluoride, [[tin(II) fluoride|tin difluoride]], and, most commonly, [[sodium monofluorophosphate]], are used in [[toothpaste]]. In 1955, the first fluoride toothpaste was introduced in the United States. Now, almost all toothpaste in developed countries is fluoridated. For example, 95% of European toothpaste contains fluoride.<ref name="Dental caries">{{cite book|title=Dental caries: The disease and its clinical management|year=2008|publisher=John Wiley & Sons|isbn=978-1-4051-3889-5|url=https://books.google.com/books?id=fZfXWhSmG1UC&pg=PA518|author=Fejerskov, Ole|author2=Kidd, Edwina|page=518}}</ref> Gels and foams are often advised for special patient groups, particularly those undergoing radiation therapy to the head (cancer patients). The patient receives a four-minute application of a high amount of fluoride. Varnishes, which can be more quickly applied, exist and perform a similar function. Fluoride is also contained in prescription and non-prescription mouthwashes and is a trace component of foods manufactured using fluoridated water supplies.<ref name="Crest continuing ed">{{cite web|last=Cracher|first=Connie Myers|title=Current concepts in preventive dentistry|url=http://www.dentalcare.com/media/en-US/education/ce334/ce334.pdf|publisher=dentalcare.com|accessdate=20 January 2012|page=12|year=2009}}</ref>
Sodium fluoride, [[tin(II) fluoride|tin difluoride]], and, most commonly, [[sodium monofluorophosphate]], are used in [[toothpaste]]. In 1955, the first fluoride toothpaste was introduced in the United States. Now, almost all toothpaste in developed countries is fluoridated. For example, 95% of European toothpaste contains fluoride.<ref name="Dental caries">{{cite book|title=Dental caries: The disease and its clinical management|year=2008|publisher=John Wiley & Sons|isbn=978-1-4051-3889-5|url=https://books.google.com/books?id=fZfXWhSmG1UC&pg=PA518|author=Fejerskov, Ole|author2=Kidd, Edwina|page=518}}</ref> Gels and foams are often advised for special patient groups, particularly those undergoing radiation therapy to the head (cancer patients). The patient receives a four-minute application of a high amount of fluoride. Varnishes, which can be more quickly applied, exist and perform a similar function. Fluoride is also contained in prescription and non-prescription mouthwashes and is a trace component of foods manufactured using fluoridated water supplies.<ref name="Crest continuing ed">{{cite web|last=Cracher |first=Connie Myers |title=Current concepts in preventive dentistry |url=http://www.dentalcare.com/media/en-US/education/ce334/ce334.pdf |publisher=dentalcare.com |accessdate=20 January 2012 |page=12 |year=2009 |deadurl=yes |archiveurl=https://web.archive.org/web/20131014172105/http://www.dentalcare.com/media/en-US/education/ce334/ce334.pdf |archivedate=14 October 2013 |df= }}</ref>


==Medical applications==
==Medical applications==
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Fluorines also find their uses in common [[mineralocorticoid]]s, a class of drugs that increase the [[blood pressure]]. Adding a fluorine increases both its medical power and anti-inflammatory effects.<ref>{{cite book|title=Glucocorticoids|author1=Goulding, Nicolas J. |author2=Flower, Rod J. |page=40|publisher=Springer|year=2001|isbn=9783764360597}}</ref> Fluorine-containing [[fludrocortisone]] is one of the most common of these drugs.<ref name="dontburn"/> [[Dexamethasone]] and [[triamcinolone]], which are among the most potent of the related synthetic [[corticosteroid]]s class of drugs, contain fluorine as well.<ref name="dontburn">{{cite book |title=Pain-relieving procedures: The illustrated guide |page=58 |publisher=John Wiley & Sons |year=2012 |last1=Raj |first1=P. Prithvi |last2=Erdine |first2=Serdar |isbn=9781118300459}}</ref>
Fluorines also find their uses in common [[mineralocorticoid]]s, a class of drugs that increase the [[blood pressure]]. Adding a fluorine increases both its medical power and anti-inflammatory effects.<ref>{{cite book|title=Glucocorticoids|author1=Goulding, Nicolas J. |author2=Flower, Rod J. |page=40|publisher=Springer|year=2001|isbn=9783764360597}}</ref> Fluorine-containing [[fludrocortisone]] is one of the most common of these drugs.<ref name="dontburn"/> [[Dexamethasone]] and [[triamcinolone]], which are among the most potent of the related synthetic [[corticosteroid]]s class of drugs, contain fluorine as well.<ref name="dontburn">{{cite book |title=Pain-relieving procedures: The illustrated guide |page=58 |publisher=John Wiley & Sons |year=2012 |last1=Raj |first1=P. Prithvi |last2=Erdine |first2=Serdar |isbn=9781118300459}}</ref>


Several inhaled general [[anesthetic]] agents, including the most commonly used inhaled agents, also contain fluorine. The first fluorinated anesthetic agent, [[halothane]], proved to be much safer (neither explosive nor flammable) and longer-lasting than those previously used. Modern fluorinated anesthetics are longer-lasting still and almost insoluble in blood, which accelerates the awakening.<ref name="anestetics">{{cite book |title=Bioorganic and Medicinal Chemistry of Fluorine |pages=335–336 |publisher= John Wiley & Sons |year=2008 |last1= Bégué |first1=Jean-Pierre |last2=Bonnet-Delpon |first2=Daniele |isbn=9780470281871}}</ref> Examples include [[sevoflurane]], [[desflurane]], [[enflurane]], and [[isoflurane]], all [[hydrofluorocarbon]] derivatives.<ref name="fut">{{cite journal |last1=Filler |first1=R. |last2=Saha |first2=R. |url=http://www.future-science-group.com/_img/pics/fluorine_in_medicinal_chemistry.....pdf |title=Fluorine in medicinal chemistry: A century of progress and a 60-year retrospective of selected highlights |journal=Future Medicinal Chemistry |volume=1 |issue=5 |pages=777–791 |year=2009 |pmid=21426080 |doi=10.4155/fmc.09.65}}</ref>
Several inhaled general [[anesthetic]] agents, including the most commonly used inhaled agents, also contain fluorine. The first fluorinated anesthetic agent, [[halothane]], proved to be much safer (neither explosive nor flammable) and longer-lasting than those previously used. Modern fluorinated anesthetics are longer-lasting still and almost insoluble in blood, which accelerates the awakening.<ref name="anestetics">{{cite book |title=Bioorganic and Medicinal Chemistry of Fluorine |pages=335–336 |publisher= John Wiley & Sons |year=2008 |last1= Bégué |first1=Jean-Pierre |last2=Bonnet-Delpon |first2=Daniele |isbn=9780470281871}}</ref> Examples include [[sevoflurane]], [[desflurane]], [[enflurane]], and [[isoflurane]], all [[hydrofluorocarbon]] derivatives.<ref name="fut">{{cite journal|last1=Filler |first1=R. |last2=Saha |first2=R. |url=http://www.future-science-group.com/_img/pics/fluorine_in_medicinal_chemistry.....pdf |title=Fluorine in medicinal chemistry: A century of progress and a 60-year retrospective of selected highlights |journal=Future Medicinal Chemistry |volume=1 |issue=5 |pages=777–791 |year=2009 |pmid=21426080 |doi=10.4155/fmc.09.65 |deadurl=yes |archiveurl=https://web.archive.org/web/20131022021207/http://www.future-science-group.com/_img/pics/fluorine_in_medicinal_chemistry.....pdf |archivedate=2013-10-22 |df= }}</ref>


Prior to the 1980s, antidepressants altered not only [[serotonin]] uptake (lack of serotonin is a reason for a depression), but also the uptake of altered [[norepinephrine]]; the latter caused most of the side effects of antidepressants. The first drug to alter only the serotonin uptake was [[Prozac]]; it gave birth to the extensive [[selective serotonin reuptake inhibitor]] (SSRI) antidepressant class and is the best-selling antidepressant. Many other SSRI antidepressants are fluorinated organics, including [[citalopram|Celexa]], [[Fluvoxamine|Luvox]], and [[escitalopram|Lexapro]].<ref>{{cite book|title = Antidepressants|year = 2004|pages=37–39|last1 = Mitchell|first1 = E. Siobhan|last2 = Triggle|first2 = D. J.|publisher = Infobase Publishing|isbn=978-1-4381-0192-7}}</ref> [[Quinolone|Fluoroquinolones]] are a commonly used family of [[broad-spectrum antibiotic]]s.<ref name="pmid17342653">{{Cite journal|author1=Nelson, J. M. |author2=Chiller, T. M. |author3=Powers, J. H. |author4=Angulo, F. J. |title=Fluoroquinolone-resistant Campylobacter species and the withdrawal of fluoroquinolones from use in poultry: a public health success story |url=http://www.cdc.gov/narms/pdf/JNelson_FluoroquinoloneRCampy_CID.pdf|journal=Clinical Infectious Diseases |volume=44 |issue=7 |pages=977–980 |year=2007 |pmid=17342653 |doi=10.1086/512369}}</ref>
Prior to the 1980s, antidepressants altered not only [[serotonin]] uptake (lack of serotonin is a reason for a depression), but also the uptake of altered [[norepinephrine]]; the latter caused most of the side effects of antidepressants. The first drug to alter only the serotonin uptake was [[Prozac]]; it gave birth to the extensive [[selective serotonin reuptake inhibitor]] (SSRI) antidepressant class and is the best-selling antidepressant. Many other SSRI antidepressants are fluorinated organics, including [[citalopram|Celexa]], [[Fluvoxamine|Luvox]], and [[escitalopram|Lexapro]].<ref>{{cite book|title = Antidepressants|year = 2004|pages=37–39|last1 = Mitchell|first1 = E. Siobhan|last2 = Triggle|first2 = D. J.|publisher = Infobase Publishing|isbn=978-1-4381-0192-7}}</ref> [[Quinolone|Fluoroquinolones]] are a commonly used family of [[broad-spectrum antibiotic]]s.<ref name="pmid17342653">{{Cite journal|author1=Nelson, J. M. |author2=Chiller, T. M. |author3=Powers, J. H. |author4=Angulo, F. J. |title=Fluoroquinolone-resistant Campylobacter species and the withdrawal of fluoroquinolones from use in poultry: a public health success story |url=http://www.cdc.gov/narms/pdf/JNelson_FluoroquinoloneRCampy_CID.pdf|journal=Clinical Infectious Diseases |volume=44 |issue=7 |pages=977–980 |year=2007 |pmid=17342653 |doi=10.1086/512369}}</ref>
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Perfluorocarbons are banned from sports, where they may be used to increase oxygen use for endurance athletes. One cyclist, [[Mauro Gianetti]] was investigated after a near fatality where PFC use was suspected.<ref>{{cite news|last=Gains|first=Paul|title=A New Threat in Blood Doping|url=https://www.nytimes.com/1998/10/18/sports/a-new-threat-in-blood-doping.html|newspaper=New York Times|date=October 18, 1998}}</ref><ref>http://www.salon.com/1999/04/21/cycling/</ref>
Perfluorocarbons are banned from sports, where they may be used to increase oxygen use for endurance athletes. One cyclist, [[Mauro Gianetti]] was investigated after a near fatality where PFC use was suspected.<ref>{{cite news|last=Gains|first=Paul|title=A New Threat in Blood Doping|url=https://www.nytimes.com/1998/10/18/sports/a-new-threat-in-blood-doping.html|newspaper=New York Times|date=October 18, 1998}}</ref><ref>http://www.salon.com/1999/04/21/cycling/</ref>


Other posited applications include deep sea diving and space travel, applications that both require total, not partial, liquid ventilation.<ref name=kylstra>{{cite book |title=The feasibility of liquid breathing in man |author=Kylstra, J. A. |year=1977 |publisher=Duke University |url=http://archive.rubicon-foundation.org/4257 |accessdate=5 May 2008}}</ref><ref>{{cite web |url=http://www.experiencefestival.com/liquid_breathing_-_space_travel |title=Liquid breathing – Space travel |accessdate=17 May 2008| publisher=experiencefestival.com |author=The Global Oneness Commitment}}</ref> The 1989 film [[The Abyss]] showed a fictional use of perfluorocarbon for human diving but also filmed a real rat surviving while cooled and immersed in perfluorocarbon.<ref>{{cite journal|author=Aljean Harmetz|year=1989|url=https://query.nytimes.com/gst/fullpage.html?res=950DE0D7133DF935A3575BC0A96F948260&sec=&spon=&pagewanted=all|title= FILM; 'The Abyss': A foray into deep waters |journal=The New York Times|accessdate=2 October 2012}}</ref> (See also [[Liquid breathing#Examples in fiction|list of fictional treatments]] of perfluorocarbon breathing.)
Other posited applications include deep sea diving and space travel, applications that both require total, not partial, liquid ventilation.<ref name=kylstra>{{cite book |title=The feasibility of liquid breathing in man |author=Kylstra, J. A. |year=1977 |publisher=Duke University |url=http://archive.rubicon-foundation.org/4257 |accessdate=5 May 2008}}</ref><ref>{{cite web|url=http://www.experiencefestival.com/liquid_breathing_-_space_travel |title=Liquid breathing – Space travel |accessdate=17 May 2008 |publisher=experiencefestival.com |author=The Global Oneness Commitment |deadurl=yes |archiveurl=https://web.archive.org/web/20100417124924/http://www.experiencefestival.com/liquid_breathing_-_space_travel |archivedate=17 April 2010 |df= }}</ref> The 1989 film [[The Abyss]] showed a fictional use of perfluorocarbon for human diving but also filmed a real rat surviving while cooled and immersed in perfluorocarbon.<ref>{{cite journal|author=Aljean Harmetz|year=1989|url=https://query.nytimes.com/gst/fullpage.html?res=950DE0D7133DF935A3575BC0A96F948260&sec=&spon=&pagewanted=all|title= FILM; 'The Abyss': A foray into deep waters |journal=The New York Times|accessdate=2 October 2012}}</ref> (See also [[Liquid breathing#Examples in fiction|list of fictional treatments]] of perfluorocarbon breathing.)


==Agrichemicals==
==Agrichemicals==
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[[Image:1080PoisonWarning gobeirne.png|thumb|Sign warning of poisonous sodium fluoroacetate baits]]
[[Image:1080PoisonWarning gobeirne.png|thumb|Sign warning of poisonous sodium fluoroacetate baits]]


Synthetic [[sodium fluoroacetate]] has been used as an insecticide, but it is especially effective against mammalian pests.<ref>{{cite report|url = http://www.pwrc.usgs.gov/infobase/eisler/CHR_30_Sodium_monofluoroacetate.pdf|last = Eisler|first = Ronald|title = Biological report 27: Sodium monofluoroacetate (1080) Hazards to fish, wildlife and invertebrates: A synoptic review|publisher = Patuxent Environmental Science Center (U.S. National Biological Service)|year = 1995|accessdate =5 June 2011}}</ref> The name "1080" refers to the catalogue number of the poison, which became its brand name.<ref name="Proudfoot"/> Fluoroacetate is similar to acetate, which has a pivotal role in the [[Krebs cycle]] (a key part of cell metabolism). Fluoroacetate halts the cycle and causes cells to be deprived of energy.<ref name="Proudfoot"/> Several other insecticides contain sodium fluoride, which is much less toxic than fluoroacetate.<ref>{{cite web|publisher = Scorecard|title = Class I ozone-depleting substances|work = Sodium fluoride – pesticidal uses|url = http://scorecard.goodguide.com/chemical-profiles/pesticides.tcl?edf_substance_id=7681-49-4| accessdate =20 February 2011}}</ref>
Synthetic [[sodium fluoroacetate]] has been used as an insecticide, but it is especially effective against mammalian pests.<ref>{{cite report|url=http://www.pwrc.usgs.gov/infobase/eisler/CHR_30_Sodium_monofluoroacetate.pdf |last=Eisler |first=Ronald |title=Biological report 27: Sodium monofluoroacetate (1080) Hazards to fish, wildlife and invertebrates: A synoptic review |publisher=Patuxent Environmental Science Center (U.S. National Biological Service) |year=1995 |accessdate=5 June 2011 |deadurl=yes |archiveurl=https://web.archive.org/web/20100612141525/http://www.pwrc.usgs.gov/infobase/eisler/CHR_30_Sodium_monofluoroacetate.pdf |archivedate=12 June 2010 |df= }}</ref> The name "1080" refers to the catalogue number of the poison, which became its brand name.<ref name="Proudfoot"/> Fluoroacetate is similar to acetate, which has a pivotal role in the [[Krebs cycle]] (a key part of cell metabolism). Fluoroacetate halts the cycle and causes cells to be deprived of energy.<ref name="Proudfoot"/> Several other insecticides contain sodium fluoride, which is much less toxic than fluoroacetate.<ref>{{cite web|publisher = Scorecard|title = Class I ozone-depleting substances|work = Sodium fluoride – pesticidal uses|url = http://scorecard.goodguide.com/chemical-profiles/pesticides.tcl?edf_substance_id=7681-49-4| accessdate =20 February 2011}}</ref>


An estimated 30% of [[agrochemical|agrichemical compounds]] contain fluorine.<ref>{{cite web|title = Fluorine's treasure trove|accessdate =20 February 2011|url = http://www.icis.com/Articles/2006/09/30/2016413/fluorines-treasure-trove.html|publisher = ICIS news|date = 2006-10-02}}</ref> Most of them are used as poisons, but a few stimulate growth instead. It is expected that the extent of fluorine agrichemical use will depend on two factors: whether they improve the synthesis reaction (and thereby reduce prices), and whether[[green chemistry]] is taken into account on a large scale (fluorochemicals are more environment-friendly than other options).<ref>{{cite book|pages=121–176|author=Theodoridis, George|year=2006|isbn=9780444526724|publisher=Elseiver|title=Fluorine and the Environment: Agrochemicals, Archaeology, Green Chemistry & Water}}</ref>
An estimated 30% of [[agrochemical|agrichemical compounds]] contain fluorine.<ref>{{cite web|title = Fluorine's treasure trove|accessdate =20 February 2011|url = http://www.icis.com/Articles/2006/09/30/2016413/fluorines-treasure-trove.html|publisher = ICIS news|date = 2006-10-02}}</ref> Most of them are used as poisons, but a few stimulate growth instead. It is expected that the extent of fluorine agrichemical use will depend on two factors: whether they improve the synthesis reaction (and thereby reduce prices), and whether[[green chemistry]] is taken into account on a large scale (fluorochemicals are more environment-friendly than other options).<ref>{{cite book|pages=121–176|author=Theodoridis, George|year=2006|isbn=9780444526724|publisher=Elseiver|title=Fluorine and the Environment: Agrochemicals, Archaeology, Green Chemistry & Water}}</ref>

Revision as of 21:56, 22 May 2017

A rotating, transparent image of a human figure with targeted organs highlighted
PET scan using fluorine-18

Fluorine, a poisonous gas in its elemental form at biological temperatures, has been a subject of significant interest for a broad range of biological applications, including ecology, medical science, and biochemical engineering.

Among the most reactive of the elements, it has proven valuable in many potent industrial compounds that are quite dangerous to living organisms, such as the weak (but very toxic) acid hydrogen fluoride. Fluorine is a component of so-called "1080" poison, a mammal-killer banned in much of the world but still used to control populations of Australian foxes and American coyotes.

Because carbon-fluorine bonds are difficult to form, they are seldom found in nature. A few species of plants and bacteria found in the tropics make fluorine-containing poisons to deter predators from eating them. The same bond makes fluorination a powerful lever for new drug design, allowing the tweaking of organic molecules in innovative ways, which has led to several blockbuster commercial successes, such as Lipitor and Prozac.

When applied topically in dental products, the fluoride ion chemically binds to surface tooth enamel, making it marginally more acid-resistant. Although politically controversial, fluoridation of public water supplies has shown consistent benefits to dental hygiene, especially for poor children.

Manmade fluorinated compounds have also played a role in several noteworthy environmental concerns. Chlorofluorocarbons, once major components of numerous commercial aerosol products, have proven damaging to Earth's ozone layer and resulted in the wide-reaching Montreal Protocol (though in truth the chlorine in CFCs is the destructive actor, fluorine is an important part of these molecules because it makes them very stable and long-lived). Similarly, the stability of many organofluorines has raised the issue of biopersistence. Long-lived molecules from waterproofing sprays, for example PFOA and PFOS, are found worldwide in the tissues of wildlife and humans, including newborn children.

Fluorine biology is also relevant to a number of cutting-edge technologies. PFCs (perfluorocarbons) are capable of holding enough oxygen to support human liquid breathing. Several works of science fiction have touched on this application, but in the real world, researchers have experimented with PFCs for burned lung care and as blood substitutes. Fluorine in the form of its radioisotope 18F is also at the heart of a modern medical imaging technique known as positron emission tomography (PET). A PET scan produces three-dimensional colored images of parts of the body that use a lot of sugar, particularly the brain or tumors.

Natural biochemistry

South Africa's gifblaar is one of the few organisms that naturally produce fluorine compounds.

Biologically synthesized organofluorines have been found in microorganisms and plants,[1] but not in animals.[2] The most common example is fluoroacetate, with an active poison molecule identical to commercial "1080". It is used as a defense against herbivores by at least 40 green plants in Australia, Brazil, and Africa;[3] other biologically synthesized organofluorines include ω-fluoro fatty acids, fluoroacetone, and 2-fluorocitrate.[2] In bacteria, the enzyme adenosyl-fluoride synthase, which makes the carbon–fluorine bond, has been isolated. The discovery was touted as possibly leading to biological routes for organofluorine synthesis.[4]

Fluoride is not considered an essential mineral element for mammals and humans.[5] Small amounts of fluoride may be beneficial for bone strength, but this is an issue only in the formulation of artificial diets.[6] See also "Fluoride deficiency".

Dental care

Main articles: Fluoride therapy and Water fluoridation

Since the mid-20th century, it has been discerned from population studies (though incompletely understood) that fluoride reduces tooth decay. Initially, researchers hypothesized that fluoride helped by converting tooth enamel from the more acid-soluble mineral hydroxyapatite to the less acid-soluble mineral fluorapatite. However, more recent studies showed no difference in the frequency of caries (cavities) amongst teeth that were pre-fluoridated to different degrees. Current thinking is that fluoride prevents cavities primarily by helping teeth that are in the very early stages of tooth decay.[7]

white man holding plastic tray with brown goop in it and sticking a small stick into a black boy's open mouth
Topical fluoride treatment in Panama

When teeth begin to decay from the acid of sugar-consuming bacteria, calcium is lost (demineralization). However, teeth have a limited ability to recover calcium if decay is not too far advanced (remineralization). Fluoride appears to reduce demineralization and increase remineralization. Also, there is some evidence that fluoride interferes with the bacteria that consume sugars in the mouth and make tooth-destroying acids.[7] In any case, it is only the fluoride that is directly present in the mouth (topical treatment) that prevents cavities. Fluoride ions that are swallowed do not benefit the teeth.[7]

Water fluoridation is the controlled addition of fluoride to a public water supply to reduce tooth decay.[8] Its use began in the 1940s, following studies of children in a region where water is naturally fluoridated. It is now used for about two-thirds of the U.S. population on public water systems[9] and for about 5.7% of people worldwide.[10] Although the best available evidence shows no association with adverse effects other than fluorosis (dental and, in worse cases, skeletal), most of which is mild,[11] water fluoridation has been contentious for ethical, safety, and efficacy reasons,[10] and opposition to water fluoridation exists despite its support by public health organizations.[12] The benefits of water fluoridation have lessened recently, presumably because of the availability of fluoride in other forms, but are still measurable, particularly for low income groups.[13] Systematic reviews in 2000 and 2007 showed significant reduction of cavities in children associated with water fluoridation.[14]

Sodium fluoride, tin difluoride, and, most commonly, sodium monofluorophosphate, are used in toothpaste. In 1955, the first fluoride toothpaste was introduced in the United States. Now, almost all toothpaste in developed countries is fluoridated. For example, 95% of European toothpaste contains fluoride.[13] Gels and foams are often advised for special patient groups, particularly those undergoing radiation therapy to the head (cancer patients). The patient receives a four-minute application of a high amount of fluoride. Varnishes, which can be more quickly applied, exist and perform a similar function. Fluoride is also contained in prescription and non-prescription mouthwashes and is a trace component of foods manufactured using fluoridated water supplies.[15]

Medical applications

Pharmaceuticals

large image of just a capsule with words Prozac and DISTA visible
Prozac: one of several notable fluorine-containing drugs

Of all commercialized pharmaceutical drugs, twenty percent contain fluorine, including important drugs in many different pharmaceutical classes.[16] Fluorine is often added to drug molecules as even a single atom can greatly change the chemical properties of the molecule in desirable ways.

Because of the considerable stability of the carbon-fluorine bond, many drugs are fluorinated to delay their metabolism, which is the chemical process in which the drugs are turned into compounds that allows them to be eliminated. This prolongs their half-lives and allows for longer times between dosing and activation. For example, an aromatic ring may prevent the metabolism of a drug, but this presents a safety problem, because some aromatic compounds are metabolized in the body into poisonous epoxides by the organism's native enzymes. Substituting a fluorine into a para position, however, protects the aromatic ring and prevents the epoxide from being produced.[citation needed]

Adding fluorine to biologically active organics increases their lipophilicity (ability to dissolve in fats), because the carbon–fluorine bond is even more hydrophobic than the carbon–hydrogen bond. This effect often increases a drug's bioavailability because of increased cell membrane penetration.[17] Although the potential of fluorine being released in a fluoride leaving group depends on its position in the molecule,[18] organofluorides are generally very stable, since the carbon–fluorine bond is strong.

Fluorines also find their uses in common mineralocorticoids, a class of drugs that increase the blood pressure. Adding a fluorine increases both its medical power and anti-inflammatory effects.[19] Fluorine-containing fludrocortisone is one of the most common of these drugs.[20] Dexamethasone and triamcinolone, which are among the most potent of the related synthetic corticosteroids class of drugs, contain fluorine as well.[20]

Several inhaled general anesthetic agents, including the most commonly used inhaled agents, also contain fluorine. The first fluorinated anesthetic agent, halothane, proved to be much safer (neither explosive nor flammable) and longer-lasting than those previously used. Modern fluorinated anesthetics are longer-lasting still and almost insoluble in blood, which accelerates the awakening.[21] Examples include sevoflurane, desflurane, enflurane, and isoflurane, all hydrofluorocarbon derivatives.[22]

Prior to the 1980s, antidepressants altered not only serotonin uptake (lack of serotonin is a reason for a depression), but also the uptake of altered norepinephrine; the latter caused most of the side effects of antidepressants. The first drug to alter only the serotonin uptake was Prozac; it gave birth to the extensive selective serotonin reuptake inhibitor (SSRI) antidepressant class and is the best-selling antidepressant. Many other SSRI antidepressants are fluorinated organics, including Celexa, Luvox, and Lexapro.[23] Fluoroquinolones are a commonly used family of broad-spectrum antibiotics.[24]

Molecular structures of several fluorine-containing pharmaceuticals
Lipitor (atorvastatin) 5-FU (fluorouracil) Florinef (fludrocortisone) Isoflurane Risperdal (risperidone)

Scanning

Main articles: Positron emission tomography and Fludeoxyglucose (18F)
PET scan for diagnosis of Alzheimer's disease

Compounds containing fluorine-18, a radioactive isotope that emits positrons, are often used in positron emission tomography (PET) scanning, because the isotope's half-life of about 110 minutes is usefully long by positron-emitter standards. One such radiopharmaceutical is 2-deoxy-2-(18F)fluoro-D-glucose (generically referred to as fludeoxyglucose), commonly abbreviated as 18F-FDG, or simply FDG.[25] In PET imaging, FDG can be used for assessing glucose metabolism in the brain and for imaging cancer tumors. After injection into the blood, FDG is taken up by "FDG-avid" tissues with a high need for glucose, such as the brain and most types of malignant tumors.[26] Tomography, often assisted by a computer to form a PET/CT (CT stands for "computer tomography") machine, can then be used to diagnose or monitor treatment of cancers, especially Hodgkin's lymphoma, lung cancer, and breast cancer.[27]

Natural fluorine is monoisotopic, consisting solely of fluorine-19. Fluorine compounds are highly amenable to nuclear magnetic resonance (NMR), because fluorine-19 has a nuclear spin of 1⁄2, a high nuclear magnetic moment, and a high magnetogyric ratio. Fluorine compounds typically have a fast NMR relaxation, which enables the use of fast averaging to obtain a signal-to-noise ratio similar to hydrogen-1 NMR spectra.[28] Fluorine-19 is commonly used in NMR study of metabolism, protein structures and conformational changes.[29] In addition, inert fluorinated gases have the potential to be a cheap and efficient tool for imaging lung ventilation.[30]

Oxygen transport research

See also: Blood substitute and Liquid breathing

Liquid fluorocarbons have a very high capacity for holding gas in solution. They can hold more oxygen or carbon dioxide than blood does. For that reason, they have attracted ongoing interest related to the possibility of artificial blood or of liquid breathing.[31]

Computer-generated model of nanocrystal of perflubron (red) and gentamicin (white, an antibiotic)

Blood substitutes are the subject of research because the demand for blood transfusions grows faster than donations. In some scenarios, artificial blood may be more convenient or safe. Because fluorocarbons do not normally mix with water, they must be mixed into emulsions (small droplets of perfluorocarbon suspended in water) in order to be used as blood.[32][33] One such product, Oxycyte, has been through initial clinical trials.[34][35]

Possible medical uses of liquid breathing (which uses pure perfluorocarbon liquid, not a water emulsion) involve assistance for premature babies or for burn victims (if normal lung function is compromised). Both partial and complete filling of the lungs have been considered, although only the former has undergone any significant tests in humans. Several animal tests have been performed and there have been some human partial liquid ventilation trials.[36] One effort, by Alliance Pharmaceuticals, reached clinical trials but was abandoned because of insufficient advantage compared to other therapies.[37]

Nanocrystals represent a possible method of delivering water- or fat-soluble drugs within a perfluorochemical fluid. The use of these particles is being developed to help treat babies with damaged lungs.[38]

Perfluorocarbons are banned from sports, where they may be used to increase oxygen use for endurance athletes. One cyclist, Mauro Gianetti was investigated after a near fatality where PFC use was suspected.[39][40]

Other posited applications include deep sea diving and space travel, applications that both require total, not partial, liquid ventilation.[41][42] The 1989 film The Abyss showed a fictional use of perfluorocarbon for human diving but also filmed a real rat surviving while cooled and immersed in perfluorocarbon.[43] (See also list of fictional treatments of perfluorocarbon breathing.)

Agrichemicals

Sign warning of poisonous sodium fluoroacetate baits

Synthetic sodium fluoroacetate has been used as an insecticide, but it is especially effective against mammalian pests.[44] The name "1080" refers to the catalogue number of the poison, which became its brand name.[3] Fluoroacetate is similar to acetate, which has a pivotal role in the Krebs cycle (a key part of cell metabolism). Fluoroacetate halts the cycle and causes cells to be deprived of energy.[3] Several other insecticides contain sodium fluoride, which is much less toxic than fluoroacetate.[45]

An estimated 30% of agrichemical compounds contain fluorine.[46] Most of them are used as poisons, but a few stimulate growth instead. It is expected that the extent of fluorine agrichemical use will depend on two factors: whether they improve the synthesis reaction (and thereby reduce prices), and whethergreen chemistry is taken into account on a large scale (fluorochemicals are more environment-friendly than other options).[47]

Trifluralin was widely used in the 20th century, for example, in over half of U.S. cotton field acreage in 1998.[48]) Because of its suspected carcinogenic properties some Northern European countries banned it in 1993.[49] As of 2015, the European Union has banned it, although Dow made a case to cancel the decision in 2011.[50]

The currently used agrichemicals utilize another tactic: instead of being poisonous themselves, e.g., by directly affecting metabolism, they transform the metabolism so the organism produces poisonous compounds. For example, insects fed 29-fluorostigmasterol use it to produce fluoroacetates. If a fluorine is transferred to a body cell, it blocks metabolism at the position occupied.[51]

Hazards

NFPA 704
safety square
NFPA 704 four-colored diamondHealth 4: Very short exposure could cause death or major residual injury. E.g. VX gasFlammability 0: Will not burn. E.g. waterInstability 4: Readily capable of detonation or explosive decomposition at normal temperatures and pressures. E.g. nitroglycerinSpecial hazard W: Reacts with water in an unusual or dangerous manner. E.g. sodium, sulfuric acid
4
0
4
W
The fire diamond hazard sign for elemental fluorine.[52]
4 diagonal placards with warnings, poison, corrosive, inhalant, oxidant
The U.S. hazard signs for commercially transported fluorine[53]

Fluorine gas

Elemental fluorine is highly toxic. Above a concentration of 25 ppm, it causes significant irritation while attacking the eyes, airways and lungs and affecting the liver and kidneys. At a concentration of 100 ppm, human eyes and noses are seriously damaged.[54] People can be exposed to fluorine in the workplace by breathing it in, skin contact, or eye contact. The Occupational Safety and Health Administration (OSHA) has set the legal limit (Permissible exposure limit) for fluorine exposure in the workplace as 0.1 ppm (0.2 mg/m3) over an 8-hour workday. The National Institute for Occupational Safety and Health (NIOSH) has set a recommended exposure limit (REL) of 0.1 ppm (0.2 mg/m3) over an 8-hour workday. At levels of 25 ppm, fluorine is immediately dangerous to life and health.[55]

Hydrofluoric acid

See also: Chemical burn
left and right hands, two views, burned index fingers
Typical HF burns: the outward signs may not be evident for 24 hours, after which calcium treatments are less effective.[56]

Hydrofluoric acid, the water solution of hydrogen fluoride, is a contact poison. Even though it is chemically only a weak acid, it is far more dangerous than conventional strong mineral acids, such as nitric acid, sulfuric acid, or hydrochloric acid. Owing to its lesser chemical dissociation in water (remaining a neutral molecule), hydrogen fluoride penetrates tissue more quickly than typical acids. Poisoning can occur readily through the skin or eyes or when inhaled or swallowed. From 1984 to 1994, at least nine U.S. workers died from accidents with HF.[57]

Once in the blood, hydrogen fluoride reacts with calcium and magnesium, resulting in electrolyte imbalance (potentially hypocalcemia). The consequent effect on the heart (cardiac arrhythmia) may be fatal.[57] Formation of insoluble calcium fluoride also causes strong pain.[58] Burns with areas larger than 160 cm2, about the size of a man's hand, can cause serious systemic toxicity.[59]

Symptoms of exposure to hydrofluoric acid may not be immediately evident, with an 8-hour delay for 50% HF and up to 24 hours for lower concentrations. Hydrogen fluoride interferes with nerve function, meaning that burns may not initially be painful.

If the burn has been initially noticed, then HF should be washed off with a forceful stream of water for ten to fifteen minutes to prevent its further penetration into the body. Clothing used by the person burned may also present a danger.[60] Hydrofluoric acid exposure is often treated with calcium gluconate, a source of Ca2+ that binds with the fluoride ions. Skin burns can be treated with a water wash and 2.5% calcium gluconate gel[61][62] or special rinsing solutions.[63] Because HF is absorbed, further medical treatment is necessary. Calcium gluconate may be injected or administered intravenously. Use of calcium chloride is contraindicated and may lead to severe complications. Sometimes surgical excision of tissue or amputation is required.[59][64]

Fluoride ion

knobby hoofed leg
Moroccan cow with fluorosis, from industrial contamination
See also: Fluoride toxicity

Soluble fluorides are moderately toxic. For sodium fluoride, the lethal dose for adults is 5–10 g, which is equivalent to 32–64 mg of elemental fluoride per kilogram of body weight.[65] The dose that may lead to adverse health effects is about one fifth of the lethal dose.[66] Chronic excess fluoride consumption can lead to skeletal fluorosis, a disease of the bones that affects millions in Asia and Africa.[66][67]

The fluoride ion is readily absorbed by the stomach and intestines. Ingested fluoride forms hydrofluoric acid in the stomach. In this form, fluoride crosses cell membranes and then binds with calcium and interferes with various enzymes. Fluoride is excreted through urine. Fluoride exposure limits are based on urine testing, which is used to determine the human body's capacity for ridding itself of fluoride.[66][68]

Historically, most cases of fluoride poisoning have been caused by accidental ingestion of insecticides containing inorganic fluoride.[69] Most calls to poison control centers for possible fluoride poisoning come from the ingestion of fluoride-containing toothpaste.[66] Malfunction of water fluoridation equipment has occurred several times, including an Alaskan incident that sickened nearly 300 people and killed one.[70]

Biopersistence

Main article: Perfluorinated compound

Because of the strength of the carbon–fluorine bond, organofluorines endure in the environment. Perfluorinated compounds (PFCs) have attracted particular attention as persistent global contaminants. These compounds can enter the environment from their direct uses in waterproofing treatments and firefighting foams or indirectly from leaks from fluoropolymer production plants (where they are intermediates). Because of the acid group, PFCs are water-soluble in low concentrations.[71] While there are other PFAAs, the lion's share of environmental research has been done on the two most well-known: perfluorooctanesulfonic acid (PFOS) and perfluorooctanoic acid (PFOA). The U.S. Environmental Protection Agency classifies these materials as "emerging contaminants" based on the growing but still incomplete understanding of their environmental impact.[72][73][74]

Trace quantities of PFCs have been detected worldwide, in organisms from polar bears in the Arctic to the global human population. Both PFOS and PFOA have been detected in breast milk and the blood of newborns. A 2013 review showed widely varying amounts of PFOS and PFOA in different soils and groundwater, with no clear pattern of one chemical dominating. PFC concentrations were generally higher in areas with more human population or industrial activity, and areas with more PFOS generally also had more PFOA.[75] the two chemicals have been found at different concentrations in different populations; for example, one study showed more PFOS than PFOA in Germans, while another study showed the reverse for Americans. PFCs may be starting to decrease in the biosphere: one study indicated that PFOS levels in wildlife in Minnesota were decreasing, presumably because 3M discontinued its production.[72][73]

The PFOS molecule

In the body, PFCs bind to proteins such as serum albumin. Their tissue distribution in humans is unknown, but studies in rats suggest it is present mostly in the liver, kidney, and blood. They are not metabolized by the body but are excreted by the kidneys. Dwell time in the body varies greatly by species. Rodents have half-lives of days, while in humans they remain for years. Many animals show sex differences in the ability to rid the body of PFAAs, but without a clear pattern. Gender differences of half lives vary by animal species.[72][73][76]

The potential health impact of PFCs is unclear. Unlike chlorinated hydrocarbons, PFCs are not lipophilic (stored in fat), nor genotoxic (damaging genes). Both PFOA and PFOS in high doses cause cancer and the death of newborns in rodents. Studies on humans have not been able to prove an impact at current exposures. Bottlenose dolphins have some of the highest PFOS concentrations of any wildlife studied; one study suggests an impact on their immune systems.[72][73][76]

The biochemical causes of toxicity are also unclear and may differ by molecule, health effect, and even animal. PPAR-alpha is a protein that interacts with PFAAs and is commonly implicated in contaminant-caused rodent cancers.[72][73][76]

Less fluorinated chemicals (i.e. not perfluorinated compounds) can also be detected in the environment. Because biological systems do not metabolize fluorinated molecules easily, fluorinated pharmaceuticals like antibiotics and antidepressants can be found in treated city sewage and wastewater.[77] Fluorine-containing agrichemicals are measurable in farmland runoff and nearby rivers.[78][full citation needed]

See also

References

  1. ^ Gribble, Gordon W. (2002). "Naturally occurring organofluorines". The Handbook of Environmental Chemistry. The Handbook of Environmental Chemistry. 3N: 121–136. doi:10.1007/10721878_5. ISBN 3-540-42064-9.
  2. ^ a b Murphy, C.; Schaffrath, C.; O'Hagan, D. (2003). "Fluorinated natural products: The biosynthesis of fluoroacetate and 4-fluorothreonine in Streptomyces cattleya". Chemosphere. 52 (2): 455–461. doi:10.1016/S0045-6535(03)00191-7. PMID 12738270.
  3. ^ a b c Proudfoot, A. T.; Bradberry, S. M.; Vale, J. A. (2006). "Sodium fluoroacetate poisoning". Toxicological Reviews. 25 (4): 213–219. doi:10.2165/00139709-200625040-00002. PMID 17288493.
  4. ^ O'Hagan, D.; Schaffrath, C.; Cobb, S. L.; Hamilton, J. T.; Murphy, C. D. (2002). "Biochemistry: Biosynthesis of an organofluorine molecule". Nature. 416 (6878): 279. Bibcode:2002Natur.416..279O. doi:10.1038/416279a. PMID 11907567.
  5. ^ Olivares, M.; Uauy, R. (2004). Essential nutrients in drinking water (Draft) (PDF) (Report). WHO. Archived from the original (PDF) on 19 October 2012. Retrieved 30 December 2008. {{cite report}}: Unknown parameter |deadurl= ignored (|url-status= suggested) (help)
  6. ^ Nielsen, Forrest H. (2009). "Micronutrients in parenteral nutrition: Boron, silicon, and fluoride". Gastroenterology. 137 (5 Suppl): S55–S60. doi:10.1053/j.gastro.2009.07.072. PMID 19874950.
  7. ^ a b c Pizzo G.; Piscopo, M. R.; Pizzo, I.; Giuliana, G. (2007). "Community water fluoridation and caries prevention: a critical review" (PDF). Clinical Oral Investigation. 11 (3): 189–193. doi:10.1007/s00784-007-0111-6. PMID 17333303.
  8. ^ Centers for Disease Control and Prevention (2001). "Recommendations for using fluoride to prevent and control dental caries in the United States". MMWR Recommendations and Reports. 50 (RR–14): 1–42. PMID 11521913.
  9. ^ Ripa, L. W. (1993). "A half-century of community water fluoridation in the United States: review and commentary" (PDF). Journal of Public Health Dentistry. 53 (1): 17–44. doi:10.1111/j.1752-7325.1993.tb02666.x. PMID 8474047. Archived from the original (PDF) on 2009-03-04.
  10. ^ a b Cheng, K. K.; Chalmers, I.; Sheldon, T. A. (2007). "Adding fluoride to water supplies" (PDF). BMJ. 335 (7622): 699–702. doi:10.1136/bmj.39318.562951.BE. PMC 2001050. PMID 17916854.
  11. ^ Marya, C. M. (2011). A textbook of public health dentistry. JP Medical Limited. p. 343. ISBN 9789350252161.
  12. ^ Armfield, J. M. (2007). "When public action undermines public health: A critical examination of antifluoridationist literature". Australia and New Zealand Health Policy. 4 (1): 25. doi:10.1186/1743-8462-4-25. PMC 2222595. PMID 18067684.{{cite journal}}: CS1 maint: unflagged free DOI (link)
  13. ^ a b Fejerskov, Ole; Kidd, Edwina (2008). Dental caries: The disease and its clinical management. John Wiley & Sons. p. 518. ISBN 978-1-4051-3889-5.
  14. ^ National Health and Medical Research Council (Australia) (2007). "A systematic review of the efficacy and safety of fluoridation" (PDF). Retrieved 24 February 2009. Summary: Yeung, C. A. (2008). "A systematic review of the efficacy and safety of fluoridation". Evidence-Based Dentistry. 9 (2): 39–43. doi:10.1038/sj.ebd.6400578. PMID 18584000. {{cite journal}}: Unknown parameter |laydate= ignored (help); Unknown parameter |laysource= ignored (help)
  15. ^ Cracher, Connie Myers (2009). "Current concepts in preventive dentistry" (PDF). dentalcare.com. p. 12. Archived from the original (PDF) on 14 October 2013. Retrieved 20 January 2012. {{cite web}}: Unknown parameter |deadurl= ignored (|url-status= suggested) (help)
  16. ^ Emsley, John (2011). Nature's building blocks: An A–Z guide to the elements (2nd ed.). Oxford University Press. p. 178. ISBN 978-0-19-960563-7.
  17. ^ Swinson, Joel (2005). "Fluorine – A vital element in the medicine chest" (PDF). PharmaChem. Pharmaceutical Chemistry: 26–27. Retrieved 26 August 2010.
  18. ^ Schubiger, P. A. (2006). Pet chemistry: The driving force in molecular imaging. Springer. p. 144. ISBN 9783540326236.
  19. ^ Goulding, Nicolas J.; Flower, Rod J. (2001). Glucocorticoids. Springer. p. 40. ISBN 9783764360597.
  20. ^ a b Raj, P. Prithvi; Erdine, Serdar (2012). Pain-relieving procedures: The illustrated guide. John Wiley & Sons. p. 58. ISBN 9781118300459.
  21. ^ Bégué, Jean-Pierre; Bonnet-Delpon, Daniele (2008). Bioorganic and Medicinal Chemistry of Fluorine. John Wiley & Sons. pp. 335–336. ISBN 9780470281871.
  22. ^ Filler, R.; Saha, R. (2009). "Fluorine in medicinal chemistry: A century of progress and a 60-year retrospective of selected highlights" (PDF). Future Medicinal Chemistry. 1 (5): 777–791. doi:10.4155/fmc.09.65. PMID 21426080. Archived from the original (PDF) on 2013-10-22. {{cite journal}}: Unknown parameter |deadurl= ignored (|url-status= suggested) (help)
  23. ^ Mitchell, E. Siobhan; Triggle, D. J. (2004). Antidepressants. Infobase Publishing. pp. 37–39. ISBN 978-1-4381-0192-7.
  24. ^ Nelson, J. M.; Chiller, T. M.; Powers, J. H.; Angulo, F. J. (2007). "Fluoroquinolone-resistant Campylobacter species and the withdrawal of fluoroquinolones from use in poultry: a public health success story" (PDF). Clinical Infectious Diseases. 44 (7): 977–980. doi:10.1086/512369. PMID 17342653.
  25. ^ Schmitz, A.; Kälicke, T.; Willkomm, P.; Grünwald, F.; Kandyba, J.; Schmitt, O. (2000). "Use of fluorine-18 fluoro-2-deoxy-D-glucose positron emission tomography in assessing the process of tuberculous spondylitis" (PDF). Journal of spinal disorders. 13 (6): 541–544. doi:10.1097/00002517-200012000-00016. PMID 11132989.
  26. ^ Bustamante, Ernesto; Pedersen, Peter L. (1977). "High aerobic glycolysis of rat hepatoma cells in culture: Role of mitochondrial hexokinase". Proceedings of the National Academy of Sciences of the United States of America. 74 (9): 3735–3739. Bibcode:1977PNAS...74.3735B. doi:10.1073/pnas.74.9.3735. PMC 431708. PMID 198801.
  27. ^ Hayat, M. A. (2007). Cancer imaging: Lung and breast carcinomas. Academic Press. p. 41. ISBN 9780123742124.
  28. ^ Nelson, J. H. (2003). Nuclear magnetic resonance spectroscopy. Prentice Hall. pp. 129–139. ISBN 0-13-033451-0.
  29. ^ Danielson, Mark A.; Falke, Joseph J. (1996). "Use of 19F NMR to probe protein structure and conformational changes". Annual Review of Biophysics and Biomolecular Structure. 25: 163–195. doi:10.1146/annurev.bb.25.060196.001115. PMC 2899692. PMID 8800468.
  30. ^ Kuethe, Dean O.; Caprihan, Arvind; Fukushima, Eiichi; Waggoner, R. Allen (2005). "Imaging lungs using inert fluorinated gases". Magnetic Resonance in Medicine. 39 (1): 85–88. doi:10.1002/mrm.1910390114. PMID 9438441.
  31. ^ Gabriel, J. L.; Miller, T. F.; Wolfson, M. R. Jr; Shaffer, T. H. (1996). "Quantitative structure-activity relationships of perfluorinated hetro-hydrocarbons as potential respiratory media. Application to oxygen solubility, partition coefficient, viscosity, vapor pressure, and density". ASAIO Journal. 42 (6): 968–973. doi:10.1097/00002480-199642060-00009. PMID 8959271.
  32. ^ Sarkar, S. (2008). "Artificial Blood". Indian Journal of Critical Care Medicine. 12 (3): 140–144. doi:10.4103/0972-5229.43685. PMC 2738310. PMID 19742251.{{cite journal}}: CS1 maint: unflagged free DOI (link)
  33. ^ Schimmeyer, S. (2002). "The search for a blood substitute". Illumin. 5 (1). University of Southern Carolina. Retrieved 2 December 2010.
  34. ^ Tasker, Fred (2008-03-19). "Miami Herald: Artificial blood goes from science fiction to science fact". Miami Herald (at noblood.org). Archived from the original on 19 March 2008. {{cite journal}}: Cite journal requires |journal= (help)
  35. ^ Davis, Nicole (2006). "Better than blood". Popular Science. Archived from the original on 2011-06-04. Retrieved 30 September 2012.
  36. ^ Shaffer, T. H.; Wolfson, M. R.; Clark, L. R. (1992). "State of art review: Liquid ventilation". Pediatric Pulmonology. 14 (102–109): 102–9. doi:10.1002/ppul.1950140208. PMID 1437347.
  37. ^ Kacmarek, R. M.; Wiedemann, H. P.; Lavin, P. T.; Wedel, M. K.; Tütüncü, A. S.; Slutsky, A. S. (2006). "Partial Liquid Ventilation in Adult Patients with Acute Respiratory Distress Syndrome". American Journal of Respiratory and Critical Care Medicine. 173 (8): 882–889. doi:10.1164/rccm.200508-1196OC. PMID 16254269.
  38. ^ Shaffer, Thomas H.; Wolfson, Marla R.; Greenspan, Jay S. (1999). "Liquid ventilation: Current status". Pediatrics in Review. 20 (12): e134–e142. doi:10.1542/pir.20-12-e134. PMID 10587539.
  39. ^ Gains, Paul (October 18, 1998). "A New Threat in Blood Doping". New York Times.
  40. ^ http://www.salon.com/1999/04/21/cycling/
  41. ^ Kylstra, J. A. (1977). The feasibility of liquid breathing in man. Duke University. Retrieved 5 May 2008.
  42. ^ The Global Oneness Commitment. "Liquid breathing – Space travel". experiencefestival.com. Archived from the original on 17 April 2010. Retrieved 17 May 2008. {{cite web}}: Unknown parameter |deadurl= ignored (|url-status= suggested) (help)
  43. ^ Aljean Harmetz (1989). "FILM; 'The Abyss': A foray into deep waters". The New York Times. Retrieved 2 October 2012.
  44. ^ Eisler, Ronald (1995). Biological report 27: Sodium monofluoroacetate (1080) Hazards to fish, wildlife and invertebrates: A synoptic review (PDF) (Report). Patuxent Environmental Science Center (U.S. National Biological Service). Archived from the original (PDF) on 12 June 2010. Retrieved 5 June 2011. {{cite report}}: Unknown parameter |deadurl= ignored (|url-status= suggested) (help)
  45. ^ "Class I ozone-depleting substances". Sodium fluoride – pesticidal uses. Scorecard. Retrieved 20 February 2011.
  46. ^ "Fluorine's treasure trove". ICIS news. 2006-10-02. Retrieved 20 February 2011.
  47. ^ Theodoridis, George (2006). Fluorine and the Environment: Agrochemicals, Archaeology, Green Chemistry & Water. Elseiver. pp. 121–176. ISBN 9780444526724.
  48. ^ "Fact sheet: Trifluralin". Pesticides News. 52: 20–21. 2001.
  49. ^ European Commission (2007). Trifluralin (PDF) (Report).
  50. ^ Case T-475/07, Dow AgroSciences Ltd vs. European Commission (2011). The General Court of European Union (Third Camber).
  51. ^ Barnette, William E. (1995). "Physical Organic Aspects of Fluorinated Argichemicals". Fluorine in agriculture. Smithers Rapra Publishing. pp. 1–19. ISBN 9781859570333.
  52. ^ http://cameochemicals.noaa.gov/chemical/764
  53. ^ NOAA 9F data sheet.
  54. ^ Keplinger & Suissa 1968.
  55. ^ "CDC - NIOSH Pocket Guide to Chemical Hazards - Fluorine". www.cdc.gov. Retrieved 2015-11-03.
  56. ^ Eaton, Charles. "Figure hfl". E-Hand.com: the electronic textbook of hand surgery. The Hand Center (former practice of Dr. Eaton). Retrieved 28 September 2013.
  57. ^ a b Blodgett, Suruda & Crouch 2001.
  58. ^ Hoffman et al. 2007, p. 1333.
  59. ^ a b HSM 2006.
  60. ^ Fischman 2001, pp. 458–459.
  61. ^ El Saadi et al. 1989.
  62. ^ Roblin et al. 2006.
  63. ^ Hultén et al. 2004.
  64. ^ Zorich 1991, pp. 182–3.
  65. ^ Liteplo et al. 2002, p. 100.
  66. ^ a b c d Shin & Silverberg 2013.
  67. ^ Reddy 2009.
  68. ^ Baez, Baez & Marthaler 2000.
  69. ^ Augenstein et al. 1991.
  70. ^ Gessner et al. 1994.
  71. ^ John P. Giesy and Kurunthachalam Kannan Perfluorochemical Surfactants in the Environment, 1 April 2002, Environmental Science & Technology, 147-152.
  72. ^ a b c d e Steenland K, Fletcher T, Savitz DA (2010). "Epidemiologic evidence on the health effects of perfluorooctanoic acid (PFOA)". Environ. Health Perspect. 118 (8): 1100–8. doi:10.1289/ehp.0901827. PMC 2920088. PMID 20423814.
  73. ^ a b c d e Kellyn Betts PFOS and PFOA in Humans: New Study Links Prenatal Exposure to Lower Birth Weight[permanent dead link] Environ Health Perspect. 2007 Nov; 115(11): A550. PMC2072861
  74. ^ "Emerging Contaminants Fact Sheet- PFOS and PFOA" (PDF). Archived from the original (PDF) on October 29, 2013. Retrieved November 1, 2013. {{cite web}}: Unknown parameter |deadurl= ignored (|url-status= suggested) (help)
  75. ^ P. Zareitalabad, J. Siemens, M. Hamer, W. Amelung Perfluorooctanoic acid (PFOA) and perfluorooctanesulfonic acid (PFOS) in surface waters, sediments, soils and wastewater – A review on concentrations and distribution coefficients Chemosphere 91 (2013) 725–732. Review
  76. ^ a b c Lau C, Anitole K, Hodes C, Lai D, Pfahles-Hutchens A, Seed J. Perfluoroalkyl Acids: A Review of Monitoring and Toxicological Findings Toxicol Sci. 99(2), 366–394 (2007) doi:10.1093/toxsci/kfm128
  77. ^ Lietz & Meyer 2006, pp. 7–8.
  78. ^ Ahrens 2011.
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