Lead
Effects

Lead can cause severe damage to the brain and kidneys and, ultimately, death. By mimicking calcium, lead can cross the blood–brain barrier. It degrades the myelin sheaths of neurons, reduces their numbers, interferes with neurotransmission routes, and decreases neuronal growth. In the human body, lead inhibits porphobilinogen synthase and ferrochelatase, preventing both porphobilinogen formation and the incorporation of iron into protoporphyrin IX, the final step in heme synthesis. This causes ineffective heme synthesis and microcytic anemia.

Symptoms of lead poisoning include nephropathy, colic -like abdominal pains, and possibly weakness in the fingers, wrists, or ankles. Small blood pressure increases, particularly in middle-aged and older people, may be apparent and can cause anemia. Several studies, mostly cross-sectional, found an association between increased lead exposure and decreased heart rate variability. In pregnant women, high levels of exposure to lead may cause miscarriage. Chronic, high-level exposure has been shown to reduce fertility in males.

In a child's developing brain, lead interferes with synapse formation in the cerebral cortex, neurochemical development (including that of neurotransmitters), and the organization of ion channels. Early childhood exposure has been linked with an increased risk of sleep disturbances and excessive daytime drowsiness in later childhood. High blood levels are associated with delayed puberty in girls. The rise and fall in exposure to airborne lead from the combustion of tetraethyl lead in gasoline during the 20th century has been linked with historical increases and decreases in crime levels.
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