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. 2000 Mar;82(3):244–247. doi: 10.1136/adc.82.3.244

Concentrations of antimony in infants dying from SIDS and infants dying from other causes

A Cullen 1, B Kiberd 1, D Devaney 1, J Gillan 1, P Kelehan 1, T Matthews 1, P Mayne 1, N Murphy 1, M O'Regan 1, W Shannon 1, L Thornton 1
PMCID: PMC1718263  PMID: 10685932

Abstract

OBJECTIVES—Raised concentrations of antimony have been found in infants dying of sudden infant death syndrome (SIDS). The presumed source of this antimony is toxic gases generated from fire retardants that are present in cot mattresses. The aim of this study was to determine the role of antimony in SIDS.
DESIGN—Samples of liver, brain, serum, and urine were collected from all patients dying from SIDS and a group of aged matched control infants who had died of other causes.
SETTING—Nationwide study in Ireland.
SUBJECTS—52 infants dying from SIDS and 19 control infants aged > 7 days and < 1 year.
RESULTS—The median concentration of antimony in the liver and brain of infants dying of SIDS was < 1 ng/g, with no difference detected between the infants dying from SIDS and the control infants. The range of antimony in the serum of infants dying of SIDS was 0.09-0.71 µg/litre (median, 0.26). Although no difference was found between infants dying from SIDS and control infants, SIDS infants were found to have higher concentrations when compared with healthy infants in the 1st year of life, probably as a result of release of antimony into serum after death. Urine antimony concentrations in infants dying from SIDS were < 3.91 ng/mg (corrected for creatinine) and similar to values found both in control infants and healthy infants.
CONCLUSION—There is no evidence to support a causal role for antimony in SIDS.



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Selected References

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  1. Chulay J. D., Fleckenstein L., Smith D. H. Pharmacokinetics of antimony during treatment of visceral leishmaniasis with sodium stibogluconate or meglumine antimoniate. Trans R Soc Trop Med Hyg. 1988;82(1):69–72. [PubMed] [Google Scholar]
  2. Cullen A., Kiberd B., Matthews T., Mayne P., Delves H. T., O'Regan M. Antimony in blood and urine of infants. J Clin Pathol. 1998 Mar;51(3):238–240. doi: 10.1136/jcp.51.3.238. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Delves H. T., Sieniawska C. E., Fell G. S., Lyon T. D., Dezateux C., Cullen A., Variend S., Bonham J. R., Chantler S. M. Determination of antimony in urine, blood and serum and in liver and lung tissues of infants by inductively coupled plasma mass spectrometry. Analyst. 1997 Nov;122(11):1323–1329. doi: 10.1039/a704112h. [DOI] [PubMed] [Google Scholar]
  4. Fleming P. J., Cooke M., Chantler S. M., Golding J. Fire retardants, biocides, plasticisers, and sudden infant deaths. BMJ. 1994 Dec 17;309(6969):1594–1596. doi: 10.1136/bmj.309.6969.1594. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Gates P. N., Pridham J. B., Webber J. A. Sudden infant death syndrome and volatile antimony compounds. Lancet. 1995 Feb 11;345(8946):386–387. doi: 10.1016/s0140-6736(95)90372-0. [DOI] [PubMed] [Google Scholar]
  6. Howatson A. G., Patrick W. J., Fell G. S., Lyon T. D., Gibson A. A. Cot mattresses and sudden infant death syndrome. Lancet. 1995 Apr 22;345(8956):1044–1045. doi: 10.1016/s0140-6736(95)90781-5. [DOI] [PubMed] [Google Scholar]
  7. Jaser M. A., el-Yazigi A., Croft S. L. Pharmacokinetics of antimony in patients treated with sodium stibogluconate for cutaneous leishmaniasis. Pharm Res. 1995 Jan;12(1):113–116. doi: 10.1023/a:1016251023427. [DOI] [PubMed] [Google Scholar]
  8. Kennedy J. H. Analysis of diseased and normal lung tissue for trace antimony content by neutron activation analysis. Am J Med Sci. 1966 Jan;251(1):37–39. doi: 10.1097/00000441-196601000-00006. [DOI] [PubMed] [Google Scholar]
  9. Nixon G. S., Livingston H. D., Smith H. Estimation of antimony in human enamel by activation analysis. Caries Res. 1967;1(4):327–332. doi: 10.1159/000259532. [DOI] [PubMed] [Google Scholar]
  10. Richardson B. A. Cot mattress biodeterioration and SIDS. Lancet. 1990 Mar 17;335(8690):670–670. doi: 10.1016/0140-6736(90)90463-f. [DOI] [PubMed] [Google Scholar]
  11. Richardson B. A. Sudden infant death syndrome: a possible primary cause. J Forensic Sci Soc. 1994 Jul-Sep;34(3):199–204. doi: 10.1016/s0015-7368(94)72915-7. [DOI] [PubMed] [Google Scholar]
  12. Schicha H., Kasperek K., Feinendegen L. E., Siller V., Klein H. J. Aktivierungsanalytische Messungen einer inhomogenen teilweise parallel verlaufenden Verteilung von Kobalt, Eisen, Selen, Zink und Antimon in verschiedenen Bezirken von Leber, Lunge, Niere, Herz und Aorta. Beitr Pathol. 1972 Apr;146(1):55–62. [PubMed] [Google Scholar]
  13. Sumino K., Hayakawa K., Shibata T., Kitamura S. Heavy metals in normal Japanese tissues. Amounts of 15 heavy metals in 30 subjects. Arch Environ Health. 1975 Oct;30(10):487–494. doi: 10.1080/00039896.1975.10666759. [DOI] [PubMed] [Google Scholar]
  14. Taylor A. Antimony, cot mattresses, and SIDS. Lancet. 1996 Mar 2;347(9001):616–616. doi: 10.1016/s0140-6736(96)91310-0. [DOI] [PubMed] [Google Scholar]
  15. Thompson M., Faull J. L. Do microbiota cause emission of stibine from cot mattresses? Lancet. 1995 Dec 9;346(8989):1557–1558. doi: 10.1016/s0140-6736(95)92086-2. [DOI] [PubMed] [Google Scholar]
  16. Winship K. A. Toxicity of antimony and its compounds. Adverse Drug React Acute Poisoning Rev. 1987 Summer;6(2):67–90. [PubMed] [Google Scholar]
  17. Yukawa M., Amano K., Suzuki-Yasumoto M., Terai M. Distribution of trace elements in the human body determined by neutron activation analysis. Arch Environ Health. 1980 Jan-Feb;35(1):36–44. doi: 10.1080/00039896.1980.10667459. [DOI] [PubMed] [Google Scholar]

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