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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Chem. Biol.</journal-id>
<journal-title-group>
<journal-title>Frontiers in Chemical Biology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Chem. Biol.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="epub">2813-530X</issn>
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<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-meta>
<article-id pub-id-type="publisher-id">1729141</article-id>
<article-id pub-id-type="doi">10.3389/fchbi.2025.1729141</article-id>
<article-version article-version-type="Version of Record" vocab="NISO-RP-8-2008"/>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Perspective</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Tailoring LC approaches to address the chemical biology of toxic metals in humans</article-title>
<alt-title alt-title-type="left-running-head">Gailer</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fchbi.2025.1729141">10.3389/fchbi.2025.1729141</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Gailer</surname>
<given-names>J&#xfc;rgen</given-names>
</name>
<xref ref-type="aff" rid="aff1"/>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1277721"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Conceptualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Funding acquisition" vocab-term-identifier="https://credit.niso.org/contributor-roles/funding-acquisition/">Funding acquisition</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Project administration" vocab-term-identifier="https://credit.niso.org/contributor-roles/project-administration/">Project administration</role>
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<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Supervision" vocab-term-identifier="https://credit.niso.org/contributor-roles/supervision/">Supervision</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Visualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/visualization/">Visualization</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing - original draft</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x26; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/">Writing - review and editing</role>
</contrib>
</contrib-group>
<aff id="aff1">
<institution>Department of Chemistry, University of Calgary</institution>, <city>Calgary</city>, <state>AB</state>, <country country="CA">Canada</country>
</aff>
<author-notes>
<corresp id="c001">
<label>&#x2a;</label>Correspondence: J&#xfc;rgen Gailer, <email xlink:href="mailto:jgailer@ucalgary.ca">jgailer@ucalgary.ca</email>
</corresp>
</author-notes>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2026-01-05">
<day>05</day>
<month>01</month>
<year>2026</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2025</year>
</pub-date>
<volume>4</volume>
<elocation-id>1729141</elocation-id>
<history>
<date date-type="received">
<day>21</day>
<month>10</month>
<year>2025</year>
</date>
<date date-type="rev-recd">
<day>18</day>
<month>11</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>11</day>
<month>12</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2026 Gailer.</copyright-statement>
<copyright-year>2026</copyright-year>
<copyright-holder>Gailer</copyright-holder>
<license>
<ali:license_ref start_date="2026-01-05">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract>
<p>The global contamination of &#x223c;15% of agricultural soils with toxic metal (loid) species (TMS) including arsenic, cadmium, mercury, and nickel compromises food safety and chronically exposes millions of people to these inorganic pollutants which are absorbed into the bloodstream to various degrees. The health ramifications that pertain to this arguably biggest problem in the postgenomic world remain poorly defined, particularly with regard to babies, children, pregnant women and industrial workers. To better understand the underlying complex exposure-response relationship, it is crucial to address chemical biology related research questions unfolding within the blood-organ nexus. Since the associated complexity makes it particularly challenging to causally link human exposure to exceedingly small daily TMS doses with adverse health effects and environmental diseases, the use of appropriate analytical tools is paramount. One research tool whose full potential to probe dynamic bioinorganic processes has not yet been fully recognized is liquid chromatography (LC). Recent results will be used to highlight how LC methods can be tailored to address chemical biology questions pertaining to toxic mercury and cadmium species at near physiological conditions. It will be argued that the inherent versatility of LC methods makes it eminently suitable to tackle questions regarding the exposure-response relationship of other emerging TMS to more effectively deal with this emerging public health crisis.</p>
</abstract>
<kwd-group>
<kwd>cadmium</kwd>
<kwd>mercury</kwd>
<kwd>nickel</kwd>
<kwd>manganese</kwd>
<kwd>element-specific detection</kwd>
<kwd>separation mechanism</kwd>
<kwd>mechanism of chronic toxicity</kwd>
</kwd-group>
<funding-group>
<award-group id="gs1">
<funding-source id="sp1">
<institution-wrap>
<institution>Natural Sciences and Engineering Research Council of Canada</institution>
<institution-id institution-id-type="doi" vocab="open-funder-registry" vocab-identifier="10.13039/open_funder_registry">10.13039/501100000038</institution-id>
</institution-wrap>
</funding-source>
</award-group>
<funding-statement>The author(s) declared that financial support was received for this work and/or its publication. Some of the research covered in this perspective was funded by a Natural Sciences and Engineering Research Council (NSERC) Discovery Grant of Canada to JG.</funding-statement>
</funding-group>
<counts>
<fig-count count="2"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="33"/>
<page-count count="6"/>
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<custom-meta-group>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Bioinorganic Chemistry</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<label>1</label>
<title>Introduction</title>
<p>It is estimated that 9 million people died of pollution related causes in 2015 (<xref ref-type="bibr" rid="B9">Fuller et al., 2022</xref>). Since 14&#x2013;17% of agricultural soils globally are contaminated with toxic metal species (TMS), such as Ni, Cd, Hg and Pb (<xref ref-type="bibr" rid="B15">Hou et al., 2025</xref>), the ingestion of contaminated food affects millions of people worldwide (<xref ref-type="bibr" rid="B30">Ugulu et al., 2025</xref>). The subsequent influx of TMS from the gastrointestinal tract into the bloodstream urgently requires a better understanding of the associated adverse health ramifications that will eventually the unfold at the organ level. To this end, the biomolecular mechanisms which explain why any given toxic metal species (TMS) causes organ damage and/or a disease were well posed, but unsolved problems 50 years ago (<xref ref-type="bibr" rid="B22">Passow et al., 1961</xref>), and largely remain so today. Even though immense progress has been made in terms of elucidating relevant biomolecular mechanisms of action (<xref ref-type="bibr" rid="B1">Aschner et al., 2022</xref>), we are still unable to reasonably predict how much of an orally ingested TMS dose&#x2013;in form of contaminated food and/or drinking water - actually reaches toxicological target organs to disrupt vital cellular processes therein (<xref ref-type="bibr" rid="B8">Doroudian and Gailer, 2022</xref>). In addition, there is no strategy about how we should address the exposure of humans to multiple TMS which can interfere with the metabolism of essential elements in different biological compartments (<xref ref-type="bibr" rid="B26">Sarpong-Kumankomah et al., 2018</xref>).</p>
<p>Three conceptual approaches are currently being explored to better understand the exposure-response relationship of TMS, including epidemiology (<xref ref-type="bibr" rid="B2">Bobb et al., 2015</xref>), systems toxicology (<xref ref-type="bibr" rid="B28">Sturla et al., 2014</xref>) and mechanism based approaches (<xref ref-type="bibr" rid="B11">Gailer, 2024</xref>). Among these approaches the latter hinges on better understanding the bioinorganic chemistry of TMS in the bloodstream-organ nexus, which remains woefully incomplete as humans have 79 organs which are - to borrow a term from chemistry &#x2013; &#x2018;decoupled&#x2019; from the bloodstream. Disentangling the aforementioned bioinorganic processes therefore represents a viable strategy to causally link human exposure to TMS with the etiology of adverse effects and the etiology of diseases which is exemplified by the focus of the journal &#x2018;Blood Cells, Molecules &#x26; Diseases&#x2019;. In this context, the arguably biggest knowledge gaps are processes of TMS that unfold in plasma as well as within red blood cells (RBCs) and to then connect the outcome of these interrelated processes (e.g., RBC rupture) with what unfolds at target organs (<xref ref-type="fig" rid="F1">Figure 1</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Conceptual depiction of the biochemical fate of TMS in the bloodstream which collectively define their exposure-response relationship. Detoxification reactions of TMS in the bloodstream include <bold>(A)</bold> their interaction with essential elements (e.g., selenium), <bold>(B)</bold> their ad/absorption to/into red blood cells, <bold>(C)</bold> their ad/absorption by/into endothelial cells and <bold>(D)</bold> their binding to plasma transport proteins. Any residual TMS will interact with ligands in blood plasma to form organ available complexes that are then translocated into toxicological target organ cells. Note that all processes <bold>(A&#x2013;E)</bold> effectively constitute selectivity filters which protect internal organs from the influx of TMS. Only if the TMS dose exceeds the detoxification capacity of A-D will they be able to enter target organs to cause organ damage. Adapted with permission from <italic>Toxics</italic>, 13, 636 by M.F. Degorge and J. Gailer.</p>
</caption>
<graphic xlink:href="fchbi-04-1729141-g001.tif">
<alt-text content-type="machine-generated">Diagram illustrating the detoxification and processing of toxic metals (TMs) in the body. The process begins in the gastrointestinal tract with detoxification by trace elements. In the blood, TMs are sequestered by red blood cells and epithelial cells, followed by plasma protein binding. The target organ cell then experiences TM-induced organ damage. The flow is depicted with arrows through stages: exposure, organ deposition and excretion, detoxification, organ availability, and response.</alt-text>
</graphic>
</fig>
<p>To uncover relevant toxicological chemistry processes of TMS in the bloodstream, three interrelated problems need to be addressed, namely, the inherent complexity of this biological fluid (plasma contains up to 40,000 proteins and RBC cytosol up 1800 proteins), the fact that its background electrolyte corresponds to 100&#xa0;mM Cl<sup>&#x2212;</sup> and the notion that the redox environment in which relevant processes unfold differs fundamentally between plasma (oxidizing environment) and RBCs (reducing environment). Probing the chemical biology of TMS in the bloodstream-organ system therefore requires one to incorporate these facts into the experimental design and &#x2013; perhaps most importantly - to select the most adequate research methods to close existing knowledge gaps (<xref ref-type="bibr" rid="B11">Gailer, 2024</xref>).</p>
<p>This perspective aims to explain in what way LC-methods offer versatility to address diverse bioinorganic chemistry-questions that relate to the interaction of TMS with biomolecules at near physiological conditions. After highlighting recent examples which illustrate how LC-methods can be tailored to address their translocation from the bloodstream to organs and to probe the biomolecular degradation of a pharmaceutically relevant TMS, the potential of applying LC-methods to other bioinorganic chemistry problems will be discussed.</p>
</sec>
<sec id="s2">
<label>2</label>
<title>Why are LC-methods suited to address bioinorganic questions pertaining to TMS?</title>
<p>Since dynamic toxicological chemistry-related processes of TMS that unfold within organisms involve aqueous environments, LC-methods should be intrinsically well suited to probe these processes using water-based physiological buffers, such as phosphate-buffered saline (PBS)-buffer. LC-methods offer four unique capabilities that go beyond the mere separation of complex mixtures of biomolecules which makes them particularly useful to study interactions between TMS and ligands at near physiological conditions. These capabilities include their intrinsic ability to observe a) the on-column formation of complexes between metal (loid)s that are injected and ligands that are dissolved in the mobile phase (<xref ref-type="bibr" rid="B19">Liska et al., 1979</xref>; <xref ref-type="bibr" rid="B23">Pourzadi and Gailer, 2024</xref>), b) the temporal stability of molecular constituents in liquid formulations [e.g., the organomercury bactericidal agent thimerosal in vaccines to establish their shelf-life; (<xref ref-type="bibr" rid="B24">Reader and Lines, 1983</xref>)], c) the stability of metal-based compounds in biological fluids [e.g., thimerosal in red blood cell cytosol (<xref ref-type="bibr" rid="B14">Gibson et al., 2017</xref>)] as well as metal-based anticancer drugs (e.g., cisplatin and carboplatin) in blood plasma (<xref ref-type="bibr" rid="B27">Sooriyaarachchi et al., 2011</xref>) and &#x2013; perhaps most importantly - d) a shift of the retention time of an on-column formed TMS species based on employing different LC-based separation mechanisms, namely, size exclusion chromatography (SEC), anion-exchange chromatography (AEX) and/or reversed phase chromatography (RPC). Thus, the utilization of physiological buffers in conjunction with LC-methods and appropriate element-specific detectors (e.g., flame atomic absorption spectrometry or inductively coupled plasma atomic emission spectroscopy) should therefore allow to obtain new insight into the toxicological chemistry of TMS species at near physiological conditions.</p>
</sec>
<sec id="s3">
<label>3</label>
<title>Top-down and bottom-up LC approaches to probe the bioinorganic chemistry of TMS</title>
<p>The interaction of TMS with biomolecules can be probed using top-down or bottom-up approaches (<xref ref-type="bibr" rid="B10">Gailer, 2013</xref>). The top-down approach refers to the direct LC-analysis of biological fluids to which a TMS has been added using mobile phases that mimick its background electrolyte using appropriate buffer salts (<xref ref-type="bibr" rid="B16">Jahromi et al., 2010</xref>). SEC, for example, tolerates the injection of blood plasma when PBS-buffer is used (<xref ref-type="bibr" rid="B20">Manley et al., 2009</xref>), while RBC cytosol was analyzed using a 0.1&#xa0;M Tris buffer which contained 2.5&#xa0;mM GSH (<xref ref-type="bibr" rid="B14">Gibson et al., 2017</xref>) to simulate the RBC cytosol concentration. Conversely, the bottom-up approach can be employed to simulate a specific bioinorganic chemistry reaction, such as the binding of an injected TMS onto a column with a ligand that is dissolved in physiological buffer as the mobile phase (<xref ref-type="bibr" rid="B23">Pourzadi and Gailer, 2024</xref>).</p>
</sec>
<sec id="s4">
<label>4</label>
<title>Application of LC-methods to address bioinorganic TMS problems</title>
<p>To date, SEC, AEX and RPC have been successfully employed to probe bioinorganic processes of TMS at the bloodstream-organ nexus in a top-down (TD) and a bottom-up (BU) manner.</p>
<sec id="s4-1">
<label>4.1</label>
<title>Formation of organ available TMS metabolites in plasma</title>
<sec id="s4-1-1">
<label>4.1.1</label>
<title>SEC reveals a MeHg<sup>&#x2b;</sup> metabolite that is delivered to the blood brain barrier (TD)</title>
<p>While MeHg<sup>&#x2b;</sup> has long been known to be neurotoxic, the structure of the organ available metabolite that is formed in plasma and enters the brain has been elusive. To gain insight, the utilization of a PBS-buffer mobile phase and the analysis of rabbit plasma that had been spiked with MeHg<sup>&#x2b;</sup> revealed the elution of a rabbit serum albumin (RSA)-MeHg complex (<xref ref-type="bibr" rid="B4">Bridle et al., 2022</xref>). Since small molecular weight (SMW) thiols, such as homo-L-cysteine (hCys) are present in blood plasma at 10&#x2013;15&#xa0;&#x3bc;M, the mobilization of MeHg<sup>&#x2b;</sup> from its RSA binding sites was investigated by gradually increasing the hCys mobile phase concentration from 50 to 300&#xa0;&#x3bc;M and injecting MeHg-spiked rabbit plasma. The results revealed that the 50&#xa0;&#x3bc;M hCys containing mobile phase shifted the retention time of MeHg from the protein elution range to the SMW elution range, implying the on-column formation of a MeHg-hCys complex. The formation of the latter complex was confirmed by electrospray ionization-mass spectrometry (ESI-MS). The presence of L-amino acid transporters 1 (LAT-1/2) at the blood-brain-barrier was previously demonstrated to recognize structurally closely related MeHg-Cys complexes. Thus, the observed formation of MeHg-hCys complexes at near physiological conditions of blood plasma provides a feasible pathway by which MeHg<sup>&#x2b;</sup> is delivered to the brain (<xref ref-type="fig" rid="F2">Figure 2</xref>), where adverse biochemical processes including the inhibition of the selenoprotein glutathione peroxidase 4 (GPx) will then unfold (<xref ref-type="bibr" rid="B5">Chen et al., 2023</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Conceptual depiction of the important role that LC-methods are destined to play in terms of better understanding the bioinorganic chemistry of TMS in the bloodstream-organ system.</p>
</caption>
<graphic xlink:href="fchbi-04-1729141-g002.tif">
<alt-text content-type="machine-generated">Diagram illustrating the relationship between chemistry and biology in HPLC analysis. The top section shows a high-performance liquid chromatography setup with components like a syringe, pump, and detector. The bottom section illustrates bioinorganic interactions of toxic metals (TMs) with HSA (human serum albumin) and molecules such as homocysteine (hCys), cysteine (Cys) and glutathione (GSH). Labels indicate the brain and kidney, highlighting possible effects and pathways, with symbols for different metal species like MeHg+, Cd2+ and/or thimerosal (THI). Arrows show chemical reactions and pathways.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s4-1-2">
<label>4.1.2</label>
<title>AEX identifies Cd<sup>2&#x2b;</sup> metabolites that are delivered to the kidneys (BU)</title>
<p>Although Cd<sup>2&#x2b;</sup> has long been known to be a nephrotoxin, the organ available metabolite(s) that is/are formed in plasma has/have remained elusive, but likely involves the formation of Cys-complexes (<xref ref-type="bibr" rid="B3">Bridges and Zalups, 2017</xref>). The application of AEX in conjunction with a mobile phase comprised of 100&#xa0;mM NaCl and 5.0&#xa0;mM Tris-buffer (pH 7.4) allowed to observe the elution of the injected Cd<sup>2&#x2b;</sup> species. Since Cys is implicated in the translocation of Cd<sup>2&#x2b;</sup> from blood plasma to the kidneys, Cd<sup>2&#x2b;</sup> was then chromatographed with mobile phases containing increasing Cys concentrations between 0.1 and 10&#xa0;mM (<xref ref-type="bibr" rid="B12">Gautam et al., 2023</xref>). The Cd-species that eluted with the 100 and 200&#xa0;&#x3bc;M Cys mobile phase were then structurally characterized by X-ray absorption spectroscopy. The results revealed a mixture of Cd species with tetrahedral coordination suggesting the formation of [Cd(Cys)<sub>1/2</sub>]<sup>&#x2b;1</sup> complexes which may represent the nephrotoxic species that are then uptaken by the kidneys (<xref ref-type="fig" rid="F2">Figure 2</xref>) to induce cellular damage by processes that are still incompletely understood (<xref ref-type="bibr" rid="B29">Thevenod and Lee, 2024</xref>).</p>
</sec>
</sec>
<sec id="s4-2">
<label>4.2</label>
<title>RPC reveals the GSH mediated degradation of a pharmaceutical TMS at pH 7.4 (BU)</title>
<p>The bactericidal organomercurial thimerosal (THI) has been used as a vaccine additive since the 1950s. Since vaccines are intramuscularly injected, THI will therefore interact with mammalian cells (e.g., RBCs) and the biological thiols therein. The donation of the ethylmercury (EtHg<sup>&#x2b;</sup>) moiety from THI to mammalian proteins that contain surface accessible contain thiol groups (<xref ref-type="bibr" rid="B13">Geri et al., 2024</xref>), however, has not been observed at physiologically relevant conditions. Since GSH is present in RBC cytosol at &#x223c;2.5&#xa0;mM, a LC-method was developed (<xref ref-type="bibr" rid="B17">Le et al., 2025</xref>) which allowed to observe the GSH-mediated degradation of THI (<xref ref-type="bibr" rid="B6">Degorge et al., 2025</xref>). In brief, the addition of increasing GSH concentrations to the mobile phase (2.5&#x2013;15.0&#xa0;mM) resulted in a decrease of the Hg peak corresponding to THI and the elution of a new Hg-peak with a shorter retention time. With the 15&#xa0;mM GSH mobile phase, two Hg-peaks were detected which displayed equal intensities. The elucidation of the molecular structure of the unknown Hg peak by ESI-MS revealed a GS-HgEt adduct, which allowed to propose a degradation mechanism for THI at pH 7.4 (<xref ref-type="bibr" rid="B6">Degorge et al., 2025</xref>), which may unfold in RBCs (<xref ref-type="fig" rid="F2">Figure 2</xref>). While the GSH-mediated degradation of THI was observed in the presence of 30% of acetonitrile, these results serve as an important starting point to better understand the side-effects of THI, such as the transfer of the EtHg-moiety from the GS-EtHg adduct to other cytosolic proteins.</p>
</sec>
<sec id="s4-3">
<label>4.3</label>
<title>Discussion</title>
<p>The application of SEC and AEX allowed the structural characterization of organ available MeHg<sup>&#x2b;</sup> and Cd<sup>2&#x2b;</sup> metabolites that are formed in plasma, while the application of RPC revealed the mechanism by which GSH degrades the vaccine additive thimerosal. Taken together these findings are highly relevant to better understand the exposure-response relationship related to the exposure of humans to TMS (<xref ref-type="bibr" rid="B32">Zhang et al., 2025</xref>). The emerging exposure of human populations to other metals of high technological relevance, such as Ni<sup>2&#x2b;</sup> (<xref ref-type="bibr" rid="B21">Parveen et al., 2025</xref>) and Mn<sup>2&#x2b;</sup> (<xref ref-type="bibr" rid="B7">Deng et al., 2024</xref>) will similarly require a better understanding of the corresponding bioinorganic processes to develop cheap palliative measures to mitigate their impact (<xref ref-type="bibr" rid="B21">Parveen et al., 2025</xref>) as they already compromise food security on a global scale (<xref ref-type="bibr" rid="B30">Ugulu et al., 2025</xref>). The application of LC-methods in conjunction with other advanced instrumental analytical methods (<xref ref-type="bibr" rid="B31">Weng et al., 2024</xref>) and metalloproteomic approaches (<xref ref-type="bibr" rid="B33">Zhou et al., 2022</xref>) thus represent a useful addition to the existing analytical toolbox to uncover the mechanism-integrated framework which links human exposure to multiple TMS with the etiology of environmental diseases (<xref ref-type="bibr" rid="B11">Gailer, 2024</xref>; <xref ref-type="bibr" rid="B18">Leung et al., 2024</xref>) and are destined to play an important role to foster the development of more effective strategies to globally reduce their adverse impact on human health (<xref ref-type="bibr" rid="B25">Gulma, 2025</xref>).</p>
</sec>
</sec>
</body>
<back>
<sec sec-type="ethics-statement" id="s6">
<title>Ethics statement</title>
<p>The withdrawal of blood from rabbits to obtain blood plasma and red blood cells was approved by the Conjoint Health Ethics Board of the University of Calgary. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec sec-type="author-contributions" id="s7">
<title>Author contributions</title>
<p>JG: Conceptualization, Funding acquisition, Project administration, Resources, Supervision, Visualization, Writing &#x2013; original draft, Writing &#x2013; review and editing.</p>
</sec>
<ack>
<title>Acknowledgements</title>
<p>The author greatly acknowledges Mathew Sara for generating <xref ref-type="fig" rid="F2">Figure 2</xref> and funding from the Natural Sciences and Engineering Research Council (NSERC) of Canada.</p>
</ack>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of interest</title>
<p>The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
<p>The reviewer LM declared a past co-authorship with the author JG to the handling editor.</p>
</sec>
<sec sec-type="ai-statement" id="s10">
<title>Generative AI statement</title>
<p>The author(s) declared that generative AI was not used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec sec-type="disclaimer" id="s11">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<fn-group>
<fn fn-type="custom" custom-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/60643/overview">Antonello Merlino</ext-link>, University of Naples Federico II, Italy</p>
</fn>
<fn fn-type="custom" custom-type="reviewed-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/317657/overview">Luigi Messori</ext-link>, University of Florence, Italy</p>
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