Health Effects of Toxic Organic Substances from Coal: Toward “Panendemic” Nephropathy

Abstract

Coal contains myriad organic compounds, some known to be toxic and others that are potentially toxic. Toxic organic compounds found in coal of particular interest include: i) condensed aromatic structures (e.g., polycyclic aromatic hydrocarbons), which can act as mutagens, cancer promoters, and endocrine disrupters; ii) aromatic amines, which have probable nephrotoxic activity; and iii) heterocyclic compounds, which may be carcinogenic and nephrotoxic. Toxic organic compounds can be leached from coal into water supplies, and longterm human exposure to these compounds may lead to disease occurrence, including cancer and renal disease. Despite these potential hazards, little is known about the impact and toxicity of organic substances derived from coal in water supplies. One example of a disease hypothesized to be linked to coal-derived toxic organic compounds in water supplies is Balkan endemic nephropathy (BEN). In this paper, we summarize results from our studies linking BEN to the leaching of toxic organic compounds from low rank (lignite) Pliocene coal deposits into water supplies (well and spring water) of the rural villages where the disease occurs. We also introduce the idea of panendemic nephropathy (PEN) for BEN-like diseases that are linked to coal-derived toxic organic compounds in water supplies, but that occur outside the Balkans. Preliminary results supporting the PEN hypothesis are presented, with results from proposed PEN areas in Wyoming (WY) and Louisiana (LA). Results of toxicological studies of the effects of organic compounds isolated from water supplies in BEN and PEN areas on human cell cultures are also discussed. China, India, Turkey, and Portugal represent other areas where BEN-like diseases may occur, as a result of the presence of extensive low rank coal deposits and rural populations using untreated water in contact with coal in these nations.