<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="review-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Neurol.</journal-id>
<journal-title>Frontiers in Neurology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Neurol.</abbrev-journal-title>
<issn pub-type="epub">1664-2295</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fneur.2014.00262</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Neuroscience</subject>
<subj-group>
<subject>Opinion Article</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>The Mobilization of Aluminum into the Biosphere</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Pogue</surname> <given-names>Aileen I.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Lukiw</surname> <given-names>Walter J.</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="corresp" rid="cor1">&#x0002A;</xref>
<uri xlink:href="http://frontiersin.org/people/u/7170"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Alchem Biotech</institution>, <addr-line>Toronto, ON</addr-line>, <country>Canada</country></aff>
<aff id="aff2"><sup>2</sup><institution>Louisiana State University Neuroscience Center and Department of Ophthalmology, Louisiana State University School of Medicine</institution>, <addr-line>New Orleans, LA</addr-line>, <country>USA</country></aff>
<aff id="aff3"><sup>3</sup><institution>Department of Neurology, Louisiana State University Health Sciences Center</institution>, <addr-line>New Orleans, LA</addr-line>, <country>USA</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Christopher Ariel Shaw, University of British Columbia, Canada</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Lucija Tomljenovic, University of British Columbia, Canada</p></fn>
<corresp content-type="corresp" id="cor1">&#x0002A;Correspondence: <email>wlukiw&#x00040;lsuhsc.edu</email></corresp>
<fn fn-type="other" id="fn001"><p>This article was submitted to Neurodegeneration, a section of the journal Frontiers in Neurology.</p></fn>
</author-notes>
<pub-date pub-type="epreprint">
<day>04</day>
<month>11</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>08</day>
<month>12</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="collection">
<year>2014</year>
</pub-date>
<volume>5</volume>
<elocation-id>262</elocation-id>
<history>
<date date-type="received">
<day>23</day>
<month>09</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>11</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014 Pogue and Lukiw.</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor 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.</p></license>
</permissions>
<kwd-group>
<kwd>aluminum</kwd>
<kwd>biosphere</kwd>
<kwd>passivation layer</kwd>
<kwd>Hall&#x02013;Heroult&#x02013;Bayer</kwd>
<kwd>ecosystems</kwd>
</kwd-group>
<counts>
<fig-count count="0"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="30"/>
<page-count count="4"/>
<word-count count="3206"/>
</counts>
</article-meta>
</front>
<body>
<p>Aluminum is currently the most widely used non-ferrous metal, and its extraction and purification from geological stores exceeds that of any other metal except iron (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>). In 2013, global primary aluminum production was &#x0007E;52 million tons (104 billion pounds) or about 15 pounds for very person on the earth (<xref ref-type="bibr" rid="B1">1</xref>&#x02013;<xref ref-type="bibr" rid="B4">4</xref>). The global outlook for aluminum demand from developing countries such as Brazil, China, India, and Indonesia is rapidly increasing, due to new applications for aluminum and aluminum alloys in infrastructural support, transportation including automobiles, aviation and aerospace applications, electrical transmission, and the generation of energy, including catalytic <italic>zeolites</italic> in the petroleum and petrochemical industries (<xref ref-type="bibr" rid="B5">5</xref>). Interestingly, the largest &#x0201C;<italic>machine</italic>&#x0201D; built by humankind is the domestic and international networks for the transmission of electricity. Although traditionally-used copper has a higher electrical conductivity, aluminum is only slightly less so, being lighter, more ductile, and less expensive; aluminum is now widely used for <italic>both</italic> high-voltage tower construction and the electrical transmission wires themselves (<xref ref-type="bibr" rid="B2">2</xref>&#x02013;<xref ref-type="bibr" rid="B5">5</xref>). It has been estimated that within the next 10&#x02009;years aluminum production will exceed that of the previous 150&#x02009;years (<xref ref-type="bibr" rid="B1">1</xref>&#x02013;<xref ref-type="bibr" rid="B3">3</xref>). <italic>This prolific de novo generation of aluminum combined with its highly efficient recycling means this metal is becoming increasingly present in our biosphere, defined as the sum of all ecosystems and living organisms on the earth</italic>. This short &#x0201C;Opinion&#x0201D; paper will overview and comment on the current massive mobilization of aluminum into the earth&#x02019;s biosphere.</p>
<sec id="S1">
<title>Aluminum Geology, Historical and Industrial Perspectives</title>
<p>Bound tightly by oxygen and silicon, aluminum oxides and silicates, commonly referred to as alumina and/or aluminosilicate, exist naturally in ores generically termed <italic>bauxite</italic>. Bauxite consists mainly of the hydrated aluminum oxide (Al<sub>2</sub>O<sub>3</sub>xH<sub>2</sub>O) minerals <italic>gibbsite</italic>, <italic>boehmite</italic>, and <italic>diaspore</italic>, and is the world&#x02019;s main source of raw material for the production of aluminum. Aluminum is extremely abundant; and after oxygen and silicon is the third most abundant element in the earth&#x02019;s crust and the most abundant metal (<xref ref-type="bibr" rid="B1">1</xref>&#x02013;<xref ref-type="bibr" rid="B6">6</xref>). Bauxite ore often contains several varieties of iron oxides, mostly <italic>goethite</italic>, <italic>hematite</italic>, and the clay mineral <italic>kaolinite</italic> making them reddish in appearance; widely distributed in the tropics, rusty-red soil types called <italic>laterites</italic> are highly enriched in complex aluminum- and iron-oxides. Interestingly, as the primordial earth cooled, the lighter, lowest-density elements rose to the surface crust, and aluminum, one of the lightest metals known, currently exists in relatively easy-to-access near-the-surface deposits (<xref ref-type="bibr" rid="B7">7</xref>). Hence, two geophysical features make bauxite relatively easy to acquire as (i) massive bauxite deposits lie very near the earth&#x02019;s surface, conducive to strip mining, with little or no overburden to remove; and (ii) the aluminum content of bauxite is very high in the lithosphere, conducive to vast bauxite mining and smelting operations. It is not often appreciated that although aluminum <italic>averages</italic> 8% (w/v) of the entire earth&#x02019;s crust, alumina-enriched bauxite ore deposits can often reach up to 50% (w/v); for example, the Gove and Weipa bauxite deposits of Northern Territory and Queensland, Australia contain &#x0007E;50% available alumina, and are currently among the largest, most accessible, and highest grade bauxite mines in the world (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B6">6</xref>). Remarkably, the largest aluminum mines in Australia can extract &#x0007E;3,000 tons (6,000,000 pounds) of bauxite per hour, and these are the largest contributors to a global aluminum production, which is currently in excess of about &#x0007E;6,000 tons (12 million pounds) of 99% pure aluminum <italic>produced every hour of every day</italic> (<xref ref-type="bibr" rid="B2">2</xref>&#x02013;<xref ref-type="bibr" rid="B5">5</xref>). The virtual inexhaustible supply of alumina in the earth&#x02019;s crust combined with the high recycling potential for aluminum (see below) guarantee to make aluminum an expanding presence and permanent fixture in our biosphere for the foreseeable future.</p>
<p>Alumina, aluminosilicates, and bauxite are relatively inert, naturally occurring compounds, in contrast to aluminum&#x02019;s extremely high reactivity in its pure elemental form (<xref ref-type="bibr" rid="B3">3</xref>). Aluminum was first produced experimentally in 1825 by the Danish chemist Hans Christian Oersted, and later the German, French, and Austrian chemists Friedrich W&#x000F6;hler, Henri Sainte-Claire Deville, and Carl Joseph Bayer up-graded isolation efficiencies and purification technologies, (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>). Just &#x0007E;75&#x02009;years later, the inception and application of the Hall&#x02013;Heroult&#x02013;Bayer process, and later modifications and upgrades of this industrial technology, including implementation of the Soderberg and prebake technologies, has made aluminum mining, extraction, and purification a multibillion international industry. Global aluminum production since 1900 has increased an amazing &#x0007E;13,000-fold (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B7">7</xref>). In the currently used Hall&#x02013;Heroult&#x02013;Bayer process molten cryolite (Na<sub>3</sub>AlF<sub>6</sub>) is used as a solvent for alumina (Al<sub>2</sub>O<sub>3</sub>) and subsequent energy-intensive direct current electrolysis refines the aluminum (melting point &#x0007E;660&#x000B0;C; &#x0007E;1221&#x000B0;F) to &#x0003E;99% purity in a single electrochemical step (<xref ref-type="bibr" rid="B7">7</xref>&#x02013;<xref ref-type="bibr" rid="B10">10</xref>). The most important chemical reaction in this operation is: 2(Al<sub>2</sub>O<sub>3</sub>)&#x02009;&#x0002B;&#x02009;electricity&#x02009;&#x02212;&#x02009;&#x0003E;4Al<sup>3&#x0002B;</sup>&#x02009;&#x0002B;&#x02009;3O<sub>2</sub>; it takes about 2 tons of alumina and 17000&#x02009;kWh of electricity to produce 1 ton of pure aluminum (<xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B7">7</xref>). Interestingly, the formidable amount of energy required to produce aluminum has prompted the Russian giant metal company Rusal, now the world&#x02019;s largest supplier of aluminum (with a 12% global share of the aluminum market) to construct the world&#x02019;s first nuclear powered aluminum smelter in the Saratov region of southern Russia with a production capacity of &#x0007E;2.3 million tons per year (&#x0007E;525,000 pounds per hour) (<xref ref-type="bibr" rid="B10">10</xref>). Recycling aluminum requires only about 5% of the original production input energy, and yearly about 20 million tons (40 billion pounds) of aluminum are recycled; for example, in some Scandinavian countries yearly over 90% of aluminum is recycled (<xref ref-type="bibr" rid="B6">6</xref>). Remarkably, it has been estimated that <italic>approximately two-thirds of all aluminum ever produced since 1900 is still in use</italic>, partly because it is so easy to recycle it into a form that has properties virtually identical to those of &#x0201C;virgin&#x0201D; aluminum generated by primary aluminum smelting operations, (<xref ref-type="bibr" rid="B1">1</xref>&#x02013;<xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>).</p>
</sec>
<sec id="S2">
<title>Aluminum Bonding to Oxygen Donor Ligands and Passivation</title>
<p>The geochemistry of aluminum is relatively simple when it occurs naturally, but becomes considerably more complex when it enters our biosphere and into the biology of living organisms. The unchanging 3<sup>&#x0002B;</sup> valence of aluminum and small ionic radius of 0.5&#x02009;nm make it an unusually high-charge density species with <italic>Z</italic><sup>2</sup>/<italic>r</italic>&#x02009;&#x0003D;&#x02009;18 (where <italic>Z</italic>&#x02009;&#x0003D;&#x02009;ionic charge and <italic>r</italic>&#x02009;&#x0003D;&#x02009;ionic radius); in fact, aluminum has by far the highest charge density of any biosphere-abundant element (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B11">11</xref>). Except in biological and/or environmentally acidic situations, aluminum remains tightly bound to oxygen in geological stores. For example, the metal&#x02013;oxygen (Me&#x02013;O) bond dissociation energy, an indicator of how strong chemical bonds are, and how much energy is required to break them, is 122&#x02009;kcal/mol for Al&#x02013;O and 98&#x02009;kcal/mol for Fe&#x02013;O; for comparison, the Al&#x02013;Al and Fe&#x02013;Fe dissociation energies are significantly less at 44 and 24&#x02009;kcal/mol, respectively (<xref ref-type="bibr" rid="B7">7</xref>&#x02013;<xref ref-type="bibr" rid="B9">9</xref>). This indicates that the Al&#x02013;O bond is exceedingly strong and that Al has a higher affinity for O than does Fe for O, Fe for Fe, or Al for Al (in comparison the Si&#x02013;O and Si&#x02013;Si bond energies are 191 and 78&#x02009;kcal/mol, respectively) (<xref ref-type="bibr" rid="B11">11</xref>&#x02013;<xref ref-type="bibr" rid="B14">14</xref>). The strong Al&#x02013;O bonding is responsible for the extremely high resistance of metallic aluminum to weathering and the decomposition of aluminum through contact and interaction with the earth&#x02019;s biosphere (see below). On the other hand, pure aluminum is extremely reactive with atmospheric oxygen, and a thin, highly protective &#x0201C;<italic>passivation layer</italic>&#x0201D; of aluminum oxide up to &#x0007E;4&#x02009;nm in thickness (8 times the radius of the Al<sup>3&#x0002B;</sup> ion) rapidly forms on exposed aluminum surfaces thus creating a physical barrier to corrosion that prevents further oxidation (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B14">14</xref>). The chemistry of aluminum in geological stores is very strongly related to the capacity of aluminum to form an Al&#x02013;O &#x0201C;passivation layer&#x0201D;; however, this reactivity situation changes when aluminum is exposed to the complex mixtures of oxygen donor ligands and physiological conditions normally abundant in living organisms, which populate the biosphere.</p>
</sec>
<sec id="S3">
<title>Aluminum, the Biosphere and Biology</title>
<p>The biosphere, sometimes defined as &#x0201C;<italic>the self-regulating zone of all life on earth</italic>,&#x0201D; and further divided into (i) the atmosphere that except under extraordinary dusty conditions normally contains very little free aluminum; (ii) the lithosphere that contains all raw aluminum in geologic deposits; and (iii) the hydrosphere that includes all water bodies on the earth. The estimated crustal (lithospheric) abundance of aluminum is an amazing 82.3&#x02009;g/kg while the estimated oceanic (hydrospheric) abundance of aluminum is about 2&#x02009;&#x000D7;&#x02009;10<sup>&#x02212;3</sup>&#x02009;mg/l (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B9">9</xref>&#x02013;<xref ref-type="bibr" rid="B11">11</xref>). Free Al<sup>3&#x0002B;</sup> concentrations in land (lithospheric) based organisms are &#x0007E;10<sup>&#x02212;11</sup>&#x02009;mol/l but may be compartmentalized at higher concentrations (<xref ref-type="bibr" rid="B15">15</xref>&#x02013;<xref ref-type="bibr" rid="B17">17</xref>). There seems to be at least two possible explanations for these generally low Al<sup>3&#x0002B;</sup> concentrations: either (i) the Al<sup>3&#x0002B;</sup> locked in the earth&#x02019;s crust has been too inert and inaccessible to the biochemistry of life or (ii) biological systems have evolved to reject Al<sup>3&#x0002B;</sup> (<xref ref-type="bibr" rid="B11">11</xref>&#x02013;<xref ref-type="bibr" rid="B13">13</xref>). Interestingly, in the circulating physiological fluids of biological systems, including the blood, lymph, cerebrospinal fluid, and extracellular fluids whose composition, temperature, or pH is in constant flux between various physiological tissues and compartments, Al<sup>3&#x0002B;</sup> associates with oxygen donor ligands to counter aluminum&#x02019;s 3<sup>&#x0002B;</sup> charge (<xref ref-type="bibr" rid="B11">11</xref>&#x02013;<xref ref-type="bibr" rid="B15">15</xref>). In biological systems, oxygen donor ligands typically include carboxylates, organic and inorganic phosphates, nucleotides, and polynucleotides such as DNA and RNA in all of their structural forms (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B15">15</xref>&#x02013;<xref ref-type="bibr" rid="B19">19</xref>). Interestingly, unless carboxylate groups are arranged to make strong chelation possible Al<sup>3&#x0002B;</sup> prefers to bind to phosphates, so the millimolar concentrations of polyphosphate in the genetic material of the nucleus may be particularly attracted to aluminum (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B10">10</xref>&#x02013;<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B20">20</xref>). Al<sup>3&#x0002B;</sup> is notorious for permanently displacing normal biological metal ions, for example, Al<sup>3&#x0002B;</sup> binds almost 10<sup>7</sup> times more strongly to ATP than does Mg<sup>2&#x0002B;</sup>, the normal ATP metal ion ligand, and once Al<sup>3&#x0002B;</sup> acquires an energetically favorable electron-rich binding site that shields its charge it has a tendency to remain there, with high refractivity to a wide variety of chelation methods (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B15">15</xref>&#x02013;<xref ref-type="bibr" rid="B19">19</xref>). To this end, while it has often been stated that there is &#x0201C;<italic>no normal biological function for aluminum</italic>,&#x0201D; its remarkable capacity to bind to DNA phosphates and aggregate chromatin and nucleic acids into highly compacted &#x0201C;heterochromatic&#x0201D; forms may have been used by evolution to shut down the expression of specific genetic information in selected cell types (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B15">15</xref>&#x02013;<xref ref-type="bibr" rid="B21">21</xref>). This is of note neuropathologically since only about &#x0007E;1 billionth of the 15 pounds of aluminum produced yearly per person has been shown to dramatically down-regulate the expression of genes in the human brain and in doing so contribute to neurological dysfunction in a biologically detrimental disease-driving process termed &#x0201C;genotoxicity&#x0201D; (<xref ref-type="bibr" rid="B17">17</xref>&#x02013;<xref ref-type="bibr" rid="B22">22</xref>). <italic>A great need currently exists to elucidate more clearly how aluminum behaves under constantly changing physiological conditions in certain compartmentalized regions of the human body, such as in the cytoplasm and nucleus, the central nervous system and cerebrovascular circulation, and how it impacts normal immune, neurological and related biological systems</italic>. Several excellent and extremely comprehensive reviews on the detrimental impact of aluminum on human biology have recently appeared in the scientific literature and are highly suggested reading for interested researchers of aluminum toxicity, and aluminum&#x02019;s current massive integration into our biosphere (<xref ref-type="bibr" rid="B23">23</xref>&#x02013;<xref ref-type="bibr" rid="B30">30</xref>).</p>
</sec>
<sec id="S4">
<title>Concluding Remarks</title>
<p>The geological extraction, smelting, production, and purification of aluminum and its mobilization into the biosphere are increasing exponentially. There are no new materials with properties similar to aluminum currently available, and new applications for aluminum use and demand continue to rise. Approximately 1.1 billion tons (2.2&#x02009;&#x000D7;&#x02009;10<sup>15</sup>&#x02009;pounds) of metallic aluminum have been extracted from geological deposits and exported into the biosphere since aluminum production began in earnest in 1900, and remarkably, through recycling, re-use and intrinsic longevity factors, about two-thirds of this amount is still in productive use (<xref ref-type="bibr" rid="B4">4</xref>&#x02013;<xref ref-type="bibr" rid="B6">6</xref>). The continuing increase in the mobilization of aluminum into our biosphere is driven by at least six interdependent factors: (i) worldwide, the demand for aluminum is currently strong and continues to rise; (ii) there is virtually a limitless supply of the relatively inexpensive raw material bauxite in vast geologic stores to generate new aluminum; (iii) the shift from relatively inert aluminum oxide in bauxite in earthbound stores into metallic aluminum is a relatively straightforward, one-step, electro-thermal process constantly being streamlined and up-graded to higher efficiency technologies; (iv) the unique geochemical, biophysical, and chemical properties of aluminum make it relatively easy to mine, extract, purify, and recycle; (v) upwards of 90% of aluminum can be recycled back to into potentially bioavailable aluminum that is not cast back into inert geological stores; and (vi) once purified aluminum enters the biosphere, it remains there to be used in multiple products to which human beings have exposure.</p>
<p>Indeed, once &#x0201C;<italic>unlocked</italic>&#x0201D; from geological stores where it is relatively inactive, in many respects aluminum has become &#x0201C;<italic>artificially and permanently integrated into the biosphere</italic>&#x0201D; as its primary production and bioavailability have paralleled the growth of human civilization (<xref ref-type="bibr" rid="B1">1</xref>&#x02013;<xref ref-type="bibr" rid="B9">9</xref>). However, along with the ongoing mobilization of aluminum into our biosphere is an expanding list of aluminum&#x02019;s adverse effects on human health and welfare. Currently, the Medline database at the US National Institutes of Health (<uri xlink:href="http://www.ncbi.nlm.nih.gov">www.ncbi.nlm.nih.gov</uri>; using the keywords &#x0201C;aluminum&#x0201D; and &#x0201C;disease&#x0201D;) lists &#x0007E;4100 peer-reviewed scientific papers describing multiple aspects of aluminum toxicity, and its potential contribution to a remarkably diverse number of human physiological dysfunctions and exposure-related diseases. <italic>As can be gleaned from the many research papers in this special volume of Frontiers, humankind must be wise to temper the widespread integration of this very useful metal into the biosphere with the realization that very minute amounts of aluminum in the wrong place at the wrong time in human development, physiology and neurobiology can very often be hazardous enough to generate some serious healthcare concern</italic>.</p>
</sec>
<sec id="S5">
<title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<ack>
<p>This work was presented in part at the Alzheimer Association International Conference (AAIC) 2014 Annual Meeting held in Copenhagen, Denmark; thanks to Drs. S. Bhattacharjee, Y. Zhao, and D. Guillot. Research on environmental factors contributing to innate-immune/inflammatory responses in AD was supported by Research to Prevent Blindness (RPB) and NIH grants NEI EY006311, NIA AG18031, and NIA AG038834. Space restrictions limit the number of references and we apologize for not quoting the work of many highly accomplished aluminum researchers.</p>
</ack>
<ref-list>
<title>References</title>
<ref id="B1"><label>1</label><citation citation-type="web"><collab>U.S. Geological Survey, Mineral Commodity Summaries</collab> (<year>2014</year>). Aluminum: Prepared by E. Lee Bray. Retrieved from: <uri xlink:href="http://minerals.usgs.gov/minerals/pubs/commodity/aluminum/mcs-2014-alumi.pdf">http://minerals.usgs.gov/minerals/pubs/commodity/aluminum/mcs-2014-alumi.pdf</uri></citation></ref>
<ref id="B2"><label>2</label><citation citation-type="web"><collab>IAAP; Icelandic Association of Aluminum Production</collab> (<year>2014</year>). About aluminium. Retrieved from: <uri xlink:href="http://en.samal.is/malmurinn-frodleikur-um-al/heimsmarkadurinn/">http://en.samal.is/malmurinn-frodleikur-um-al/heimsmarkadurinn/</uri></citation></ref>
<ref id="B3"><label>3</label><citation citation-type="web"><collab>Stanford News Service</collab> (<year>2000</year>). Scientific Discovery: Aluminum and rust. Retrieved from: <uri xlink:href="http://news.stanford.edu/pr/00/aluminum511.html">http://news.stanford.edu/pr/00/aluminum511.html</uri></citation></ref>
<ref id="B4"><label>4</label><citation citation-type="web"><collab>Australian Aluminum Council</collab> (<year>2010</year>). Australian Bauxite. Retrieved from: <uri xlink:href="http://aluminium.org.au/australian-bauxite/australian-bauxite">http://aluminium.org.au/australian-bauxite/australian-bauxite</uri></citation></ref>
<ref id="B5"><label>5</label><citation citation-type="web"><collab>The Uses of Aluminum</collab> (<year>2014</year>). Use in Households, Construction, Packaging, Transportation and Power Lines. Retrieved from: <uri xlink:href="http://www.usesof.net/uses-of-aluminum.html">http://www.usesof.net/uses-of-aluminum.html</uri></citation></ref>
<ref id="B6"><label>6</label><citation citation-type="web"><collab>The International Aluminium Institute</collab> (<year>2012</year>). Aluminium for Future Generations. Retrieved from: <uri xlink:href="http://recycling.world-aluminium.org/home.html">http://recycling.world-aluminium.org/home.html</uri></citation></ref>
<ref id="B7"><label>7</label><citation citation-type="web"><collab>Jefferson Lab &#x02013; Science Education</collab> (<year>2014</year>). Its Elemental: The element aluminum. Retrieved from: <uri xlink:href="http://education.jlab.org/itselemental/ele013.html">http://education.jlab.org/itselemental/ele013.html</uri></citation></ref>
<ref id="B8"><label>8</label><citation citation-type="book"><person-group person-group-type="author"><name><surname>Lukiw</surname> <given-names>WJ</given-names></name></person-group>. <article-title><italic>Aluminum and gene transcription in the mammalian central nervous system</italic>.</article-title> In: <person-group person-group-type="editor"><name><surname>Exley</surname> <given-names>C</given-names></name></person-group>, editor. <source>Aluminum and Alzheimer&#x02019;s Disease, The Science That Describes the Link</source>. <publisher-loc>New York, NY</publisher-loc>: <publisher-name>Elsevier Press</publisher-name> (<year>2001</year>). p. <fpage>47</fpage>&#x02013;<lpage>68</lpage>.</citation></ref>
<ref id="B9"><label>9</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Campbell</surname> <given-names>T</given-names></name> <name><surname>Kalia</surname> <given-names>R</given-names></name> <name><surname>Nakano</surname> <given-names>A</given-names></name> <name><surname>Vashishta</surname> <given-names>P</given-names></name> <name><surname>Ogata</surname> <given-names>S</given-names></name> <name><surname>Rodgers</surname> <given-names>S</given-names></name></person-group>. <article-title>Dynamics of oxidation of aluminium nanoclusters using variable charge molecular-dynamics simulations on parallel computers</article-title>. <source>Phys Rev Lett</source> (<year>1999</year>) <volume>82</volume>:<fpage>4866</fpage>.<pub-id pub-id-type="doi">10.1103/PhysRevLett.82.4866</pub-id></citation></ref>
<ref id="B10"><label>10</label><citation citation-type="web"><collab>World Nuclear News</collab> (<year>2007</year>). Nuclear to power world&#x02019;s largest aluminum smelter. Retrieved from: <uri xlink:href="http://www.world-nuclear-news.org/newsarticle.aspx?id=14188&#x00026;langtype=2057">http://www.world-nuclear-news.org/newsarticle.aspx?id&#x0003D;14188&#x00026;langtype&#x0003D;2057</uri></citation></ref>
<ref id="B11"><label>11</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Martin</surname> <given-names>RB</given-names></name></person-group>. <article-title>The chemistry of aluminum as related to biology and medicine</article-title>. <source>Clin Chem</source> (<year>1986</year>) <volume>32</volume>:<fpage>1797</fpage>&#x02013;<lpage>806</lpage>.<pub-id pub-id-type="pmid">3019589</pub-id></citation></ref>
<ref id="B12"><label>12</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kerr</surname> <given-names>JA</given-names></name></person-group>. <article-title>Bond dissociation energies by kinetic methods</article-title>. <source>Chem Rev</source> (<year>1966</year>) <volume>66</volume>:<fpage>465</fpage>&#x02013;<lpage>500</lpage>.<pub-id pub-id-type="doi">10.1021/cr60243a001</pub-id></citation></ref>
<ref id="B13"><label>13</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brown</surname> <given-names>ID</given-names></name> <name><surname>Shannon</surname> <given-names>RD</given-names></name></person-group>. <article-title>Empirical bond-strength-bond-length curves for oxides</article-title>. <source>Acta Crystallogr A</source> (<year>1973</year>) <volume>29</volume>:<fpage>266</fpage>&#x02013;<lpage>76</lpage>.<pub-id pub-id-type="doi">10.1107/S0567739473000689</pub-id></citation></ref>
<ref id="B14"><label>14</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Siegel</surname> <given-names>S</given-names></name></person-group>. <article-title>Bond strength-bond length relationships for some metal-oxygen bonds</article-title>. <source>J Inorg Nucl Chem</source> (<year>1978</year>) <volume>40</volume>:<fpage>275</fpage>&#x02013;<lpage>83</lpage>.<pub-id pub-id-type="doi">10.1016/0022-1902(78)80123-7</pub-id></citation></ref>
<ref id="B15"><label>15</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Walker</surname> <given-names>PR</given-names></name> <name><surname>LeBlanc</surname> <given-names>J</given-names></name> <name><surname>Sikorska</surname> <given-names>M</given-names></name></person-group>. <article-title>Effects of aluminum and other cations on the structure of brain and liver chromatin</article-title>. <source>Biochemistry</source> (<year>1989</year>) <volume>28</volume>:<fpage>3911</fpage>&#x02013;<lpage>5</lpage>.<pub-id pub-id-type="doi">10.1021/bi00435a043</pub-id><pub-id pub-id-type="pmid">2752000</pub-id></citation></ref>
<ref id="B16"><label>16</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kruck</surname> <given-names>TP</given-names></name> <name><surname>Cui</surname> <given-names>JG</given-names></name> <name><surname>Percy</surname> <given-names>ME</given-names></name> <name><surname>Lukiw</surname> <given-names>WJ</given-names></name></person-group>. <article-title>Molecular shuttle chelation: the use of ascorbate, desferrioxamine and Feralex-G in combination to remove nuclear bound aluminum</article-title>. <source>Cell Mol Neurobiol</source> (<year>2004</year>) <volume>24</volume>:<fpage>443</fpage>&#x02013;<lpage>59</lpage>.<pub-id pub-id-type="doi">10.1023/B:CEMN.0000022773.70722.b2</pub-id><pub-id pub-id-type="pmid">15206824</pub-id></citation></ref>
<ref id="B17"><label>17</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lukiw</surname> <given-names>WJ</given-names></name> <name><surname>Krishnan</surname> <given-names>B</given-names></name> <name><surname>Wong</surname> <given-names>L</given-names></name> <name><surname>Kruck</surname> <given-names>TP</given-names></name> <name><surname>Bergeron</surname> <given-names>C</given-names></name> <name><surname>Crapper McLachlan</surname> <given-names>DR</given-names></name></person-group>. <article-title>Nuclear compartmentalization of aluminum in Alzheimer&#x02019;s disease (AD)</article-title>. <source>Neurobiol Aging</source> (<year>1992</year>) <volume>13</volume>:<fpage>115</fpage>&#x02013;<lpage>21</lpage>.<pub-id pub-id-type="doi">10.1016/0197-4580(92)90018-S</pub-id><pub-id pub-id-type="pmid">1542372</pub-id></citation></ref>
<ref id="B18"><label>18</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bhattacharjee</surname> <given-names>S</given-names></name> <name><surname>Zhao</surname> <given-names>Y</given-names></name> <name><surname>Hill</surname> <given-names>JM</given-names></name> <name><surname>Percy</surname> <given-names>ME</given-names></name> <name><surname>Lukiw</surname> <given-names>WJ</given-names></name></person-group>. <article-title>Aluminum and its potential contribution to Alzheimer&#x02019;s disease (AD)</article-title>. <source>Front Aging Neurosci</source> (<year>2014</year>) <volume>6</volume>:<fpage>62</fpage>.<pub-id pub-id-type="doi">10.3389/fnagi.2014.00062</pub-id></citation></ref>
<ref id="B19"><label>19</label><citation citation-type="book"><person-group person-group-type="author"><name><surname>Lukiw</surname> <given-names>WJ</given-names></name> <name><surname>McLachlan</surname> <given-names>DRC</given-names></name></person-group>. <article-title><italic>&#x02018;Neurotoxicology of aluminum&#x02019; in handbook of neurotoxicology II</italic>.</article-title> In: <person-group person-group-type="editor"><name><surname>Chang</surname> <given-names>L</given-names></name> <name><surname>Dyer</surname> <given-names>R</given-names></name></person-group>, editors. <source>Effects and Mechanisms</source>. (Vol. <volume>4</volume>), <publisher-loc>New York, NY</publisher-loc>: <publisher-name>Marcel Dekker</publisher-name> (<year>1996</year>). p. <fpage>105</fpage>&#x02013;<lpage>42</lpage>.</citation></ref>
<ref id="B20"><label>20</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lukiw</surname> <given-names>WJ</given-names></name></person-group>. <article-title>Evidence supporting a biological role for aluminum in chromatin compaction and epigenetics</article-title>. <source>J Inorg Biochem</source> (<year>2010</year>) <volume>104</volume>(<issue>9</issue>):<fpage>1010</fpage>&#x02013;<lpage>2</lpage>.<pub-id pub-id-type="pmid">20684046</pub-id></citation></ref>
<ref id="B21"><label>21</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pogue</surname> <given-names>AI</given-names></name> <name><surname>Percy</surname> <given-names>ME</given-names></name> <name><surname>Cui</surname> <given-names>JG</given-names></name> <name><surname>Li</surname> <given-names>YY</given-names></name> <name><surname>Bhattacharjee</surname> <given-names>S</given-names></name> <name><surname>Hill</surname> <given-names>JM</given-names></name> <etal/></person-group> <article-title>Up-regulation of NF-kB-sensitive miRNA-125b and miRNA-146a in metal sulfate-stressed human astroglial (HAG) primary cell cultures</article-title>. <source>J Inorg Biochem</source> (<year>2011</year>) <volume>105</volume>:<fpage>1434</fpage>&#x02013;<lpage>7</lpage>.<pub-id pub-id-type="doi">10.1016/j.jinorgbio.2011.05.012</pub-id><pub-id pub-id-type="pmid">22099153</pub-id></citation></ref>
<ref id="B22"><label>22</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bhattacharjee</surname> <given-names>S</given-names></name> <name><surname>Zhao</surname> <given-names>Y</given-names></name> <name><surname>Hill</surname> <given-names>JM</given-names></name> <name><surname>Culicchia</surname> <given-names>F</given-names></name> <name><surname>Kruck</surname> <given-names>TP</given-names></name> <name><surname>Percy</surname> <given-names>ME</given-names></name> <etal/></person-group> <article-title>Selective accumulation of aluminum in cerebral arteries in Alzheimer&#x02019;s disease (AD)</article-title>. <source>J Inorg Biochem</source> (<year>2013</year>) <volume>126</volume>:<fpage>35</fpage>&#x02013;<lpage>7</lpage>.<pub-id pub-id-type="doi">10.1016/j.jinorgbio.2013.05.007</pub-id><pub-id pub-id-type="pmid">23764827</pub-id></citation></ref>
<ref id="B23"><label>23</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Walton</surname> <given-names>JR</given-names></name></person-group>. <article-title>Aluminum involvement in the progression of Alzheimer&#x02019;s disease</article-title>. <source>J Alzheimers Dis</source> (<year>2013</year>) <volume>35</volume>(<issue>1</issue>):<fpage>7</fpage>&#x02013;<lpage>43</lpage>.<pub-id pub-id-type="doi">10.3233/JAD-121909</pub-id></citation></ref>
<ref id="B24"><label>24</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Exley</surname> <given-names>C</given-names></name></person-group>. <article-title>Human exposure to aluminium</article-title>. <source>Environ Sci Process Impacts</source> (<year>2013</year>) <volume>15</volume>:<fpage>1807</fpage>&#x02013;<lpage>16</lpage>.<pub-id pub-id-type="doi">10.1039/c3em00374d</pub-id><pub-id pub-id-type="pmid">23982047</pub-id></citation></ref>
<ref id="B25"><label>25</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shaw</surname> <given-names>CA</given-names></name> <name><surname>Tomljenovic</surname> <given-names>L</given-names></name></person-group>. <article-title>Aluminum in the central nervous system (CNS): toxicity in humans and animals, vaccine adjuvants, and autoimmunity</article-title>. <source>Immunol Res</source> (<year>2013</year>) <volume>56</volume>:<fpage>304</fpage>&#x02013;<lpage>16</lpage>.<pub-id pub-id-type="doi">10.1007/s12026-013-8403-1</pub-id><pub-id pub-id-type="pmid">23609067</pub-id></citation></ref>
<ref id="B26"><label>26</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bondy</surname> <given-names>SC</given-names></name></person-group>. <article-title>Prolonged exposure to low levels of aluminum leads to changes associated with brain aging and neurodegeneration</article-title>. <source>Toxicology</source> (<year>2014</year>) <volume>315</volume>:<fpage>1</fpage>&#x02013;<lpage>7</lpage>.<pub-id pub-id-type="doi">10.1016/j.tox.2013.10.008</pub-id><pub-id pub-id-type="pmid">24189189</pub-id></citation></ref>
<ref id="B27"><label>27</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Willhite</surname> <given-names>CC</given-names></name> <name><surname>Karyakina</surname> <given-names>NA</given-names></name> <name><surname>Yokel</surname> <given-names>RA</given-names></name> <name><surname>Yenugadhati</surname> <given-names>N</given-names></name> <name><surname>Wisniewski</surname> <given-names>TM</given-names></name> <name><surname>Arnold</surname> <given-names>IM</given-names></name> <etal/></person-group> <article-title>Systematic review of potential health risks posed by pharmaceutical, occupational and consumer exposures to metallic and nanoscale aluminum, aluminum oxides, aluminum hydroxide and its soluble salts</article-title>. <source>Crit Rev Toxicol</source> (<year>2014</year>) <volume>44</volume>:<fpage>1</fpage>&#x02013;<lpage>80</lpage>.<pub-id pub-id-type="doi">10.3109/10408444.2014.934439</pub-id><pub-id pub-id-type="pmid">25233067</pub-id></citation></ref>
<ref id="B28"><label>28</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Exley</surname> <given-names>C</given-names></name></person-group>. <article-title>What is the risk of aluminium as a neurotoxin?</article-title> <source>Expert Rev Neurother</source> (<year>2014</year>) <volume>14</volume>:<fpage>589</fpage>&#x02013;<lpage>91</lpage>.<pub-id pub-id-type="doi">10.1586/14737175.2014.915745</pub-id><pub-id pub-id-type="pmid">24779346</pub-id></citation></ref>
<ref id="B29"><label>29</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Walton</surname> <given-names>JR</given-names></name></person-group>. <article-title>Chronic aluminum intake causes Alzheimer&#x02019;s disease: applying Sir Austin Bradford Hill&#x02019;s causality criteria</article-title>. <source>J Alzheimers Dis</source> (<year>2014</year>) <volume>40</volume>:<fpage>765</fpage>&#x02013;<lpage>838</lpage>.<pub-id pub-id-type="doi">10.3233/JAD-132204</pub-id><pub-id pub-id-type="pmid">24577474</pub-id></citation></ref>
<ref id="B30"><label>30</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shaw</surname> <given-names>CA</given-names></name> <name><surname>Seneff</surname> <given-names>S</given-names></name> <name><surname>Kette</surname> <given-names>SD</given-names></name> <name><surname>Tomljenovic</surname> <given-names>L</given-names></name> <name><surname>Oller</surname> <given-names>JW</given-names> <suffix>Jr</suffix></name> <name><surname>Davidson</surname> <given-names>RM</given-names></name></person-group>. <article-title>Aluminum-induced entropy in biological systems: implications for neurological disease</article-title>. <source>J Toxicol</source> (<year>2014</year>) <volume>2014</volume>:<fpage>491316</fpage>.<pub-id pub-id-type="doi">10.1155/2014/491316</pub-id><pub-id pub-id-type="pmid">25349607</pub-id></citation></ref>
</ref-list>
</back>
</article>