Neurotoxins cause biochemical and molecular events which indicate early sta
ge effects in exposed persons well before or well below the induction of ov
ert disease. Monitoring these early events may represent a valid approach t
o developing markers of neurotoxicity in individuals exposed to environment
al chemicals. In neurotoxicology, the use of biochemical markers is more pr
oblematic compared to other fields due to the complexity of central nervous
system function, the multistage nature of neurotoxic events, and the inacc
essibility of target tissue, Nevertheless, new biochemical assays have been
developed in recent years to assess exposure, subclinical effects, and sus
ceptibility to neurotoxic disorders. This paper reviews novel biomarkers of
neurotoxicity and discusses perspectives and limitations of their use in o
ccupational and environmental medicine. (C) 2000 Academic Press.