The neurotoxicity of high levels of methylmercury (MeHg) and the high susce
ptibility of the developing brain are well established both in humans and e
xperimental animals. Prenatally poisoned children display a range of effect
s varying from severe cerebral palsy to subtle developmental delays. Still
unknown is the lowest dose that impairs neurodevelopment. The primary sourc
e of human exposure is the fish. The data obtained so far from epidemiologi
cal studies on fish-eating populations are not consistent. A reference dose
of 0.1 mug MeHg/kg per day has been established by the U.S. Environmental
Protection Agency based on a study on Iraq! children exposed to MeHg in ute
ro. However, these exposures occurred at high level for a limited period of
time, and consequently were not typical of lower chronic exposure levels a
ssociated with fish consumption. Major obstacles for estimation of a thresh
old dose for MeHg include the delayed appearance of the neurodevelopmental
effects following prenatal exposure and limited knowledge of cellular and m
olecular processes underlying these neurological changes. In this respect,
a strategy which aims at identifying sensitive molecular targets of MeHg at
environmentally relevant levels may prove particularly useful to risk asse
ssment. Here some examples of MeHg molecular effects occurring at low doses
/concentrations are presented. (C) 2001 Elsevier Science Inc.