Résumé
La géophagie, c’est-à-dire l’ingestion volontaire de sols argileux, est largement pratiquée en Afrique subsaharienne, surtout chez les femmes enceintes. Cependant, ses effets toxicologiques restent peu documentés. Les argiles peuvent contenir des métaux lourds tels que le plomb (Pb), le cadmium (Cd), l’arsenic (As) et le nickel (Ni), susceptibles de devenir biodisponibles après ingestion et d’entraîner des effets systémiques et hématologiques. Dans cette étude, des rats Wistar ont été exposés pendant huit semaines à différentes doses d’argile contaminée, administrée soit par alimentation, soit par gavage. Les concentrations sanguines de métaux lourds, les paramètres hématologiques (globules rouges et blancs, hémoglobine, plaquettes) ainsi que les oligo-éléments essentiels (fer, manganèse, sélénium) ont été analysés. Les résultats montrent une accumulation dose-dépendante de métaux lourds. Les fortes doses, notamment par gavage, ont provoqué une anémie microcytaire sévère, une leucopénie et une thrombocytopénie, suggérant une atteinte de la moelle osseuse et une perturbation de la synthèse de l’hème. À doses modérées, des effets plus légers avec des mécanismes compensatoires ont été observés. Une perturbation de l’équilibre des oligo-éléments a également été notée, avec une baisse du fer et du manganèse et une hausse du sélénium. Les corrélations confirment un lien entre la charge en métaux lourds et les troubles hématologiques. Cette étude met en évidence un risque sanitaire important lié à la géophagie et souligne la nécessité d’actions de santé publique.
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