“…Biomarkers of exposure might be investigated by DMT1 gene expression, Mn efflux transport, as well as inflammatory genes, and cellular responses of apoptosis and mitochondrial dysfunction [ 28 , 85 , 95 ]. Other biomarkers of exposure can include Mn levels in teeth, hair, and blood, but because it is primarily sequestered in tissue and within intracellular compartments, blood concentration may be a poor biomarker [ 28 , 96 ]. Biomarkers of effect include neurological deficits, altered hormonal, reproductive, cardiovascular, dermatological, hematological, learning and memory, immunological responses, and especially brain basal ganglia histopathology [ 28 , 83 , 87 , 95 ].…”