ACS Chemical Health & Safety ( IF 0 ) Pub Date : 2022-06-08 , DOI:
10.1021/acs.chas.2c00034Karen Elizabeth Wetterhahn (born 1948) died on June 8, 1997, after a single accidental occupational exposure to the alkyl mercury compound dimethylmercury nearly a year earlier. A bioinorganic chemist, in 1976, Karen had become Dartmouth College’s first female chemistry professor, launching a successful career as a scientist, teacher, and administrator and a pioneer in educating and mentoring women in the sciences. She was a mother, wife, and beloved member of the Upper Valley community of New Hampshire and Vermont. Twenty-five years after her death, with a continued sense of loss, we seek to remind those who remember this event and share her story’s importance with a new generation of scientists. In the mid-1990s, the Wetterhahn lab in the Burke Laboratory on the Dartmouth campus was a dynamic and well-organized group of graduate and undergraduate students and postdoctoral fellows. Karen’s research focus was the toxic effects of certain metals (chromium, in particular) in living organisms. The internationally accepted standard for calibrating mercury chemical shifts in nuclear magnetic resonance (NMR) spectroscopy is the clear, volatile liquid dimethylmercury (CH3)2Hg. As part of her research at the time, Karen needed the 199Hg NMR spectrum of several model compounds to study Hg2+ binding to select biomolecules. On August 14, 1996, while working in a laboratory fume hood, Karen carefully transferred, via a mechanical pipette, dimethylmercury from its original (sealed) glass ampule into an NMR tube and a capped storage vial. A small drop of dimethylmercury fell on her latex-gloved left hand during this process. Karen would continue her work for the next five months without knowing she had been poisoned during an otherwise routine chemical transfer. The hallmark signs of organic mercury toxicity appeared in her impaired vision, slurred speech, and unsteady gait (ataxia). After her diagnosis and hospitalization, Karen recounted wearing personal protective equipment (PPE) when the spill occurred, immediately cleaning up her work area, removing her gloves, and washing her hands. Karen’s medical condition declined rapidly after admission to the hospital. Before she became unresponsive, Karen clearly stated that she wanted us to share her story with other scientists, warning them of the danger that even a tiny accidental exposure to liquid dimethylmercury could cause severe illness. Textbooks at that time only briefly mentioned signs and symptoms of the clinical toxicity of organic mercury compounds, mainly in the form of monomethyl mercury. There was no discussion of the even greater potential toxicity of dimethylmercury, which is now known to have a long latency period before symptoms develop. Often-cited cases involving monomethyl mercury poisoning occurred in Iraq in 1971 due to ingestion of contaminated wheat during a drought and many years earlier in Minimata Bay, Japan, from ingestion of fish exposed to industrial waste. Karen developed the same symptoms of mercury toxicity seen in Iraq and Japan months after her exposure. Further, those cases where the blood mercury level was similar to that found in Karen were fatal in nearly every case, despite treatment with available chelating agents. Karen received excellent care in the hospital, including multiple treatments with the more advanced chelating agent dimercaptosuccinic acid. Despite these efforts, she lapsed into an irreversible vegetative state, dying five months after her diagnosis, despite all the effort and care. An extensive investigation by Dartmouth College and the Occupational Safety and Health Administration (OSHA) in the spring of 1997 concluded that Karen’s disposable latex gloves were not adequate protection against dimethylmercury. Glove testing done by a certified laboratory revealed that dimethylmercury passed unimpeded through most glove materials. (See Figure 1.) However, testing showed that a plastic laminate glove material was protective, and the College quickly informed others. In the months that followed Karen’s death, those closely involved wrote several papers, and questions came frequently. Today, 25 years later, fewer questions are being raised about dimethylmercury and organic mercury exposure and toxicity, even though the optimal treatment and chelating agent are still unclear. Figure 1. Reprinted with permission from ref (1). Copyright 1997 Chemical & Engineering News. Soon after Karen’s death, the O’Halloran lab (Northwestern) created a website outlining methods for referencing 199Hg chemical shifts and discussing compounds that can serve as alternatives to dimethylmercury as a reference standard. (http://web.archive.org/web/20050514072706/http://www.chem.northwestern.edu/∼ohallo/HgNMRStandards/). Independent studies published by the Persson lab (Uppsala, Sweden) demonstrate the utility of mercury perchlorate solutions as reference standards in 199Hg NMR studies. Based on Karen’s accomplishments in the ∼20 years of her independent academic career, which include essential contributions to our understanding of the mechanisms of metal toxicity and carcinogenicity, the leadership of a highly successful interdisciplinary and collaborative research program (Superfund Research Program at Dartmouth), founding an early and effective program for diversifying science (Women in Science Project at Dartmouth), and significant roles in the administration of Dartmouth College, we can only imagine what she would have accomplished in the years since her tragic and untimely death. Her leadership, drive, and insight remain, to this day, an inspiration to her colleagues and students. Over the past 25 years, while laboratory safety awareness has grown, the hazards and risks of highly toxic compounds remain an everyday concern. The death of Karen Wetterhahn is a poignant reminder that there are some chemicals with known (or unknown) properties that may overcome standard methods of protection (administrative, engineering controls, and personal protective equipment). This concern is genuine, as chemists work with a broader range of materials that could be harmful or lethal without adequate precautions. The importance of conducting a hazard and risk assessment, especially with highly toxic or dangerous chemicals, cannot be understated. Such an assessment needs to be part of the vernacular of chemistry in planning experiments and preparing for emergencies. We encourage everyone to heed this warning─some compounds are so dangerous that even a tiny drop can steal a life. As authors, we feel it is important to remember our colleague and friend Karen Wetterhahn and her wish that other scientists learn from this cautionary story. This article references 1 other publications. This article has not yet been cited by other publications. Figure 1. Reprinted with permission from ref (1). Copyright 1997 Chemical & Engineering News. This article references 1 other publications.