Epidemiological research progress in the effects of metal exposure on kidney / 中南大学学报(医学版)

Chronic kidney disease (CKD) is suffered progressive loss of kidney function lasting more than 3 months and is classified according to the degree of kidney damage (level of proteinuria) and the decreased glomerular filtration rate (GFR). The most severe form of CKD is end-stage renal disease. The prevalence of CKD is high with fast growth rate and the disease burden has become increasingly serious. CKD has become an important public health problem threatening human health. The etiology of CKD is complex. In addition to genetic factors, environmental factors are an important cause of CKD. With the development of industrialization, environmental metal pollution has become increasingly severe, and its impact on human health has received widespread attention. A large number of studies have shown that metals such as lead, cadmium, and arsenic can accumulate in the kidney, which can cause damage to the structure and function of the kidney, and play an important role in the development of CKD. Therefore, summarizing the epidemiological research progress in the relationship between arsenic, cadmium, lead, and other metal exposures and kidney diseases can provide new ideas for the prevention and control of kidney diseases caused by metal exposure.

Mechanism of Learning and Memory Impairment in Rats Exposed to Arsenic and/or Fluoride Based on Microbiome and Metabolome / 生物医学与环境科学（英文）

OBJECTIVE@#Arsenic (As) and fluoride (F) are two of the most common elements contaminating groundwater resources. A growing number of studies have found that As and F can cause neurotoxicity in infants and children, leading to cognitive, learning, and memory impairments. However, early biomarkers of learning and memory impairment induced by As and/or F remain unclear. In the present study, the mechanisms by which As and/or F cause learning memory impairment are explored at the multi-omics level (microbiome and metabolome).@*METHODS@#We stablished an SD rats model exposed to arsenic and/or fluoride from intrauterine to adult period.@*RESULTS@#Arsenic and/fluoride exposed groups showed reduced neurobehavioral performance and lesions in the hippocampal CA1 region. 16S rRNA gene sequencing revealed that As and/or F exposure significantly altered the composition and diversity of the gut microbiome，featuring the Lachnospiraceae_NK4A136_group, Ruminococcus_1, Prevotellaceae_NK3B31_group, [Eubacterium]_xylanophilum_group. Metabolome analysis showed that As and/or F-induced learning and memory impairment may be related to tryptophan, lipoic acid, glutamate, gamma-aminobutyric acidergic (GABAergic) synapse, and arachidonic acid (AA) metabolism. The gut microbiota, metabolites, and learning memory indicators were significantly correlated.@*CONCLUSION@#Learning memory impairment triggered by As and/or F exposure may be mediated by different gut microbes and their associated metabolites.

Research progress on the regulatory mechanism of non-coding RNA in arsenic toxicity / 中华劳动卫生职业病杂志

Arsenic is a non-metallic element, and the International Agency for Research on Cancer has identified arsenic and its compounds as carcinogens. Arsenic and its compounds can be absorbed through the respiratory tract, skin and digestive tract, distributed in the liver, kidney, lung and skin, and cause damage. Non-coding RNAs are closely related to arsenic-induced nervous system disorders, cell necrosis, reproductive toxicity, and carcinogenesis. In recent years, the network regulation of microRNAs (miRNAs) , long non-coding RNAs (lncRNAs) , and circular RNAs (circRNAs) among non-coding RNAs in various diseases induced by arsenic has become a new research field. This paper summarizes the existing scientific research results, and expounds the mechanism of miRNAs, lncRNAs and circRNAs in arsenic toxicity, and provides basic data and theoretical basis for the prevention and treatment of arsenic poisoning.

Early loss of primary molar and permanent tooth germ caused by the use of devitalizer during primary molar root canal therapy: Two cases report / 北京大学学报(医学版)

Devitalization has been widely used in the root canal therapy of primary and permanent teeth in China more than ten years ago. With the development of local anesthetic drugs and injection technologies, this treatment method with high potential risks has been gradually abandoned. However, a questionnaire survey targeted all the participants at the 2018 China Pediatric Dentistry Conference showed that the devitalizer utilization proportion was still as high as 38.1% (383/1 005), even though the ratio was much lower than 75.5% (105/139) in 2003. These doctors had pay more attention to tissue burn caused by devitalizer marginal leakage or direct leakage, and know how to identify and handle with devitalizer burn. Devitalizers were usually made of arsenic trioxide, metal arsenic or paraformaldehyde, which have cytotoxicity, allergenicity, mutagenicity, carcinogenicity, and teratogenic effects on animals. Marginal leakage of devitalizers have high risks of causing soft and hard tissue necrosis. Most of the dentists have an understanding of the potential damages of arsenic containing devitalizers, so they will choose parafor maldehyde with relatively less toxicity. Paraformaldehyde has a certain self limitation, and there are few cases reported, so some dentists lack of vigilance. Paraformaldehyde can also causes tissue necrosis if leakage happens, and the treatment methods are similar to that of arsenic containing devitalizers. When handling with devitalizers burn, the necrosed soft and hard tissue, for example gingiva, alveolar bone or teeth that cannot keep, must be completely removed until fresh blood appears, then rinse with large amount of saline and seal with iodoform gauze. This paper described two cases of devitalizer burn during the root canal treatment of primary molars, both of the doctors failed to identify the devitalizer burn symptoms in the early stage, thus didn't do proper treatments immediately after burning. Resulting in the necrosis of large area of gingiva and alveolar bone, loss of primary molars and permanent tooth germs 1-2 months after devitalizer burn. This paper reported these two cases in detail in order to warn dentists the high risks of using any kind of devitalizers, help them learn how to identify and treat devitalizer burn, and remind them to stop using devitalizers as soon as possible.

Effects of Curcumin on Sodium Arsenite Induced Neoplastic Cell Transformation in Balb/c 3T3 Cells

HIGHLIGHTS Sodium arsenite can cause neoplastic transformation in cells. Curcumin reduced cell viability and increased LDH activity in transformed Balb/c 3T3 cells. Curcumin caused DNA damage in transformed Balb/c 3T3 cells. Curcumin may play a protective role in sodium arsenite-induced toxicity.

Abstract Arsenic is a toxic substance that spreads widely around the environment and accumulates as metalloid in the earth's crust. Arsenic and its derivatives are found in drinking water, nutrients, soil, and air. Exposure to arsenic is associated with lung, blood, skin cancer and various lesions. Curcumin is a polyphenolic compound derived from Curcuma longa (turmeric) rhizome and is one of the main curcuminoids. Curcumin is known to be antioxidant, antibacterial, anti-inflammatory, analgesic effects. This study aimed to investigate the potential of sodium arsenite to transform embryonic fibroblast cells and to evaluate the cytotoxic and genotoxic effects of curcumin in neoplastic transformed cells. Neoplastic cells transformation was induced by sodium arsenite in Balb/c 3T3 cells at the end of 32 days. After transformation assay, the transformed cells were treated with various concentration of curcumin to evaluate cell viability, lactate dehydrogenase activity and DNA damage for 24h. The results revealed that curcumin decreased cell viability and increased the activity of lactate dehydrogenase enzyme in neoplastic transformed Balb/c 3T3 cells. In conclusion, the results demonstrated that curcumin has an anticancer effect on neoplastic transformed Balb/c 3T3 cells by causing DNA damage.

Evaluation of salivary protein patterns among a rural population exposed and non-exposed to arsenic-contaminated drinking water in areas of Tucumán (Argentina): a pilot study

Abstract Arsenic contamination in the environment and groundwater is a major global public health problem. Several researchers suggest that the toxicity of arsenic could be related to oral cancer development, usually resulting from potentially malignant lesions. During pathological processes, salivary proteins suffer modifications, which could lead to the discovery of new biomarkers. Objective To analyze the protein profile in human saliva samples from a rural population exposed to high levels of arsenic in drinking water and its association with potentially malignant lesions. Methodology This observational, analytic and cross-sectional design included 121 patients from the state of Graneros (Tucumán, Argentina). Arsenic concentration in drinking water was determined and, according to the values obtained, individuals were divided into 2 groups: exposed group and non-exposed group. Saliva samples were obtained, and total protein concentration was measured by Bradford method. Finally, Laemmli SDS-polyacrylamide gel electrophoresis was conducted to obtain the protein profile. Results Total protein concentration in saliva was lower in the exposed group than in the non-exposed group. Average areas of 20 and 42 KDa bands were significantly lower in exposed group than non-exposed group. Conclusion Chronic intake of high arsenic concentrations in drinking water produces changes in the salivary protein profile, which is associated with the presence of potentially malignant lesions.

Paradoxical effects of arsenic in the lungs

High levels (> 100 ug/L) of arsenic are known to cause lung cancer; however, whether low (≤ 10 ug/L) and medium (10 to 100 ug/L) doses of arsenic will cause lung cancer or other lung diseases, and whether arsenic has dose-dependent or threshold effects, remains unknown. Summarizing the results of previous studies, we infer that low- and medium-concentration arsenic cause lung diseases in a dose-dependent manner. Arsenic trioxide (ATO) is recognized as a chemotherapeutic drug for acute promyelocytic leukemia (APL), also having a significant effect on lung cancer. The anti-lung cancer mechanisms of ATO include inhibition of proliferation, promotion of apoptosis, anti-angiogenesis, and inhibition of tumor metastasis. In this review, we summarized the role of arsenic in lung disease from both pathogenic and therapeutic perspectives. Understanding the paradoxical effects of arsenic in the lungs may provide some ideas for further research on the occurrence and treatment of lung diseases.

Effects of maternal exposure to arsenic on social behavior and related gene expression in F2 male mice

BACKGROUND@#Arsenic is a developmental neurotoxicant. It means that its neurotoxic effect could occur in offspring by maternal arsenic exposure. Our previous study showed that developmental arsenic exposure impaired social behavior and serotonergic system in C3H adult male mice. These effects might affect the next generation with no direct exposure to arsenic. This study aimed to detect the social behavior and related gene expression changes in F2 male mice born to gestationally arsenite-exposed F1 mice.@*METHODS@#Pregnant C3H/HeN mice (F0) were given free access to tap water (control mice) or tap water containing 85 ppm sodium arsenite from days 8 to 18 of gestation. Arsenite was not given to F1 or F2 mice. The F2 mice were generated by mating among control F1 males and females, and arsenite-F1 males and females at the age of 10 weeks. At 41 weeks and 74 weeks of age respectively, F2 males were used for the assessment of social behavior by a three-chamber social behavior apparatus. Histological features of the prefrontal cortex were studied by ordinary light microscope. Social behavior-related gene expressions were determined in the prefrontal cortex by real time RT-PCR method.@*RESULTS@#The arsenite-F2 male mice showed significantly poor sociability and social novelty preference in both 41-week-old group and 74-week-old group. There was no significant histological difference between the control mice and the arsenite-F2 mice. Regarding gene expression, serotonin receptor 5B (5-HT 5B) mRNA expression was significantly decreased (p < 0.05) in the arsenite-F2 male mice compared to the control F2 male mice in both groups. Brain-derived neurotrophic factor (BDNF) and dopamine receptor D1a (Drd1a) gene expressions were significantly decreased (p < 0.05) only in the arsenite-F2 male mice of the 74-week-old group. Heme oxygenase-1 (HO-1) gene expression was significantly increased (p < 0.001) in the arsenite-F2 male mice of both groups, but plasma 8-hydroxy-2'-deoxyguanosine (8-OHdG) and cyclooxygenase-2 (COX-2) gene expression were not significantly different. Interleukin-1β (IL-1β) mRNA expression was significantly increased only in 41-week-old arsenite-F2 mice.@*CONCLUSIONS@#These findings suggest that maternal arsenic exposure affects social behavior in F2 male mice via serotonergic system in the prefrontal cortex. In this study, COX-2 were not increased although oxidative stress marker (HO-1) was increased significantly in arsnite-F2 male mice.

Evaluación de riesgo a la salud y contaminantes en agua de bebida: Importancia de la ingesta de agua / Evaluation of health risk and contaminants in drinking water: Importance of the water intake

Se evaluó la importancia del consumo diario de agua por ingesta en la evaluación de riesgo a la salud humana (ERS) de contaminantes presentes en agua subterránea de pozos domiciliarios en la ciudad de Azul, Argentina. El riesgo probabilístico acumulativo se calculó en base al modelo de la Agencia de Protección Ambiental de Estados Unidos (USEPA) para cuatro grupos de edad (5, 10, 15 años y adultos). Los resultados fueron comparados mediante la aplicación de un consumo diario de agua por ingesta estimado utilizado con frecuencia en la literatura frente a una cantidad ingerida local. De las seis variables usadas (Concentración de la sustancia peligrosa en el agua; Ingesta diaria de agua (I); Frecuencia de exposición; Duración de la exposición; Peso corporal del individuo expuesto; Factor de corrección para el tiempo promedio de exposición crónica), la Ifue la variable más influyente en el va­lor del riesgo presentando diferencias significativas entre los resultados derivados de ambos tipos de I. La diferencia más alta fue en los 5 años de edad, grupo que presentó un riesgo acumulado asociado con I local 98% más bajo respecto del riesgo calculado utilizando I basada en la literatura. La selección de la I tuvo un impacto significativo en los resultados del riesgo, lo que sugiere una cuidadosa elección de las variables de entrada al modelo de la evaluación del riesgo para evitar subestimaciones o sobreestimaciones.

We evaluated the importance of the daily consumption of water by ingestion on health risk assessment (HRA) from pollutants present in shallow groundwater from residential wells in the city of Azul, Argentina. The probabilistic cumulative risk was calculated based on the model of the United States Environmental Protection Agency (USEPA) for four age groups (5, 10, 15 years and adults). The results were compared by applying a daily consumption of water by estimated intake frequently used in the literature against a local ingested amount. From the six variables used (Concentration of the hazardous substance in water, Daily water intake (I), Frequency of exposure, Duration of exposure, Body weight of the exposed individual, Correction factor for the average time of chronic exposure), I was the most influential variable in the value of risk, presenting significant differences between the results de­rived from both types of I. The highest difference was in the 5 years of age, a group that presented an accumulated risk associated with local I 98% lower regarding the risk calculated using I based on the literature. The selection of I had a significant impact on risk outcomes, suggesting a careful choice of input variables to the risk assessment model to avoid underestimation or overestimation.

Hidroarsenicismo: mecanismos de acción asociados a la toxicidad del arsénico / Hydroarsenicism: Mechanisms of action related to arsenic toxicity

La exposición crónica al arsénico (As) inorgánico a través del agua de bebida da lugar al desarrollo de la enfermedad conocida como hidroarsenicismo. Esta enfermedad presenta sintomatología característica, sin embargo, para la mayoría de los efectos tóxicos que produce del As aún no se conoce en detalle el mecanismo de acción tóxica. Los mecanismos moleculares de acción del arsenito (unión a grupos sulfhidrilos) y del arseniato (sustitución del fosfato) están bien identificados, sin embargo, las consecuencias a nivel subcelular, celular, tisular y orgánico de esos mecanismos todavía presentan muchos huecos por llenar. A nivel subcelular y celular, la generación de especies reactivas de oxígeno (ERO) y de nitrógeno (ERN) son los mecanismos de acción tóxica del As más estudiados últimamente. Se los ha vinculado con la diferenciación y proliferación de queratinocitos, con la disfunción endotelial, con la resistencia a la insulina, con la inducción de peroxidación lipídica en hígado, de necrosis tubular renal y con cambios en la expresión del receptor estrogénico. Por último, la respuesta celular a proteínas no plegadas (como consecuencia del estrés del retículo endoplásmico) podría ser un mecanismo para explicar la afectación de la inmunidad humoral y la celular.

Chronic exposure to inorganic arsenic (As) through drinking water leads to the development of the disease known as hydroarsenicism. This disease presents characteristic symptomatology but the mechanisms underlying most of the toxic effects produced by As are not fully understand. The molecular mechanisms of action of arsenite (binding to sulfhydryl groups) and arsenate (phosphate substitution) are well identified, however, the consequences at the subcellular, cellular, tissue and organic levels of these mechanisms still have many gaps to fill. At the subcellular and cellular level, the generation of reactive oxygen species (ROS) and reactive nitrogen species (RNS) are the most studied mechanisms of toxic action. They have been linked to the differentiation and proliferation of keratinocytes, endothelial dysfunction, insulin resistance, induction of lipid peroxidation in the liver, renal tubular necrosis and changes in the expression of estrogen receptor. Finally, the cellular response to unfolded proteins (as a consequence of the stress of the endoplasmic reticulum) could be a mechanism to explain the affectation of humoral and cellular immunity.

Ingesta de arsénico: el impacto en la alimentación y la salud humana / Arsenic Intake: Impact in Human Nutrition and Health

RESUMEN El arsénico es un elemento que se encuentra ampliamente distribuido en todo el medio ambiente. Sus compuestos se hallan principalmente en estado de oxidación pentavalente y trivalente; y en formas inorgánicas y orgánicas. Las especies arsenicales varían en su grado de toxicidad, siendo los compuestos inorgánicos más tóxicos que los orgánicos, y los compuestos trivalentes más tóxicos que los pentavalentes. Habría interconversión entre las especies menos tóxicas a otras más toxicas y los métodos de cocción y de procesamiento podrían afectarla. El arsénico es un agente carcinogénico y ocasiona múltiples efectos negativos sobre la salud humana a corto y largo plazo. La exposición humana no ocupacional al arsénico se da principalmente por agua y alimentos. La normativa es variable para cada país, y se basa en los estándares de la OMS, Codex Alimentarius y la Unión Europea. Muchos estudios se enfocan en determinar el contenido total de arsénico mas no identifican las especies arsenicales en alimentos. A nivel global, pescado y mariscos, pollo, carnes, arroz y algas marinas tienen niveles elevados de arsénico. En Perú, hay escasos estudios sobre contenido de arsénico total y especies arsenicales en alimentos a pesar que tenemos zonas con altos niveles de contaminación ambiental. El objetivo de esta revisión es discutir la exposición al arsénico a través de la ingesta de alimentos y agua, la normativa relacionada, toxicidad, consecuencias en la salud humana y principales alimentos que contribuyen a su ingesta.

ABSTRACT Arsenic is an element that is widely distributed throughout the environment. Its compounds are mainly in the state of pentavalent and trivalent oxidation; and in inorganic and organic forms. Arsenical species vary in their degree of toxicity, with inorganic compounds being more toxic than organic and trivalent compounds more toxic than pentavalent compounds. There would be interconversion between the less toxic species and other more toxic species and the cooking and processing methods could affect it. Arsenic is a carcinogenic agent and causes multiple negative effects on human health in the short and long term. Non-occupational human exposure to arsenic occurs mainly through water and food. The regulation is variable for each country and is based on WHO standards, the Codex Alimentarius, and the European Union. Many studies focus on determining the total arsenic content but do not identify arsenical species in foods. Globally, fish and seafood, chicken, meat, rice, and seaweed have high levels of arsenic. In Peru, there are few studies on total arsenic content and arsenical species in food despite the fact that we have areas with high levels of environmental contamination. The objective of this review is to discuss exposure to arsenic through food and water intake, related regulations, toxicity, consequences on human health and main foods that contribute to its intake.

Vascular injury in spontaneous subacute toxicosis caused by organic arsenic in cattle / Injúria vascular na toxicose subaguda espontânea causada por arsênio orgânico em bovinos

Monosodium methanearsonate (MSMA) is an organic form of arsenic present in the formulations of some herbicides. Accidental ingestion of pasture contaminated with arsenic may lead to toxicosis in cattle. Almost 200 head of cattle maintained in an area sprayed with MSMA presented with intense diarrhea and dehydration after grazing. Subsequently, 16 of these animals died. Toxic levels of arsenic (>1.5µg/g) were detected in the kidney, liver, urine, and skeletal muscle of 6 animals. At gross inspection were observed multifocal to coalescent ulcers in the mucosa from on the forestomachs associated with hemorrhagic areas and marked wall edema. Microscopic examination mainly showed fibrinoid necrosis of vessels with multifocal thrombosis associated with ischemic infarction that were characterized by large transmural necrotic areas in the forestomachs. The clinical and pathological changes interestingly showed that this form of arsenic although considered less toxic, has caused severe vascular injury in forestomachs of cattle.(AU)

Metano-arseniato ácido monossódico (MSMA) é uma forma orgânica de arsênio, presente nas formulações de alguns herbicidas. A ingestão acidental de pasto contaminado por arsênio pode levar a toxicose em bovinos. Aproximadamente 200 bovinos que estavam em uma pastagem pulverizada com MSMA manifestaram intensa diarreia e desidratação após o pastejo. Subsequentemente, 16 animais morreram. Níveis tóxicos de arsênio (>1.5µg/g) foram detectados no rim, fígado, urina e músculo esquelético de 6 animais. A inspeção macroscópica revelou úlceras multifocais a coalescentes na mucosa de pré-estômagos, adjacentes a focos de hemorragia e intenso edema de parede. A avaliação microscópica revelou, predominantemente, necrose fibrinoide de vasos com trombose multifocal associada a infarto, caracterizado por grandes áreas de necrose transmural em pré-estômagos. As alterações clínicas e patológicas, interessantemente, demonstraram que esta forma de arsênio, apesar de ser considerada menos tóxica, causou severa injúria vascular em pré-estômagos de bovinos.(AU)

Estudio epidemiológico de arsénico en agua subterránea para consumo humano en el territorio del Cluster Lechero Regional, Argentina / Epidemiological study of arsenic in groundwater for human consumption in the territory of the Cluster Lechero Regional, Argentina

En diversas regiones del mundo se han encontrado acuíferos, destinados para el consumo humano, con niveles de arsénico que sobrepasan los límites recomendados por las agencias ambientales o fijados por la legislación, lo que representa un grave problema de salud pública. En el noroeste de la provincia de Santa Fe y sur de Santiago del Estero, área en estudio, los antecedentes indican la existencia de acuíferos con concentraciones de minerales que superan ampliamente los valores recomendados para consumo humano. Estos niveles de salinidad aumentan con la profundidad, y se detecta además, la presencia de tóxicos como el arsénico, siendo un factor condicionante para el aprovechamiento del agua subterránea. En el territorio del Cluster Lechero Regional, se estudió la composición salina del agua subterránea y, en particular, la concentración de arsénico, con el objetivo de establecer niveles de toxicidad y el potencial desarrollo de enfermedades crónicas. Los resultados muestran elevada salinidad y una concentración media de arsénico en la zona de 0,203 mg/L. Estimamos que, para una población de riesgo de 57.436 habitantes que no tienen acceso a sistemas de agua de red, expuestos teóricamente a la concentración de arsénico hallada en este estudio, se manifiesten 500 casos de cáncer atribuibles a este nivel de exposición en los próximos años. La población infantil comprendida entre 0 y 2 años de edad (3.690 niños de la región) podría desarrollar lesiones dérmicas y efectos neurológicos de distinta magnitud.

In various regions of the world, it has been found aquifers, destined for human consumption, with arsenic levels that exceed the limits recommended by the environmental agencies or required by law, so that represents a serious public health problem. In the northwest of the province of Santa Fe and the south of Santiago del Estero, defined study area, the background information indicates the existence of aquifers with concentrations of minerals that far exceeded the recommended values for human consumption. These levels of salinity increases with depth and, in addition, it was detected the presence of toxic substances such as arsenic, being a conditioning factor for the groundwater use. In the territory of the Cluster Lechero Regional, the composition of the saline groundwater was analized and, in particular, the concentration of arsenic was assessed, with the aim of setting levels of toxicity and the potential development of chronic diseases. Results showed high salinity and an average concentration of arsenic in the area of 0.203 mg/L. We believe that for a high risk population of 57,436 inhabitants, with no access to a water system network, and theoretically exposed to the concentration of arsenic found in this study, it would be expected 500 cases of cancer attributable to this level of exposure, in the next years. Children between 0 and 2 years old (3,690 children from the region) could develop skin lesions and neurological effects of different magnitude.

Genetic polymorphisms of PPAR gamma, arsenic methylation capacity and breast cancer risk in Mexican women / Polimorfismos genéticos de PPAR gamma, capacidad de metilación del arsénico y riesgo de cáncer de mama en mujeres mexicanas

Abstract Objective: To evaluate whether the presence of polymorphisms of peroxisome proliferator-activated receptor gamma PPARγ (Pro 1 2Ala) and PPARGC1B (Ala203Pro) modifies the association between the inorganic arsenic (iAs) methylation capacity and breast cancer (BC). Materials and methods: Mexican women were interviewed, and blood and urine samples were collected from them (cases/controls= 197/220). The concentration of urinary arsenic species and the polymorphisms of interest were determined by high-performance liquid chromatography with inductively coupled plasma mass spectrometry (HPLC-ICP-MS) and polymerase chain reaction (PCR), respectively. Results: In women with a high %MMA (urinary monomethyl arsenic) and high primary methylation ratio (PM = MMA/iAs), the risk of BC was increased (odds ratio [OR]%MMA T3 vs.T1= 3.60: 95% confidence interval [CI] 2.02-6.41, ORPMI T3 vs.T1= 3.47: 95%CI 1.95-6.17), which was maintained after adjusting for polymorphisms. No significant interactions were observed between the polymorphisms and the arsenic variables on the risk of BC. Conclusion: Pro 12Ala and Ala203Pro polymorphisms did not modify the association between the iAs methylation capacity and BC.

Resumen Objetivo: Evaluar si la presencia de polimorfismos de PPARγ (Pro 1 2Ala) y PPARGC1B (Ala203Pro) modifica la asociación entre la capacidad de metilación del arsénico inorgánico (Asi) y el cáncer de mama (CM). Material y métodos: Se entrevistaron mujeres mexicanas y recolectaron muestras de sangre y orina de (casos/controles=197/220). La concentración de especies de arsénico urinario y los polimorfismos de interés se determinaron mediante cromatografía líquida de alta resolución acoplada a espectrometría de masas (HPLC-ICP-MS) y reacción en cadena de la polimerasa (PCR), respectivamente. Resultados: En mujeres con %MMA (monometilarsénico urinario) y razón de primera metilación altas (PM=MMA/Asi) se incrementó el riesgo de CM (RM%MMAT3vsT1=3.60: intervalo de confianza [IC]95%2.02-6.41, RMPMT3vs.T1=3.47:IC95%1.95-6.17), que se mantuvo, respectivamente, al ajustar por polimorfismos. No se observaron interacciones significativas entre los polimorfismos y las variables arsenicales sobre el riesgo de CM. Conclusión: Los polimorfismos Pro 12Ala y Ala203Pro no modificaron la asociación entre la capacidad de metilación del Asi y el CM.

Rat subcutaneous tissue response to calcium silicate containing different arsenic concentrations

Objective: To evaluate the response of rat subcutaneous tissue in implanted polyethylene tubes that were filled with GMTA Angelus and Portland cements containing different arsenic concentrations. Material and Methods: Atomic absorption spectrophotometry was utilized to obtain the values of the arsenic concentration in the materials. Thirty-six rats were divided into 3 groups of 12 animals for each experimental period. Each animal received two implants of polyethylene tubes filled with different test cements and the lateral of the tubes was used as a control group. After 15, 30 and 60 days of implantation, the animals were killed and the specimens were prepared for descriptive and morphometric analysis considering: inflammatory cells, collagen fibers, fibroblasts, blood vessels and other components. The results were analyzed utilizing the Kuskal-Wallis test and the Dunn's Multiple test for comparison (p<0.05). Results: The materials showed, according to atomic absorption spectrophotometry, the following doses of arsenic: GMTA Angelus: 5.01 mg/kg, WPC Irajazinho: 0.69 mg/kg, GPC Minetti: 18.46 mg/kg and GPC Votoran: 10.76 mg/kg. In a 60-day periods, all specimens displayed a neoformation of connective tissue with a structure of fibrocellular aspect (capsule). Control groups and MTA Angelus produced the lower amount of inflammatory reaction and GPC Minetti, the highest reaction. Conclusions: There was no direct relationship between the concentration of arsenic present in the composition of the materials and the intensity of the inflammatory reactions. Higher values, as 18.46 mg/kg of arsenic in the cement, produce characteristics of severe inflammation reaction at the 60-day period. The best results were found in MTA angelus. .

Níveis de metais no solo e na água da microbacia do distrito Industrial do Pequiá, município de Açailândia, MA / Levels of metals in soil and water catchment Industrial District Pequiá, municipality of Açailândia, MA

Este estudo determinou a concentração de vários metais no solo e na água da microbacia do distrito industrial do Pequiá, Açailândia-MA, e investigou a variação das concentrações dos metais no solo em função da distância às indústrias. Os metais investigados os metais foram Arsênio (As), Cádmio (Cd), Manganês (Mn), Mercúrio (Hg), Chumbo (Pb) e Níquel (Ni), que podem acarretar diversos agravos na saúde em virtude da sua toxicidade em diferentes alvos biológicos. O distrito industrial do Pequiá é caracterizado por indústrias siderúrgicas e rodovias com intenso tráfego de veículos a combustão, o que desperta a necessidade de se conhecer as concentrações ambientais desses metais. Metodologia: Foram coletadas 44 amostras de solo do entorno das indústrias nos período seco e chuvoso, respectivamente, e água de três pontos do córrego Pequiá no período chuvoso. A determinação da concentração de metais em solo foi realizada por Espectrometria de Emissão Atômica por Plasma Acoplado Indutivamente (ICP-OES), e em água por meio de Espectrometria de Massa com Plasma Acoplado Indutivamente (ICP-MS). (...) O único metal detectado em todas as amostras no período seco foi o Hg. A análise de correlação entre as concentrações no solo em cada período revelou correlação positiva estatisticamente significativa entre Pb e Mn no período chuvoso e correlação negativa com significância limítrofe entre Mn e Hg. Em relação ao gradiente de concentração, se observou diminuição apenas da concentração de Pb ao longo da linha reta entre as indústrias e o bairro Pequiá. A diminuição da concentração de Pb com a distância foi estatisticamente significativa, tanto no período chuvoso quanto no seco. Conclusão: Os metais Mn e Pb foram os mais frequentemente encontrados e com as concentrações mais elevadas tanto no solo quanto na água, muito provavelmente devido ao processo de fabricação do ferro gusa e ao intenso tráfego de veículos...

This study determined the concentration of heavy metals in soil and surface water in the industrial district of Pequiá, Açailândia-MA, as well as investigated the variation in concentration of metals in soil with the distance to the industries. Metals investigated were Arsenic (As), Cadmium (Cd), Manganese (Mn), Mercury (Hg), Lead (Pb) and Niquel (Ni), which may cause several health effects. The Pequiá industrial district is composed by several steel plants and roads with heavy vehicle traffic. Methods: Soil samples were collected from 44 points around the industrial district in the dry and rainy season, respectively, and water samples were collected at three points of the Pequiá stream during the rainy season. Concentrations of metals in soil were determined by inductively coupled plasma optical emission spectrometry (ICP-OES), and by inductively coupled plasma mass spectrometry (ICP-MS). (...) Hg was the only metal detected in all soil samples in the dry season. Correlation analysis between concentrations of metals in soil showed a statistically significant positive correlation between Pb e Mn in the rainy season. Pb was the only metal showing a reduction in concentration across the straight line between the industries and Pequiá neighborhood. Reduction in Pb concentration with increasing distance was statistically significant in both seasons. Conclusions: Mn e Pb were the metals most frequently found and those presenting the highest concentrations in soil and water, suggesting that the main sources of these metals in the study area may be iron manufacturing process and motor vehicle traffic...

Health Effects of Chronic Arsenic Exposure / 예방의학회지

Arsenic is a unique element with distinct physical characteristics and toxicity whose importance in public health is well recognized. The toxicity of arsenic varies across its different forms. While the carcinogenicity of arsenic has been confirmed, the mechanisms behind the diseases occurring after acute or chronic exposure to arsenic are not well understood. Inorganic arsenic has been confirmed as a human carcinogen that can induce skin, lung, and bladder cancer. There are also reports of its significant association to liver, prostate, and bladder cancer. Recent studies have also suggested a relationship with diabetes, neurological effects, cardiac disorders, and reproductive organs, but further studies are required to confirm these associations. The majority of research to date has examined cancer incidence after a high exposure to high concentrations of arsenic. However, numerous studies have reported various health effects caused by chronic exposure to low concentrations of arsenic. An assessment of the health effects to arsenic exposure has never been performed in the South Korean population; thus, objective estimates of exposure levels are needed. Data should be collected on the biological exposure level for the total arsenic concentration, and individual arsenic concentration by species. In South Korea, we believe that biological exposure assessment should be the first step, followed by regular health effect assessments.

Health Effects of Chronic Arsenic Exposure / 예방의학회지

Arsenic is a unique element with distinct physical characteristics and toxicity whose importance in public health is well recognized. The toxicity of arsenic varies across its different forms. While the carcinogenicity of arsenic has been confirmed, the mechanisms behind the diseases occurring after acute or chronic exposure to arsenic are not well understood. Inorganic arsenic has been confirmed as a human carcinogen that can induce skin, lung, and bladder cancer. There are also reports of its significant association to liver, prostate, and bladder cancer. Recent studies have also suggested a relationship with diabetes, neurological effects, cardiac disorders, and reproductive organs, but further studies are required to confirm these associations. The majority of research to date has examined cancer incidence after a high exposure to high concentrations of arsenic. However, numerous studies have reported various health effects caused by chronic exposure to low concentrations of arsenic. An assessment of the health effects to arsenic exposure has never been performed in the South Korean population; thus, objective estimates of exposure levels are needed. Data should be collected on the biological exposure level for the total arsenic concentration, and individual arsenic concentration by species. In South Korea, we believe that biological exposure assessment should be the first step, followed by regular health effect assessments.