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Bartos M, Gallegos CE, Mónaco N, Lencinas I, Dominguez S, Bras C, Del Carmen Esandi M, Bouzat C, Gumilar F. Developmental exposure to arsenic reduces anxiety levels and leads to a depressive-like behavior in female offspring rats: Molecular changes in the prefrontal cortex. Neurotoxicology 2024; 104:85-94. [PMID: 39079579 DOI: 10.1016/j.neuro.2024.07.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2023] [Revised: 07/18/2024] [Accepted: 07/27/2024] [Indexed: 08/05/2024]
Abstract
Exposure to inorganic arsenic (iAs) detrimentally affects the structure and function of the central nervous system. In-utero and postnatal exposure to iAs has been connected to adverse effects on cognitive development. Therefore, this investigation explores neurobehavioral and neurochemical effects of 0.05 and 0.10 mg/L iAs exposure during gestation and lactation periods on 90-day-old female offspring rats. The assessment of anxiety- and depressive-like behaviors was conducted through the application of an elevated plus maze and a forced swim test. The neurochemical changes were evaluated in the prefrontal cortex (PFC) through the determination of enzyme activities and α1 GABAA subunit expression levels. Our findings revealed a notable impact of iAs exposure on anxiety and the induction of depressive-like behavior in 90-day-old female offspring. Furthermore, the antioxidant status within the PFC exhibited discernible alterations in exposed rats. Notably, the activities of acetylcholinesterase and glutamate pyruvate transaminase demonstrated an increase, while glutamate oxaloacetate transaminase activity displayed a decrease within the PFC due to the iAs treatment. Additionally, a distinct downregulation in the mRNA expression of the α1GABAA receptor was observed in this neuronal region. These findings strongly suggest that iAs exposure during early stages of rat development causes significant modifications in brain oxidative stress markers and perturbs the activity of enzymes associated with cholinergic and glutamatergic systems. In parallel, it elicits a discernible reduction in the level of GABA receptors within the PFC. These molecular alterations may play a role in the diminished anxiety levels and the depressive-like behavior outlined in the current investigation.
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Affiliation(s)
- Mariana Bartos
- Laboratorio de Toxicología, Instituto de Ciencias Biológicas y Biomédicas del Sur (INBIOSUR) Departamento de Biología, Bioquímica y Farmacia, Universidad Nacional del Sur (UNS)- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Bahía Blanca CP8000, Argentina
| | - Cristina E Gallegos
- Laboratorio de Toxicología, Instituto de Ciencias Biológicas y Biomédicas del Sur (INBIOSUR) Departamento de Biología, Bioquímica y Farmacia, Universidad Nacional del Sur (UNS)- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Bahía Blanca CP8000, Argentina
| | - Nina Mónaco
- Laboratorio de Toxicología, Instituto de Ciencias Biológicas y Biomédicas del Sur (INBIOSUR) Departamento de Biología, Bioquímica y Farmacia, Universidad Nacional del Sur (UNS)- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Bahía Blanca CP8000, Argentina
| | - Ileana Lencinas
- Laboratorio de Toxicología, Instituto de Ciencias Biológicas y Biomédicas del Sur (INBIOSUR) Departamento de Biología, Bioquímica y Farmacia, Universidad Nacional del Sur (UNS)- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Bahía Blanca CP8000, Argentina
| | - Sergio Dominguez
- Laboratorio de Toxicología, Instituto de Ciencias Biológicas y Biomédicas del Sur (INBIOSUR) Departamento de Biología, Bioquímica y Farmacia, Universidad Nacional del Sur (UNS)- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Bahía Blanca CP8000, Argentina
| | - Cristina Bras
- Laboratorio de Toxicología, Instituto de Ciencias Biológicas y Biomédicas del Sur (INBIOSUR) Departamento de Biología, Bioquímica y Farmacia, Universidad Nacional del Sur (UNS)- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Bahía Blanca CP8000, Argentina
| | - María Del Carmen Esandi
- Instituto de Investigaciones Bioquímicas de Bahía Blanca (INIBIBB), Departamento de Biología, Bioquímica y Farmacia, Universidad Nacional del Sur-CONICET, Bahía Blanca, Buenos Aires 8000, Argentina
| | - Cecilia Bouzat
- Instituto de Investigaciones Bioquímicas de Bahía Blanca (INIBIBB), Departamento de Biología, Bioquímica y Farmacia, Universidad Nacional del Sur-CONICET, Bahía Blanca, Buenos Aires 8000, Argentina
| | - Fernanda Gumilar
- Laboratorio de Toxicología, Instituto de Ciencias Biológicas y Biomédicas del Sur (INBIOSUR) Departamento de Biología, Bioquímica y Farmacia, Universidad Nacional del Sur (UNS)- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Bahía Blanca CP8000, Argentina.
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Schrenk D, Bignami M, Bodin L, Chipman JK, del Mazo J, Grasl‐Kraupp B, Hogstrand C, Hoogenboom L(R, Leblanc J, Nebbia CS, Nielsen E, Ntzani E, Petersen A, Sand S, Vleminckx C, Wallace H, Barregård L, Benford D, Broberg K, Dogliotti E, Fletcher T, Rylander L, Abrahantes JC, Gómez Ruiz JÁ, Steinkellner H, Tauriainen T, Schwerdtle T. Update of the risk assessment of inorganic arsenic in food. EFSA J 2024; 22:e8488. [PMID: 38239496 PMCID: PMC10794945 DOI: 10.2903/j.efsa.2024.8488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2024] Open
Abstract
The European Commission asked EFSA to update its 2009 risk assessment on arsenic in food carrying out a hazard assessment of inorganic arsenic (iAs) and using the revised exposure assessment issued by EFSA in 2021. Epidemiological studies show that the chronic intake of iAs via diet and/or drinking water is associated with increased risk of several adverse outcomes including cancers of the skin, bladder and lung. The CONTAM Panel used the benchmark dose lower confidence limit based on a benchmark response (BMR) of 5% (relative increase of the background incidence after adjustment for confounders, BMDL05) of 0.06 μg iAs/kg bw per day obtained from a study on skin cancer as a Reference Point (RP). Inorganic As is a genotoxic carcinogen with additional epigenetic effects and the CONTAM Panel applied a margin of exposure (MOE) approach for the risk characterisation. In adults, the MOEs are low (range between 2 and 0.4 for mean consumers and between 0.9 and 0.2 at the 95th percentile exposure, respectively) and as such raise a health concern despite the uncertainties.
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Nabovati E, Farzandipour M, Sadeghi M, Sarrafzadegan N, Noohi F, Sadeqi Jabali M. A Global Overview of Acute Coronary Syndrome Registries: A Systematic Review. Curr Probl Cardiol 2023; 48:101049. [PMID: 34780868 DOI: 10.1016/j.cpcardiol.2021.101049] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Accepted: 11/05/2021] [Indexed: 12/16/2022]
Abstract
The present study was conducted with the aim of identifying, and summarizing the characteristics of ACS registries at national, multinational and international levels. Literature was searched using keywords in the title and/or abstract without any time limit ending in March, 2021. After excluding duplicates, 2 reviewers independently reviewed the titles and/or abstracts and full text for inclusion. Each reviewer independently extracted the characteristics of the registries from included papers. Finally, the extracted characteristics were confirmed by a second reviewer. Out of the 1309 papers included, 71 ACS registries were identified (including 60 national and 11 multinational and international registries). Most national registries were being used in Europe. Most registries focused on measuring quality. In more than half of the registries, all types of ACS patients were enrolled. The diagnostic and drug classification systems were mentioned in eight and five registries, respectively. The design of 55 registries was hospital-based. The ability of computerized audit checks was made for 34 registries. More than half of the registries had patient consent and had a web-based design. In all the ACS registries, patient characteristics, clinical characteristics and treatment characteristics were recorded and post-discharge follow-up information was recorded in 45 registries. In the current situation and given that a limited number of countries in the world have national ACS registries, reviewing the results of this study and modeling the registries implemented in the leading countries can help countries without a registry to design it.
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Affiliation(s)
- Ehsan Nabovati
- Health Information Management Research Center, Department of Health Information Management and Technology, Kashan University of Medical Sciences, Kashan, Iran
| | - Mehrdad Farzandipour
- Health Information Management Research Center, Department of Health Information Management and Technology, Kashan University of Medical Sciences, Kashan, Iran.
| | - Masoumeh Sadeghi
- Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Nizal Sarrafzadegan
- Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Feridoun Noohi
- Iranian Network of Cardiovascular Research, Iran; Cardiovascular Intervention Research Center, Shaheed Rajaie Cardiovascular Medical and Research Center, Tehran, Iran
| | - Monireh Sadeqi Jabali
- Health Information Management Research Center, Department of Health Information Management and Technology, Kashan University of Medical Sciences, Kashan, Iran.
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Karachaliou C, Sgourou A, Kakkos S, Kalavrouziotis I. Arsenic exposure promotes the emergence of cardiovascular diseases. REVIEWS ON ENVIRONMENTAL HEALTH 2022; 37:467-486. [PMID: 34253004 DOI: 10.1515/reveh-2021-0004] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Accepted: 06/11/2021] [Indexed: 06/13/2023]
Abstract
A large number of studies conducted in the past decade 2010-2020 refer to the impact of arsenic (As) exposure on cardiovascular risk factors. The arsenic effect on humans is complex and mainly depends on the varying individual susceptibilities, its numerous toxic expressions and the variation in arsenic metabolism between individuals. In this review we present relevant data from studies which document the association of arsenic exposure with various biomarkers, the effect of several genome polymorphisms on arsenic methylation and the underling molecular mechanisms influencing the cardiovascular pathology. The corresponding results provide strong evidence that high and moderate-high As intake induce oxidative stress, inflammation and vessel endothelial dysfunction that are associated with increased risk for cardiovascular diseases (CVDs) and in particular hypertension, myocardial infarction, carotid intima-media thickness and stroke, ventricular arrhythmias and peripheral arterial disease. In addition, As exposure during pregnancy implies risks for blood pressure abnormalities among infants and increased mortality rates from acute myocardial infarction during early adulthood. Low water As concentrations are associated with increased systolic, diastolic and pulse pressure, coronary heart disease and incident stroke. For very low As concentrations the relevant studies are few. They predict a risk for myocardial infarction, stroke and ischemic stroke and incident CVD, but they are not in agreement regarding the risk magnitude.
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Affiliation(s)
- Christiana Karachaliou
- School of Science and Technology, Lab. of Sustainable Waste Technology Management, Hellenic Open University, Patras, Greece
| | - Argyro Sgourou
- School of Science and Technology, Biology Lab, Hellenic Open University, Patras, Greece
| | - Stavros Kakkos
- Department of Vascular Surgery, Medical School of Patras, University of Patras, Patras, Greece
| | - Ioannis Kalavrouziotis
- School of Science and Technology, Lab. of Sustainable Waste Technology Management, Hellenic Open University, Patras, Greece
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Assessment of Arsenic in Hair of the Inhabitants of East Croatia—Relationship to Arsenic Concentrations in Drinking Water. WATER 2022. [DOI: 10.3390/w14101558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/04/2022]
Abstract
The problem of elevated arsenic concentrations in water and environment is an increasing public health concern. The aim of the study was to assess the arsenic content in human hair in selected areas of eastern Croatia and to compare them with measured values after installation of a new water supply system. The hair samples were taken in the areas of wider Osijek and Vinkovci area and analyzed using the ICP–MS method. These data were also compared with data for Vinkovci previously published in 2004. Depending on the investigated area, the median concentrations ranged from 0.02 to 0.9 µg g−1, whereby this last value exceeded the upper range of the reference value (0.319 µg g−1). The arsenic concentrations from the Našice, Osijek and Vinkovci areas were within or slightly above the maximum allowed reference range. The highest median values in hair samples were detected in Čepin, with arsenic-contaminated potable water, while in areas where the water source was changed, the values were significantly lower. The results add to the conclusion that there has been significant reduction in hair arsenic concentrations in the population that was given access to clean, uncontaminated water from other regional sources.
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Banerjee A, Sarkar S, Gorai S, Kabiraj A, Bandopadhyay R. High arsenic tolerance in Brevundimonas aurantiaca PFAB1 from an arsenic-rich Indian hot spring. ELECTRON J BIOTECHN 2021. [DOI: 10.1016/j.ejbt.2021.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Mónaco NM, Bartos M, Dominguez S, Gallegos C, Bras C, Esandi MDC, Bouzat C, Giannuzzi L, Minetti A, Gumilar F. Low arsenic concentrations impair memory in rat offpring exposed during pregnancy and lactation: Role of α7 nicotinic receptor, glutamate and oxidative stress. Neurotoxicology 2018; 67:37-45. [DOI: 10.1016/j.neuro.2018.04.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2018] [Revised: 04/09/2018] [Accepted: 04/15/2018] [Indexed: 10/17/2022]
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Zhang H, Zhou X, Wang K, Wang WD. Health risk assessment of arsenic from blended water in distribution systems. JOURNAL OF ENVIRONMENTAL SCIENCE AND HEALTH. PART A, TOXIC/HAZARDOUS SUBSTANCES & ENVIRONMENTAL ENGINEERING 2017; 52:1322-1329. [PMID: 28949802 DOI: 10.1080/10934529.2017.1362296] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
In a water distribution system with different sources, water blending occurs, causing specific variations of the arsenic level. This study was undertaken to investigate the concentration and cancer risk of arsenic in blended water in Xi'an city. A total of 672 tap water samples were collected from eight sampling points in the blending zones for arsenic determination. The risk was evaluated through oral ingestion and dermal absorption, separately for males and females, as well as with respect to seasons and blending zones. Although the arsenic concentrations always fulfilled the requirements of the World Health Organization (WHO) (≤10 μg L-1), the total cancer risk value was higher than the general guidance risk value of 1.00 × 10-6. In the blending zone of the Qujiang and No.3 WTPs (Z2), the total cancer risk value was over 1.00 × 10-5, indicating that public health would be affected to some extent. More than 99% of the total cancer risk was from oral ingestion, and dermal absorption had a little contribution. With higher exposure duration and lower body weight, women had a higher cancer risk. In addition, due to several influential factors, the total cancer risk in the four blending zones reached the maximum in different seasons. The sensitivity analysis by the tornado chart proved that body weight, arsenic concentration and ingestion rate significantly contributed to cancer risk. This study suggests the regular monitoring of water blending zones for improving risk management.
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Affiliation(s)
- Hui Zhang
- a School of Environmental and Municipal Engineering , Xi'an University of Architecture and Technology , Xi'an , China
| | - Xue Zhou
- a School of Environmental and Municipal Engineering , Xi'an University of Architecture and Technology , Xi'an , China
| | - Kai Wang
- a School of Environmental and Municipal Engineering , Xi'an University of Architecture and Technology , Xi'an , China
| | - Wen D Wang
- a School of Environmental and Municipal Engineering , Xi'an University of Architecture and Technology , Xi'an , China
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Monrad M, Ersbøll AK, Sørensen M, Baastrup R, Hansen B, Gammelmark A, Tjønneland A, Overvad K, Raaschou-Nielsen O. Low-level arsenic in drinking water and risk of incident myocardial infarction: A cohort study. ENVIRONMENTAL RESEARCH 2017; 154:318-324. [PMID: 28157645 DOI: 10.1016/j.envres.2017.01.028] [Citation(s) in RCA: 52] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2016] [Revised: 01/23/2017] [Accepted: 01/24/2017] [Indexed: 05/25/2023]
Abstract
BACKGROUND Epidemiological studies have shown that intake of drinking water with high levels of arsenic (>100μg/L) is associated with risk for cardiovascular diseases, but studies on lower levels of arsenic show inconsistent results. OBJECTIVE The aim of this study was to investigate the relationship between exposure to low level arsenic in drinking water and risk of myocardial infarction in Denmark. METHODS From the Danish Diet, Cancer and Health cohort of 57,053 people aged 50-64 years at enrolment in 1993-1997, we identified 2707 cases of incident myocardial infarction from enrolment to end of follow-up in February 2012. Cohort participants were enrolled in the Copenhagen and Aarhus areas. We geocoded residential addresses of the cohort members and used a geographic information system to link addresses with water supply areas. Arsenic in tap water at each cohort members address from 1973 to 2012 was estimated for all cohort members. Poisson regression was used to estimate incidence rate ratios (IRRs) for myocardial infarction after adjustment for lifestyle factors and educational level. RESULTS Arsenic levels in drinking water at baseline addresses ranged from 0.03 to 25.34μg/L, with the highest concentrations in the Aarhus area. We found no overall association between 20-years average concentration of arsenic and risk of myocardial infarction. However, in the Aarhus area, fourth arsenic quartile (2.21-25.34μg/L) was associated with an IRR of 1.48 (95% confidence interval (CI): 1.19-1.83) when compared with first quartile (0.05-1.83μg/L). An IRR of 1.26 (95% CI: 0.89-1.79) was found for ever (versus never) having lived at an address with 10μg/L or more arsenic in the drinking water. CONCLUSIONS This study provides some support for an association between low levels of arsenic in drinking water and the risk of myocardial infarction.
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Affiliation(s)
- Maria Monrad
- Diet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark.
| | - Annette Kjær Ersbøll
- National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
| | - Mette Sørensen
- Diet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark
| | - Rikke Baastrup
- Diet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark
| | - Birgitte Hansen
- Danish Ministry for Energy, Utilities and Climate, Geological Survey of Denmark and Greenland - GEUS Department of Groundwater and Quaternary Geology Mapping C.F. Aarhus, Denmark
| | - Anders Gammelmark
- Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark
| | - Anne Tjønneland
- Diet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark
| | - Kim Overvad
- Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark; Section for Epidemiology, Department of Public Health, Aarhus University, Aarhus, Denmark
| | - Ole Raaschou-Nielsen
- Diet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark; Department of Environmental Science, Aarhus University, Roskilde, Denmark
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Burroughs Peña MS, Rollins A. Environmental Exposures and Cardiovascular Disease: A Challenge for Health and Development in Low- and Middle-Income Countries. Cardiol Clin 2017; 35:71-86. [PMID: 27886791 DOI: 10.1016/j.ccl.2016.09.001] [Citation(s) in RCA: 73] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Environmental exposures in low- and middle-income countries lie at the intersection of increased economic development and the rising public health burden of cardiovascular disease. Increasing evidence suggests an association of exposure to ambient air pollution, household air pollution from biomass fuel, lead, arsenic, and cadmium with multiple cardiovascular disease outcomes, including hypertension, coronary heart disease, stroke, and cardiovascular mortality. Although populations in low- and middle-income countries are disproportionately exposed to environmental pollution, evidence linking these exposures to cardiovascular disease is derived from populations in high-income countries. More research is needed to further characterize the extent of environmental exposures.
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Affiliation(s)
- Melissa S Burroughs Peña
- Division of Cardiology, Department of Medicine, University of California, San Francisco, 505 Parnassus Avenue, 11th Floor, Room 1180D, San Francisco, CA 94143, USA.
| | - Allman Rollins
- Department of Medicine, University of California, 505 Parnassus Avenue, San Francisco, CA 94143, USA
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Molecular insight of arsenic-induced carcinogenesis and its prevention. Naunyn Schmiedebergs Arch Pharmacol 2017; 390:443-455. [PMID: 28229170 DOI: 10.1007/s00210-017-1351-x] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2016] [Accepted: 01/26/2017] [Indexed: 12/20/2022]
Abstract
Population of India and Bangladesh and many other parts of the world are badly exposed to arsenic through drinking water. Due to non-availability of safe drinking water, they are dependent on arsenic-contaminated water. Generally, poverty level is high in those areas with lack of proper nutrition. Arsenic is considered to be an environmental contaminant and widely distributed in the environment due to its natural existence and anthropogenic applications. Contamination of arsenic in both human and animal could occur through air, soil, and other sources. Arsenic exposure mainly occurs in food materials through drinking water with high levels of arsenic in it. High levels of arsenic in groundwater have been found to be associated with various health-related problems including arsenicosis, skin lesions, cardiovascular diseases, reproductive problems, psychological, neurological, immunotoxic, and carcinogenesis. The mechanism of arsenic toxicity consists in its transformation in metaarsenite, which acylates protein sulfhydryl groups, affect on mitochondria by inhibiting succinic dehydrogenase activity and can uncouple oxidative phosphorylation with production of active oxygen species by tissues. A variety of dietary antioxidant supplements are useful to protect the carcinogenetic effects of arsenic. They play crucial role for counteracting oxidative damage and protect carcinogenesis by chelating with heavy metal moiety. Phytochemicals and chelating agents will be beneficial for combating heavy metal-induced carcinogenesis through its biopharmaceutical properties.
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Andersen ZJ, Sram RJ, Ščasný M, Gurzau ES, Fucic A, Gribaldo L, Rossner P, Rossnerova A, Kohlová MB, Máca V, Zvěřinová I, Gajdosova D, Moshammer H, Rudnai P, Knudsen LE. Newborns health in the Danube Region: Environment, biomonitoring, interventions and economic benefits in a large prospective birth cohort study. ENVIRONMENT INTERNATIONAL 2016; 88:112-122. [PMID: 26735349 DOI: 10.1016/j.envint.2015.12.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/20/2015] [Revised: 12/07/2015] [Accepted: 12/10/2015] [Indexed: 06/05/2023]
Abstract
BACKGROUND The EU strategy for the Danube Region addresses numerous challenges including environment, health and socioeconomic disparities. Many old environmental burdens and heavily polluted areas in Europe are located in the Danube Region, consisting of 14 countries, with over 100 million people. Estimating the burden of environmental exposures on early-life health is a growing research area in Europe which has major public health implications, but the data from the Danube Region are largely missing. AIM This review presents an inventory of current environmental challenges, related early-life health risks, and knowledge gaps in the Danube Region, based on publicly available databases, registers, and literature, as a rationale and incentive for a new integrated project. The review also proposes the concept for the project aiming to characterize in utero exposures to multiple environmental factors and estimate their effect on early-life health, evaluate economic impact, as well as identify interventions with a potential to harness social norms to reduce emissions, exposures and health risks in the Danube Region. METHODS Experts in environmental epidemiology, human biomonitoring and social science in collaboration with clinicians propose to establish a new large multi-center birth cohort of mother-child pairs from Danube countries, measure biomarkers of exposure and health in biological samples at birth, collect centrally measured climate, air and water pollution data, conduct pre- and postnatal surveys on lifestyle, indoor exposures, noise, occupation, socio-economic status, risk-averting behavior, and preferences; and undertake clinical examinations of children at and after birth. Birth cohort will include at least 2000 newborns per site, and a subset of at least 200 mother-child pairs per site for biomonitoring. Novel biomarkers of exposure, susceptibility, and effect will be applied, to gain better mechanistic insight. Effects of multiple environmental exposures on fetal and child growth, respiratory, allergic, immunologic, and neurodevelopmental health outcomes will be estimated. Parent's willingness to pay for reducing health risks in children will be elicited by survey, while values of cost-of-illness will be gathered from literature and national statistics. Effects of risk reducing interventions will be examined. CONCLUSIONS The proposed project would provide novel estimates of the burden of early childhood diseases attributable to environmental exposures and assess health impacts of different intervention scenarios in the Danube Region, in an integrated approach combining human biomonitoring, epidemiological and social science research.
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Affiliation(s)
- Zorana J Andersen
- Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, 1014 Copenhagen, Denmark.
| | - Radim J Sram
- Institute of Experimental Medicine, AS CR Videnska 1083, 142 20 Prague 4, Czech Republic.
| | - Milan Ščasný
- Charles University in Prague, Environment Center, Jose Martiho 2, 162 00 Prague 6, Czech Republic.
| | - Eugen S Gurzau
- The Environmental Health Center, Busuiocului 58, 400240 Cluj Napoca, Romania.
| | - Aleksandra Fucic
- Institute for Medical Research and Occupational Health, Ksaverska c 2, 10000 Zagreb, Croatia.
| | - Laura Gribaldo
- EC DG Joint Research Centre, Institute for Health and Consumer Protection, TP 260, Via E. Fermi, 2749 21027 Ispra, Italy.
| | - Pavel Rossner
- Institute of Experimental Medicine, AS CR Videnska 1083, 142 20 Prague 4, Czech Republic.
| | - Andrea Rossnerova
- Institute of Experimental Medicine, AS CR Videnska 1083, 142 20 Prague 4, Czech Republic.
| | - Markéta Braun Kohlová
- Charles University in Prague, Environment Center, Jose Martiho 2, 162 00 Prague 6, Czech Republic.
| | - Vojtěch Máca
- Charles University in Prague, Environment Center, Jose Martiho 2, 162 00 Prague 6, Czech Republic.
| | - Iva Zvěřinová
- Charles University in Prague, Environment Center, Jose Martiho 2, 162 00 Prague 6, Czech Republic.
| | - Dagmar Gajdosova
- Regional Public Health Authority, Ipelska 1, 040 11 Kosice, Slovak Republic.
| | - Hanns Moshammer
- Institut Umwelt-Hygiene, Medical University of Vienna, Kinderspitalgasse 15, 1090 Vienna, Austria.
| | - Peter Rudnai
- National Center for Public Health, Budapest, Hungary.
| | - Lisbeth E Knudsen
- Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, 1014 Copenhagen, Denmark.
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Early life arsenic exposure and brain dopaminergic alterations in rats. Int J Dev Neurosci 2014; 38:91-104. [DOI: 10.1016/j.ijdevneu.2014.08.009] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2014] [Revised: 08/09/2014] [Accepted: 08/23/2014] [Indexed: 11/21/2022] Open
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Chandravanshi LP, Yadav RS, Shukla RK, Singh A, Sultana S, Pant AB, Parmar D, Khanna VK. Reversibility of changes in brain cholinergic receptors and acetylcholinesterase activity in rats following early life arsenic exposure. Int J Dev Neurosci 2014; 34:60-75. [DOI: 10.1016/j.ijdevneu.2014.01.007] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2013] [Revised: 01/25/2014] [Accepted: 01/31/2014] [Indexed: 11/27/2022] Open
Affiliation(s)
| | - Rajesh S. Yadav
- CSIR‐Indian Institute of Toxicology ResearchPost Box 80, MG MargLucknow226 001India
- Department of Criminology and Forensic ScienceHarisingh Gour UniversitySagar470003India
| | - Rajendra K. Shukla
- CSIR‐Indian Institute of Toxicology ResearchPost Box 80, MG MargLucknow226 001India
| | - Anshuman Singh
- CSIR‐Indian Institute of Toxicology ResearchPost Box 80, MG MargLucknow226 001India
| | - Sarwat Sultana
- Neurotoxicology LaboratoryDepartment of Medical Elementology and ToxicologyJamia HamdardNew Delhi110 062India
| | - Aditya B. Pant
- CSIR‐Indian Institute of Toxicology ResearchPost Box 80, MG MargLucknow226 001India
| | - Devendra Parmar
- CSIR‐Indian Institute of Toxicology ResearchPost Box 80, MG MargLucknow226 001India
| | - Vinay K. Khanna
- CSIR‐Indian Institute of Toxicology ResearchPost Box 80, MG MargLucknow226 001India
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