Skip to main content

Preventive and Therapeutic Strategies for Acute and Chronic Human Arsenic Exposure

  • Chapter
  • First Online:

Abstract

Arsenic, a ubiquitous metalloid, is naturally present in the lithosphere (Earth’s crusts, soil, rock, etc.), hydrosphere (surface water, aquifers, deep wells, etc.), atmosphere, and biosphere. In South Asia, Some studies reported that GSH contamination in groundwater in the Ganga- Brahmaputra fluvial plains in India and Padma-Meghna fluvial plains in Bangladesh has been found to have a huge impact on human health, and its consequences have been reported as the world’s biggest natural groundwater calamities. After entering into the body, it is distributed in a large number of organs including the lungs, liver, kidney, and skin. The clinical manifestations of arsenic poisoning are myriad, and the correct diagnosis depends largely on awareness of the problem. It is very difficult to diagnose early symptoms of arsenicosis because such non-specific symptoms may also be present in many other diseases. Medicine used for remedy of arsenicosis has been found to be unsatisfactory by repeated application and experience. The number of chelating drugs has been used for the treatment of arsenic poisoning. Some of them have been found to be effective during acute poisoning; however, there is still no safe and effective antidote available for treating chronic arsenicosis. Few natural and herbal extracts too have been attempted with limited success. This chapter reviews some of the fundamentals of arsenic toxicity and also summarizes currently available remedial measures.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Andersen O (1999) Principles and recent developments in chelation treatment of metal intoxication. Chem Rev 99(9):2683–2710

    Article  CAS  Google Scholar 

  • Aposhian HV (1997) Enzymatic methylation of arsenic species and other new approaches to arsenic toxicity. Ann Rev Pharmacol Toxicol 37:397–419

    Article  CAS  Google Scholar 

  • Aposhian HV, Aposhian MM (1990) meso-2,3-Dimercaptosuccinic acid: chemical, pharmacological and toxicological properties of an orally effective metal chelating agent. Ann Rev Pharmacol Toxicol 30:279–306

    Article  CAS  Google Scholar 

  • Aposhian HV, Maiorino RM, Gonzalez-Ramirez D, Zuniga-Charles M, Xu Z, Hurlbut KM et al (1995) Mobilization of heavy metals by newer, therapeutically useful chelating agents. Toxicology 97(1–3):23–38

    Article  Google Scholar 

  • Bashir S, Sharma Y, Irshad M, Nag TC, Tiwari M, Kabra M et al (2006) Arsenic induced apoptosis in rat liver following repeated 60 days exposure. Toxicology 217(1):63–70

    Article  CAS  Google Scholar 

  • Black MM (2008) Effects of vitamin B12 and folate deficiency on brain development in children. Food Nutr Bull 29:S126–S131

    Article  Google Scholar 

  • Blanusa M, Varnai VM, Piasek M, Kostial K (2005) Chelators as antidotes of metal toxicity: therapeutic and experimental aspects. Curr Med Chem 12(23):2771–2794

    Article  CAS  Google Scholar 

  • Bongiovanni GA, Soria EA, Eynard AR (2007) Effects of the plant flavonoids silymarin and quercetin on arsenite-induced oxidative stress in CHO-K1 cells. Food Chem Toxicol 45(6):971–976

    Article  CAS  Google Scholar 

  • Bosque M, Domingo J, Llobet J, Corbella J (1991) Effects of meso-2,3-dimercaptosuccinic acid (DMSA) on the teratogenicity of sodium arsenate in mice. Bull Environ Contam Toxicol 47(5):682–688

    Article  CAS  Google Scholar 

  • Bunderson M, Coffin JD, Beall HD (2002) Arsenic induces peroxynitrite generation and cyclooxygenase-2 protein expression in aortic endothelial cells: possible role in atherosclerosis. Toxicol Appl Pharmacol 184(1):11–18

    Article  CAS  Google Scholar 

  • Bustamante J, Lodge JK, Marcocci L, Tritschler HJ, Packer L, Rihn BH (1998) Alpha-lipoic acid in liver metabolism and disease. Free Radic Biol Med 24(6):1023–1039

    Article  CAS  Google Scholar 

  • Byron WR, Bierbower GW, Brouwer JB, Hansen WH (1967) Pathologic changes in rats and dogs from two-year feeding of sodium arsenite or sodium arsenate. Toxicol Appl Pharmacol 10(1):132–147

    Article  CAS  Google Scholar 

  • Chakraborti D, Das B, Rahman MM, Chowdhury UK, Biswas B, Goswami AB et al (2009) Status of groundwater arsenic contamination in the state of West Bengal, India: a 20-year study report. Mol Nutr Food Res 53(5):542–551

    Article  CAS  Google Scholar 

  • Chakraborti D, Rahman MM, Ahamed S, Dutta RN, Pati S, Mukherjee SC (2016) Arsenic groundwater contamination and its health effects in Patna district (capital of Bihar) in the middle Ganga plain, India. Chemosphere 152:520–529

    Article  CAS  Google Scholar 

  • Chakraborty AK, Saha KC (1987) Arsenical dermatosis from tubewell water in West Bengal. Ind J Med Res 85:326–334

    CAS  Google Scholar 

  • Chen CJ, Chen CW, Wu MM, Kuo TL (1992) Cancer potential in liver, lung, bladder and kidney due to ingested inorganic arsenic in drinking water. Br J Cancer 66(5):888–892

    Article  CAS  Google Scholar 

  • Clarkson TW (2001) Chapter 61 – Inorganic and organometal pesticides. In: Krieger RI, Krieger WC (eds) Handbook of pesticide toxicology, 2nd edn. Academic, San Diego, pp 1357–1428

    Chapter  Google Scholar 

  • Cole SP, Deeley RG (2006) Transport of glutathione and glutathione conjugates by MRP1. Trends Pharmacol Sci 27(8):438–446

    Article  CAS  Google Scholar 

  • Csanaky I, Gregus Z (2001) Effect of phosphate transporter and methylation inhibitor drugs on the disposition of arsenate and arsenite in rats. Toxicol Sci 63(1):29–36

    Article  CAS  Google Scholar 

  • Cuzzocrea S, Reiter RJ (2002) Pharmacological actions of melatonin in acute and chronic inflammation. Curr Top Med Chem 2(2):153–165

    Article  CAS  Google Scholar 

  • Deeley RG, Westlake C, Cole SP (2006) Transmembrane transport of endo- and xenobiotics by mammalian ATP-binding cassette multidrug resistance proteins. Physiol Rev 86(3):849–899

    Article  CAS  Google Scholar 

  • Devi NL, Ch YI, Shihua Q (2009) Recent status of arsenic contamination in groundwater of northeastern India–a review. Rep Opin 1(3):22–32

    Google Scholar 

  • Ding GS, Liang YY (1991) Antidotal effects of dimercaptosuccinic acid. J Appl Toxicol 11(1):7–14

    Article  Google Scholar 

  • Domingo JL, Bosque MA, Piera V (1991) meso-2,3-Dimercaptosuccinic acid and prevention of arsenite embryotoxicity and teratogenicity in the mouse. Fundam Appl Toxicol 17(2):314–320

    Article  CAS  Google Scholar 

  • Drobná Z, Walton FS, Harmon AW, Thomas DJ, Stýblo M (2010) Interspecies differences in metabolism of arsenic by cultured primary hepatocytes. Toxicol Appl Pharmacol 245(1):47–56

    Article  CAS  Google Scholar 

  • Dwivedi N, Mehta A, Yadav A, Binukumar BK, Gill KD, Flora SJS (2011) MiADMSA reverses impaired mitochondrial energy metabolism and neuronal apoptotic cell death after arsenic exposure in rats. Toxicol Appl Pharmacol 256(3):241–248

    Article  CAS  Google Scholar 

  • Flora SJS (1999) Arsenic-induced oxidative stress and its reversibility following combined administration of N-acetylcysteine and meso 2,3-dimercaptosuccinic acid in rats. Clin Exp Pharmacol Physiol 26(11):865–869

    Article  CAS  Google Scholar 

  • Flora SJS (2009) Structural, chemical and biological aspects of antioxidants for strategies against metal and metalloid exposure. Oxid Med Cell Longev 2(4):191–206

    Article  Google Scholar 

  • Flora SJS (2011) Arsenic induced oxidative stress and its reversibility. Free Radic Biol Med 51:257–281

    Article  CAS  Google Scholar 

  • Flora SJS (2017) Arsenic: exposure, toxicology, use and misuse. In: Flora SJS (ed) Encyclopedia of the anthropocene, arsenic: exposure, toxicology, use, and misuse. Reference module in earth systems and environmental sciences

    Google Scholar 

  • Flora SJS, Mehta A (2009) Monoisoamyl dimercaptosuccinic acid abrogates arsenic-induced developmental toxicity in human embryonic stem cell-derived embryoid bodies: comparison with in vivo studies. Biochem Pharmacol 78(10):1340–1349

    Article  CAS  Google Scholar 

  • Flora SJS, Pachauri V (2010) Chelation in metal intoxication. Int J Environ Res Public Health 7(7):2745–2788

    Article  CAS  Google Scholar 

  • Flora SJ, Pande M, Kannan GM, Mehta A (2004) Lead induced oxidative stress and its recovery following co-administration of melatonin or N-acetylcysteine during chelation with succimer in male rats. Cell Mol Biol (Noisy-le-Grand, France) 50(Online Pub):Ol543–Ol551

    Google Scholar 

  • Flora SJS, Saxena G, Mehta A (2007) Reversal of lead-induced neuronal apoptosis by chelation treatment in rats: role of reactive oxygen species and intracellular Ca(2+). J Pharmacol Exp Ther 322(1):108–116

    Article  CAS  Google Scholar 

  • Flora SJ, Mittal M, Mehta A (2008) Heavy metal induced oxidative stress & its possible reversal by chelation therapy. Ind J Med Res 128(4):501–523

    CAS  Google Scholar 

  • Flora SJ, Bhadauria S, Pachauri V, Yadav A (2012) Monoisoamyl 2, 3-dimercaptosuccinic acid (MiADMSA) demonstrates higher efficacy by oral route in reversing arsenic toxicity: a pharmacokinetic approach. Basic Clin Pharmacol Toxicol 110(5):449–459

    Article  CAS  Google Scholar 

  • Flora SJS, Shrivastava R, Mittal M (2013) Chemistry and pharmacological properties of some natural and synthetic antioxidants for heavy metal toxicity. Curr Med Chem 20(36):4540–4547

    Article  CAS  Google Scholar 

  • Gale GR, Smith AB, Jones MM, Singh PK (1993) meso-2,3-dimercaptosuccinic acid monoalkyl esters: effects on mercury levels in mice. Toxicology 81(1):49–56

    Article  CAS  Google Scholar 

  • Gardner BM, Pincus D, Gotthardt K, Gallagher CM, Walter P (2013) Endoplasmic reticulum stress sensing in the unfolded protein response. Cold Spring Harb Perspect Biol 5(3):a013169

    Article  CAS  Google Scholar 

  • Ghosh N, Singh R (2009) Groundwater arsenic contamination in India: vulnerability and scope for remedy

    Google Scholar 

  • Ghosh J, Das J, Manna P, Sil PC (2009) Taurine prevents arsenic-induced cardiac oxidative stress and apoptotic damage: role of NF-kappa B, p38 and JNK MAPK pathway. Toxicol Appl Pharmacol 240(1):73–87

    Article  CAS  Google Scholar 

  • Ghosh D, Ghosh S, Sarkar S, Ghosh A, Das N, Das Saha K et al (2010) Quercetin in vesicular delivery systems: evaluation in combating arsenic-induced acute liver toxicity associated gene expression in rat model. Chem Biol Interact 186(1):61–71

    Article  CAS  Google Scholar 

  • Ghosh S, Dungdung SR, Chowdhury ST, Mandal AK, Sarkar S, Ghosh D et al (2011) Encapsulation of the flavonoid quercetin with an arsenic chelator into nanocapsules enables the simultaneous delivery of hydrophobic and hydrophilic drugs with a synergistic effect against chronic arsenic accumulation and oxidative stress. Free Radic Biol Med 51(10):1893–1902

    Article  CAS  Google Scholar 

  • Graziano JH, Lolacono NJ, Moulton T, Mitchell ME, Slavkovich V, Zarate C (1992) Controlled study of meso-2,3-dimercaptosuccinic acid for the management of childhood lead intoxication. J Pediatr 120(1):133–139

    Article  CAS  Google Scholar 

  • Guha Mazumder DN, Chakraborty AK, Ghose A, Gupta JD, Chakraborty DP, Dey SB et al (1988) Chronic arsenic toxicity from drinking tubewell water in rural West Bengal. Bull World Health Organ 66(4):499–506

    CAS  Google Scholar 

  • Haimeur A, Conseil G, Deeley RG, Cole SP (2004) The MRP-related and BCRP/ABCG2 multidrug resistance proteins: biology, substrate specificity and regulation. Curr Drug Metab 5(1):21–53

    Article  CAS  Google Scholar 

  • Hardeland R, Reiter RJ, Poeggeler B, Tan DX (1993) The significance of the metabolism of the neurohormone melatonin: Antioxidative protection and formation of bioactive substances. Neurosci Biobehav Rev 17(3):347–357

    Article  CAS  Google Scholar 

  • Hatch RC, Clark JD, Jain AV (1978) Use of thiols and thiosulfate for treatment of experimentally induced acute arsenite toxicosis in cattle. Am J Vet Res 39(9):1411–1414

    CAS  Google Scholar 

  • Hays AM, Srinivasan D, Witten ML, Carter DE, Lantz RC (2006) Arsenic and cigarette smoke synergistically increase DNA oxidation in the lung. Toxicol Pathol 34(4):396–404

    Article  CAS  Google Scholar 

  • Healy SM, Casarez EA, Ayala-Fierro F, Aposhian H (1998) Enzymatic methylation of arsenic compounds. V. Arsenite methyltransferase activity in tissues of mice. Toxicol Appl Pharmacol 148(1):65–70

    Article  CAS  Google Scholar 

  • Hemalatha P, Reddy AG, Reddy YR, Shivakumar P (2013) Evaluation of protective effect of N-acetyl cysteine on arsenic-induced hepatotoxicity. J Natl Sci Biol Med 4(2):393–395

    Article  CAS  Google Scholar 

  • Hsueh YM, Wu WL, Huang YL, Chiou HY, Tseng CH, Chen CJ (1998) Low serum carotene level and increased risk of ischemic heart disease related to long-term arsenic exposure. Atherosclerosis 141(2):249–257

    Article  CAS  Google Scholar 

  • Huang C, Ke Q, Costa M, Shi X (2004) Molecular mechanisms of arsenic carcinogenesis. Mol Cell Biochem 255(1–2):57–66

    Article  CAS  Google Scholar 

  • Huang Q, Luo L, Alamdar A, Zhang J, Liu L, Tian M et al (2016) Integrated proteomics and metabolomics analysis of rat testis: mechanism of arsenic-induced male reproductive toxicity. Sci Rep 6:32518

    Article  CAS  Google Scholar 

  • Hughes JP, Polissar L, van Belle G (1988) Evaluation and synthesis of health effects studies of communities surrounding arsenic producing industries. Int J Epidemiol 17(2):407–413

    Article  CAS  Google Scholar 

  • Huxtable RJ (1992) Physiological actions of taurine. Physiol Rev 72(1):101–163

    Article  CAS  Google Scholar 

  • Islinger F, Gekle M, Wright SH (2001) Interaction of 2,3-dimercapto-1-propane sulfonate with the human organic anion transporter hOAT1. J Pharmacol Exp Ther 299(2):741–747

    CAS  Google Scholar 

  • Jensen GE, Christensen JM, Poulsen OM (1991) Occupational and environmental exposure to arsenic – increased urinary arsenic level in children. Sci Total Environ 107:169–177

    Article  CAS  Google Scholar 

  • Kadirvel R, Sundaram K, Mani S, Samuel S, Elango N, Panneerselvam C (2007) Supplementation of ascorbic acid and alpha-tocopherol prevents arsenic-induced protein oxidation and DNA damage induced by arsenic in rats. Hum Exp Toxicol 26(12):939–946

    Article  CAS  Google Scholar 

  • Kannan GM, Flora SJ (2006) Combined administration of N-acetylcysteine and monoisoamyl DMSA on tissue oxidative stress during arsenic chelation therapy. Biol Trace Elem Res 110(1):43–59

    Article  CAS  Google Scholar 

  • Katiyar S, Singh D (2014) Prevalence of arsenic exposure in population of Ballia district from drinking water and its correlation with blood arsenic level. J Environ Biol 35(3):589–594

    Google Scholar 

  • Kavanagh P, Farago ME, Thornton I, Goessler W, Kuehnelt D, Schlagenhaufen C et al (1998) Urinary arsenic species in Devon and Cornwall residents, UK. A pilot study. Analyst 123(1):27–29

    Article  CAS  Google Scholar 

  • Khan MM, Sakauchi F, Sonoda T, Washio M, Mori M (2003) Magnitude of arsenic toxicity in tube-well drinking water in Bangladesh and its adverse effects on human health including cancer: evidence from a review of the literature. Asian Pac J Cancer Prev 4(1):7–14

    CAS  Google Scholar 

  • Kinoshita A, Wanibuchi H, Wei M, Yunoki T, Fukushima S (2007) Elevation of 8-hydroxydeoxyguanosine and cell proliferation via generation of oxidative stress by organic arsenicals contributes to their carcinogenicity in the rat liver and bladder. Toxicol Appl Pharmacol 221(3):295–305

    Article  CAS  Google Scholar 

  • Kitchin KT (2001) Recent advances in arsenic carcinogenesis: modes of action, animal model systems, and methylated arsenic metabolites. Toxicol Appl Pharmacol 172(3):249–261

    Article  CAS  Google Scholar 

  • Klein CB, Leszczynska J, Hickey C, Rossman TG (2007) Further evidence against a direct genotoxic mode of action for arsenic-induced cancer. Toxicol Appl Pharmacol 222(3):289–297

    Article  CAS  Google Scholar 

  • Kosnett MJ (2013) The role of chelation in the treatment of arsenic and mercury poisoning. J Med Toxicol 9(4):347–354

    Article  CAS  Google Scholar 

  • Kwong YL (2004) Arsenic trioxide in the treatment of haematological malignancies. Expert Opin Drug Saf 3(6):589–597

    Article  CAS  Google Scholar 

  • Leung J, Pang A, Yuen WH, Kwong YL, Tse EW (2007) Relationship of expression of aquaglyceroporin 9 with arsenic uptake and sensitivity in leukemia cells. Blood 109(2):740–746

    Article  CAS  Google Scholar 

  • Li GX, Pei QL, Gao Y, Liu KM, Nie JS, Han G et al (2007) Protective effects of hepatocellular canalicular conjugate export pump (Mrp2) on sodium arsenite-induced hepatic dysfunction in rats. Exp Toxicol Pathol 58(6):447–453

    Article  CAS  Google Scholar 

  • Li Y, Wang M, Piao F, Wang X (2012) Subchronic exposure to arsenic inhibits spermatogenesis and downregulates the expression of ddx3y in testis and epididymis of mice. Toxicol Sci 128(2):482–489

    Article  CAS  Google Scholar 

  • Liu J, Waalkes M (2005) Focal adhesion kinase as a potential target in arsenic toxicity. Toxicol Sci 84(2):212–213

    Article  CAS  Google Scholar 

  • Liu SX, Davidson MM, Tang X, Walker WF, Athar M, Ivanov V et al (2005) Mitochondrial damage mediates genotoxicity of arsenic in mammalian cells. Cancer Res 65(8):3236–3242

    Article  CAS  Google Scholar 

  • Liu S, Sun Q, Wang F, Zhang L, Song Y, Xi S et al (2014) Arsenic induced overexpression of inflammatory cytokines based on the human urothelial cell model in vitro and urinary secretion of individuals chronically exposed to arsenic. Chem Res Toxicol 27(11):1934–1942

    Article  CAS  Google Scholar 

  • Liu J, Zhao H, Wang Y, Shao Y, Zhang L, Xing M (2018) Impacts of simultaneous exposure to arsenic (III) and copper (II) on inflammatory response, immune homeostasis, and heat shock response in chicken thymus. Int Immunopharmacol 64:60–68

    Article  CAS  Google Scholar 

  • Liu S, Wu B, Yu Y, Shen Z (2019) Memory effect of arsenic-induced cellular response and its influences on toxicity of titanium dioxide nanoparticle. Sci Rep. 2019 9(1):107

    Article  CAS  Google Scholar 

  • Llobet JM, Domingo JL, Corbella J (1986) Comparison of the effectiveness of several chelators after single administration on the toxicity, excretion and distribution of cobalt. Arch Toxicol 58(4):278–281

    Article  CAS  Google Scholar 

  • Mazumder DN (2005) Effect of chronic intake of arsenic-contaminated water on liver. Toxicol Appl Pharmacol 206(2):169–175

    Article  CAS  Google Scholar 

  • Mehta A, Flora SJ (2001) Possible role of metal redistribution, hepatotoxicity and oxidative stress in chelating agents induced hepatic and renal metallothionein in rats. Food Chem Toxicol 39(10):1029–1038

    Article  CAS  Google Scholar 

  • Mehta A, Pant SC, Flora SJ (2006) Monoisoamyl dimercaptosuccinic acid induced changes in pregnant female rats during late gestation and lactation. Reprod Toxicol 21(1):94–103

    Article  CAS  Google Scholar 

  • Mishra D, Mehta A, Flora SJ (2008) Reversal of arsenic-induced hepatic apoptosis with combined administration of DMSA and its analogues in guinea pigs: role of glutathione and linked enzymes. Chem Res Toxicol 21(2):400–407

    Article  CAS  Google Scholar 

  • Mittal M, Chatterjee S, Flora SJS (2018) Combination therapy with vitamin C and DMSA for arsenic-fluoride co-exposure in rats. Metallomics 10(9):1291–1306

    Article  CAS  Google Scholar 

  • Morakinyo A, Achema P, Adegoke O (2010) Effect of Zingiber officinale (Ginger) on sodium arsenite–induced reproductive toxicity in male rats. Afr J Biomed Res 13:39–45

    Google Scholar 

  • Mumford JL, Wu K, Xia Y, Kwok R, Yang Z, Foster J et al (2007) Chronic arsenic exposure and cardiac repolarization abnormalities with QT interval prolongation in a population-based study. Environ Helth Perspect 115(5):690–694

    Article  CAS  Google Scholar 

  • Murphy T, Phan K, Yumvihoze E, Irvine K, Wilson K, Lean D, Ty B, Poulain A, Laird B, Chan LHM (2018) Groundwater irrigation and arsenic speciation in rice in Cambodia. J Health Pollut 8(19):180911

    Article  Google Scholar 

  • Nicomel NR, Leus K, Folens K, Voort PVD, Laing GD (2016) Technologies for arsenic removal from water: current status and future perspectives. Int J Environ Res Public Health 13(1):62

    Article  CAS  Google Scholar 

  • Ourshalimian S, Naser AM, Rahman M, Doza S, Stowell J, Narayan KMV, Shamsudduha M, Gribble MO (2018) Arsenic and fasting blood glucose in the context of other drinking water chemicals: a cross-sectional study in Bangladesh. Environ Res 172:249–257

    Article  CAS  Google Scholar 

  • Pachauri V, Dubey M, Yadav A, Kushwaha P, Flora SJS (2012) Monensin potentiates lead chelation efficacy of MiADMSA in rat brain post chronic lead exposure. Food Chem Toxicol 50(12):4449–4460

    Article  CAS  Google Scholar 

  • Pachauri V, Mehta A, Mishra D, Flora SJS (2013) Arsenic induced neuronal apoptosis in guinea pigs is Ca2+ dependent and abrogated by chelation therapy: role of voltage gated calcium channels. Neurotoxicology 35:137–145

    Article  CAS  Google Scholar 

  • Pal S, Chatterjee AK (2005) Prospective protective role of melatonin against arsenic-induced metabolic toxicity in Wistar rats. Toxicology 208(1):25–33

    Article  CAS  Google Scholar 

  • Paul DS, Harmon AW, Devesa V, Thomas DJ, Stýblo M (2007) Molecular mechanisms of the diabetogenic effects of arsenic: inhibition of insulin signaling by arsenite and methylarsonous acid. Environ Helth Perspect 115(5):734–742

    Article  CAS  Google Scholar 

  • Pieri C, Marra M, Moroni F, Recchioni R, Marcheselli F (1994) Melatonin: a peroxyl radical scavenger more effective than vitamin E. Life Sci 55(15):Pl271–Pl276

    Article  CAS  Google Scholar 

  • Prakash C, Soni M, Kumar V (2016) Mitochondrial oxidative stress and dysfunction in arsenic neurotoxicity: a review. J Appl Toxicol 36(2):179–188

    Article  CAS  Google Scholar 

  • Rahman MA, Hasegawa H, Lim RP (2012) Bioaccumulation, biotransformation and trophic transfer of arsenic in the aquatic food chain. Environ Res 116:118–135

    Article  CAS  Google Scholar 

  • Ramanathan K, Anusuyadevi M, Shila S, Panneerselvam C (2005) Ascorbic acid and alpha-tocopherol as potent modulators of apoptosis on arsenic induced toxicity in rats. Toxicol Lett 156(2):297–306

    Article  CAS  Google Scholar 

  • Reddy PS, Rani GP, Sainath SB, Meena R, Supriya C (2011) Protective effects of N-acetylcysteine against arsenic-induced oxidative stress and reprotoxicity in male mice. J Trace Elem Med Biol 25(4):247–253

    Article  CAS  Google Scholar 

  • Rivera M, Zheng W, Aposhian HV, Fernando Q (1989) Determination and metabolism of dithiol chelating agents: VIII. Metal complexes of meso-dimercaptosuccinic acid. Toxicol Appl Pharmacol 100(1):96–106

    Article  CAS  Google Scholar 

  • Roy JS, Chatterjee D, Das N, Giri AK (2018) Substantial evidences indicate that inorganic arsenic is a genotoxic carcinogen: a review. Toxicol Res 34(4):311–324

    Article  CAS  Google Scholar 

  • Rui W, Guan L, Zhang F, Zhang W, Ding W (2016) PM2.5-induced oxidative stress increases adhesion molecules expression in human endothelial cells through the ERK/AKT/NF-kappaB-dependent pathway. J Appl Toxicol 36(1):48–59

    Article  CAS  Google Scholar 

  • Saha KC (1995) Chronic arsenical dermatoses from tube- well water in West Bengal during 1983–87. Ind J Dermatol 40(1):1–12

    Google Scholar 

  • Saha JC, Dikshit AK, Bandyopadhyay M, Saha KC (1999) A review of arsenic poisoning and its effects on human health. Crit Rev Environ Sci Tech 29(3):281–313

    Article  CAS  Google Scholar 

  • Santra A, Chowdhury A, Ghatak S, Biswas A, Dhali GK (2007) Arsenic induces apoptosis in mouse liver is mitochondria dependent and is abrogated by N-acetylcysteine. Toxicol Appl Pharmacol 220(2):146–155

    Article  CAS  Google Scholar 

  • Sattar A, Xie S, Hafeez MA, Wang X, Hussain HI, Iqbal Z, Pan Y, Iqbal M, Shabbir MA, Yuan Z (2016) Metabolism and toxicity of arsenicals in mammals. Environ Toxicol Pharmacol 48:214–224

    Article  CAS  Google Scholar 

  • Schoolmeester WL, White DR (1980) Arsenic poisoning. South Med J 73(2):198–208

    Article  CAS  Google Scholar 

  • Sharma A, Flora SJS (2018) Nutritional management can assist a significant role in alleviation of arsenicosis. J Trace Elem Med Biol 45:11–20

    Article  CAS  Google Scholar 

  • Sharma A, Pachauri V, Flora SJS (2018) Advances in multi-functional ligands and the need for metal-related pharmacology for the management of Alzheimer disease. Front Pharmacol 9:1247

    Article  CAS  Google Scholar 

  • Sińczuk-Walczak H, Szymczak M, Hałatek T (2010) Effects of occupational exposure to arsenic on the nervous system: clinical and neurophysiological studies. Int J Occup Med Environ Health 23(4):347–355

    Article  Google Scholar 

  • Singh SK (2015) Groundwater arsenic contamination in the Middle-Gangetic Plain, Bihar (India): the danger arrived. Int Res J Environ Sci 4(2):70–76

    CAS  Google Scholar 

  • Smith AH, Goycolea M, Haque R, Biggs ML (1998) Marked increase in bladder and lung cancer mortality in a region of Northern Chile due to arsenic in drinking water. Am J Epidemiol 147(7):660–669

    Article  CAS  Google Scholar 

  • Smitherman PK, Townsend AJ, Kute TE, Morrow CS (2004) Role of multidrug resistance protein 2 (MRP2, ABCC2) in alkylating agent detoxification: MRP2 potentiates glutathione S-transferase A1-1-mediated resistance to chlorambucil cytotoxicity. J Pharmacol Exp Ther 308(1):260–267

    Article  CAS  Google Scholar 

  • Soria EA, Eynard AR, Quiroga PL, Bongiovanni GA (2007) Differential effects of quercetin and silymarin on arsenite-induced cytotoxicity in two human breast adenocarcinoma cell lines. Life Sci 81(17–18):1397–1402

    Article  CAS  Google Scholar 

  • Suzuki T, Tsukamoto I (2006) Arsenite induces apoptosis in hepatocytes through an enhancement of the activation of Jun N-terminal kinase and p38 mitogen-activated protein kinase caused by partial hepatectomy. Toxicol Lett 165(3):257–264

    Article  CAS  Google Scholar 

  • Tan DX, Manchester LC, Reiter RJ, Qi WB, Karbownik M, Calvo JR (2000) Significance of melatonin in antioxidative defense system: reactions and products. Biol Signals Recept 9(3–4):137–159

    Article  CAS  Google Scholar 

  • Tseng WP (1977) Effects and dose – response relationships of skin cancer and blackfoot disease with arsenic. Environ Helth Perspect 19:109–119

    Article  CAS  Google Scholar 

  • Tseng CH (2004) The potential biological mechanisms of arsenic-induced diabetes mellitus. Toxicol Appl Pharmacol 197(2):67–83

    Article  CAS  Google Scholar 

  • Tsukaguchi H, Weremowicz S, Morton CC, Hediger MA (1999) Functional and molecular characterization of the human neutral solute channel aquaporin-9. Am J Phys 277(5):F685–F696

    CAS  Google Scholar 

  • Vineetha VP, Raghu KG (2019) An overview on arsenic trioxide-induced cardiotoxicity. Cardiovasc Toxicol 19(2):105–119. https://doi.org/10.1007/s12012-018-09504-7

    Article  Google Scholar 

  • Volate SR, Davenport DM, Muga SJ, Wargovich MJ (2005) Modulation of aberrant crypt foci and apoptosis by dietary herbal supplements (quercetin, curcumin, silymarin, ginseng and rutin). Carcinogenesis 26(8):1450–1456

    Article  CAS  Google Scholar 

  • Wauson EM, Langan AS, Vorce RL (2002) Sodium arsenite inhibits and reverses expression of adipogenic and fat cell-specific genes during in vitro adipogenesis. Toxicol Sci 65(2):211–219

    Article  CAS  Google Scholar 

  • Westhoff DD, Samaha RJ, Barnes A Jr (1975) Arsenic intoxication as a cause of megaloblastic anemia. Blood 45(2):241–246

    CAS  Google Scholar 

  • World Health Organization (2018) Arsenic: international programme on chemical safety, pp 1–5

    Google Scholar 

  • Xu C, Holscher MA, Jones MM, Singh PK (1995) Effect of monoisoamyl meso-2,3-dimercaptosuccinate on the pathology of acute cadmium intoxication. J Toxicol Environ Helth 45(3):261–277

    Article  CAS  Google Scholar 

  • Xu W, Bao H, Liu F, Liu L, Zhu YG, She J et al (2012) Environmental exposure to arsenic may reduce human semen quality: associations derived from a Chinese cross-sectional study. Environ Health Glob Access Sci Source 11:46

    CAS  Google Scholar 

  • Yadav A, Flora SJS (2016) Nano drug delivery systems: a new paradigm for treating metal toxicity. Expert Opin Drug Deliv 13(6):831–841

    Article  CAS  Google Scholar 

  • Yamanaka K, Ohtsubo K, Hasegawa A, Hayashi H, Ohgi H, Kanisawa M, Okada S (1996) Exposure to dimethylarsinic acid, a main metabolite of inorganic arsenics, strongly promotes tumorigenesis initiated by 4-nitroquinoline 1-oxide in the lungs of mice. Carcinogenesis 17:767–770

    Article  CAS  Google Scholar 

  • Yang C, Frenkel K (2002) Arsenic-mediated cellular signal transduction, transcription factor activation, and aberrant gene expression: implications in carcinogenesis. J Environ Pathol Toxicol 21(4):331–342

    CAS  Google Scholar 

  • Yoshida T, Yamauchi H, Fan Sun G (2004) Chronic health effects in people exposed to arsenic via the drinking water: dose-response relationships in review. Toxicol Appl Pharmacol 198(3):243–252

    Article  CAS  Google Scholar 

  • Young IS, Woodside JV (2001) Antioxidants in health and disease. J Clin Pathol 54(3):176–186

    Article  CAS  Google Scholar 

  • Yu RC, Hsu KH, Chen CJ, Froines JR (2000) Arsenic methylation capacity and skin cancer. Cancer Epidemiol Biomark Prev 9(11):1259–1262

    CAS  Google Scholar 

  • Yu HS, Liao WT, Chai CY (2006) Arsenic carcinogenesis in the skin. J Biomed Sci 13(5):657–666

    Article  CAS  Google Scholar 

  • Zachariae H, Sogaard H, Nyfors A (1974) Liver biopsy in psoriatics previously treated with potassium arsenite. A controlled study. Acta Derm Venereol 54(3):235–236

    CAS  Google Scholar 

  • Zhang K, Kaufman RJ (2004) Signaling the unfolded protein response from the endoplasmic reticulum. J Biol Chem 279(25):25935–25938

    Article  CAS  Google Scholar 

  • Zheng LY, Umans JG, Yeh F, Francesconi KA, Goessler W, Silbergeld EK et al (2015) The association of urine arsenic with prevalent and incident chronic kidney disease: evidence from the Strong Heart Study. Epidimiology 26(4):601–612

    Article  Google Scholar 

  • Zhou Q, Xi S (2018) A review on arsenic carcinogenesis: epidemiology, metabolism, genotoxicity and epigenetic changes. Regul Toxicol Pharmacol 99:78–88

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Flora, S.J.S. (2020). Preventive and Therapeutic Strategies for Acute and Chronic Human Arsenic Exposure. In: Srivastava, S. (eds) Arsenic in Drinking Water and Food. Springer, Singapore. https://doi.org/10.1007/978-981-13-8587-2_13

Download citation

Publish with us

Policies and ethics