title: Biomarkers of exposure, effect, and susceptibility of arsenic-induced health hazards in Taiwan.
abstract: Long-term exposure to inorganic arsenic from drinking water has been documented to induce cancers and vascular diseases in a dose-response relationship. A series of molecular environmental epidemiological studies have been carried out to elucidate biomarkers of exposure, effect, and susceptibility for arsenic-related health hazards in Taiwan. Arsenic levels in urine, hair, and nail are biomarkers for short-term (<1 year) internal dose, skin hyperpigmentation and palmoplantar hyperkeratosis are for long-term (many years) internal dose, and percentage of monomethylarsonic acid in total metabolites of inorganic arsenic in urine may be considered as an exposure marker for biologically effective dose. The biomarkers of early biological effects of ingested inorganic arsenic included blood levels of reactive oxidants and anti-oxidant capacity, genetic expression of inflammatory molecules, as well as cytogenetic changes including sister chromatid exchange, micronuclei, and chromosome aberrations of peripheral lymphocytes. Both mutation type and hot spots of p53 gene were significantly different in arsenic-induced and non-arsenic-induced TCCs. The frequency of chromosomal imbalances analyzed by comparative genomic hybridization and the frequency of loss of heterozygosity were significantly higher in arsenic-induced TCC than non-arsenic-induced TCC at specific sites. Biomarkers of susceptibility to arsenic-induced health hazards included genetic polymorphisms of enzymes involved in xenobiotic metabolism, DNA repair, and oxidative stress, as well as serum level of carotenoids. Gene-gene and gene-environment interactions are involved in arsenic-induced health hazards through toxicological mechanisms including genomic instability and oxidative stress.
authors.affiliation: Graduate Institute of Epidemiology, College of Public Health, National Taiwan University, 1 Jen-Ai Road Section1, Taipei 10018, Taiwan, ROC. cjchen@ha.mc.ntu.edu.tw
authors.forename: Chien-Jen
authors.initials: CJ
authors.lastname: Chen
authors.forename: Lin-I
authors.initials: LI
authors.lastname: Hsu
authors.forename: Chih-Hao
authors.initials: CH
authors.lastname: Wang
authors.forename: Wei-Liang
authors.initials: WL
authors.lastname: Shih
authors.forename: Yi-Hsiang
authors.initials: YH
authors.lastname: Hsu
authors.forename: Mei-Ping
authors.initials: MP
authors.lastname: Tseng
authors.forename: Yu-Chun
authors.initials: YC
authors.lastname: Lin
authors.forename: Wei-Ling
authors.initials: WL
authors.lastname: Chou
authors.forename: Chia-Yen
authors.initials: CY
authors.lastname: Chen
authors.forename: Cheng-Yeh
authors.initials: CY
authors.lastname: Lee
authors.forename: Li-Hua
authors.initials: LH
authors.lastname: Wang
authors.forename: Yu-Chin
authors.initials: YC
authors.lastname: Cheng
authors.forename: Chi-Ling
authors.initials: CL
authors.lastname: Chen
authors.forename: Shu-Yuan
authors.initials: SY
authors.lastname: Chen
authors.forename: Yuan-Hung
authors.initials: YH
authors.lastname: Wang
authors.forename: Yu-Mei
authors.initials: YM
authors.lastname: Hsueh
authors.forename: Hung-Yi
authors.initials: HY
authors.lastname: Chiou
authors.forename: Meei-Maan
authors.initials: MM
authors.lastname: Wu
mesh_terms: D001151:Arsenic / Q000032:analysis / Q000633:toxicity*; D015415:Biomarkers; D002295:Carcinoma, Transitional Cell / Q000235:genetics; D002338:Carotenoids / Q000097:blood; D002869:Chromosome Aberrations; D004784:Environmental Monitoring; D016158:Genes, p53; D042822:Genomic Instability; D006197:Hair / Q000737:chemistry; D015386:Hazardous Substances / Q000633:toxicity*; D006801:Humans; D019656:Loss of Heterozygosity; D009154:Mutation; D009262:Nails / Q000737:chemistry; D018384:Oxidative Stress
chemical_list: D015415:Biomarkers; D015386:Hazardous Substances; D002338:Carotenoids; D001151:Arsenic