title: Urinary metabolic biomarkers link oxidative stress indicators associated with general arsenic exposure to male infertility in a han chinese population.
abstract: To investigate the hypothesis that general environmental arsenic (As) exposure can impair male fertility, we designed a case-control study examining possible correlations between the concentrations of different As species in urine [controls (n = 151) vs cases (n = 140)], urinary metabolic biomarkers [controls (n = 158) vs cases (n = 135)], and infertility characterized by poor semen quality. Regional participants were recruited sequentially from the affiliated hospitals of Nanjing Medical University. Elevated inorganic arsenate (Asi(V)) exposure was associated with infertility: in comparison with the first quartile, subjects with Asi(V) levels above the median were more likely to exhibit male idiopathic infertility with increasing adjusted odds ratios (AOR) of 4.9 [95% confidence interval (CI), 1.8-13.6] and 13.6 (95% CI, 4.8-38.6) at the third and fourth quartiles (P = 0.000 for trend), respectively. Other As species did not exhibit a significant dose-dependent correlation with infertility risk. Levels of urinary biomarkers correlated with both male infertility and Asi(V) concentrations [controls (n = 145) vs cases (n = 123)]; the latter correlation was independent of disease. These included acylcarnitines, aspartic acid, and hydroxyestrone, which were negatively associated with infertility, and uridine and methylxanthine, which were positively associated. In conclusion, for the first time we show that elevated urinary concentrations of Asi(V) from general As exposure are significantly associated with male infertility, and As species may exert toxicity via oxidative stress and sexual hormone disrupting mechanisms, as indicated by related biomarkers.
authors.affiliation: Key Lab of Urban Environment and Health, Institute of Urban Environment, Chinese Academy of Science , Xiamen 361021, China.
authors.forename: Heqing
authors.initials: H
authors.lastname: Shen
authors.forename: Weipan
authors.initials: W
authors.lastname: Xu
authors.forename: Jie
authors.initials: J
authors.lastname: Zhang
authors.forename: Minjian
authors.initials: M
authors.lastname: Chen
authors.forename: Francis L
authors.initials: FL
authors.lastname: Martin
authors.forename: Yankai
authors.initials: Y
authors.lastname: Xia
authors.forename: Liangpo
authors.initials: L
authors.lastname: Liu
authors.forename: Sijun
authors.initials: S
authors.lastname: Dong
authors.forename: Yong-Guan
authors.initials: YG
authors.lastname: Zhu
mesh_terms: D000328:Adult; D001151:Arsenic / Q000633:toxicity*; D015415:Biomarkers / Q000652:urine*; D002681:China; D005006:Ethnicity; D006801:Humans; D007248:Infertility, Male / Q000139:chemically induced*; D008297:Male; D018384:Oxidative Stress
chemical_list: D015415:Biomarkers; D001151:Arsenic