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Genotoxic and epigenetic mechanisms in arsenic carcinogenicity
Elisa Bustaffa1, Andrea Stoccoro, Fabrizio Bianchi
1Unit of Environmental Epidemiology and Diseases Registries, Institute of Clinical Physiology, National Council of Research, Via Moruzzi 1, 56123, Pisa, Italy.
Abstract:
Arsenic is a human carcinogen with weak mutagenic properties that induces tumors through mechanisms not yet completely understood. People worldwide are exposed to arsenic-contaminated drinking water, and epidemiological studies showed a high percentage of lung, bladder, liver, and kidney cancer in these populations. Several mechanisms by which arsenical compounds induce tumorigenesis were proposed including genotoxic damage and chromosomal abnormalities. Over the past decade, a growing body of evidence indicated that epigenetic modifications have a role in arsenic-inducing adverse effects on human health. The main epigenetic mechanisms are DNA methylation in gene promoter regions that regulate gene expression, histone tail modifications that regulate the accessibility of transcriptional machinery to genes, and microRNA activity (noncoding RNA able to modulate mRNA translation). The "double capacity" of arsenic to induce mutations and epimutations could be the main cause of arsenic-induced carcinogenesis. The aim of this review is to better clarify the mechanisms of the initiation and/or the promotion of arsenic-induced carcinogenesis in order to understand the best way to perform an early diagnosis and a prompt prevention that is the key point for protecting arsenic-exposed population. Studies on arsenic-exposed population should be designed in order to examine more comprehensively the presence and consequences of these genetic/epigenetic alterations.
Insights
Arsenic in drinking water causes cancer through genetic mutations and epigenetic alterations. Understanding these mechanisms is key for early diagnosis and prevention in exposed populations.
Area of Science:
- Environmental toxicology
- Molecular carcinogenesis
- Epigenetics
Background:
- Arsenic is a known human carcinogen linked to various cancers, particularly from contaminated drinking water.
- Mechanisms of arsenic-induced carcinogenesis are not fully understood but involve genotoxicity and chromosomal abnormalities.
- Emerging evidence highlights the role of epigenetic modifications in arsenic's adverse health effects.
Purpose of the Study:
- To clarify the mechanisms of arsenic-induced carcinogenesis initiation and promotion.
- To identify pathways for early diagnosis and prevention in arsenic-exposed populations.
- To emphasize the importance of studying genetic and epigenetic alterations in exposed individuals.
Main Methods:
- Review of existing epidemiological and experimental studies on arsenic toxicity.
- Analysis of proposed mechanisms including genotoxicity, chromosomal abnormalities, and epigenetic modifications.
- Focus on DNA methylation, histone modifications, and microRNA activity.
Main Results:
- Arsenic exposure via drinking water is associated with increased cancer risk globally.
- Arsenic's carcinogenic potential may stem from its dual ability to induce mutations and epimutations.
- Epigenetic changes, including DNA methylation, histone modifications, and microRNA dysregulation, are implicated in arsenic toxicity.
Conclusions:
- Arsenic-induced carcinogenesis is a complex process potentially driven by both genetic and epigenetic alterations.
- Early diagnosis and prevention strategies are crucial for protecting populations exposed to arsenic.
- Further research should comprehensively investigate genetic/epigenetic alterations in arsenic-exposed individuals.
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