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Published on: May 6, 2013
Arsenic and Diabetes Mellitus: A Putative Role for the Immune System
Jingli Liu1, Tonia Hermon1, Xiaohua Gao1
1Molecular Pathogenesis Group, Mechanistic Toxicology Branch, Division of the National Toxicology Program (DNTP), National Institute of Environmental Health Sciences (NIEHS), NIH, DHHS, 111 TW Alexander Drive, Research Triangle Park, NC 27709, USA.
Abstract:
Diabetes mellitus (DM) is an enormous public health issue worldwide. Recent data suggest that chronic arsenic exposure is linked to the risk of developing type 1 and type 2 DM, albeit the underlying mechanisms are unclear. This review discusses the role of the immune system as a link to possibly explain some of the mechanisms of developing T1DM or T2DM associated with arsenic exposure in humans, animal models, and in vitro studies. The rationale for the hypothesis includes: (1) Arsenic is a well-recognized modulator of the immune system; (2) arsenic exposures are associated with increased risk of DM; and (3) dysregulation of the immune system is one of the hallmarks in the pathogenesis of both T1DM and T2DM. A better understanding of DM in association with immune dysregulation and arsenic exposures may help to understand how environmental exposures modulate the immune system and how these effects may impact the manifestation of disease.
Insights
Chronic arsenic exposure may increase diabetes mellitus risk by affecting the immune system. This review explores how arsenic impacts immune responses, potentially leading to type 1 and type 2 diabetes.
Area of Science:
- Environmental Health
- Immunology
- Endocrinology
Background:
- Diabetes mellitus (DM) is a significant global health concern.
- Chronic arsenic exposure is increasingly linked to increased risks of type 1 and type 2 DM.
- The precise mechanisms connecting arsenic exposure and DM pathogenesis remain largely unknown.
Purpose of the Study:
- To review the role of the immune system in the development of DM associated with arsenic exposure.
- To explore the hypothesis that immune system modulation by arsenic contributes to DM.
- To synthesize evidence from human, animal, and in vitro studies.
Main Methods:
- Literature review of studies investigating arsenic exposure and DM.
- Analysis of research on arsenic's immunomodulatory effects.
- Examination of the role of immune dysregulation in DM pathogenesis.
Main Results:
- Arsenic is a known modulator of immune system functions.
- Epidemiological and experimental data indicate an association between arsenic exposure and elevated DM risk.
- Immune system dysregulation is a key feature in the development of both type 1 and type 2 DM.
Conclusions:
- The immune system may serve as a critical link between arsenic exposure and the development of diabetes mellitus.
- Understanding these immune-mediated mechanisms can elucidate how environmental factors influence disease.
- Further research is warranted to fully elucidate the complex interplay between arsenic, immunity, and diabetes.
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