Arsenic-Containing Medicine Treatment Disturbed the Human Intestinal Microbial Flora

Jiaojiao Li1, Xinshuo Chen1, Shixiang Zhao2

  • 1College of Ecology and Environmental Sciences & Yunnan Key Laboratory for Plateau Mountain Ecology and Restoration of Degraded Environments, Yunnan University, Kunming 650500, China.

Toxics
|May 26, 2023
PubMed

Insights

Arsenic-based cancer treatments alter the gut microbiome in acute promyelocytic leukemia (APL) patients, reducing diversity and inducing arsenic resistance genes. This highlights potential impacts on health outcomes.

Area of Science:

  • Microbiology
  • Toxicology
  • Oncology

Background:

  • The human gut microbiome is crucial for homeostasis and xenobiotic metabolism.
  • Limited research exists on arsenic-containing medications' effects on the gut microbiome.
  • Reducing animal testing is an international priority.

Purpose of the Study:

  • To investigate the impact of arsenic trioxide (ATO) plus all-trans retinoic acid (ATRA) on the gut microbiome of acute promyelocytic leukemia (APL) patients.
  • To analyze changes in microbial flora and identify key bacterial species and functional genes.
  • To establish a non-animal model approach for studying arsenic exposure effects.

Main Methods:

  • 16S rRNA gene sequencing of fecal samples from APL patients undergoing ATO + ATRA treatment.
  • Alpha diversity analysis (Chao, Shannon, Simpson indices) to assess microbial diversity and uniformity.
  • Anaerobic pure culture experiments to evaluate arsenic resistance gene induction in *Bacteroides fragilis*.

Main Results:

  • Gut microbiomes were dominated by Firmicutes and Bacteroidetes post-treatment.
  • APL patients exhibited reduced microbial diversity and uniformity.
  • Arsenic in feces correlated with gut microbiome operational taxonomic unit (OTU) numbers.
  • *Bifidobacterium adolescentis* and *Lactobacillus mucosae* were identified as keystone species.
  • Bacteroides were consistently affected at phylum and genus levels.
  • Arsenic exposure significantly induced arsenic biotransformation genes (ABGs) in *Bacteroides fragilis*.

Conclusions:

  • Arsenic-containing drug treatment in APL patients significantly alters gut microbiome composition, diversity, and function.
  • Induced arsenic biotransformation genes (ABGs) suggest a functional response to arsenic exposure within the gut.
  • These microbiome alterations and functional changes may have implications for arsenic-related health outcomes in APL patients.

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