Abstract
Genotoxicity is the ability of an agent to produce damage on the DNA molecule. Considering the strong evidence for a relationship between genetic damage and carcinogenesis, to elucidate the putative mechanisms of genotoxicity induced by fluoride are important to measure the degree of risk involved to human populations. The purpose of this article is to provide a comprehensive review on genotoxicity induced by fluoride on the basis of its mechanisms of action. In the last 10 years, all published data showed some evidence related to genotoxicity, which is due to mitochondrial disruption, oxidative stress, and cell cycle disturbances. However, this is an area that still requires a lot of investigation since the published data are not sufficient for clarifying the genotoxicity induced by fluoride. Certainly, the new information will be added to those already established for regulatory purposes as a safe way to promote oral healthcare and prevent oral carcinogenesis.
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References
Aoba T, Fejerskov O (2002) Dental fluorosis, chemistry and biology. Crit Rev Oral Biol Med 13(2):155–170
Bolognesi C, Knasmueller S, Nersesyan A, Thomas P, Fenech M (2013) The HUMNxl scoring criteria for different cell types and nuclear anomalies in the buccalmicronucleus cytome assay—an update and expanded photogallery. Mutat Res 753(2):100–113
Buzalaf MA, Salvadori DM, Marques ME, Caroselli EE, Leite AL, Camargo EA, Ribeiro DA (2006) Absence of DNA damage in multiple organs after oral exposure to fluoride in Wistar rats. Bull Environ Contam Toxicol 77(5):700–706
Campos-Pereira FD, Lopes-Aguiar L, Renosto FL, Nogueira GA, Costa EF, Pulz RB, Silva-Zacarin EC, Oliveira CA, Pigoso AA, Severi-Aguiar GD (2017) Genotoxic effect and rat hepatocyte death occurred after oxidative stress induction and antioxidant gene downregulation caused by long term fluoride exposure. Chem Biol Interact
Chattopadhyay A, Podder S, Agarwal S, Bhattacharya S (2011) Fluoride induced histopathology and synthesis of stress protein in liver and kidney of mice. Arch Toxicol 85:327–335
Chlubek D, Grucka-Mamczar E, Birkner E et al (2003) Activity of pancreatic antioxidative enzymes and malondialdehyde concentrations in rats with hyperglycemia caused by fluoride intoxication. J Trace Element Med Biol 17:57–60
Das J, Ghosh J, Manna P, Sil PC (2008) Taurine provides antioxidant defense against NaF-induced cytotoxicity in murine hepatocytes. Pathophysiology 15(3):181–190
Deng H, Kuang P, Cui H, Chen L, Luo Q, Fang J, Zuo Z, Deng J, Wang X, Zhao L (2016) Sodium fluoride (NaF) induces the splenic apoptosis via endoplasmic reticulum (ER) stress pathway in vivo and in vitro. Aging (Albany NY) 8(12):3552–3567
Dutta M, Rajak P, Khatun S, Roy S (2017) Toxicity assessment of sodium fluoride in Drosophila melanogaster after chronic sub-lethal exposure. Chemosphere 166:255–266
Feng D, Huang H, Yang Y, Yan T, Jin Y, Cheng X, Cui L (2015) Ameliorative effects of N-acetylcysteine on fluoride-induced oxidative stress and DNA damage in male rats’ testis. Mutat Res Genet Toxicol Environ Mutagen 792:35–45
Flora SJ, Mittal M, Pachauri V, Dwivedi NA (2012) Possible mechanism for combined arsenic and fluoride induced cellular and DNA damage in mice. Metallomics 4(1):78–90
Goodarzi F, Mahvi AH, Hosseini M, Nedjat S, Nabizadeh Nodehi R, Kharazifard MJ, Parvizishad M, Cheraghi Z (2016) The prevalence of dental fluorosis and exposure to fluoride in drinking water, a systematic review. J Dent Res Dent Clin Dent Prospects 10(3):127–135
He LF, Chen JG (2006) DNA damage, apoptosis and cell cycle changes induced by fluoride in rat oral mucosal cells and hepatocytes. World J Gastroenterol 12(7):1144–1148
Huo M, Han H, Sun Z, Lu Z, Yao X, Wang S, Wang J (2016) Role of IL-17 pathways in immune privilege: a RNA deep sequencing analysis of the mice testis exposure to fluoride. Sci Rep 6:32173
J M, Sinha S, Ghosh M, Mukherjee A (2013) Evaluation of multi-endpoint assay to detect genotoxicity and oxidative stress in mice exposed to sodium fluoride. Mutat Res 751(1):59–65
Jothiramajayam M, Sinha S, Ghosh M, Nag A, Jana A, Mukherjee A (2014) Sodium fluoride promotes apoptosis by generation of reactive oxygen species in human lymphocytes. J Toxicol Environ Health A 77(21):1269–1280
Karube H, Nishitai G, Inageda K, Kurosu H, Matsuoka M (2009) NaF activates MAPKs and induces apoptosis in odontoblast-like cells. J Dent Res 88(5):461–465
Leite Ade L, Santiago JF Jr, Levy FM, Maria AG, Fernandes Mda S, Salvadori DM, Ribeiro DA, Buzalaf MA (2007) Absence of DNA damage in multiple organs (blood, liver, kidney, thyroid gland and urinary bladder) after acute fluoride exposure in rats. Hum Exp Toxicol 26(5):435–440
Liu L, Zhang Y, Gu H, Zhang K, Ma L (2015) Fluorosis induces endoplasmic reticulum stress and apoptosis in osteoblasts in vivo. Biol Trace Elem Res 164(1):64–71
Miltonprabu S, Thangapandiyan S (2015) Epigallocatechin gallate potentially attenuates fluoride induced oxidative stress mediated cardiotoxicity and dyslipidemia in rats. J Trace Elem Med Biol 29:321–335
Mukhopadhyay D, Chattopadhyay A (2014) Induction of oxidative stress and related transcriptional effects of sodium fluoride in female zebrafish liver. Bull of Bull Environ Contam Toxicol 93(1):64–70
Mukhopadhyay D, Priya P, Chattopadhyay (2015a) Sodium fluoride affects behaviour and alters mRNA transcription of biomarker genes: role of Nrf2/Keap1. Environ Toxicol Pharmacol 40(2):352–359
Mukhopadhyay D, Srivastava R, Chattopadhyay A (2015b) Sodium fluoride generates ROS and alters transcription of genes for xenobiotic metabolizing enzymes in adult zebrafish (Danio rerio) liver: expression pattern of Nrf2/Keap1 (INrf2). Toxicol Mech Methods 25(5):364–373
Nguyen Ngoc TD, Son YO, Lim SS, Shi X, Kim JG, Heo JS, Choe Y, Jeon YM, Lee JC (2012) Sodium fluoride induces apoptosis in mouse embryonic stem cells through ROS-dependent and caspase- and JNK-mediated pathways. Toxicol Appl Pharmacol 259(3):329–337
Pal S, Sarkar C (2014) Protective effect of resveratrol on fluoride induced alteration in protein and nucleic acid metabolism, DNA damage and biogenic amines in rat brain. Environ Toxicol Pharmacol 38(2):684–699
Podder S, Chattopadhyay A, Bhattyacharya S, Roy MR (2008) Differential in vivo genotoxic effect of higher and lower concentrations of fluoride in mouse bone marrow cells. Fluoride 41(4):301–302
Podder S, Bhattacharya S, Chattopadhyay A, Roy MR (2010a) Histopathology and cell cycle alteration in spleen of low and high doses of sodium fluoride exposed mice. Fluoride 43(4):237–245
Podder S, Chattopadhyay A, Bhattacharya S, Roy MR, Chakraborty A (2010b) Fluoride induced genotoxicity in mouse bone marrow cells: effect of buthionine sulfoximine and N-acetyl-L-cysteine. J Appl Toxicol 31:618–625
Podder S, Chattopadhyay A, Bhattacharya S (2011a) Reduction in fluoride-induced genotoxicity in mouse bone marrow cells after substituting high fluoride-containing water with safe drinking water. J Appl Toxicol 31(7):703–705
Podder S, Chattopadhyay A, Bhattacharya S, Ray MR, Chakraborty A (2011b) Fluoride-induced genotoxicity in mouse bone marrow cells: effect of buthionine sulfoximine and N-acetyl-L-cysteine. J Appl Toxicol 31(7):618–825
Ribeiro DA (2012) Cytogenetic biomonitoring in oral mucosa cells following dental X-ray. Dentomaxillofac Radiol 41(3):181–184
Ribeiro DA, Marques ME, de Assis GF, Anzai A, Poleti ML, Salvadori DM (2004) No relationship between subchronic fluoride intake and DNA damage in Wistar rats. Caries Res 38(6):576–579
Ribeiro DA, Alves de Lima PL, Marques ME, Salvadori DM (2006) Lack of DNA damage induced by fluoride on mouse lymphoma and human fibroblast cells by single cell gel (comet) assay. Braz Dent J 17(2):91–94
Ribeiro DA, Marques ME, Salvadori DM (2007) Lack of effect of prior treatment with fluoride on genotoxicity of two chemical agents in vitro. Caries Res 41(3):239–243
Sarkar C, Pal S, Das N, Dinda B (2014) Ameliorative effects of oleanolic acid on fluoride induced metabolic and oxidative dysfunctions in rat brain, experimental and biochemical studies. Food Chem Toxicol 66:224–236
Shulman JD, Wells LM (1997) Acute fluoride toxicity from ingesting home-use dental products in children, birth to 6 years of age. J Public Health Dent 57:150–158
Song GH, Gao JP, Wang CF, Chen CY, Yan XY, Guo M, Wang Y, Huang FB (2014) Sodium fluoride induces apoptosis in the kidney of rats through caspase-mediated pathways and DNA damage. J Physiol Biochem 70(3):857–868
Song GH, Huang FB, Gao JP, Liu ML, Pang WB, Wb L, Yan XY, Huo MJ, Yang X (2015) Effects of fluoride on DNA damage and caspase-mediated apoptosis in the liver of rats. Biol Trace Elem Res 166(2):173–182
Su K, Sun Z, Niu R, Lei Y, Cheng J, Wang J (2017) Cell cycle arrest and gene expression profiling of testis in mice exposed to fluoride. Environ Toxicol
Suzuki M, Bandoski C, Bartlett JD (2015) Fluoride induces oxidative damage and SIRT1/autophagy through ROS-mediated JNK signaling. Free Radic Biol Med 89:369–378
Thangapandiyan S, Miltonprabu S (2013) Epigallocatechin gallate effectively ameliorates fluoride-induced oxidative stress and DNA damage in the liver of rats. Can J Physiol Pharmacol 91(7):528–537
Umarani V, Muvvala S, Ramesh A, Lakshmi BV, Sravanthi N (2015) Rutin potentially attenuates fluoride-induced oxidative stress-mediated cardiotoxicity, blood toxicity and dyslipidemia in rats. Toxicol Mech Methods 25(2):143–149
Wang AG, Xia T, Chu QL, Zhang M, Liu F, Chen XM, Yang KD (2004) Effects of fluoride on lipid peroxidation, DNA damage and apoptosis in human embryo hepatocytes. Biomed Environ Sci 17(2):217–222
Wang ZH, Li XL, Yang ZQ, Xu M (2010) Fluorine-induced apoptosis and lipid peroxidation in human hair follicles in vitro. Biol Trace Elem Res 137(3):280–288
Whitford GM (1983) Fluorides, metabolism, mechanisms of action and safety. Dental hygiene 57:16–18 20–12, 24–19
World Health Organization (2006) Human health effects. In: Fawell J, Bailey K, Chilton J, Dahi E, Fewtrell L, Magara Y (eds) Fluoride in drinking-water. IWA Publishing, London, pp 29–36
Zhang M, Wang A, Xia T, He P (2008) Effects of fluoride on DNA damage, S-phase cell-cycle arrest and the expression of NF-kappaB in primary cultured rat hippocampal neurons. Toxicol Lett 179(1):1–5
Zhang S, Niu Q, Gao H, Ma R, Lei R, Zhang C, Xia T, Li P, Xu C, Wang C, Chen J, Dong L, Zhao Q, Wang A (2016) Excessive apoptosis and defective autophagy contribute to developmental testicular toxicity induced by fluoride. Environ Pollut 212:97–104
Zhou BH, Zhao J, Liu J, Zhang JL, Li J, Wang HW (2015) Fluoride-induced oxidative stress is involved in the morphological damage and dysfunction of liver in female mice. Chemosphere 139:504–511
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DAR and MBV are fellowships from CNPq (Conselho Nacional de Desenvolvimento Cientifico and Tecnologico, Brazil).
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Ribeiro, D.A., Yujra, V.Q., da Silva, V.H.P. et al. Putative mechanisms of genotoxicity induced by fluoride: a comprehensive review. Environ Sci Pollut Res 24, 15254–15259 (2017). https://doi.org/10.1007/s11356-017-9105-3
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DOI: https://doi.org/10.1007/s11356-017-9105-3