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Putative mechanisms of genotoxicity induced by fluoride: a comprehensive review

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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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    CAS  Google Scholar 

  • 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

    CAS  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • Whitford GM (1983) Fluorides, metabolism, mechanisms of action and safety. Dental hygiene 57:16–18 20–12, 24–19

    CAS  Google Scholar 

  • 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

    Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

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Acknowledgments

DAR and MBV are fellowships from CNPq (Conselho Nacional de Desenvolvimento Cientifico and Tecnologico, Brazil).

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Correspondence to Daniel Araki Ribeiro.

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Responsible editor: Philippe Garrigues

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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

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