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The Relationship Between Preeclampsia and Arsenic Concentration in the Peripheral Blood

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Abstract

Preeclampsia (PE) is a pregnancy-specific disorder, which is one of the leading causes of maternal, fetal, and neonatal death, particularly in developing countries. Arsenic (As), which is commonly found in soil and groundwater, has been associated with various complications of pregnancy, such as spontaneous abortion, hypertension, and stillbirth. Hence, the study was used to explore the relationship between PE and blood concentration of As in this study. Blood concentration of As during pregnancy was measured by inductively coupled plasma mass spectrometry (ICP-MS). The results shown that the mean blood concentration of As was gradually increased from the control group to the severe PE group (P < 0.0001). Elevated blood concentration of As was associated with the prevalence of PE (OR = 12.81, 95% CI: 2.43–67.39 and 27.55, 1.75–433.43 for middle and high vs. low). Furthermore, elevated blood concentration of As was associated with the severity of PE. Additionally, we observed that blood concentration of As was associated with the hypoproteinemia (P = 0.001, rs = 0.37). Blood concentration of As was negatively corelated with the mean corpuscular volume (MCV) (P = 0.040, rs =  − 0.23) and positively corelated with the mean corpuscular hemoglobin concentration (MCHC) (P = 0.044, rs = 0.23). Overall, our results indicated that the blood concentration of As can significantly predict the occurrence of PE. Additionally, we provided evidence that blood concentration of As may affect the occurrence of hypoproteinemia. These findings may provide some ideas for the prevention of PE and pregnancy complications.

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Data Availability

The datasets generated and analyzed during the current study are available from the corresponding author on reasonable request.

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References

  1. Sibai BM, Stella CL (2009) Diagnosis and management of atypical preeclampsia-eclampsia. Am J Obstet Gynecol 200:481.e1-481.e7 (Elsevier, Amsterdam)

    Article  Google Scholar 

  2. Witcher PM (2018) Preeclampsia: acute complications and management priorities. AACN Adv Crit Care 29:316–326 (AACN, American)

    Article  PubMed  Google Scholar 

  3. Bokslag A, Weissenbruch MV, Mol BW, Christianne JMDG (2016) Preeclampsia, short and long-term consequences for mother and neonate. Early Hum Dev 102:47–50 (Elsevier, Amsterdam)

    Article  PubMed  Google Scholar 

  4. Ramos JGL, Sass N, Costa SHM (2017) Preeclampsia. Rev Bras Ginecol Obstet 39:496–512 (Thieme, Stuttgart)

    Article  PubMed  Google Scholar 

  5. Staff AC, Dechend R, Pijnenborg R (2010) Learning from the placenta: acute atherosis and vascular remodeling in preeclampsia-novel aspects for atherosclerosis and future cardiovascular health. Hypertension 56:1026–1034 (AHA, American)

    Article  CAS  PubMed  Google Scholar 

  6. Mol BWJ, Roberts CT, Thangaratinam S, Magee LA, Christianne JMDG, Hofmeyr GJ (2016) Pre-eclampsia. Lancet 387:999–1011 (Elsevier, Amsterdam)

    Article  PubMed  Google Scholar 

  7. Ghulmiyyah L, Sibai B (2012) Maternal mortality from preeclampsia/eclampsia. Semin Perinatol 36:56–59 (Elsevier, Amsterdam)

    Article  PubMed  Google Scholar 

  8. Liu YY, Li N, Li ZW, Zhang L, Li HT, Zhang YL, Liu RJ, Ye MW (2019) Impact of gestational hypertension and preeclampsia on fetal gender: a large prospective cohort study in China. Pregnancy Hypertens 18:132–136 (Elsevier, Amsterdam)

    Article  PubMed  Google Scholar 

  9. Rana S, Lemoine E, Granger JP, Karumanchi SA (2019) Preeclampsia: pathophysiology, challenges, and perspectives. Circ Res 124:1094–1112 (HA, American)

    Article  CAS  PubMed  Google Scholar 

  10. Phipps EA, Thadhani A, Benzing T, Karumanchi SA (2019) Pre-eclampsia: pathogenesis, novel diagnostics and therapies. Nat Rev Nephrol 15:275–289 (Nature, Heidelberg)

    Article  PubMed  PubMed Central  Google Scholar 

  11. Harmon AC, Cornelius DC, Amaral LM, Faulkner JL, Cunningham JMW, Wallace K, LaMarca B (2016) The role of inflammation in the pathology of preeclampsia. Clin Sci 130:409–419 (Portland, United Kingdom)

    Article  CAS  Google Scholar 

  12. Sawchuck DJ, Wittmann BK (2014) Pre-eclampsia renamed and reframed: intra-abdominal hypertension in pregnancy. Med Hypotheses 83:619–632 (Elsevier, Amsterdam)

    Article  PubMed  Google Scholar 

  13. Lan SH, Lan HX, Yang D, Wu XW (2014) Study of nitro-polycyclic aromatic hydrocarbons in particulate matter in Dongguan. Environ Sci Pollut Res 21:7390–7399 (Springer, Heidelberg)

    Article  CAS  Google Scholar 

  14. Luo F, Hua SL, Wang X, Tao T (2018) Pollution characteristics and potential ecological risk assessment of heavy metals in sediments from eight reservoirs of Dongguan City. Environ Sci Technol 41:183-188+196 (Editorial Board of Environmental Science & Technology, HuBei province (in Chinese))

    Google Scholar 

  15. Luo XS, Yu S, Zhu XG, Li XD (2012) Trace metal contamination in urban soils of China. Sci Total Environ 421–422:17–30 (Elsevier, Amsterdam)

    Article  PubMed  CAS  Google Scholar 

  16. Khairul I, Qianqian W, Yuhan J, Chao W, Naranmandura H (2017) Metabolism, toxicity and anticancer activities of arsenic compounds. Oncotarget 8:23905–23926 (Impact Journals, United States)

    Article  PubMed  PubMed Central  Google Scholar 

  17. Stone J, Sutrave P, Gascoigne E, Givens MB, Fry RC, Manuck TA (2021) Exposure to toxic metals and per- and polyfluoroalkyl substances and the risk of preeclampsia and preterm birth in the United States: a review. Am J Obstet Gynecol MFM 3:100–308 (Elsevier, Amsterdam)

    Article  CAS  Google Scholar 

  18. Cai LM, Huang LC, Zhou YZ, Xu ZC, Peng XC, Peng PA (2010) Arsenic concentrations in vegetables and soils in Dongguan and potential risk to human health. Environ Sci Technol 33:197–200 (Editorial Board of Environmental Science & Technology, HuBei province (in Chinese))

    CAS  Google Scholar 

  19. Liu C, Lu LW, Huang T, Huang YL, Ding L, Zhao WT (2016) The distribution and health risk assessment of metals in soils in the vicinity of industrial sites in Dongguan, China. Int J Environ Res Public Health 13:832 (MDPI, Basel)

    Article  PubMed Central  CAS  Google Scholar 

  20. Jomova K, Jenisova Z, Feszterova M, Baros S, Liska J, Hudecova D, Rhodes CJ, Valko M (2011) Arsenic: toxicity, oxidative stress and human disease. J Appl Toxicol 31:95–107 (Wiley, United States)

    CAS  PubMed  Google Scholar 

  21. Fuente HDL, Portales-Pérez D, Baranda L, Díaz-Barriga F, Saavedra-Alanís V, Layseca E, González-Amaro R (2002) Effect of arsenic, cadmium and lead on the induction of apoptosis of normal human mononuclear cells. Clin Exp Immunol 129:69–77 (Wiley, United States)

    Article  PubMed  Google Scholar 

  22. Ratnaike RN (2003) Acute and chronic arsenic toxicity. Postgrad Med J 79:391–396 (BMJ, United Kingdom)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Jingbo P, Yamauchi H, Kumagai Y, Sun G, Yoshida T, Aikawa H, Hopenhayn-Rich C, Shimojo N (2002) Evidence for induction of oxidative stress caused by chronic exposure of Chinese residents to arsenic contained in drinking water. Environ Health Perspect 110:331–336 (Public Health Services, United States)

    Article  Google Scholar 

  24. Hughes MF (2002) Arsenic toxicity and potential mechanisms of action. Toxicol Lett 133:1–16 (Elsevier, Amsterdam)

    Article  CAS  PubMed  Google Scholar 

  25. Pineda-Zavaleta AP, García-Vargas G, Borja-Aburto VH, Acosta-Saavedra LC, Vera Aguilar E, Gómez-Muñoz A, Cebrián ME, Calderón-Aranda ES (2004) Nitric oxide and superoxide anion production in monocytes from children exposed to arsenic and lead in region Lagunera, Mexico. Toxicol Appl Pharmacol 198:283–290 (Elsevier, Amsterdam)

    Article  CAS  PubMed  Google Scholar 

  26. Chen Y, Graziano JH, Parvez F, Mengling L, Slavkovich V et al (2011) Arsenic exposure from drinking water and mortality from cardiovascular disease in Bangladesh: prospective cohort study. BMJ 342:d2431 (BMJ, United Kingdom)

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  27. Chen Y, Graziano JH, Parvez F, Liu ML, Slavkovich V, Kalra T, Argos M et al (2013) Arsenic exposure from drinking water, arsenic methylation capacity, and carotid intima-media thickness in Bangladesh. Am J Epidemiol 178:372–381 (Oxforo Academic, United Kingdom)

    Article  PubMed  PubMed Central  Google Scholar 

  28. Chen Y, Wang F, Liu XH, Parvez F, LoIacono NJ, Gibson EA, Marianthi-Anna K et al (2019) Early life and adolescent arsenic exposure from drinking water and blood pressure in adolescence. Environ Res 178:108681 (Elsevier, Amsterdam)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Wang X, Wu Y, Sun XJ, Guo Q, Xia W, Wu YN, Li JG (2021) Arsenic exposure and metabolism in relation to blood pressure changes in pregnant women. Ecotoxicol Environ Saf 222:112527 (Elsevier, Amsterdam)

    Article  CAS  PubMed  Google Scholar 

  30. Tenório MB, Ferreira RC, Moura FA, Bueno NB, Oliveira ACMD, Goulart MOF (2019) Cross-talk between oxidative stress and inflammation in preeclampsia. Oxid Med Cell Longev 2019:8238727 (Hindawi, Egypt)

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  31. Ahmad SA, Sayed MH, Barua S, Khan MH, Faruquee MH, Jalil A, Hadi SA, Talukder HK (2001) Arsenic in drinking water and pregnancy outcomes. Environ Health Perspect 109:629–631 (Public Health Services, United States)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Sandoval-Carrillo A, Méndez-Hernández EM, Antuna-Salcido EI, Salas-Pacheco SM, Vázquez-Alaniz F, Téllez-Valencia A, Aguilar-Durán M et al (2016) Arsenic exposure and risk of preeclampsia in a Mexican mestizo population. BMC Pregnancy Childbirth 16:153 (BMC, United Kingdom)

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  33. Wang Y, Wang K, Han T, Zhang P, Chen X, Wu W, Feng Y et al (2020) Exposure to multiple metals and prevalence for preeclampsia in Taiyuan, China. Environ Int 145:106098 (Elsevier, Amsterdam)

    Article  CAS  PubMed  Google Scholar 

  34. Bommarito PA, Kim SS, Meeker JD, Fry RC, Cantonwine DE, McElrath TF, Ferguson KK (2019) Urinary trace metals, maternal circulating angiogenic biomarkers, and preeclampsia: a single-contaminant and mixture-based approach. Environ Health 18:63 (BMC, United Kingdom)

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  35. American College of Obstetricians and Gynecologists, Task Force on Hypertension in Pregnancy (2013) Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists’ Task Force on Hypertension in Pregnancy. Obstet Gynecol 122:1122–1131 (Wolters Kluwer, Amsterdam)

    Google Scholar 

  36. Hutcheon JA, Lisonkova S, Joseph KS (2011) Epidemiology of pre-eclampsia and the other hypertensive disorders of pregnancy. Best Pract Res Clin Obstet Gynaecol 25:391–403 (Elsevier, Amsterdam)

    Article  PubMed  Google Scholar 

  37. Mahomed K, Williams MA, Woelk GB, Mudzamiri S, Madzime S, King IB, Bankson DD (2000) Leukocyte selenium, zinc, and copper concentrations in preeclamptic and normotensive pregnant women. Biol Trace Elem Res 75:107–118 (Springer, Heidelberg)

    Article  CAS  PubMed  Google Scholar 

  38. Vigeh M, Yokoyama K, Matsukawa T, Shinohara A, Ohtani K (2015) The relation of maternal blood arsenic to anemia during pregnancy. Women Health 55:42–57 (Haworth Medical, United States)

    Article  PubMed  Google Scholar 

  39. Zaw YH, Taneepanichskul N (2019) Blood heavy metals and brain-derived neurotrophic factor in the first trimester of pregnancy among migrant workers. PloS one 14:0218409 (PLOS, United States)

    Article  CAS  Google Scholar 

  40. Mullin AM, Amarasiriwardena C, Cantoral-Preciado A, Claus-Henn B, Leon HH, Sanders AP, Svensson K, Tamayo-Ortiz M, Téllez-Rojo MM, Wright RO, Burris HH (2019) Maternal blood arsenic levels and associations with birth weight-for-gestational age. Environ Res 177:108603 (Elsevier, Amsterdam)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Claus-Henn BA, Ettinger S, Hopkins MR, Jim R, Amarasiriwardena C, Christiani DC, Coull BA, Bellinger DC, Wright RO (2016) Prenatal arsenic exposure and birth outcomes among a population residing near a mining-related superfund site. Environ Health Perspec 124:1308–1315 (Public Health Services, United States)

    Article  CAS  Google Scholar 

  42. Elongi-Moyene JP, Scheers H, Tandu-Umba B, Haufroid V, Buassa-Bu-Tsumbu B, Verdonck F, Spitz B, Nemery B (2016) Preeclampsia and toxic metals: a case-control study in Kinshasa, DR Congo. Environ Health 15:48 (BMC, United Kingdom)

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  43. Maduray K, Moodley J, Soobramoney C, Moodley R, Naicker T (2017) Elemental analysis of serum and hair from pre-eclamptic South African women. J Trace Elem Med Biol 43:180–186 (Elsevier, Amsterdam)

    Article  CAS  PubMed  Google Scholar 

  44. Liu T, Zhang M, Guallar E, Wang G, Hong X, Wang X, Mueller NT (2019) Trace minerals, heavy metals, and preeclampsia: findings from the Boston birth cohort. J Am Heart Assoc 8:e012436 (Wiley, United Kingdom)

    Article  PubMed  PubMed Central  Google Scholar 

  45. Bodnar LM, Ness RB, Markovic N, Roberts JM (2005) The risk of preeclampsia rises with increasing prepregnancy body mass index. Ann Epidemiol 15:475–482 (Elsevier, Amsterdam)

    Article  PubMed  Google Scholar 

  46. Poorolajal J, Jenabi E (2016) The association between body mass index and preeclampsia: a meta-analysis. J Matern Fetal Neonatal Med 29:3670–3676 (Informa Healthcare, United Kingdom)

    Article  PubMed  Google Scholar 

  47. Huyck KL, Kile ML, Mahiuddin G, Quamruzzaman Q, Rahman M, Breton CV, Dobson CB, Frelich J, Hoffman E, Yousuf J, Afroz S, Islam S, Christiani DC (2007) Maternal arsenic exposure associated with low birth weight in Bangladesh. J Occup Environ Med 49:1097–1104 (Wolters Kluwer, Amsterdam)

    Article  CAS  PubMed  Google Scholar 

  48. Rahman A, Persson LÅ, Nermell B, Arifeen SE, Ekström EC, Smith AH, Vahter M (2010) Arsenic exposure and risk of spontaneous abortion, stillbirth, and infant mortality. Epidemiology 21:797–804 (Wolters Kluwer, Amsterdam)

    Article  PubMed  Google Scholar 

  49. Peng S, Liu L, Zhang X, Heinrich J, Zhang J, Schramm KW, Huang Q, Tian M, Eqani SA, Shen H (2015) A nested case-control study indicating heavy metal residues in meconium associate with maternal gestational diabetes mellitus risk. Environ Health 14:19 (BMC, United Kingdom)

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  50. Kobayashi A, Ohbe Y (1971) Protein-losing enteropathy associated with arsenic poisoning. Am J Dis Child 121:515–517 (JAMA Pediatrics, United States)

    CAS  PubMed  Google Scholar 

  51. Biswas S, Mukhopadhyay K (2020) Casein- and pea-enriched high-protein diet can take care of the reprotoxic effects of arsenic in male rats. Andrologia 52:e13560 (Wiley, United States)

    Article  PubMed  Google Scholar 

  52. Liu Z, Zhang H, Chen L, Lin L, Yan J (2020) Blood coagulation indices in twin pregnancy complicated with preeclampsia. J Coll Physicians Surg Pak 30:276–281 (College of Physicians and Surgeons Pakistan, Karachi)

    Article  PubMed  Google Scholar 

  53. Tesfay F, Negash M, Alemu J, Yahya M, Teklu G, Yibrah M, Asfaw T, Tsegaye A (2019) Role of platelet parameters in early detection and prediction of severity of preeclampsia: a comparative cross-sectional study at Ayder comprehensive specialized and Mekelle general hospitals, Mekelle, Tigray, Ethiopia. PloS one 14:e0225536 (PLOS, San Francisco)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  54. Sitotaw C, Asrie F, Melku M (2018) Evaluation of platelet and white cell parameters among pregnant women with preeclampsia in Gondar, Northwest Ethiopia: a comparative cross-sectional study. Pregnancy Hypertens 13:242–247 (Elsevier, Amsterdam)

    Article  PubMed  Google Scholar 

  55. Gogoi P, Sinha P, Gupta B, Firmal P, Rajaram S (2019) Neutrophil-to-lymphocyte ratio and platelet indices in pre-eclampsia. Int J Gynaecol Obstet 144:16–20 (Wiley, United States)

    Article  CAS  PubMed  Google Scholar 

  56. Zhou X, Medina S, Bolt AM, Zhang H, Wan G, Xu H, Lauer FT, Wang SC, Burchiel SW, Liu KJ (2020) Inhibition of red blood cell development by arsenic-induced disruption of GATA-1. Sci Rep 10:19055 (Nature, Heidelberg)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  57. López-Rodríguez G, Galván M, González-Unzaga M, Hernández-Ávila J, Pérez-Labra M (2017) Blood toxic metals and hemoglobin levels in Mexican children. Environ Monit Assess 189:179 (Spring, Heidelberg)

    Article  PubMed  CAS  Google Scholar 

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Acknowledgements

We thank the medical staff in the obstetric department of the SSL Central Hospital for their help in recruiting subjects, and postgraduates Ruiping Zhang, Lingyan Wei, and Xia Gao for their help in the date collection.

Funding

The research work was supported by the Fundamental Research Funds for the Central Universities (Grant No. lzujbky-20196), and the Social Science and Technology Development (Key) Fund of Dongguan City of China (Grant No. 2015108101033).

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Yuhui Dang and Shiwei Ai contributed to the conception of research; Yudong Pu and Shuzhen He contributed to the recruiting subjects and the sampling collection and performed the experiment; Ke Wang contributed to the data collection and management; Xiaoxue Wang performed statistical analysis; Haixia Liu wrote the manuscript; Shiwei Ai and Yuhui Dang contributed to the revision of the manuscript. All authors approved the final manuscript for submission.

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Correspondence to Yuhui Dang.

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This study was approved by the Ethics Committee of Songshan Lake Central Hospital of Dongguan City and the Ethics Committee of the School of Public Health of Lanzhou University.

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Informed consent was obtained from all of participants included in the study.

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All other authors have read the manuscript and have agreed to submit it in its current form for consideration for publication in the Biological Trace Element Research.

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Liu, H., Pu, Y., Ai, S. et al. The Relationship Between Preeclampsia and Arsenic Concentration in the Peripheral Blood. Biol Trace Elem Res 200, 3965–3974 (2022). https://doi.org/10.1007/s12011-021-02988-5

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