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Arsenic and Obesity: a Review of Causation and Interaction

  • Topical Collection on Metals and Health (R Fry and M Styblo, Section Editors)
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Abstract

Purpose of Review

Arsenic is associated with cancer, heart disease, diabetes, and other outcomes that are also related to obesity. These similar effects raise the possibility that arsenic plays a role in obesity causation. They also raise the possibility that obesity may be an important effect modifier of arsenic-caused disease. This review summarizes the complex relationship between arsenic and obesity, with an emphasis on current research from human studies.

Recent Findings

Experimental studies provide some evidence that arsenic could play a role in obesity pathogenesis. To date, however, these associations have not been confirmed in human studies. In contrast, several epidemiologic studies have shown that the risks of arsenic-caused disease are markedly higher in obese individuals, highlighting obesity as an important susceptibility factor.

Summary

Arsenic exposure and obesity are prevalent and widespread. Research identifying vulnerable populations, including obese individuals, could lead to new interventions having broad public health effects.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Ravenscroft P. Predicting the global distribution of natural arsenic contamination of groundwater. Symposium on arsenic: the geography of a global problem. London: Royal Geographical Society; 2007. http://www.geog.cam.ac.uk/research/projects/arsenic/symposium/S1.2_P_Ravenscroft.pdf. Accessed 03/16/12]

    Google Scholar 

  2. U.S. EPA. Arsenic occurrence in public drinking water supplies. Washington, DC: U.S. Environmental Protection Agency. EPA-815-R-00-232000. Report No.: EPA-815-R-00-23.

  3. Ayotte JD, Medalie L, Qi SL, Backer LC, Nolan BT. Estimating the high-arsenic domestic-well population in the conterminous United States. Environ Sci Technol. 2017;51(21):12443–54. https://doi.org/10.1021/acs.est.7b02881.

    Article  CAS  PubMed  Google Scholar 

  4. Wilson D, Hooper C, Shi X. Arsenic and lead in juice: apple, citrus, and apple-base. J Environ Health. 2012;75(5):14–20.

    CAS  PubMed  Google Scholar 

  5. Schute N. Arsenic in beer may come from widely used filtering process. National Public Radio. 2013.

  6. Marshall T. Arsenic in apple juice: how much is too much? Tampa Bay Times. 2012.

  7. Nachman KE, Baron PA, Raber G, Francesconi KA, Navas-Acien A, Love DC. Roxarsone, inorganic arsenic, and other arsenic species in chicken: a U.S.-based market basket sample. Environ Health Perspect. 2013;121(7):818–24. https://doi.org/10.1289/ehp.1206245.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. U.S. FDA. Arsenic in rice: full analytical results from rice/rice product sampling—September 2012. U.S. Food and Drug Administration. 2012. http://www.fda.gov/Food/FoodborneIllnessContaminants/Metals/ucm319916.htm. Accessed 11/29/12.

  9. Chung JY, Yu SD, Hong YS. Environmental source of arsenic exposure. J Prev Med Public Health. 2014;47(5):253–7. https://doi.org/10.3961/jpmph.14.036.

    Article  PubMed  PubMed Central  Google Scholar 

  10. National Research Council. Critical aspects of EPA’s IRIS assessment of inorganic arsenic: interim report. Washington, DC: The National Academies Press; 2013.

    Google Scholar 

  11. Arcidiacono B, Iiritano S, Nocera A, Possidente K, Nevolo MT, Ventura V, et al. Insulin resistance and cancer risk: an overview of the pathogenetic mechanisms. Exp Diabetes Res. 2012;2012:789174–12. https://doi.org/10.1155/2012/789174.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Vahter M. Methylation of inorganic arsenic in different mammalian species and population groups. Sci Prog. 1999;82(Pt 1):69–88. https://doi.org/10.1177/003685049908200104.

    Article  CAS  PubMed  Google Scholar 

  13. Drobná Z, Walton FS, Harmon AW, Thomas DJ, Stýblo M. Interspecies differences in metabolism of arsenic by cultured primary hepatocytes. Toxicol Appl Pharmacol. 2010;245(1):47–56. https://doi.org/10.1016/j.taap.2010.01.015.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. • Castriota F, Rieswijk L, Dahlberg S, La Merrill MA, Steinmaus C, Smith MT, et al. A state-of-the-science review of arsenic’s effects on glucose homeostasis in experimental models. Environ Health Perspect. 2020;128(1):16001. https://doi.org/10.1289/ehp4517This manuscript is a review article summarizing possible mechanism linking arsenite exposure and diabetes development in in vivo and in vitro studies.

    Article  CAS  PubMed  Google Scholar 

  15. • Farkhondeh T, Samarghandian S, Azimi-Nezhad M. The role of arsenic in obesity and diabetes. J Cell Physiol. 2019;234(8):12516–29. https://doi.org/10.1002/jcp.28112This manuscript is a review article summarizing the effect of arsenic exposure on obesity and disease risk with a focus on potential etiologic mechanisms.

    Article  CAS  PubMed  Google Scholar 

  16. Ahangarpour A, Zeidooni L, Samimi A, Alboghobeish S, Khorsandi LS, Moradi M. Chronic exposure to arsenic and high fat diet additively induced cardiotoxicity in male mice. Res Pharm Sci. 2018;13(1):47–56. https://doi.org/10.4103/1735-5362.220967.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Garciafigueroa DY, Klei LR, Ambrosio F, Barchowsky A. Arsenic-stimulated lipolysis and adipose remodeling is mediated by G-protein-coupled receptors. Toxicol Sci. 2013;134(2):335–44. https://doi.org/10.1093/toxsci/kft108.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Ambrosio F, Brown E, Stolz D, Ferrari R, Goodpaster B, Deasy B, et al. Arsenic induces sustained impairment of skeletal muscle and muscle progenitor cell ultrastructure and bioenergetics. Free Radic Biol Med. 2014;74:64–73. https://doi.org/10.1016/j.freeradbiomed.2014.06.012.

    Article  CAS  PubMed  Google Scholar 

  19. Ditzel EJ, Nguyen T, Parker P, Camenisch TD. Effects of arsenite exposure during fetal development on energy metabolism and susceptibility to diet-induced fatty liver disease in male mice. Environ Health Perspect. 2016;124(2):201–9. https://doi.org/10.1289/ehp.1409501.

    Article  CAS  PubMed  Google Scholar 

  20. Carmean CM, Kirkley AG, Landeche M, Ye H, Chellan B, Aldirawi H, et al. Arsenic exposure decreases adiposity during high-fat feeding. Obesity (Silver Spring). 2020;28(5):932–41. https://doi.org/10.1002/oby.22770.

    Article  CAS  Google Scholar 

  21. Bae J, Jang Y, Kim H, Mahato K, Schaecher C, Kim IM, et al. Arsenite exposure suppresses adipogenesis, mitochondrial biogenesis and thermogenesis via autophagy inhibition in brown adipose tissue. Sci Rep. 2019;9(1):14464. https://doi.org/10.1038/s41598-019-50965-9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Ronco AM, Gutierrez Y, Gras N, Munoz L, Salazar G, Llanos MN. Lead and arsenic levels in women with different body mass composition. Biol Trace Elem Res. 2010;136(3):269–78. https://doi.org/10.1007/s12011-009-8546-z.

    Article  CAS  PubMed  Google Scholar 

  23. Grashow R, Zhang J, Fang SC, Weisskopf MG, Christiani DC, Kile ML, et al. Inverse association between toenail arsenic and body mass index in a population of welders. Environ Res. 2014;131:131–3. https://doi.org/10.1016/j.envres.2014.03.010.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Ettinger AS, Bovet P, Plange-Rhule J, Forrester TE, Lambert EV, Lupoli N, et al. Distribution of metals exposure and associations with cardiometabolic risk factors in the “Modeling the Epidemiologic Transition Study”. Environ Health. 2014;13:90. https://doi.org/10.1186/1476-069x-13-90.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Lin HC, Huang YK, Shiue HS, Chen LS, Choy CS, Huang SR, et al. Arsenic methylation capacity and obesity are associated with insulin resistance in obese children and adolescents. Food Chem Toxicol. 2014;74:60–7. https://doi.org/10.1016/j.fct.2014.08.018.

    Article  CAS  PubMed  Google Scholar 

  26. Su CT, Lin HC, Choy CS, Huang YK, Huang SR, Hsueh YM. The relationship between obesity, insulin and arsenic methylation capability in Taiwan adolescents. Sci Total Environ. 2012;414:152–8. https://doi.org/10.1016/j.scitotenv.2011.10.023.

    Article  CAS  PubMed  Google Scholar 

  27. Bulka CM, Mabila SL, Lash JP, Turyk ME, Argos M. Arsenic and obesity: a comparison of urine dilution adjustment methods. Environ Health Perspect. 2017;125(8):087020. https://doi.org/10.1289/ehp1202.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Suhl J, Conway KM, Rhoads A, Langlois PH, Feldkamp ML, Michalski A, et al. Pre-pregnancy dietary arsenic consumption among women in the United States. Birth Defects Res. 2019;112:270–7. https://doi.org/10.1002/bdr2.1634.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Bae HS, Ryu DY, Choi BS, Park JD. Urinary arsenic concentrations and their associated factors in Korean adults. Toxicol Res. 2013;29(2):137–42. https://doi.org/10.5487/tr.2013.29.2.137.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Velmurugan G, Swaminathan K, Veerasekar G, Purnell JQ, Mohanraj S, Dhivakar M, et al. Metals in urine in relation to the prevalence of pre-diabetes, diabetes and atherosclerosis in rural India. Occup Environ Med. 2018;75(9):661–7. https://doi.org/10.1136/oemed-2018-104996.

    Article  PubMed  Google Scholar 

  31. Lewis RC, Meeker JD, Basu N, Gauthier AM, Cantoral A, Mercado-García A, et al. Urinary metal concentrations among mothers and children in a Mexico City birth cohort study. Int J Hyg Environ Health. 2018;221(4):609–15. https://doi.org/10.1016/j.ijheh.2018.04.005.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Steinmaus C, Castriota F, Ferreccio C, Smith AH, Yuan Y, Liaw J, et al. Obesity and excess weight in early adulthood and high risks of arsenic-related cancer in later life. Environ Res. 2015;142:594–601. https://doi.org/10.1016/j.envres.2015.07.021.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Dong G-H, Wang J, Zeng X-W, Chen L, Qin X-D, Zhou Y, et al. Interactions between air pollution and obesity on blood pressure and hypertension in chinese children. Epidemiology. 2015;26(5):740–7. https://doi.org/10.1097/EDE.0000000000000336.

    Article  PubMed  Google Scholar 

  34. •• Castriota F, Acevedo J, Ferreccio C, Smith AH, Liaw J, Smith MT, et al. Obesity and increased susceptibility to arsenic-related type 2 diabetes in Northern Chile. Environ Res. 2018;167:248–54. https://doi.org/10.1016/j.envres.2018.07.022This article found that arsenic exposure was associated with increased odds of type 2 diabetes. Associations were signficantly increased among obese individuals.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Eick SM, Ferreccio C, Acevedo J, Castriota F, Cordero JF, Roh T, et al. Socioeconomic status and the association between arsenic exposure and type 2 diabetes. Environ Res. 2019;172:578–85. https://doi.org/10.1016/j.envres.2019.03.013.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Pan WC, Seow WJ, Kile ML, Hoffman EB, Quamruzzaman Q, Rahman M, et al. Association of low to moderate levels of arsenic exposure with risk of type 2 diabetes in Bangladesh. Am J Epidemiol. 2013;178(10):1563–70. https://doi.org/10.1093/aje/kwt195.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Del Razo LM, García-Vargas GG, Valenzuela OL, Castellanos EH, Sánchez-Peña LC, Currier JM, et al. Exposure to arsenic in drinking water is associated with increased prevalence of diabetes: a cross-sectional study in the Zimapán and Lagunera regions in Mexico. Environ Health. 2011;10(1):73. https://doi.org/10.1186/1476-069X-10-73.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Tseng CH, Tai TY, Chong CK, Tseng CP, Lai MS, Lin BJ, et al. Long-term arsenic exposure and incidence of non-insulin-dependent diabetes mellitus: a cohort study in arseniasis-hyperendemic villages in Taiwan. Environ Health Perspect. 2000;108(9):847–51. https://doi.org/10.1289/ehp.00108847.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Sung T-C, Huang J-W, Guo H-R. Association between arsenic exposure and diabetes: a meta-analysis. Biomed Res Int. 2015;2015:368087–10. https://doi.org/10.1155/2015/368087.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Navas-Acien A, Silbergeld EK, Streeter RA, Clark JM, Burke TA, Guallar E. Arsenic exposure and type 2 diabetes: a systematic review of the experimental and epidemiological evidence. Environ Health Perspect. 2006;114(5):641–8. https://doi.org/10.1289/ehp.8551.

    Article  CAS  PubMed  Google Scholar 

  41. Chen CJ, Wang SL, Chiou JM, Tseng CH, Chiou HY, Hsueh YM, et al. Arsenic and diabetes and hypertension in human populations: a review. Toxicol Appl Pharmacol. 2007;222(3):298–304. https://doi.org/10.1016/j.taap.2006.12.032.

    Article  CAS  PubMed  Google Scholar 

  42. Farzan SF, Gossai A, Chen Y, Chasan-Taber L, Baker E, Karagas M. Maternal arsenic exposure and gestational diabetes and glucose intolerance in the New Hampshire birth cohort study. Environ Health. 2016;15(1):106. https://doi.org/10.1186/s12940-016-0194-0.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Shapiro GD, Dodds L, Arbuckle TE, Ashley-Martin J, Fraser W, Fisher M, et al. Exposure to phthalates, bisphenol A and metals in pregnancy and the association with impaired glucose tolerance and gestational diabetes mellitus: the MIREC study. Environ Int. 2015;83:63–71. https://doi.org/10.1016/j.envint.2015.05.016.

    Article  CAS  PubMed  Google Scholar 

  44. Xia X, Liang C, Sheng J, Yan S, Huang K, Li Z, et al. Association between serum arsenic levels and gestational diabetes mellitus: a population-based birth cohort study. Environ Pollut. 2018;235:850–6. https://doi.org/10.1016/j.envpol.2018.01.016.

    Article  CAS  PubMed  Google Scholar 

  45. Chen Y, Graziano JH, Parvez F, Liu M, Slavkovich V, Kalra T, et al. Arsenic exposure from drinking water and mortality from cardiovascular disease in Bangladesh: prospective cohort study. BMJ. 2011;342:d2431. https://doi.org/10.1136/bmj.d2431.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Hsueh YM, Wu WL, Huang YL, Chiou HY, Tseng CH, Chen CJ. Low serum carotene level and increased risk of ischemic heart disease related to long-term arsenic exposure. Atherosclerosis. 1998;141(2):249–57. https://doi.org/10.1016/s0021-9150(98)00178-6.

    Article  CAS  PubMed  Google Scholar 

  47. Navas-Acien A, Sharrett AR, Silbergeld EK, Schwartz BS, Nachman KE, Burke TA, et al. Arsenic exposure and cardiovascular disease: a systematic review of the epidemiologic evidence. Am J Epidemiol. 2005;162(11):1037–49. https://doi.org/10.1093/aje/kwi330.

    Article  PubMed  Google Scholar 

  48. Moon K, Guallar E, Navas-Acien A. Arsenic exposure and cardiovascular disease: an updated systematic review. Curr Atheroscler Rep. 2012;14(6):542–55. https://doi.org/10.1007/s11883-012-0280-x.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. Tsuji JS, Perez V, Garry MR, Alexander DD. Association of low-level arsenic exposure in drinking water with cardiovascular disease: a systematic review and risk assessment. Toxicology. 2014;323:78–94. https://doi.org/10.1016/j.tox.2014.06.008.

    Article  CAS  PubMed  Google Scholar 

  50. Hall EM, Acevedo J, Lopez FG, Cortes S, Ferreccio C, Smith AH, et al. Hypertension among adults exposed to drinking water arsenic in Northern Chile. Environ Res. 2017;153:99–105. https://doi.org/10.1016/j.envres.2016.11.016.

    Article  CAS  PubMed  Google Scholar 

  51. Chen CJ, Hsueh YM, Lai MS, Shyu MP, Chen SY, Wu MM, et al. Increased prevalence of hypertension and long-term arsenic exposure. Hypertension. 1995;25(1):53–60.

    Article  Google Scholar 

  52. Jones MR, Tellez-Plaza M, Sharrett AR, Guallar E, Navas-Acien A. Urine arsenic and hypertension in US adults: the 2003-2008 National Health and Nutrition Examination Survey. Epidemiology. 2011;22(2):153–61. https://doi.org/10.1097/EDE.0b013e318207fdf2.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Abhyankar LN, Jones MR, Guallar E, Navas-Acien A. Arsenic exposure and hypertension: a systematic review. Environ Health Perspect. 2012;120(4):494–500. https://doi.org/10.1289/ehp.1103988.

    Article  CAS  PubMed  Google Scholar 

  54. Weichenthal S, Hoppin JA, Reeves F. Obesity and the cardiovascular health effects of fine particulate air pollution. Obesity (Silver Spring). 2014;22(7):1580–9. https://doi.org/10.1002/oby.20748.

    Article  CAS  Google Scholar 

  55. Xing X, Hu L, Guo Y, Bloom MS, Li S, Chen G, et al. Interactions between ambient air pollution and obesity on lung function in children: the Seven Northeastern Chinese Cities (SNEC) Study. Sci Total Environ. 2020;699:134397. https://doi.org/10.1016/j.scitotenv.2019.134397.

    Article  CAS  PubMed  Google Scholar 

  56. • Huang MC, Douillet C, Dover EN, Zhang C, Beck R, Tejan-Sie A, et al. Metabolic phenotype of wild-type and As3mt-knockout C57BL/6J mice exposed to inorganic arsenic: the role of dietary fat and folate intake. Environ Health Perspect. 2018;126(12):127003. https://doi.org/10.1289/ehp3951This article showed that mice exposed to inorganic arsenic developed insulin resistance only when they were also fed a high-fat diet.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  57. Paul DS, Walton FS, Saunders RJ, Stýblo M. Characterization of the impaired glucose homeostasis produced in C57BL/6 mice by chronic exposure to arsenic and high-fat diet. Environ Health Perspect. 2011;119(8):1104–9. https://doi.org/10.1289/ehp.1003324.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Tan M, Schmidt RH, Beier JI, Watson WH, Zhong H, States JC, et al. Chronic subhepatotoxic exposure to arsenic enhances hepatic injury caused by high fat diet in mice. Toxicol Appl Pharmacol. 2011;257(3):356–64. https://doi.org/10.1016/j.taap.2011.09.019.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Zhang Y, Young JL, Cai L, Tong YG, Miao L, Freedman JH. Chronic exposure to arsenic and high fat diet induces sex-dependent pathogenic effects on the kidney. Chem Biol Interact. 2019;310:108719. https://doi.org/10.1016/j.cbi.2019.06.032.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Nardone A, Ferreccio C, Acevedo J, Enanoria W, Blair A, Smith AH, et al. The impact of BMI on non-malignant respiratory symptoms and lung function in arsenic exposed adults of Northern Chile. Environ Res. 2017;158:710–9. https://doi.org/10.1016/j.envres.2017.06.024.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  61. Wu F, Jasmine F, Kibriya MG, Liu M, Wojcik O, Parvez F, et al. Association between arsenic exposure from drinking water and plasma levels of cardiovascular markers. Am J Epidemiol. 2012;175(12):1252–61. https://doi.org/10.1093/aje/kwr464.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Koutros S, Baris D, Waddell R, Beane Freeman LE, Colt JS, Schwenn M, et al. Potential effect modifiers of the arsenic-bladder cancer risk relationship. Int J Cancer. 2018;143(11):2640–6. https://doi.org/10.1002/ijc.31720.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  63. U.S. EPA. National primary drinking water regulations: arsenic and clarifications to compliance and new source contaminants monitoring; final rule. Fed Reg 40 CFR Parts 141 and 1422001 January 22, 2001.

  64. WHO. Arsenic in drinking water. Background document for development of WHO guidelines for drinking water quality; 2011. http://www.who.int/water_sanitation_health/dwq/chemicals/arsenic.pdf.

  65. World Health Organization. Obesity and overweight factsheet; 2020. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. Accessed March 5 2020.

  66. Ward ZJ, Bleich SN, Cradock AL, Barrett JL, Giles CM, Flax C, et al. Projected U.S. state-level prevalence of adult obesity and severe obesity. N Engl J Med. 2019;381(25):2440–50. https://doi.org/10.1056/NEJMsa1909301.

    Article  PubMed  Google Scholar 

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Correspondence to Craig Steinmaus.

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Eick, S.M., Steinmaus, C. Arsenic and Obesity: a Review of Causation and Interaction. Curr Envir Health Rpt 7, 343–351 (2020). https://doi.org/10.1007/s40572-020-00288-z

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