Abstract

Background: Exposure to inorganic arsenic (iAs) through drinking water causes cancer. Alterations in mitochondrial DNA copy number (mtDNAcn) and telomere length in blood have been associated with cancer risk. We elucidated if arsenic exposure alters mtDNAcn and telomere length in individuals with different arsenic metabolizing capacity.Methods: We studied two groups in the Salta province, Argentina, one in the Puna area of the Andes (N = 264, 89% females) and one in Chaco (N = 169, 75% females). We assessed arsenic exposure as the sum of arsenic metabolites [iAs, methylarsonic acid (MMA), dimethylarsinic acid (DMA)] in urine (U-As) using high-performance liquid chromatography coupled with hydride generation and inductively coupled plasma mass spectrometry. Efficiency of arsenic metabolism was expressed as percentage of urinary metabolites. MtDNAcn and telomere length were determined in blood by real-time PCR.Results: Median U-As was 196 (5–95 percentile: 21–537) μg/L in Andes and 80 (5–95 percentile: 15–1637) μg/L in Chaco. The latter study group had less-efficient metabolism, with higher %iAs and %MMA in urine compared with the Andean group. U-As was significantly associated with increased mtDNAcn (log2 transformed to improve linearity) in Chaco (β = 0.027 per 100 μg/L, p = 0.0085; adjusted for age and sex), but not in Andes (β = 0.025, p = 0.24). U-As was also associated with longer telomere length in Chaco (β = 0.016, p = 0.0066) and Andes (β = 0.0075, p = 0.029). In both populations, individuals with above median %iAs showed significantly higher mtDNAcn and telomere length compared with individuals with below median %iAs.Conclusions: Arsenic was associated with increased mtDNAcn and telomere length, particularly in individuals with less-efficient arsenic metabolism, a group who may have increased risk for arsenic-related cancer.

Highlights

  • Elevated arsenic concentrations in drinking water occur in many countries, e.g., in Argentina, Bangladesh, India, and some parts of the U.S.A

  • The latter study group had less-efficient metabolism, with higher %Inorganic arsenic (iAs) and %metabolized to methylarsonic acid (MMA) in urine compared with the Andean group

  • Individuals with above median %iAs showed significantly higher mitochondrial DNA copy number (mtDNAcn) and telomere length compared with individuals with below median %iAs

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Summary

Introduction

Elevated arsenic concentrations in drinking water occur in many countries, e.g., in Argentina, Bangladesh, India, and some parts of the U.S.A. Like most mammals, efficient methylation from iAs to DMA is associated with decreased reactivity and increased rate of urinary arsenic excretion (Vahter, 2002; Gardner et al, 2011). Genetic variation in arsenite methyltransferase (AS3MT), which encodes the major arsenic-methylating enzyme, significantly contributes to arsenic metabolism efficiency (Engström et al, 2011; Schlebusch et al, 2013, 2015) and is likely an underlying factor partly determining variation in susceptibility to arsenic between individuals and populations (Hossain et al, 2012; Pierce et al, 2013; Engström et al, 2015). We elucidated if arsenic exposure alters mtDNAcn and telomere length in individuals with different arsenic metabolizing capacity

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