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Arsenic exposure, diabetes-related genes and diabetes prevalence in a general population from Spain.

ABSTRACT: Inorganic arsenic exposure may be associated with diabetes, but the evidence at low-moderate levels is not sufficient. Polymorphisms in diabetes-related genes have been involved in diabetes risk. We evaluated the association of inorganic arsenic exposure on diabetes in the Hortega Study, a representative sample of a general population from Valladolid, Spain. Total urine arsenic was measured in 1451 adults. Urine arsenic speciation was available in 295 randomly selected participants. To account for the confounding introduced by non-toxic seafood arsenicals, we designed a multiple imputation model to predict the missing arsenobetaine levels. The prevalence of diabetes was 8.3%. The geometric mean of total arsenic was 66.0??g/g. The adjusted odds ratios (95% confidence interval) for diabetes comparing the highest with the lowest tertile of total arsenic were 1.76 (1.01, 3.09) and 2.14 (1.47, 3.11) before and after arsenobetaine adjustment, respectively. Polymorphisms in several genes including IL8RA, TXN, NR3C2, COX5A and GCLC showed suggestive differential associations of urine total arsenic with diabetes. The findings support the role of arsenic on diabetes and the importance of controlling for seafood arsenicals in populations with high seafood intake. Suggestive arsenic-gene interactions require confirmation in larger studies.

SUBMITTER: Grau-Perez M

PROVIDER: S-EPMC6443087 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature

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Arsenic exposure, diabetes-related genes and diabetes prevalence in a general population from Spain.

Grau-Perez Maria M Navas-Acien Ana A Galan-Chilet Inmaculada I Briongos-Figuero Laisa S LS Morchon-Simon David D Bermudez Jose D JD Crainiceanu Ciprian M CM de Marco Griselda G Rentero-Garrido Pilar P Garcia-Barrera Tamara T Gomez-Ariza Jose L JL Casasnovas Jose A JA Martin-Escudero Juan C JC Redon Josep J Chaves F Javier FJ Tellez-Plaza Maria M

Environmental pollution (Barking, Essex : 1987) 20180221

Inorganic arsenic exposure may be associated with diabetes, but the evidence at low-moderate levels is not sufficient. Polymorphisms in diabetes-related genes have been involved in diabetes risk. We evaluated the association of inorganic arsenic exposure on diabetes in the Hortega Study, a representative sample of a general population from Valladolid, Spain. Total urine arsenic was measured in 1451 adults. Urine arsenic speciation was available in 295 randomly selected participants. To account f ...[more]

PMID: 29751399

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Project description:BackgroundLimited epidemiologic data exist on prenatal arsenic exposure and fetal growth, particularly in the context of co-exposure to other toxic metals.ObjectiveWe examined whether prenatal arsenic exposure predicts birth outcomes among a rural U.S. population, while adjusting for exposure to lead and manganese.MethodsWe collected maternal and umbilical cord blood samples at delivery from 622 mother-infant pairs residing near a mining-related Superfund site in Northeast Oklahoma. Whole blood arsenic, lead, and manganese were measured using inductively coupled plasma mass spectrometry. We modeled associations between arsenic concentrations and birth weight, gestational age, head circumference, and birth weight for gestational age.ResultsMedian (25th-75th percentile) maternal and umbilical cord blood metal concentrations, respectively, were as follows: arsenic, 1.4 (1.0-2.3) and 2.4 (1.8-3.3) ?g/L; lead, 0.6 (0.4-0.9) and 0.4 (0.3-0.6) ?g/dL; manganese, 22.7 (18.8-29.3) and 41.7 (32.2-50.4) ?g/L. We estimated negative associations between maternal blood arsenic concentrations and birth outcomes. In multivariable regression models adjusted for lead and manganese, an interquartile range increase in maternal blood arsenic was associated with -77.5 g (95% CI: -127.8, -27.3) birth weight, -0.13 weeks (95% CI: -0.27, 0.01) gestation, -0.22 cm (95% CI: -0.42, -0.03) head circumference, and -0.14 (95% CI: -0.24, -0.04) birth weight for gestational age z-score units. Interactions between arsenic concentrations and lead or manganese were not statistically significant.ConclusionsIn a population with environmental exposure levels similar to the U.S. general population, maternal blood arsenic was negatively associated with fetal growth. Given the potential for relatively common fetal and early childhood arsenic exposures, our finding that prenatal arsenic can adversely affect birth outcomes is of considerable public health importance.CitationClaus Henn B, Ettinger AS, 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 Perspect 124:1308-1315;?http://dx.doi.org/10.1289/ehp.1510070.

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Arsenic exposure, diabetes-related genes and diabetes prevalence in a general population from Spain.

Publications

Arsenic exposure, diabetes-related genes and diabetes prevalence in a general population from Spain.

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