Gebel T W
Medical Institute of General Hygiene and Environmental Health, University of Goettingen, Windausweg 2, D-37073 Goettingen, Germany.
Int J Hyg Environ Health. 2001 Mar;203(3):249-62. doi: 10.1078/S1438-4639(04)70036-X.
With respect to global human health hazard, arsenic (As) is one of the most important environmental single substance toxicants. Currently, millions of people all over the world are exposed to the ubiquitous element in exposure levels leading to long-term toxicity, in particular cancer. Unfortunately, it has not been elucidated up to now how As mechanistically leads to the induction of neoplasia. Besides its tumorigenic potential, As has been shown to be genotoxic in a wide variety of different experimental set-ups and biological endpoints. In vitro, the element was shown to induce chromosomal mutagenicity like micronuclei, chromosome aberrations, and sister chromatid exchanges. It mainly acts clastogenic but also has an aneugenic potential. Instead, its potential to induce point mutations is very low in bacterial as well as in mammalian cell systems. However, in combined exposure with point mutagens in vitro, As was shown to enhance the frequency of chemical mutations in a synergistic manner. Additionally, As was shown to induce chromosome aberrations and micronuclei in vivo in experiments with mice. After long-term exposure to As-contaminated drinking water, the great majority of human biomonitoring studies found elevated frequencies of DNA lesions like micronuclei or chromosome aberrations. Respective occupational studies are few. Like it is the case for As carcinogenicity, it is not known through which mechanism the genotoxicity of As is mediated, although the data available indicate that As may act indirectly on DNA, i.e. via mechanisms like interference of regulation of DNA repair or integrity. Because of the indirect mode of action, it has been discussed as well that As's genotoxicity may underlie a sublinear dose-response relationship. However, various problems like non-standardized test systems and experimental variability make it impossible to prove such statement. Basically, to be able to improve risk assessment, it is of crucial importance to scientifically approach the mechanistic way of induction of As's genotoxicity and carcinogenicity.
就全球人类健康危害而言,砷(As)是最重要的环境单一物质毒物之一。目前,全世界数百万人接触这种普遍存在的元素,其暴露水平会导致长期毒性,尤其是癌症。不幸的是,迄今为止,砷如何通过机制导致肿瘤形成尚未阐明。除了其致癌潜力外,砷在各种不同的实验设置和生物学终点中均显示出具有遗传毒性。在体外,该元素可诱导染色体突变性,如微核、染色体畸变和姐妹染色单体交换。它主要起断裂剂作用,但也具有致非整倍体的潜力。相反,它在细菌以及哺乳动物细胞系统中诱导点突变的潜力非常低。然而,在体外与点突变剂联合暴露时,砷显示出以协同方式提高化学突变的频率。此外,在小鼠实验中,砷在体内也可诱导染色体畸变和微核。长期接触受砷污染的饮用水后,绝大多数人体生物监测研究发现,DNA损伤如微核或染色体畸变的频率升高。相关的职业研究较少。与砷的致癌性情况一样,尽管现有数据表明砷可能间接作用于DNA,即通过干扰DNA修复或完整性的调节等机制,但尚不清楚砷的遗传毒性是通过何种机制介导的。由于作用方式间接,也有人讨论砷的遗传毒性可能是亚线性剂量反应关系的基础。然而,诸如测试系统不规范和实验变异性等各种问题使得无法证明这一说法。基本上,为了能够改进风险评估,科学地探究砷的遗传毒性和致癌性诱导的机制方式至关重要。