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Arsenic-induced neurotoxicity: a mechanistic appraisal

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Abstract

Arsenic is a metalloid found in groundwater as a byproduct of soil/rock erosion and industrial and agricultural processes. This xenobiotic elicits its toxicity through different mechanisms, and it has been identified as a toxicant that affects virtually every organ or tissue in the body. In the central nervous system, exposure to arsenic can induce cognitive dysfunction. Furthermore, iAs has been linked to several neurological disorders, including neurodevelopmental alterations, and is considered a risk factor for neurodegenerative disorders. However, the exact mechanisms involved are still unclear. In this review, we aim to appraise the neurotoxic effects of arsenic and the molecular mechanisms involved. First, we discuss the epidemiological studies reporting on the effects of arsenic in intellectual and cognitive function during development as well as studies showing the correlation between arsenic exposure and altered cognition and mental health in adults. The neurotoxic effects of arsenic and the potential mechanisms associated with neurodegeneration are also reviewed including data from experimental models supporting epidemiological evidence of arsenic as a neurotoxicant. Next, we focused on recent literature regarding arsenic metabolism and the molecular mechanisms that begin to explain how arsenic damages the central nervous system including, oxidative stress, energy failure and mitochondrial dysfunction, epigenetics, alterations in neurotransmitter homeostasis and synaptic transmission, cell death pathways, and inflammation. Outlining the specific mechanisms by which arsenic alters the cell function is key to understand the neurotoxic effects that convey cognitive dysfunction, neurodevelopmental alterations, and neurodegenerative disorders.

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Abbreviations

Aβ:

Amyloid-beta peptide

AD:

Alzheimer’s disease

Akt:

Protein Kinase B

AMPA:

α-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid

AMPAR:

α-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor

AMPK:

AMP-dependent protein kinase

APP:

Amyloid precursor protein

AQP:

Aqua(glycerol)porins

As:

Arsenic

As(GS)3 :

Arsenic triglutathione

As2O3 :

Arsenic trioxide

AS3MT:

Arsenite methyltransferase

AsIII:

Arsenite

AsV:

Arsenate

BACE-1:

β-Secretase

BBB:

Blood–brain barrier

BHMT:

Betaine hydroxy methyltransferase

Ca:

Calcium

CBS:

Cystathionine beta synthase

Cd:

Cadmium

CNS:

Central nervous system

CoA:

Coenzyme A

COX:

Cyclooxygenase

CTH:

Cystathionine-γ-lyase or γ-cystathionase

Cys:

Cysteine

DMAIII(GS):

Dimethylarsinic GSH

DMAIII:

Dimethylarsinous acid

DMAV:

Dimethylarsinic acid

DMAH:

Dimethylarsine

DMA·:

Dimethylarsine radical

DMAOO·:

Dimethylarsine peroxyl radical

DMAOOH:

Dimethylated arsenic peroxide

EAAT:

Excitatory amino acid transporter

ER:

Endoplasmic reticulum

ERK:

Extracellular-signal-regulated kinase

γ-GCL:

Gamma-glutamylcysteine ligase (or synthase γ-GCS)

G3P:

Glyceraldehyde 3-phosphate

GAPDH:

Glyceraldehyde 3-phosphate dehydrogenase

GLUT:

Glucose transporters

GS:

Glutamine synthetase

GSH:

Glutathione

GSTs:

Glutathione-S transferases

HAT:

Histone acetyltransferases

iAs:

Inorganic As

iAsV-3-P-glycerate:

1-Arsenato-3-phospho-d-glycerate

IFNγ:

Interferon-gamma

IQ:

Intelligence quotient

IL-1β:

Interleukin 1-beta

iNOS:

Inducible NOS

JNK:

C-Jun N-terminal kinase

Keap1:

Kelch-like ECH-associated protein 1

LTP:

Long-term potentiation

MAPK:

Mitogen-activated protein kinase

MAT:

Methionine adenosyltransferase

5,10-MeTHF:

5,10-Methylene tetrahydrofolate

MeTs:

Methyltransferases

2-MG:

2-Methyl glycine

MMA(GS)2 :

Monomethylarsinic diglutathione

MMAIII:

Momomethylarsonous acid

MMAV:

Monomethylarsonic acid

MRP:

Multidrug resistance protein

MS:

Methionine synthase

MT:

Metallothionenin

MTF1:

Metal-responsive transcription factor-1

5-MTHF:

5-Methyl tetrahydrofolate

MTHFR:

Methyl tetrahydrofolate reductase

mTOR:

Mechanistic (or mammalian) target of rapamycin

NaAsO2 :

Sodium arsenite

NADPH:

Nicotinamide adenine dinucleotide phosphate

NF-κB:

Nuclear factor kappa-light-chain-enhancer of activated B cells

NMDA:

Glutamate/N-methyl-d-aspartate

NMDAR:

Glutamate/N-methyl-d-aspartate receptor

NO:

Nitric oxide

NOS:

Nitric oxide synthase

NOX:

NADPH oxidase

NQO1:

NADPH dehydrogenase quinone 1

Nrf2:

Nuclear factor (erythroid-derived 2)-like 2

p62:

Autophagic receptor sequestosome-1, p62/SQSTM1

Pb:

Lead

PD:

Parkinson’s disease

PDH:

Pyruvate dehydrogenase

PGC-1α:

Peroxisome proliferator-activated receptor gamma coactivator 1-alpha

PI3K:

Class III phosphatidylinositol 3-kinase

PNS:

Peripheral nervous system

Pi:

Phosphate

PPi:

Diphosphate

PTGEs:

Prostaglandin E synthase

RAGE:

Advanced glycation-end products

RNS:

Reactive nitrogen species

ROS:

Reactive oxygen species

SAH:

s-Adenosylhomocysteine

SAHH:

SAH hydrolase

SAM:

s-Adenosylmethionine

SOD:

Superoxide dismutase

TCA:

Tricarboxylic acid

TFAM:

Mitochondrial transcription factor A

TNF-α:

Tumor necrosis factor alpha

TR:

Trx reductase

Trx:

Thioredoxin

xCT:

Cystine/glutamate exchanger system

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Acknowledgements

This work was supported by the National Institutes of Health Grant P20RR17675 Centers of Biomedical Research Excellence (COBRE), the Research Council, and the Office of Research at the University of Nebraska-Lincoln.

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Correspondence to Rodrigo Franco.

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Garza-Lombó, C., Pappa, A., Panayiotidis, M.I. et al. Arsenic-induced neurotoxicity: a mechanistic appraisal. J Biol Inorg Chem 24, 1305–1316 (2019). https://doi.org/10.1007/s00775-019-01740-8

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