Developmental toxicity of arsenic: a drift from the classical dose-response relationship

Arch Toxicol. 2020 Jan;94(1):67-75. doi: 10.1007/s00204-019-02628-x. Epub 2019 Dec 5.

Abstract

Arsenic is a well-known natural environmental contaminant distributed in food, water, air, and soil. The developmental toxicity of arsenic exposure is a significant concern in large parts of the world. Unlike acute toxic exposure, the classical dose-response relationship is not adequate for estimating the possible impact of chronic low-level arsenic exposure. The real-life risk and impact assessments require the consideration of the co-exposure to multiple toxins, individual genetic and nutritional predisposition, and the particularly vulnerable stages of the neurodevelopment. This context shifts the assessment model away from the 'one-exposure-for-one-health-effect.' We underscore the need for a comprehensive risk assessment that takes into account all relevant determinants. We aim to elaborate a model that can serve as a basis for an understanding of complex interacting factors in a long-lasting and ongoing low-level arsenic exposure, to identify, protect, and support the children at risk.

Keywords: Arsenic; Natural compound; Poisoning; Toxicity; Treatments.

Publication types

  • Review

MeSH terms

  • Arsenic / toxicity*
  • Child
  • Environmental Exposure / adverse effects*
  • Genetic Predisposition to Disease
  • Humans
  • Neurodevelopmental Disorders / chemically induced*
  • Neurodevelopmental Disorders / genetics
  • Nutritional Status
  • Risk Assessment / methods*

Substances

  • Arsenic