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Ingestion of Arsenic-Contaminated Drinking Water Leads to Health Risk and Traces in Human Biomarkers (Hair, Nails, Blood, and Urine), Pakistan

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Abstract

Human exposure to arsenic (As) is a global public health concern that frequently occurs through both dietary and non-dietary pathways. This is the first systematic field study that investigated the drinking water (n = 190) for concentrations of total As (AsT) and its inorganic species such as arsenate As(V) and arsenite As(III) and organic species including monomethylarsonic acid (MMA) and dimethylarsenic acid (DMA) collected from Khyber Pakhtunkhwa, Pakistan. The concentrations of AsT surpassed (from 1.2- to 23-fold) the world health organization (WHO) drinking water guidelines in 28% samples collected from Dera Ismail Khan (D.I. Khan) and Lakki Marwat. Results revealed that among As species, As(III) showed the highest concentration (116 µg L−1) in drinking water samples. In addition, the results revealed that the chronic or non-cancer risk (HQ > 1) and cancer risk (1.0E-03 to 1.0E-06) values were above their respective safe limits. Further, As species concentrations were determined in consumer biomarkers (n = 60) such as blood (red blood cells and plasma), hair, nails, and urine. The highest AsT (170 µg kg−1) accumulation was observed in hair samples collected from the resident of D.I. Khan District. The study revealed that high As-contaminated drinking water led to its accumulation in human body that could threaten the exposed population with hazardous chronic and cancer diseases.

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References

  • Adair BM, Waters SB, Devesa V, Drobna Z, Styblo M, Thomas DJ (2005) Commonalities in metabolism of arsenicals. Environ Chem 2:161–166

    CAS  Google Scholar 

  • Adimalla N (2018) Groundwater quality for drinking and irrigation purposes and potential health risks assessment: a case study from semi-arid region of south India. Expo Health. https://doi.org/10.1007/s12403-018-0288-8

    Article  Google Scholar 

  • Adimalla N, Venkatayogi S (2017) Mechanism of fluoride enrichment in groundwater of hard rock aquifers in Medak, Telangana State, South India. Environ Earth Sci 76:45

    Google Scholar 

  • Adimalla N, Li P, Qian H (2018) Evaluation of groundwater contamination for fluoride and nitrate in semi-arid region of Nirmal Province, south India: a special emphasis on human health risk assessment (HHRA). Hum Ecol Risk Assess. https://doi.org/10.1080/10807039.2018.1460579

    Article  Google Scholar 

  • Anawar H, Akai J, Mostofa K, Safiullah S, Tareq S (2002) Arsenic poisoning in groundwater: health risk and geochemical sources in Bangladesh. Environ Int 27:597–604

    CAS  Google Scholar 

  • ATSDR (2000) Toxicology Profile for Arsenic. Agency for Toxic Substances and Disease Registry, US Department of Health and Human Services, TP-92/02, Atlanta, Georgia

  • Azizullah A, Khattak MNK, Richter P, Häder D-P (2011) Water pollution in Pakistan and its impact on public health—a review. Environ Int 37:479–497

    CAS  Google Scholar 

  • Baig JA, Kazi TG, Shah AQ, Kandhro GA, Afridi HI, Khan S, Kolachi NF (2010) Biosorption studies on powder of stem of Acacia nilotica: removal of arsenic from surface water. J Hazard Mater 178:941–948

    CAS  Google Scholar 

  • Brahman KD, Kazi TG, Afridi HI, Naseem S, Arain SS, Ullah N (2013) Evaluation of high levels of fluoride, arsenic species and other physicochemical parameters in underground water of two sub districts of Tharparkar, Pakistan: a multivariate study. Water Res 47:1005–1020

    CAS  Google Scholar 

  • Brahman KD et al (2016) Exposure of children to arsenic in drinking water in the Tharparkar region of Sindh, Pakistan. Sci Total Environ 544:653–660

    CAS  Google Scholar 

  • Brima EI, Haris PI, Jenkins RO, Polya DA, Gault AG, Harrington CF (2006) Understanding arsenic metabolism through a comparative study of arsenic levels in the urine, hair and fingernails of healthy volunteers from three unexposed ethnic groups in the United Kingdom. Toxicol Appl Pharmacol 216:122–130. https://doi.org/10.1016/j.taap.2006.04.004

    Article  CAS  Google Scholar 

  • Byrne S et al (2010) Were Chinchorros exposed to arsenic? Arsenic determination in Chinchorro mummies’ hair by laser ablation inductively coupled plasma-mass spectrometry (LA-ICP-MS). Microchem J 94:28–35

    CAS  Google Scholar 

  • Chatterjee D, Adak S, Banerjee N, Bhattacharjee P, Bandyopadhyay AK, Giri AK (2018) Evaluatıon of health effects, genetıc damage and telomere length ın children exposed to arsenic in West Bengal, İndia. Mutat Res, Genet Toxicol Environ Mutagen 1:2. https://doi.org/10.1016/j.mrgentox.2018.06.012

    Article  CAS  Google Scholar 

  • Davis MA et al (2017) Assessment of human dietary exposure to arsenic through rice. Sci Total Environ 586:1237–1244

    CAS  Google Scholar 

  • Devesa V, Velez D, Montoro R (2008) Effect of thermal treatments on arsenic species contents in food. Food Chem Toxicol 46:1–8

    CAS  Google Scholar 

  • Dhar RK et al (1997) Groundwater arsenic calamity in Bangladesh. Curr Sci 73:48–59

    CAS  Google Scholar 

  • EPA U (1999) US Environmental Protection Agency (US EPA), A Risk Assessment – Multiway Exposure Spreadsheet Calculation Tool. Washington, DC

  • Ettinger AS et al (2017) Arsenic levels among pregnant women and newborns in Canada: results from the Maternal-Infant Research on Environmental Chemicals (MIREC) cohort. Environ Res 153:8–16

    CAS  Google Scholar 

  • Fendorf S, Michael HA, van Geen A (2010) Spatial and temporal variations of groundwater arsenic in South and Southeast Asia. Science 328:1123–1127. https://doi.org/10.1126/science.1172974

    Article  CAS  Google Scholar 

  • Freeman LEB, Dennis LK, Lynch CF, Thorne PS, Just CL (2004) Toenail arsenic content and cutaneous melanoma in Iowa. Am J Epidemiol 160:679–687

    Google Scholar 

  • Gault AG et al (2008) Arsenic in hair and nails of individuals exposed to arsenic-rich groundwaters in Kandal province, Cambodia. Sci Total Environ 393:168–176

    CAS  Google Scholar 

  • Gunduz O et al (2017) The health risk associated with chronic diseases in villages with high arsenic levels in drinking water supplies. Expo Health 9:261–273. https://doi.org/10.1007/s12403-016-0238-2

    Article  CAS  Google Scholar 

  • Guo JX, Fujino Y, Kaneko S, Wu K, Xia Y, Yoshimura T (2001) Arsenic contamination of groundwater and prevalence of arsenical dermatosis in the Hetao plain area, Inner Mongolia, China. In: Shi X, Castranova V, Vallyathan V (eds) Molecular mechanisms of metal toxicity and carcinogenesis. Springer, New York, pp 137–140

    Google Scholar 

  • Hall GM (1999) Stability of inorganic arsenic (III) and arsenic (V) in water samples. J Anal At Spectrom 14:205–213

    CAS  Google Scholar 

  • Hare V, Chowdhary P, Kumar B, Sharma D, Baghel VS (2019) Arsenic toxicity and its remediation strategies for fighting the environmental threat. In: Chowdhary P, Bharagava RN (eds) Emerging and eco-friendly approaches for waste management. Springer, Singapore, pp 143–170

    Google Scholar 

  • Hoover J, Gonzales M, Shuey C, Barney Y, Lewis J (2017) Elevated arsenic and uranium concentrations in unregulated water sources on the Navajo Nation, USA. Expo Health 9:113–124

    CAS  Google Scholar 

  • Hsueh Y-M, Wu W-L, Huang Y-L, Chiou H-Y, Tseng C-H, Chen C-J (1998) Low serum carotene level and increased risk of ischemic heart disease related to long-term arsenic exposure. Atherosclerosis 141:249–257

    CAS  Google Scholar 

  • Janasik B, Zawisza A, Malachowska B, Fendler W, Stanislawska M, Kuras R, Wasowicz W (2017) Relationship between arsenic and selenium in workers occupationally exposed to inorganic arsenic. J Trace Elem Med Biol 42:76–80. https://doi.org/10.1016/j.jtemb.2017.04.007

    Article  CAS  Google Scholar 

  • Kapaj S, Peterson H, Liber K, Bhattacharya P (2006) Human health effects from chronic arsenic poisoning–a review. J Environ Sci Health, Part A 41:2399–2428

    CAS  Google Scholar 

  • Karagas MR, Tosteson TD, Morris JS, Demidenko E, Mott LA, Heaney J, Schned A (2004) Incidence of transitional cell carcinoma of the bladder and arsenic exposure in New Hampshire. Cancer Causes Control 15:465–472

    Google Scholar 

  • Kazi TG et al (2011) Determination of arsenic in scalp hair of children and its correlation with drinking water in exposed areas of Sindh Pakistan. Biol Trace Elem Res 143:153–162

    CAS  Google Scholar 

  • Kippler M, Skröder H, Rahman SM, Tofail F, Vahter M (2016) Elevated childhood exposure to arsenic despite reduced drinking water concentrations—a longitudinal cohort study in rural Bangladesh. Environ Int 86:119–125

    CAS  Google Scholar 

  • Kumarathilaka P, Seneweera S, Meharg A, Bundschuh J (2018) Arsenic speciation dynamics in paddy rice soil-water environment: sources, physico-chemical, and biological factors-a review. Water Res 140:403–414

    CAS  Google Scholar 

  • Li R, Kuo Y-M, Liu W-W, Jang C-S, Zhao E, Yao L (2018) Potential health risk assessment through ingestion and dermal contact arsenic-contaminated groundwater in Jianghan Plain. China. Environ Geochem Health 40(4):1585–1599

    CAS  Google Scholar 

  • Lim M-S, Yeo IW, Clement TP, Roh Y, Lee K-K (2007) Mathematical model for predicting microbial reduction and transport of arsenic in groundwater systems. Water Res 41:2079–2088

    CAS  Google Scholar 

  • Lin T-H, Huang Y-L, Wang M-Y (1998) Arsenic species in drinking water, hair, fingernails, and urine of patients with Blackfoot disease. J Toxicol Environ Health Part A 53:85–93. https://doi.org/10.1080/009841098159376

    Article  CAS  Google Scholar 

  • Mandal BK, Suzuki KT (2002) Arsenic round the world: a review. Talanta 58:201–235

    CAS  Google Scholar 

  • Mandal BK, Ogra Y, Suzuki KT (2003) Speciation of arsenic in human nail and hair from arsenic-affected area by HPLC-inductively coupled argon plasma mass spectrometry. Toxicol Appl Pharmacol 189:73–83. https://doi.org/10.1016/S0041-008X(03)00088-7

    Article  CAS  Google Scholar 

  • Marchiset-Ferlay N, Savanovitch C, Sauvant-Rochat M-P (2012) What is the best biomarker to assess arsenic exposure via drinking water? Environ Int 39:150–171

    CAS  Google Scholar 

  • Meacher DM et al (2002) Estimation of multimedia inorganic arsenic intake in the US population. Hum Ecol Risk Assess 8:1697–1721

    CAS  Google Scholar 

  • Meza MM, Kopplin MJ, Burgess JL, Gandolfi AJ (2004) Arsenic drinking water exposure and urinary excretion among adults in the Yaqui Valley, Sonora, Mexico. Environ Res 96:119–126

    CAS  Google Scholar 

  • Michael HA (2013) An arsenic forecast for China. Science 341:852–853

    CAS  Google Scholar 

  • Monrad M et al (2017) Low-level arsenic in drinking water and risk of incident myocardial infarction: a cohort study. Environ Res 154:318–324

    CAS  Google Scholar 

  • Muhammad S, Shah MT, Khan S (2010) Arsenic health risk assessment in drinking water and source apportionment using multivariate statistical techniques in Kohistan region, northern Pakistan. Food Chem Toxicol 48:2855–2864

    CAS  Google Scholar 

  • Muhammad S, Shah MT, Khan S (2011) Health risk assessment of heavy metals and their source apportionment in drinking water of Kohistan region, northern Pakistan. Microchem J 98:334–343

    CAS  Google Scholar 

  • Nickson R, McArthur J, Shrestha B, Kyaw-Myint T, Lowry D (2005) Arsenic and other drinking water quality issues, Muzaffargarh District, Pakistan. Appl Geochem 20:55–68

    CAS  Google Scholar 

  • Nielsen FH (2001) Trace minerals. In: Shills M, Olson J, Shike M, Ross AC (eds) Nutrition in health and sickness, 9th edn. McGraw-Hill, Mexico City, pp 328–331

    Google Scholar 

  • Pizarro I, Gómez M, Cámara C, Palacios M (2003) Arsenic speciation in environmental and biological samples: extraction and stability studies. Anal Chim Acta 495:85–98

    CAS  Google Scholar 

  • Rahman MM et al (2005) Murshidabad—One of the nine groundwater arsenic-affected districts of West Bengal, India. Part I: magnitude of contamination and population at risk. Clin Toxicol 43:823–834

    CAS  Google Scholar 

  • Rahman M et al (2015) Associations of total arsenic in drinking water, hair and nails with serum vascular endothelial growth factor in arsenic-endemic individuals in Bangladesh. Chemosphere 120:336–342

    CAS  Google Scholar 

  • Rasheed H, Slack R, Kay P, Gong YY (2017) Refinement of arsenic attributable health risks in rural Pakistan using population specific dietary intake values. Environ Int 99:331–342

    CAS  Google Scholar 

  • Rasool A, Farooqi A, Xiao T, Masood S, Kamran MA (2016) Elevated levels of arsenic and trace metals in drinking water of Tehsil Mailsi, Punjab, Pakistan. J Geochem Explor 169:89–99

    CAS  Google Scholar 

  • Sakamoto M, Murata K, Kubota M, Nakai K, Satoh H (2010) Mercury and heavy metal profiles of maternal and umbilical cord RBCs in Japanese population. Ecotoxicol Environ Saf 73:1–6

    CAS  Google Scholar 

  • Sampson M, Bostick B, Chiew H, Hagan J, Shantz A (2008) Arsenicosis in Cambodia: case studies and policy response. Appl Geochem 23:2977–2986

    CAS  Google Scholar 

  • Sharifi R, Moore F, Keshavarzi B, Badiei S (2018) Assessment of health risks of arsenic exposure via consumption of crops. Expo Health 10:129–143. https://doi.org/10.1007/s12403-017-0250-1

    Article  CAS  Google Scholar 

  • Shukla T, Khare R, Kumar S, Lakhwani D, Sharma D, Asif MH, Trivedi PK (2018) Differential transcriptome modulation leads to variation in arsenic stress response in Arabidopsis thaliana accessions. J Hazard Mater 351:1–10

    CAS  Google Scholar 

  • Smedley PL, Kinniburgh DG (2002) A review of the source, behaviour and distribution of arsenic in natural waters. Appl Geochem 17:517–568. https://doi.org/10.1016/S0883-2927(02)00018-5

    Article  CAS  Google Scholar 

  • Smith AH et al (2000) Arsenic-induced skin lesions among Atacameno people in Northern Chile despite good nutrition and centuries of exposure. Environ Health Perspect 108:617

    CAS  Google Scholar 

  • Sun H-J, Rathinasabapathi B, Wu B, Luo J, Pu L-P, Ma LQ (2014) Arsenic and selenium toxicity and their interactive effects in humans. Environ Int 69:148–158

    CAS  Google Scholar 

  • Tabassum RA et al (2018) Health risk assessment of drinking arsenic-containing groundwater in Hasilpur, Pakistan: effect of sampling area, depth, and source. Environ Sci Pollut Res Int. https://doi.org/10.1007/s11356-018-1276-z

    Article  Google Scholar 

  • Tabios GQ III, Salas JD (1985) A comparative analysis of techniques for spatial interpolation of precipitation JAWRA. J Am Water Resour Assoc 21:365–380

    Google Scholar 

  • Tchounwou PB, Patlolla AK, Centeno JA (2003) Invited reviews: carcinogenic and systemic health effects associated with arsenic exposure—a critical review. Toxicol Pathol 31:575–588

    CAS  Google Scholar 

  • Twaddle NC, Vanlandingham M, Beland FA, Doerge DR (2018) Metabolism and disposition of arsenic species after repeated oral dosing with sodium arsenite in drinking water. II. Measurements in pregnant and fetal CD-1 mice. Food Chem Toxicol 115:178–184

    CAS  Google Scholar 

  • US EPA (1998) United States Environmental Protection Agency, Integrated Risk Information System (IRIS)

  • Waheed S, Malik RN, Jahan S (2013) Health risk from As contaminated fish consumption by population living around River Chenab, Pakistan. Environ Toxicol Pharmacol 36:579–587

    CAS  Google Scholar 

  • Wasserman GA et al (2018) A cross-sectional study of water arsenic exposure and intellectual function in adolescence in Araihazar, Bangladesh. Environ Int 118:304–313

    CAS  Google Scholar 

  • WHO (2011) Guidelines for drinking water quality, 4th edn. Recommendations, Geneva

    Google Scholar 

  • Winkel LH et al (2011) Arsenic pollution of groundwater in Vietnam exacerbated by deep aquifer exploitation for more than a century. Proc Natl Acad Sci 108:1246–1251

    CAS  Google Scholar 

  • Yoshida T, Yamauchi H, Sun GF (2004) Chronic health effects in people exposed to arsenic via the drinking water: dose–response relationships in review. Toxicol Appl Pharmacol 198:243–252

    CAS  Google Scholar 

  • Zeng Y, Zhou Y, Zhou J, Jia R, Wu J (2018) Distribution and Enrichment factors of high-arsenic groundwater in Inland Arid area of P. R. China: a case study of the Shihezi area, Xinjiang. Expo Health 10:1–13. https://doi.org/10.1007/s12403-016-0241-7

    Article  CAS  Google Scholar 

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Acknowledgements

This research work was financially supported by the Higher Education Commission (HEC), Islamabad, Pakistan and University of Peshawar, Pakistan.

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Rehman, U., Khan, S. & Muhammad, S. Ingestion of Arsenic-Contaminated Drinking Water Leads to Health Risk and Traces in Human Biomarkers (Hair, Nails, Blood, and Urine), Pakistan. Expo Health 12, 243–254 (2020). https://doi.org/10.1007/s12403-019-00308-w

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