Case–control study of chronic low‐level exposure of inorganic arsenic species and non‐melanoma skin cancer

A significant relationship between arsenic exposure and non‐melanoma skin cancer (NMSC) is well known. The toxicity of arsenics which develop NMSC is dependent on their species. Accordingly, total arsenic levels are unreliable for risk assessment of NMSC. However, there are few studies on quantitati...

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Veröffentlicht in:Journal of dermatology 2017-12, Vol.44 (12), p.1374-1379
Hauptverfasser: Kim, Tae‐Hoon, Seo, Jeong‐Wook, Hong, Young‐Seoub, Song, Ki‐Hoon
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container_title Journal of dermatology
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creator Kim, Tae‐Hoon
Seo, Jeong‐Wook
Hong, Young‐Seoub
Song, Ki‐Hoon
description A significant relationship between arsenic exposure and non‐melanoma skin cancer (NMSC) is well known. The toxicity of arsenics which develop NMSC is dependent on their species. Accordingly, total arsenic levels are unreliable for risk assessment of NMSC. However, there are few studies on quantitative exposure assessment of arsenic species in NMSC patients. To validate the contribution of each arsenic species to NMSC, we compared the creatinine‐adjusted urinary concentration of arsenic species in NMSC patients and community controls. A total of 124 biopsy‐proven NMSC cases and 125 age‐ and sex‐matched community controls, drinking tap water with low‐level arsenic concentration (
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The toxicity of arsenics which develop NMSC is dependent on their species. Accordingly, total arsenic levels are unreliable for risk assessment of NMSC. However, there are few studies on quantitative exposure assessment of arsenic species in NMSC patients. To validate the contribution of each arsenic species to NMSC, we compared the creatinine‐adjusted urinary concentration of arsenic species in NMSC patients and community controls. A total of 124 biopsy‐proven NMSC cases and 125 age‐ and sex‐matched community controls, drinking tap water with low‐level arsenic concentration (&lt;5 μg/L), were included in the study. High‐performance liquid chromatography and inductively coupled plasma mass spectrometry were used for the measurement. The NMSC group was found to have significantly higher levels of total inorganic arsenic, trivalent and pentavalent arsenic and monomethylarsonic acid than the control group. Total arsenic, organic arsenic and dimethylarsonic acid levels were lower in the NMSC group. We suggest that inorganic arsenic species, trivalent arsenic and pentavalent arsenic may influence the prevalence of NMSC, in spite of these levels being lower than the Agency for Toxic Substances and Disease Registry‐recommended standard or the levels reported by other highly contaminated areas and neighboring countries in East Asia. 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Total arsenic, organic arsenic and dimethylarsonic acid levels were lower in the NMSC group. We suggest that inorganic arsenic species, trivalent arsenic and pentavalent arsenic may influence the prevalence of NMSC, in spite of these levels being lower than the Agency for Toxic Substances and Disease Registry‐recommended standard or the levels reported by other highly contaminated areas and neighboring countries in East Asia. 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Total arsenic, organic arsenic and dimethylarsonic acid levels were lower in the NMSC group. We suggest that inorganic arsenic species, trivalent arsenic and pentavalent arsenic may influence the prevalence of NMSC, in spite of these levels being lower than the Agency for Toxic Substances and Disease Registry‐recommended standard or the levels reported by other highly contaminated areas and neighboring countries in East Asia. Furthermore, it also suggests that total arsenic level cannot represent the risk of NMSC.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28815697</pmid><doi>10.1111/1346-8138.13993</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-1429-8779</orcidid></addata></record>
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subjects Aged
Aged, 80 and over
Arsenic
Arsenic - toxicity
Arsenicals - urine
basal cell carcinoma
Biopsy
Case-Control Studies
Creatinine
Female
High-performance liquid chromatography
Humans
Male
Mass spectroscopy
Melanoma
Middle Aged
non‐melanoma skin cancer
Risk assessment
Skin cancer
Skin Neoplasms - chemically induced
speciation
Species
squamous cell carcinoma
Toxicity
title Case–control study of chronic low‐level exposure of inorganic arsenic species and non‐melanoma skin cancer
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