Abstract:Arsenic, a known poison and human carcinogen, is widely found in nature. Chronic arsenic exposure can cause skin pigment abnormalities, hyperkeratosis and systemic poisoning dominated by skin and visceral tumors, and the mechanism is not well understood so far. The arsenic compound enters the body and undergoes methylation metabolism. The methyl donor S-adenosyl methionine (SAM) of arsenic methylation process is derived from a carbon unit centered on tetrahydrofolate, and the metabolic loop is regulated by a variety of enzymes. Single nucleotide polymorphisms of these enzymes may indirectly cause differences in methylation metabolism in individuals due to the effects of SAM supply. This review focuses on the functions of key enzymes in a single carbon metabolism loop, genetic polymorphisms and their association with arsenic metabolism and the risk of arsenic poisoning.
杨舒伊, 郎虹, 陈峣, 李昕. 一碳单位酶基因单核苷酸多态对砷代谢及中毒的影响[J]. 实用预防医学, 2019, 26(5): 638-640.
YANG Shu-yi, LANG Hong, CHEN Yao, LI Xin. Effect of single nucleotide polymorphisms of one-carbon unitenzyme gene on arsenic metabolism and poisoning. , 2019, 26(5): 638-640.
[1] Naujokas MF, Anderson B, Ahsan H,et al.The broad scope of health effects from chronic arsenic exposure: update on a worldwide public health problem[J].Environ Health Perspect, 2013,121(3):295-302. [2] Gao J,Tong L,Argos M,et al.The genetic architecture of arsenic metabolism efficiency: a SNP-based heritability study of Bangladeshi adults[J].Environ Health Perspect,2015,123(10):985-992. [3] Aposhian HV,Zakharyan RA,Avram MD,et al.A review of the enzymology of arsenic metabolism and a new potential role of hydrogen peroxide in detoxication of the trivalent arsenic species[J].Toxicol Appl Pharmacol,2004,198(3):327-335. [4] Hayakawa T, Kobayashi Y, Cui X.A new metabolic pathway of arsenite: arsenic–glutathione complexes are substrates for human arsenic methyltransferase Cyt19[J].Arch Toxicol,2005,79(4):183-191. [5] Tseng CH,Huang YK,Huang YL,et al.Arsenic exposure,urinary arsenic speciation,and peripheral vascular disease in blackfoot disease-hyperendemic villages in Taiwan[J].Toxicol Appl Pharmacol,2005,206(3):299-308. [6] Huang YK, Tseng CH, Huang YL,et al. Arsenic methylation capability and hypertension risk in subjects living in arseniasis-hyperendemic areas in southwestern Taiwan[J].Toxicol Appl Pharmacol,2007,218(2007):135-142. [7] Styblo M, Del Razo LM, Vega L,et al.Comparative toxicity of trivalent and pentavalent inorganic and methylated arsenicals in rat and human cells[J].Arch Toxicol,2000,74(6):289-299. [8] 陈丽,郭新彪,邓芙蓉,等.5,10-亚甲基四氢叶酸还原酶基因C677T位点突变与地方性砷中毒皮肤病变发生关系的研究[J].卫生研究,2005,34(2):146-148. [9] Guo ZW, Xia YJ. Research advance of the crowd clinical damage caused by the endemic arsenic poisoning [J].Chin J Endemiol,2015,34(7):543-546. [10] Carr DF,Whiteley G,Alfirevic A,et al.Investigation of inter-individual variability of the one-carbon folate pathway: a bioinformatic and genetic review[J].Pharmacogenomics J,2009,9(5):291-305. [11] West AA, Caudill MA.Genetic variation: impact on folate (and choline) bioefficacy[J].Int J Vitam Nutr Res,2010,80(4-5):319-329. [12] Rosenblatt DS. Methylenetetrahydrofolate reductase[J].Clin Invest Med,2001,24:56-59. [13] Frosst P, Blom HJ, Milos R,et al.A candidate genetic risk factor for vascular disease: a common mutation in methylenetetrahydrofolate reductase[J].Nat Genet,1995,10(1):111-113. [14] Gopalakrishnan P, Haripriya A, Sundaresan P,et al.MTHFR and MTHFD1 gene polymorphisms are not associated with pseudoexfoliation syndrome in South Indian population[J].Int Ophthalmol,2018,38(2):599-606. [15] 付松波,孙殿军.人群砷代谢相关基因多态性研究进展[J].中国地方病学杂志,2007,26(1):105-107. [16] Niedzwiecki MM, Liu X, Zhu H,et al.Serum homocysteine,arsenic methylation,and arsenic-induced skin lesion incidence in Bangladesh: a one-carbon metabolism candidate gene study[J].Environ Int,2018,113:133-142. [17] Brouwer OF, Onkenhout W, Edelbroek PM,et al.Increased neurotoxicity of arsenic in methylenetetrahydrofolate reductase deficiency[J].Clin Neurol Neurosurg,1992,94(4):307-310. [18] 李瑞芳,马雪芳,南欣荣,等.中国山西地区人群亚甲基四氢叶酸脱氢酶1和蛋氨酸合成酶基因多态性与非综合征性唇腭裂[J].国际口腔医学杂志,2013,40(2):144-147. [19] Steinmaus C, Moore LE, Shipp M, et al,Genetic polymorphisms in MTHFR 677 and 1298, GSTM1 and T1, and metabolism of arsenic[J].J Toxicol Environ Health A,2007,70(2):159-170. [20] Ahsan H, Chen Y, Kibriya MG,et al.Arsenic metabolism, genetic susceptibility, and risk of premalignant skin lesions in Bangladesh[J].Cancer Epidemiol Biomarkers Prev,2007,16(6):1270-1278. [21] Carr DF, Whiteley G, Alfirevic A, et al.Characterization and review of MTHFD1 deficiency: four new patients,cellular delineation and response to folic and folinic acid treatment[J].Pharmacogenomics J,2009,9(5):291-305. [22] Hol FA,van der Put NMJ,Geurds MPA,et al.Molecular genetic analysis of the gene encoding the trifunctional enzyme MTHFD (methylenetetrahydrofolate dehydrogenase,methenyltetrahydrofolate cyclohydrolase,formyltetrahydrofolate syn-thetase) in patients with neural tube defects[J].Clin Genet,1998,53(2):119-125. [23] Mazumdar M,Valeri L,Rodrigues EG,et al.Polymorphisms in maternal folate pathway genes interact with arsenic in drinking water to influence risk of myelomeningocele[J].Birth Defects Res A,2015,103(9):754-762. [24] Christensen KE,Rohlicek CV,Andelfinger GU,et al. The MTHFD1 p.Arg653Gln variant alters enzyme function and increases risk for congenital heart defects[J].Hum Mutat,2009,30(2):212-220. [25] Brody LC,Conley M,Cox C,et al.A polymorphism, R653Q,in the trifunctional enzyme methylenetetrahydrofolate dehydrogenase/methenyltetrahydrofolate cyclohydrolase/formyltetrahydrofolate synthetase is a maternal genetic risk factor for neural tube defects:report of the Birth Defects Research Group[J].Am J Hum Genet,2002,71:1207-1215. [26] Jiang J, Zhang Y, Wei L, et al.Association between MTHFD1 G1958A polymorphism and neural tube defects susceptibility: a meta-analysis[J].PLoS One,2014,30(6):151-159. [27] Gamboa-Loira B, Hernández-Alcaraz C, Gandolfi AJ,et al.Arsenic methylation capacity in relation to nutrient intake and genetic polymorphisms in one-carbon metabolism[J].Environ Res,2018,164:18-23. [28] Hol FA,van der Put NM,Geurds MP, et al. Molecular genetic analysis of the gene encoding the trifunctional enzyme MTHFD (methylenetetrahydrofolate-dehydrogenase,methenyltetrahydrofolate-cyclohydrolase, formyltetrahydrofolate synthetase) in patients with neural tube defects[J].Clin Genet,1998,53:119-125. [29] van der Linden IJ, Afman LA, Heil SG, et al. Genetic variation in genes of folate metabolism and neural-tube defect risk[J]. Proc Nutr Soc,2006,65:204-215. [30] Watkins D, Ru M, Hwang HY, et al.Hyperhomocysteinemia due to methionine synthase deficiency, cblG: structure of the MTR gene, genotype diversity, and recognition of a common mutation,P1173L[J].Am J Hum Genet,2002,71(1):143-153. [31] Schlöwicke Engstrãm K, Broberg K, Concha G, et al. Genetic polymorphisms influencing arsenic metabolism:evidence from argentina [J].Environ Health Perspect,2007,115(4):599-605. [32] Gamboa-Loira B, Cebrián ME, Salinas-Rodríguez A,et al.Genetic susceptibility to breast cancer risk associated with inorganic arsenic exposure[J].Environ Toxicol Pharmacol,2017,56:106-113. [33] 何倩,高彦辉,赵丽军,等.亚甲基四氢叶酸还原酶基因677 CT和5-甲基四氢叶酸高半胱氨酸甲基转移酶基因2756 AG多态性与地方性砷中毒易感性的关系[J].中华地方病学杂志,2016,35(1):4-9. [34] Lindberg AL,Sohel N,Rahman M,et al.Impact of smoking and chewing tobacco on arsenic-induced skin lesions[J]. Environ Health Perspect,2010,118(4):533-538. [35] Karin Schl wicke,Engstr m, Barbro Nermell,et al.Arsenic metabolism is influenced by polymorphisms in genes involved in one-carbon metabolism and reduction reactions[J].Mutat Res,2009,10:667(1-2):4-14.