4.6 Review

Can folate intake reduce arsenic toxicity?

Journal

NUTRITION REVIEWS
Volume 66, Issue 6, Pages 349-353

Publisher

BLACKWELL PUBLISHING
DOI: 10.1111/j.1753-4887.2008.00043.x

Keywords

arsenic; cancer; epigenetic; folate

Funding

  1. NIEHS NIH HHS [P30 ES000002] Funding Source: Medline

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Arsenic-contaminated groundwater is a global environmental health concern. Inorganic arsenic is a known carcinogen, and epidemiologic studies suggest that persons with impaired arsenic metabolism are at increased risk for certain cancers, including skin and bladder carcinoma. Arsenic metabolism involves methylation to monomethylarsonic acid and dimethylarsinic acid (DMA) by a folate-dependent process. Persons possessing polymorphisms in certain genes involved in folate metabolism excrete a lower proportion of urinary arsenic as DMA, which may influence susceptibility to arsenic toxicity. A double-blind placebo-controlled trial in a population with low plasma folate observed that after 12 weeks of folic acid supplementation, the proportion of total urinary arsenic excreted as DMA increased and blood arsenic concentration decreased, suggesting an improvement in arsenic metabolism. Although no studies have directly shown that high folate intake reduces the risk of arsenic toxicity, these findings provide evidence to support an interaction between folate and arsenic metabolism. (C) 2008 International Life Sciences Institute.

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