Toenails as a biomarker of exposure to arsenic: A review.

This systematic review summarizes the current evidence related to the reliability of toenail total arsenic concentrations (thereafter "arsenic") as a biomarker of long-term exposure. Specifically, we reviewed literature on consistency of repeated measures over time, association with other...

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Detalles Bibliográficos
Autores: Signes-Pastor, Antonio J, Gutiérrez-González, Enrique, García-Villarino, Miguel, Rodriguez-Cabrera, Francisco David, López-Moreno, Jorge J, Varea-Jiménez, Elena, Pastor-Barriuso, Roberto, Pollan-Santamaria, Marina, Navas-Acien, Ana, Perez-Gomez, Beatriz, Karagas, Margaret R
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/27187
Acceso en línea:https://hdl.handle.net/20.500.12105/27187
Access Level:acceso abierto
Palabra clave:Arsenic
Biomarker
Biomonitoring
Exposure
Toenail
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spelling Toenails as a biomarker of exposure to arsenic: A review.Signes-Pastor, Antonio JGutiérrez-González, EnriqueGarcía-Villarino, MiguelRodriguez-Cabrera, Francisco DavidLópez-Moreno, Jorge JVarea-Jiménez, ElenaPastor-Barriuso, RobertoPollan-Santamaria, MarinaNavas-Acien, AnaPerez-Gomez, BeatrizKaragas, Margaret RArsenicBiomarkerBiomonitoringExposureToenailThis systematic review summarizes the current evidence related to the reliability of toenail total arsenic concentrations (thereafter "arsenic") as a biomarker of long-term exposure. Specifically, we reviewed literature on consistency of repeated measures over time, association with other biomarkers and metal concentrations, factors influencing concentrations, and associations with health effects. We identified 129 papers containing quantitative original data on arsenic in toenail samples covering populations from 29 different countries. We observed geographic differences in toenail arsenic concentrations, with highest median or mean concentrations in Asian countries. Arsenic-contaminated drinking water, occupational exposure or living in specific industrial areas were associated with an increased toenail arsenic content. The effects of other potential determinants and sources of arsenic exposure including diet, gender and age on the concentrations in toenails need further investigations. Toenail arsenic was correlated with the concentrations in hair and fingernails, and with urine arsenic mainly among highly exposed populations with a toenail mean or median ≥1 μg/g. Overall, there is a growing body of evidence suggesting that arsenic content from a single toenail sample may reflect long-term internal dose-exposure. Toenail arsenic can serve as a reliable measure of toxic inorganic arsenic exposure in chronic disease research, particularly promising for cancer and cardiovascular conditions.Elsevier20262026-01-2820212021-04-0120212021-04-01review articlehttp://purl.org/coar/resource_type/c_dcae04bcAMhttp://purl.org/coar/version/c_ab4af688f83e57aainfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.12105/27187reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/271872026-06-12T12:43:37Z
dc.title.none.fl_str_mv Toenails as a biomarker of exposure to arsenic: A review.
title Toenails as a biomarker of exposure to arsenic: A review.
spellingShingle Toenails as a biomarker of exposure to arsenic: A review.
Signes-Pastor, Antonio J
Arsenic
Biomarker
Biomonitoring
Exposure
Toenail
title_short Toenails as a biomarker of exposure to arsenic: A review.
title_full Toenails as a biomarker of exposure to arsenic: A review.
title_fullStr Toenails as a biomarker of exposure to arsenic: A review.
title_full_unstemmed Toenails as a biomarker of exposure to arsenic: A review.
title_sort Toenails as a biomarker of exposure to arsenic: A review.
dc.creator.none.fl_str_mv Signes-Pastor, Antonio J
Gutiérrez-González, Enrique
García-Villarino, Miguel
Rodriguez-Cabrera, Francisco David
López-Moreno, Jorge J
Varea-Jiménez, Elena
Pastor-Barriuso, Roberto
Pollan-Santamaria, Marina
Navas-Acien, Ana
Perez-Gomez, Beatriz
Karagas, Margaret R
author Signes-Pastor, Antonio J
author_facet Signes-Pastor, Antonio J
Gutiérrez-González, Enrique
García-Villarino, Miguel
Rodriguez-Cabrera, Francisco David
López-Moreno, Jorge J
Varea-Jiménez, Elena
Pastor-Barriuso, Roberto
Pollan-Santamaria, Marina
Navas-Acien, Ana
Perez-Gomez, Beatriz
Karagas, Margaret R
author_role author
author2 Gutiérrez-González, Enrique
García-Villarino, Miguel
Rodriguez-Cabrera, Francisco David
López-Moreno, Jorge J
Varea-Jiménez, Elena
Pastor-Barriuso, Roberto
Pollan-Santamaria, Marina
Navas-Acien, Ana
Perez-Gomez, Beatriz
Karagas, Margaret R
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Arsenic
Biomarker
Biomonitoring
Exposure
Toenail
topic Arsenic
Biomarker
Biomonitoring
Exposure
Toenail
description This systematic review summarizes the current evidence related to the reliability of toenail total arsenic concentrations (thereafter "arsenic") as a biomarker of long-term exposure. Specifically, we reviewed literature on consistency of repeated measures over time, association with other biomarkers and metal concentrations, factors influencing concentrations, and associations with health effects. We identified 129 papers containing quantitative original data on arsenic in toenail samples covering populations from 29 different countries. We observed geographic differences in toenail arsenic concentrations, with highest median or mean concentrations in Asian countries. Arsenic-contaminated drinking water, occupational exposure or living in specific industrial areas were associated with an increased toenail arsenic content. The effects of other potential determinants and sources of arsenic exposure including diet, gender and age on the concentrations in toenails need further investigations. Toenail arsenic was correlated with the concentrations in hair and fingernails, and with urine arsenic mainly among highly exposed populations with a toenail mean or median ≥1 μg/g. Overall, there is a growing body of evidence suggesting that arsenic content from a single toenail sample may reflect long-term internal dose-exposure. Toenail arsenic can serve as a reliable measure of toxic inorganic arsenic exposure in chronic disease research, particularly promising for cancer and cardiovascular conditions.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-04-01
2021
2021-04-01
2026
2026-01-28
dc.type.none.fl_str_mv review article
http://purl.org/coar/resource_type/c_dcae04bc
AM
http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.12105/27187
url https://hdl.handle.net/20.500.12105/27187
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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