Publications by authors named "Joseph H Graziano"

Background: Inorganic arsenic is metabolized to monomethyl- (MMAs) and dimethyl- (DMAs) species via one-carbon metabolism (OCM); this facilitates urinary arsenic elimination. OCM is influenced by folate and vitamin B12 and previous randomized control trials (RCTs) showed that folic acid (FA) supplementation increases arsenic methylation in adults. This RCT investigated the effects of FA + B12 supplementation on arsenic methylation in children, a key developmental stage where OCM supports growth.

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Background: Chronic arsenic (As) exposure is a global environmental health issue. Inorganic As (InAs) undergoes methylation to monomethyl (MMAs) and dimethyl-arsenical species (DMAs); full methylation to DMAs facilitates urinary excretion and is associated with reduced risk for As-related health outcomes. Nutritional factors, including folate and creatine, influence one-carbon metabolism, the biochemical pathway that provides methyl groups for As methylation.

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Exposure to inorganic arsenic (As) is recognized as risk factor for basal cell carcinoma (BCC). We have followed-up 7000 adults for 6 years who were exposed to As and had manifest As skin toxicity. Of them, 1.

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Background: Arsenic exposure increases the risk of several cancers in humans and contributes to genomic instability. Somatic loss of the Y chromosome (LoY) is a potential biomarker of genomic instability and cancer risk. Smoking is associated with LoY, but few other carcinogens have been investigated.

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There is limited evidence on the effects of environmental exposure to arsenic (As) on the immune system in adults. In a population-based study, we have found that urinary As (UAs), and its metabolites [inorganic As (InAs), monomethylated arsenicals (MMA+3/+5), and dimethylated arsenicals (DMA+3/+5)] modulate or influence the number of T-helper 17 (Th17) cells and IL-17A cytokine production. In non-smoking women, we observed that UAs and DMA+3/+5 were associated with changes in Th17 cell numbers in a nonlinear fashion.

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Background: Over 57 million people in Bangladesh have been chronically exposed to arsenic-contaminated drinking water. They also face environmental exposure to elevated levels of cadmium (Cd), manganese (Mn), and lead (Pb), all of which have been previously observed in environmental and biological samples for this population. These metals have been linked to adverse neurocognitive outcomes in adults and children, though their effects on adolescents are not yet fully characterized.

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Article Synopsis
  • Telomere length is important for understanding disease susceptibility, especially in children, as it may decline rapidly during early childhood due to cell proliferation and environmental factors.
  • The study examined the link between urinary arsenic (As) exposure and leukocyte telomere length in children aged five to seven in Bangladesh, finding negative associations where higher levels of As were connected to shorter telomeres.
  • Results indicated a significant decrease in telomere length with increased arsenic exposure, particularly in children with older fathers, highlighting the need for further research on the long-term health effects of telomere shortening due to environmental factors.
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Unlabelled: Hypertension in later life, a significant risk factor for cardiovascular disease, has been linked to elevated blood pressure in early life. Exposure to metals may influence childhood blood pressure; however, previous research is limited and has mainly focused on evaluating the toxicity of single metal exposures. This study evaluates the associations between exposure to metal mixtures and blood pressure among Bangladeshi children age 5-7 years.

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Background: Water-borne arsenic (As) exposure is a global health problem. Once ingested, inorganic As (iAs) is methylated to mono-methyl (MMA) and dimethyl (DMA) arsenicals via one-carbon metabolism (OCM). People with higher relative percentage of MMA (MMA%) in urine (inefficient As methylation), have been shown to have a higher risk of cardiovascular disease and several cancers but appear to have a lower risk of diabetes and obesity in populations from the US, Mexico, and Taiwan.

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Background: Over 57 million people in Bangladesh are chronically exposed to arsenic-contaminated drinking water. Ingested inorganic arsenic (InAs) undergoes hepatic methylation generating monomethyl- (MMAs) and dimethyl- (DMAs) arsenic species in a process that facilitates urinary As (uAs) elimination. One-carbon metabolism (OCM), a biochemical pathway that is influenced by folate and vitamin B12, facilitates the methylation of As.

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Background And Aims: Epidemiologic cross-sectional studies examining the relationship between environmental lead (Pb) exposure and erythropoietin (EPO) production have reported contrasting results. It is unknown, however, if exposure to Pb earlier in life has an effect on EPO production later in life. Here, using a prospective study, we evaluate the association between prenatal, early childhood, and concurrent Pb exposure and EPO concentration in young adulthood.

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Article Synopsis
  • The study investigates how the baseline levels of one-carbon metabolism nutrients (like folate and choline) affect the response to folic acid (FA) and creatine supplementation in relation to arsenic methylation and elimination in urine.* -
  • Participants (N=622) received different doses of FA and creatine or a placebo for 12 weeks, with findings showing that lower betaine levels led to increased dimethylarsenic (DMAs) with FA supplementation, and lower choline levels were linked to decreased monomethylarsenic (MMAs) with creatine.* -
  • The results indicate that nutritional status regarding choline and betaine can influence the effectiveness of FA and creatine in improving arsenic methylation,
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  • Early-life exposure to arsenic (As) in children increases the risk of respiratory diseases, but there is limited information on how it affects their immune response to respiratory infections.
  • *In a study involving 51 children from a rural Bangladesh cohort, researchers measured arsenic levels in household water, maternal urine, and children's urine to assess the impact on immune function.
  • *Findings indicated that higher arsenic levels in both mothers and children were linked to changes in immune responses, including increased LL-37 levels and reduced ability to combat bacterial infections, suggesting potential long-term health effects from early exposure.
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  • The study investigates the link between inorganic arsenic exposure during early life and blood pressure (BP) in adolescents, highlighting limited existing evidence on this issue.
  • It analyzed data from 726 adolescents (ages 14-17) by measuring both their current urinary arsenic levels and their mothers’ urinary arsenic levels during early childhood.
  • Results indicated that increased arsenic exposure is associated with higher systolic blood pressure in adolescents, particularly among those with higher body mass index (BMI), while no significant link was found for diastolic blood pressure.
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Background: Growing evidence indicates that in utero arsenic exposures in humans may increase the risk of adverse health effects and development of diseases later in life. This study aimed to evaluate potential health risks of in utero arsenic exposure on genetic damage in newborns in relation to maternal arsenic exposure.

Methods: A total of 205 pregnant women residing in arsenic-contaminated areas in Hanam province, Vietnam, were recruited.

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Background: Arsenic exposure affects [Formula: see text] people worldwide, including [Formula: see text] in Bangladesh. Arsenic exposure increases the risk of cancer and other chronic diseases, and one potential mechanism of arsenic toxicity is epigenetic dysregulation.

Objective: We assessed associations between arsenic exposure and genome-wide DNA methylation measured at baseline among 396 Bangladeshi adults participating in the Health Effects of Arsenic Longitudinal Study (HEALS) who were exposed by drinking naturally contaminated well water.

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Article Synopsis
  • Inorganic arsenic (iAs) is a known carcinogen affecting over 100 million people globally, especially in Bangladesh, where exposure is primarily through contaminated food and water.
  • A study of 1,660 Bangladeshi individuals revealed that a specific genetic variant (rs61735836) in the FTCD gene influences arsenic metabolism, leading to higher levels of urine iAs and MMA while lowering DMA, impacting toxicity levels.
  • The research also found that individuals with a low-efficiency variant of FTCD have an increased risk of arsenic-induced skin lesions, indicating a genetic component to susceptibility and suggesting the relevance of both FTCD and AS3MT genes in arsenic metabolism efficiency and toxicity.
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Background: Heavy metal contamination is widespread in Bangladesh. Previous studies have observed lead increases blood pressure over time. However, the role of other metal contaminants and essential micronutrients, which could also adversely affect blood pressure or act as protective factors, is understudied.

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Background: Arsenic exposure through drinking water persists in many regions. Inorganic As (InAs) is methylated to monomethyl-arsenical species (MMAs) and dimethyl-arsenical species (DMAs), facilitating urinary excretion. Arsenic methylation is dependent on one-carbon metabolism, which is influenced by nutritional factors such as folate and creatine.

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Background: Emerging data suggest that inorganic arsenic exposure and gut microbiome are associated with the risk of cardiovascular disease. The gut microbiome may modify disease risk associated with arsenic exposure. Our aim was to examine the inter-relationships between arsenic exposure, the gut microbiome, and carotid intima-media thickness (IMT)-a surrogate marker for atherosclerosis.

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Introduction: Environmental exposure to toxic metals and metalloids is pervasive and occurs from multiple sources. The Health Effects of Arsenic Longitudinal Study (HEALS) is an ongoing prospective study predominantly focused on understanding health effects associated with arsenic exposure from drinking water. The goal of this project was to measure a suite of elements in urine to better understand potential exposure patterns and to identify common environmental sources of exposure among this semi-rural Bangladeshi population.

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Background: Exposure to inorganic arsenic (As) from drinking water is associated with modest deficits in intellectual function in young children; it is unclear whether deficits occur during adolescence, when key brain functions are more fully developed.

Objectives: We sought to determine the degree to which As exposure is associated with adolescent intelligence, and the contributory roles of lead, cadmium, manganese and selenium.

Methods: We recruited a cross-section of 726 14-16 year olds (mean age = 14.

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Purpose Of Review: Hundreds of millions of people worldwide are exposed to arsenic via contaminated water. The goal of this study was to identify whether arsenic-associated lung function deficits resemble obstructive- or restrictive-like lung disease, in order to help illuminate a mechanistic pathway and identify at-risk populations.

Recent Findings: We recently published a qualitative systematic review outlining the body of research on arsenic and non-malignant respiratory outcomes.

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