Arsenic, cadmium, and mercury-induced hypertension: mechanisms and epidemiological findings.

J Toxicol Environ Health B Crit Rev

a Laboratório de Toxicologia e Essencialidade de Metais, Depto. de Análises Clínicas, Toxicológicas e Bromatológicas, Faculdade de Ciências Farmacêuticas de Ribeirão Preto , Universidade de São Paulo , Ribeirão Preto-SP , Brazil.

Published: August 2019

AI Article Synopsis

  • Arsenic, cadmium, and mercury are toxic elements that can lead to various illnesses, including hypertension.
  • The review outlines several proposed mechanisms linking exposure to these metals and hypertension, such as oxidative stress, impaired nitric oxide signaling, and renal damage.
  • It emphasizes the need for further epidemiological studies to explore how factors like age, gender, and lifestyle affect the relationship between metal exposure and hypertension.

Article Abstract

Arsenic (As), cadmium (Cd), and mercury (Hg) are toxic elements widely distributed in the environment. Exposure to these elements was attributed to produce several acute and chronic illnesses including hypertension. The aim of this review is to provide a summary of the most frequently proposed mechanisms underlying hypertension associated with As, Cd, and Hg exposure including: oxidative stress, impaired nitric oxide (NO) signaling, modified vascular response to neurotransmitters and disturbed vascular muscle Ca signaling, renal damage, and interference with the renin-angiotensin system. Due to the complexity of the vascular system, a combination rather than a singular mechanism needs to be considered. In addition, epidemiological findings showing the relationship between various biomarkers of metal exposure and hypertension are described. Given the complex etiology of hypertension, further epidemiological studies evaluating the roles of confounding factors such as age, gender, and life style are still necessary.

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http://dx.doi.org/10.1080/10937404.2018.1432025DOI Listing

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