Impact of arsenic exposure on clinical biomarkers indicative of cardiovascular disease risk in Mexican women
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An appropriate and precise identification of high-risk individuals to develop cardiovascular diseases (CVD) is of high importance to reduce these kinds of diseases, a major health concern worldwide. Therefore, the aim of this research was to evaluate prognostic CVD biomarkers in Mexican women exposed to inorganic arsenic via drinking water. Then, a cross-sectional study including 190 women was achieved. Urinary arsenic (UAs) levels were analyzed as exposure biomarker to that metalloid. While, plasma asymmetric dimethylarginine (ADMA), adipocyte fatty acid-binding protein (FABP4), adiponectin, and chemerin levels, hypertriglyceridemic waist (HW) phenotype, atherogenic index of plasma (AIP), and Framingham risk score (FRS) were assessed as prognostic CVD biomarkers. Mean UAs level detected in the evaluated urinary samples was 45.0 ± 40.0 μg/g creatinine. In addition, mean plasma ADMA, FABP4, chemerin and adiponectin levels were 0.68 µmol/L, 20.3 ng/mL, 12.5 μg/mL, and 255 ng/mL, correspondingly. Approximately, 54%25 of women participants displayed an HW phenotype. Regarding AIP and FRS values, 0.12 ± 0.15 and 7.50 ± 8.00 were found, respectively. Besides, strong and significant associations (p < 0.05) between UAs and AIP, ADMA, and FABP4 were distinguished. Also, after a multivariate analysis, the association between those variables persisted after adjustment for traditional risk factors of CVD. In conclusion, according to the results found in this research, the most sensible CVD biomarkers distinguished in this study were AIP, ADMA, and FABP4. Nevertheless, more studies are necessary to confirm the results found in this investigation. © 2018 Elsevier Inc.
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ADMA; Arsenic; Atherogenic index of plasma; FABP4; Framingham risk score; Hypertriglyceridemic waist phenotype adiponectin; arsenic; biological marker; chemerin; creatinine; drinking water; fatty acid binding protein 4; n(g),n(g) dimethylarginine; arginine; arsenic; biological marker; drinking water; FABP4 protein, human; fatty acid binding protein; N,N-dimethylarginine; arsenic; biomarker; cardiovascular disease; health impact; phenotype; plasma; pollution exposure; protein; adult; amino acid blood level; Article; atherogenesis; cardiovascular disease; cardiovascular risk; controlled study; cross-sectional study; early diagnosis; environmental exposure; female; Framingham risk score; human; hypertriglyceridemic waist; Mexican; middle aged; prognostic assessment; protein blood level; risk factor; urinalysis; urine level; aged; analogs and derivatives; analysis; blood; environmental exposure; male; Mexico; multivariate analysis; predictive value; questionnaire; toxicity; urine; water pollutant; Mexico [North America]; Adult; Aged; Arginine; Arsenic; Biomarkers; Cardiovascular Diseases; Cross-Sectional Studies; Drinking Water; Environmental Exposure; Fatty Acid-Binding Proteins; Female; Humans; Male; Mexico; Middle Aged; Multivariate Analysis; Predictive Value of Tests; Risk Factors; Surveys and Questionnaires; Water Pollutants, Chemical
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