What impact does arsenic exposure have on the development of hepatocellular carcinoma?

Arsenic is a carcinogenic environmental factor found in food and drinking water around the world. The mechanisms in which arsenic alters homeostasis are not fully understood. Over the past few decades, light has been shed on varying mechanisms in which arsenic induces cancer. Such mechanisms include gut microbe perturbations, genotoxic effects, and pigenetic modification. Increase in inflammation is the major factor in cirrhosis leading to hepatocellular carcinoma.

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Li, Junjie, Xue, Junchao, et al. (2021). MicroRNA-15b in extracellular vesicles from arsenite-treated macrophages promotes the progression of hepatocellular carcinomas by blocking the LATS1-mediated Hippo pathway. Cancer Letters., 497, 137-153.
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Barsouk, A., Thandra, K. C., et al (2021). Chemical Risk Factors of Primary Liver Cancer: An Update. Hepatic medicine : evidence and research, 12, 179–188.

Elia, A., Magara, G., et al Abete. (2018). A comparative study on subacute toxicity of arsenic trioxide and dimethylarsinic acid on antioxidant status in Crandell Rees feline kidney (CRFK), human hepatocellular carcinoma (PLC/PRF/5), and epithelioma papulosum cyprini (EPC) cell lines. Journal of Toxicology and Environmental Health., 81(10), 333-348.
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Ledda, C., Loreto, C., et al. (2017). Non‑infective occupational risk factors for hepatocellular carcinoma: A review (Review). Molecular medicine reports, 15(2), 511–533.

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