Association between arsenic exposure from drinking water and plasma levels of cardiovascular markers

Fen Wu, Farzana Jasmine, Muhammad G. Kibriya, Mengling Liu, Oktawia Wójcik, Faruque Parvez, Ronald Rahaman, Shantanu Roy, Rachelle Paul-Brutus, Stephanie Segers, Vesna Slavkovich, Tariqul Islam, Diane Levy, Jacob L. Mey, Alexander Van Geen, Joseph H. Graziano, Habibul Ahsan, Yu Chen

Research output: Contribution to journalArticlepeer-review


The authors conducted a cross-sectional study to assess the relation between arsenic exposure fromdrinking water and plasma levels of markers of systemic inflammation and endothelial dysfunction (matrix metalloproteinase-9, myeloperoxidase, plasminogen activator inhibitor-1, soluble E-selectin, soluble intercellular adhesion molecule-1 (ICAM-1), and soluble vascular adhesion molecule-1 (VCAM-1)) using baseline data from 668 participants (age, >30 years) in the Health Effects of Arsenic Longitudinal Study in Bangladesh (2007-2008). Both well water arsenic and urinary arsenic were positively associated with plasma levels of soluble VCAM-1. For every 1-unit increase in log-transformed well water arsenic (ln μg/L) and urinary arsenic (ln μg/g creatinine), plasma soluble VCAM-1 was 1.02 (95%confidence interval: 1.01, 1.03) and 1.04 (95%confidence interval: 1.01, 1.07) times greater, respectively. There was a significant interaction between arsenic exposure and higher bodymass index, such that the increased levels of plasminogen activator inhibitor-1 and soluble VCAM-1 associated with arsenic exposure were stronger among people with higher body mass index. The findings indicate an effect of chronic arsenic exposure from drinking water on vascular inflammation and endothelial dysfunction that could be modified by body mass index and also suggest a potential mechanism underlying the association between arsenic exposure and cardiovascular disease.

Original languageEnglish (US)
Pages (from-to)1252-1261
Number of pages10
JournalAmerican Journal of Epidemiology
Issue number12
StatePublished - Jun 15 2012


  • Arsenic
  • Bangladesh
  • Cardiovascular disease
  • Cross-sectional studies
  • Environmental exposure
  • Inflammation

ASJC Scopus subject areas

  • General Medicine


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