ARSENIC EXPLANATION Arsenic was previously evaluated in the tenth and twenty- seventh reports of The Joint FAO/WHO Expert Committee on Food Additives (Annex 1, references 13 and 62). It was concluded at the twenty-seventh meeting that "on the basis of the data available, the Committee could arrive at only an estimate of 0.002 mg/kg bw as a provisional maximum tolerable daily intake for ingested arsenic; no figure could be arrived at for organic arsenicals in food" (Annex 1, reference 62). Specifically, the monograph (Annex 1, reference 63) stated that there was a need for information on: 1) arsenic accumulation in man exposed to various forms of arsenic in the diet and drinking water; 2) the identification, absorption, elimination and toxicity of arsenic compounds in food with particular reference to arsenic in fish; 3) the contribution of arsenic in fish to man's body burden of arsenic; 4) epidemiological studies on populations exposed to elevated intakes of arsenic of known speciation. Very limited data addressing the above four points were made available to the Committee. The studies relevant to assessing the significance of organoarsenicals in fish are presented. DIETARY EXPOSURE Arsenic is ubiquitous in the biosphere and occurs naturally in both organic and inorganic forms. While arsenic can be found to a small extent in the elemental form, the most important inorganic arsenic compounds are arsenic trioxide, sodium arsenite, arsenic trichloride (i.e. trivalent forms), and arsenic pentoxide, arsenic acid and arsenites, such as, lead and calcium arsenates (i.e. pentavalent forms). Common organic arsenic compounds are arsanilic acid, methylarsonic acid, dimethylarsinic acid (cacodylic acid), and arsenobetaine (AB). This latter compound (AB) is considered to he the most predominant organoarsenical in marine animals. Other organoarsenicals including, arsenocholine, dimethyloxyarsylethanol, trimethylarsonium lactate, arsenic containing sugars and phospholipids have also been found in fish (Lau et al., 1987; Friberg et al., 1986). Although arsenic compounds were commonly used in the past as drugs, their main use today is as pesticides, veterinary drugs and in industrial applications, such as, the manufacture of integrated circuits and the production of alloys (Friberg et al., 1986; WHO, 1981) In non-industrial areas, arsenic levels in air are of the order of 0.02 µg/m3 and intakes from this medium would be 0.3 to 0.4 arsenic/day. Arsenic levels as high as 1.6 µg/m3 have been reported in the vicinity of smelting operations. Both inorganic and organic forms of arsenic have been shown to be present in air with methylarsines comprising about 20% of the total (Friberg et al., 1986; WHO, 1981; Ministry of Agriculture, Fisheries and Food, 1982: Fowler, 1983, National Academy of Sciences, 1977; National Research Council of Canada, 1978) Arsenites and arsenates are the prevalent forms of arsenic found in water although methylarsonic and dimethylarsinic acids have been found at low levels. Most surface waters contain less than µg/1 arsenic but levels as high as about a thousand µg/l have been reported. Arsenic levels in groundwater are dependant on the arsenic content of the bedrock. In some instances, several thousand µg/l arsenic have been found in such waters. Based on these findings, most persons consuming surface waters would ingest less than 15 to 20 µg arsenic/day from this source but for some individuals intakes from water consumption could reach as high as 6000 µg/day (Friberg et al., 1986; WHO, 1981; Ministry of Agriculture, Fisheries and Food, 1982; Fowler, 1983; National Academy of Sciences, 1977; National Research Council of Canada, 1978) With the exception of fish, most foods contain less than 0.25 µg/g arsenic. Many species of fish contain between 1 and 10 g/g. Arsenic levels at or above 100 µg/g have been found in bottom feeders and shellfish. Both lipid- and water-soluble organoarsenic compounds have been found but the water-soluble forms constitute the larger portion of the total arsenic content. The nature of these compounds has been shown to be mainly of the quaternary arsonium type. As was mentioned above, arsenobetaine is believed to be the most predominant species, but recent Canadian results demonstrated a higher level of arsenocholine than arsenobetaine in shrimps (Lau et al., 1987; Friberg et al., 1986; WHO, 1981; Ministry of Agriculture, Fisheries and Food, 1982; Dabeka et al., 1987). Dietary arsenic intakes estimated from various countries range from less than 10 µg/day to 200 µg/day. These values are not only reflective of different dietary habits but mirror important variations in assumptions used to calculate them. In one instance, for example, detection limit values were used to calculate intakes when no arsenic was detected. The estimated arsenic intake was more than 13x greater than that estimated when a value of zero was used. Nevertheless, these estimates do not likely represent potential arsenic intakes of special sub-groups in the population, such as, native people or fisherman and their families, who may regularly consume large quantities of fish. Arsenic intakes by high fish consumers can reach several thousand µg per day (Friberg et al., 1986; WHO, 1981; Ministry of Agriculture, Fisheries and Food, 1982; Dabeka et al., 1987). In addition to arsenic from air, water and food, tobacco treated with arsenate sprays may also be a route of exposure for those persons who are smokers. In summary, the intake of arsenic from air, excluding industrial areas, is a minor portion of the total intake from all sources. The intake of arsenic (primarily inorganic) from water is generally low for most persons but can reach extremely high values for those who consume waters containing naturally elevated arsenic levels. Dietary arsenic represents the major source of arsenic exposure for most of the general population. Persons who are high consumers of fish may ingest significant amounts of arsenic (primarily organic) from this food group. BIOLOGICAL DATA Arsenic in Fish and Seafood Studies in mice have demonstrated that 98% of the dose of arsenobetaine is absorbed whereas the absorption of arsenocholine is slightly less (94%). Additional studies, using rats, mice and rabbits demonstrated that the clearance of arsenobetaine from plasma and most tissues was rapid and seemed to follow first order kinetics. Longest retention was observed in cartilage, testes, epididymis, and in rabbits, the muscle. 73As arsenobetaine was the only labelled arsenic compound detected in the soluble extract of tissues. Following an i.v. dose of 73As-labelled arsenocholine, the clearance from the plasma and tissues was somewhat slower than for arsenobetaine. Tissues with the longest retention times were prostate, epididymis, testes, myocardium, liver, adrenal cortex, pancreas, dental pulp and pituitary gland. In the tissues, the 73As activity retained was found in the form of 73As arsenobetaine and 73As arsenophospholipids. Ninety-eight per cent of the dose of arsenobetaine was excreted unchanged in the urine, whereas 66% and 9% of a single oral dose of arsenocholine was excreted in the urine and feces, respectively, within three days. Following the administration of arsenocholine, the majority of the arsenic in the urine was arsenobetaine indicating that arsenocholine is oxidized to arsenobetaine. Whole-body retention was greater following arsenocholine compared to arsenobetaine (Vahter et al., 1983, Marafante et al., 1984). Studies in man The fate of organic arsenicals has not been clearly defined in man. It may be reasonably assumed that methylated compounds like cacodylic acid (dimethylarsenic acid) are fairly quickly excreted unchanged in the urine (Yamauchi & Yamamura, 1979). Limited information on the organoarsenicals present in fish and other seafood indicated that these compounds appear to be readily excreted in the urine in an unchanged chemical form with most of the excretion occurring within two days of ingestion (Freemam et al., 1979). Volunteers who consumed witch flounder (Glypotocephalus cynoglossus) excreted 75% of the ingested arsenic in urine within eight days of eating the fish. The excreted arsenic was in the same chemical form as in the fish. Less than 0.35% was excreted in the feces (Tam et al., 1982). Luten et al., (1982) reported that 69-85% of the arsenobetaine from plaice was excreted in the urine within five days. Fecal excretion was not measured. Yamauchi & Yamamura (1984) reported that 90% of the trimethylarsenic acid from prawns was excreted unchanged in the urine within 60 hours. Fecal excretion was not determined in either of these studies. There are no data on tissue distribution of arsenic in humans following ingestion of arsenic present in fish and seafood. Short-term studies Organoarsenicals in Seafood There are no reports of toxicity in man or animals from the consumption of organoarsenicals in seafood. The only toxicity study available is an oral study conducted by Siewicki (1981) in rats. Groups of 10 weanling, male, Sprague-Dawley-delivered rats were fed one of five diets for 42 days either ad libitum or on a restricted regimen. The five diets included a low arsenic control (4.7 ppm), and a medium (15.8 ppm) and high (28.8 ppm) arsenic diet supplement from either witch flounder tissues or cacodylic acid. Animals were weighed weekly. Terminally, haemoglobin, hematocrit, urine aminolevulinic acid and coproporphyrin levels and liver and spleen weights were determined. Arsenic levels in the erythrocytes, liver and spleen were measured. No treatment-related signs of toxicity were noted for any of the parameters measured in any group. Arsenic levels in the livers and spleens of rats fed the 28.8 ppm fish arsenic were seven and two times higher than the controls. In rats fed 22.1 ppm arsenic from cacodylic acid, levels of arsenic were 30 and 110 times higher than the controls. Retention of arsenic in the erythrocytes of rats fed the 28.8 ppm fish arsenic were similar to the controls, whereas it was 130 times higher than controls in the rats fed the highest level (22.1 ppm) of cacodylic acid. This indicated that arsenic from fish is not bound to rat erythrocytes. Although this study is limited, it demonstrated that weanling rats fed approximately 3 mg/kg bw/day fish arsenic for 42 days did not develop any treatment-related toxic effects. COMMENTS The previous evaluation was confirmed by assigning a PTWI of 0.015 mg/kg bw for inorganic arsenic, with the clear understanding that the margin between the PTWI and intakes reported to have toxic effects in epidemiological studies was narrow. The provisional status of the maximum weekly intake was continued due to the desire to lower the arsenic intake of those individuals exposed to high levels of inorganic arsenic in drinking water. Further epidemiological studies were recommended in such populations. Organic forms of arsenic present in sea foods need different consideration from the inorganic arsenic in water. There are many regional and ethnic populations who consume large quantities of fish that result in organoarsenic intakes of about 0.05 mg/kg bw/day. There have been no reports of ill-effects among these groups but further investigation of these populations would be desirable to assess the implications for human health of exposure to naturally occurring organoarsenic compounds in marine products. Further investigations of the type and levels of organoarsenic compounds naturally occurring in marine products and further animal studies on these specific compounds are highly desirable. EVALUATION Estimate of provisional tolerable weekly intake 0.015 mg/kg b.w. Further work or information 1. In order to define more clearly levels of inorganic arsenic which may result in adverse effects, the Committee recommends that further epidemiology studies be undertaken in populations exposed to elevated inorganic arsenic occurring naturally in drinking water. 2. The Committee considers that it would be desirable to carry out epidemiology studies involving consumers of large quantities of fish to assess more fully the human health implications of exposure to naturally occurring organoarsenic compounds in marine products. 3. Further investigation of the types and levels of organoarsenic compounds naturally occurring in marine products is recommended. 4. Arsenic organoarsenic compounds of unknown toxicity are present in marine products; further animal studies should be undertaken with the identified compounds. REFERENCES Dabeka, R.W., McKenzie, A.D. & Lacroix, G.M.A. (1987). Dietary intakes of lead, cadmium, arsenic and fluoride by Canadian adults: a 24-hour duplicate diet study. Food Additives and Contaminants, 4, No.1, pp. 89-102. Fowler, B.A. (editor) (1983). Biological and environmental effects of Arsenic, Topics in Environmental Health, Elsevier Science Publisher, Amsterdam, New York, Oxford, Vol. 6. Freeman, H.C., Uhthe, J.F., Fleming, R.B., Oduse, P.H., Ackman, R.G., Landry, G. & Musial, C. (1979). Clearance of arsenic ingested by man from arsenic contaminated fish. Bull. Environ. Contain. Toxicol., 22, 224-229. Friberg, L., Nordberg, G.F. & Vook, V.B. (1986). Handbook on the toxicology of metals, 2nd edition, Elsevier Science Publisher, Amsterdam, New York, Vol. II, pp. 43-83. Lau, P.-Y., Michalik, P., Porter, C.J. & Krolik, S. (1987). Identification and confirmation of arsenobetaine and arsanocholine in fish, lobster and shrimp by a combination of fast atom bombardment and tandem mass spectrometry. Biomedical and Environmental Mass Spectrometry, 14, pp. 723-732. Luten, J.B., Riekwel-Booy, G. & Rauchbaar, A. (1982). Occurrence of arsenic in plaice (Pleuronectes platessa), nature of organo- arsenic compound present and its excretion by man. Environ. Health Perspect., 45, 165-170. Marafante, E., Vahter, M., & Dencker, L. (1984). Metabolism of arsenocholine in mice, rats, and rabbits. Sci. Total Environ., 34, 223-240. Ministry of Agriculture, Fisheries and Food (1982). Survey of arsenic in food, Her Majesty's Stationary Office, London. National Academy of Sciences (1977). Arsenic, Committee on Medical and Biologic Effects of Environmental Pollutants, Washington, D.C. National Research Council of Canada (1978). Effects of arsenic in the Canadian environment. NRCC 15391, Ottawa, Canada. Siewicki, T.C. (1981). Tissue retention of arsenic in rats fed witch flounder or cacodylic acid. J. Nutr., 111, 602-609. Tam, G.K., Charbonneau, S.M., Bryce, F. & Sandi, E. (1982). Excretion of a single oral dose of fish-arsenic in man. Bull. Environ. Contain. Toxicol., 28, 669-673. Vahter, M., Marafante, E., & Dencker, L. (1983). Metabolism of arsenobetaine in mice, rats and rabbits. Sci. Total Environ., 30, 197-211. WHO (1981). Environmental Health Criteria 18: Arsenic, International Programme on Chemical Safety, World Health Organization, Geneva. WHO (1984). Guidelines for drinking-water quality, World Health Organization, Geneva, Vol. 1, p. 53. Yamauchi, H. & Yamamura, Y. (1979). Urinary inorganic arsenic and methylarsenic excretion following arsenate-rich seaweed ingestion. Jpn. J. Ind. Health, 21, 47-55. Yamauchi, H. & Yamamura, Y. (1984). Metabolism and excretion of orally ingested trimethylarsenic in man. Bull. Environ. Contain. Toxicol., 32, 682-687.
See Also: Toxicological Abbreviations Arsenic (EHC 18, 1981) Arsenic (ICSC) Arsenic (WHO Food Additives Series 18) ARSENIC (JECFA Evaluation) Arsenic (PIM G042)