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Octanol–Water Partition Coefficients of Aristolochic Acids and Implications to the Etiology of Balkan Endemic Nephropathy

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The octanol–water partition coefficients (Kow) of the aristolochic acids, AA I and AA II, were determined using the traditional shake-flask method as a function of pH and ionic strength. These compounds have been implicated in the etiology of Balkan endemic nephropathy, but evidence of a plausible exposure pathway remains elusive, and research is constrained by the absence of critical physical–chemical parameters on these compounds. Apparent Kow values were determined across a range of pH and ionic strength conditions. The results show that the apparent Kow decreased by approximately four orders of magnitude as pH increased from 2 to 9. The pH dependence was well described by a simple model that calculated the apparent Kow based on the ionization fractions and intrinsic Kow values for the neutral and ionized species. Higher ionic strength solutions resulted in higher Kow values at high pH, but had no effect at low pH. These results suggest that transport of aristolochic acids will be highly dependent on pH and ionic strength, with significant aqueous-phase transport at neutral to slightly alkaline conditions, with the highest mobility occurring under low ionic strength conditions, and the possibility of significant partitioning to nonpolar phases, such as soil organic matter or plant material, at low pH. Much of the region where BEN is prevalent is a karst environment, and pH values are generally above 8, thus leaching and groundwater transport are favored, which can suggest possible exposure routes.
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Aquatic Geochemistry (2020) 26:183–190
https://doi.org/10.1007/s10498-019-09367-6
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ORIGINAL ARTICLE
Octanol–Water Partition Coecients ofAristolochic
Acids andImplications totheEtiology ofBalkan Endemic
Nephropathy
ChaiyanunTangtong1· LuluQiao1· DavidT.Long1,2,3· ThomasC.Voice1,2,3
Received: 2 April 2019 / Accepted: 27 December 2019 / Published online: 5 May 2020
© Springer Nature B.V. 2020
Abstract
The octanol–water partition coefficients (Kow) of the aristolochic acids, AA I and AA II,
were determined using the traditional shake-flask method as a function of pH and ionic
strength. These compounds have been implicated in the etiology of Balkan endemic
nephropathy, but evidence of a plausible exposure pathway remains elusive, and research is
constrained by the absence of critical physical–chemical parameters on these compounds.
Apparent Kow values were determined across a range of pH and ionic strength conditions.
The results show that the apparent Kow decreased by approximately four orders of mag-
nitude as pH increased from 2 to 9. The pH dependence was well described by a simple
model that calculated the apparent Kow based on the ionization fractions and intrinsic Kow
values for the neutral and ionized species. Higher ionic strength solutions resulted in higher
Kow values at high pH, but had no effect at low pH. These results suggest that transport
of aristolochic acids will be highly dependent on pH and ionic strength, with significant
aqueous-phase transport at neutral to slightly alkaline conditions, with the highest mobility
occurring under low ionic strength conditions, and the possibility of significant partition-
ing to nonpolar phases, such as soil organic matter or plant material, at low pH. Much of
the region where BEN is prevalent is a karst environment, and pH values are generally
above 8, thus leaching and groundwater transport are favored, which can suggest possible
exposure routes.
Keywords Octanol–water partition coefficient· Aristolochic acid· Balkan endemic
nephropathy
* Thomas C. Voice
voice@msu.edu
1 Civil andEnvironmental Engineering, Michigan State University, EastLansing, MI, USA
2 Geological Sciences, Michigan State University, EastLansing, MI, USA
3 Institute forGlobal Health, Michigan State University, EastLansing, MI, USA
Content courtesy of Springer Nature, terms of use apply. Rights reserved.
... The follow-up study was conducted on soil samples from endemic and non-endemic wheat and maize fields in Serbia during the harvest time. In the endemic area, soil samples from the wheat field had a 1.5 higher concentration of AAI compared to the soil samples collected from the maize field (Tangtong et al., 2020). ...
... On the other hand, the hydroponic study revealed a pH-dependent accumulation of AAI in different parts of the plant, with higher AAI concentrations detected in plants cultivated in an acidic environment, which is consistent with the octanol/water partition coefficient studies (Au et al., 2020;Tangtong et al., 2020). Overall, these findings showed that the level of AAI absorption and its subsequent distribution to underand above-parts of food crops is correlated with the pH of the environment (Au et al., 2020;Tangtong et al., 2020). ...
... On the other hand, the hydroponic study revealed a pH-dependent accumulation of AAI in different parts of the plant, with higher AAI concentrations detected in plants cultivated in an acidic environment, which is consistent with the octanol/water partition coefficient studies (Au et al., 2020;Tangtong et al., 2020). Overall, these findings showed that the level of AAI absorption and its subsequent distribution to underand above-parts of food crops is correlated with the pH of the environment (Au et al., 2020;Tangtong et al., 2020). ...
Article
Described in the 1950s, Balkan Endemic Nephropathy (BEN) has been recognized as a chronic kidney disease (CKD) with clinical peculiarities and multiple etiological factors. Environmental contaminants – aromatic compounds, mycotoxins and phytotoxins like aristolochic acids (AAs) – polluting food and drinking water sources, were incriminated in BEN, due to their nephrotoxic and carcinogenic properties. The implication of AAs in BEN etiology is currently a highly debated topic due to the fact that they are found within the Aristolochiaceae plants family, used around the globe as traditional medicine and they were also incriminated in Aristolochic Acid Nephropathy (AAN). Exposure pathways have been investigated, but it is unclear to what extent AAs are acting alone or in synergy with other cofactors (environmental, genetics) in triggering kidney damage. Experimental studies strengthen the hypothesis that AAI, the most studied compound in the AAs class, is a significant environmental contaminant and a most important causative factor of BEN. The aim of this review is to compile information about the natural exposure pathways to AAI, via traditional medicinal plants, soil, crop plants, water, food, air. Data that either supports or contradicts the AAI theory concerning BEN etiology was consolidated and available solutions to reduce human exposure were discussed. Because AAI is a phytotoxin with physicochemical properties that allow its transportation in environmental matrices from different types of areas (endemic, nonendemic), and induce CKDs (BEN, AAN) and urinary cancers through bioaccumulation, this review aims to shed a new light on this compound as a biogenic emerging pollutant.
... There is the octanol-water partition coefficient, K ow , which measures the general hydrophobicity of VAs; the majority of them presented log K ow values of less than 5, indicating that these compounds are rather hydrophilic (Krämer et al., 2020). The octanol-water coefficient of ionizing compounds is highly sensitive and finds shifts in the range of pH around the acid dissociation constant (Tangtong et al., 2020). This is on the basis of solubility since it indicates that most of the antibiotics have soluble values of more than 1 g/L, which, in effect, means that the antibiotics can easily find their way into the water systems through drainage and leaching. ...
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Ionophores, a class of animal antibiotics, are widely used in intensive livestock farming to enhance feed efficiency and control coccidiosis. These compounds, known for their ability to transport cations across biological membranes, are crucial in maintaining cellular homeostasis. However, their extensive use raises environmental and human health concerns. This manuscript offers a comprehensive review of ionophores in livestock production, highlighting their environmental impact and potential to contribute to antimicrobial resistance (AMR). It emphasizes the fate and transport of ionophores in various environmental matrices, providing a holistic framework for assessing ecological risks. The study calls for improved management practices like enhanced waste management through anaerobic digestion, and composting is essential. Establishing Maximum Residue Limits (MRLs) and using LC–MS/MS for residue detection will help manage exposure. Educating livestock producers and researching alternatives like probiotics can decrease reliance on ionophores to mitigate the ecological footprint of ionophores, making it a timely and relevant piece of research. Ionophores can persist in the environment, potentially contributing to AMR in gram-positive bacteria. Furthermore, their presence in manure, runoff, and agricultural soils has been documented, leading to contamination of water bodies and sediments. Ionophores pose risks to terrestrial and aquatic ecosystems, with studies revealing hazardous effects even at low concentrations. This review highlights the need for improved management practices to mitigate the environmental impacts of ionophores, particularly regarding AMR development and ecosystem disruption. Careful monitoring and sustainable use of these antibiotics are essential to reduce their ecological footprint in livestock production.
... Approximately 6% of maize and wheat flour samples from Serbian and Bulgarian endemic regions have tested positive for AA. [101] Analytical methods such as liquid and gas chromatography have detected AA in crops, soil, water, air, and other settings [102][103][104]. AA can also migrate from Aristolochia to soil and be further adsorbed onto other (edible) plants [105,106]. ...
Article
Full-text available
Aristolochic acids are a class of naturally occurring compounds in Aristolochiaceae that have similar structural skeletons and chemical properties. Exposure to aristolochic acids is a risk factor for severe kidney disease and urinary system cancer. However, the carcinogenicity of aristolochic acids to the liver, which is the main site of aristolochic acid metabolism, is unclear. Although the characteristic fingerprint of aristolochic acid-induced mutations has been detected in the liver and aristolochic acids are known to be hepatotoxic, whether aristolochic acids can directly cause liver cancer is yet to be verified. This review summarizes the findings of long-term carcinogenicity studies of aristolochic acids in experimental animals. We propose that spatiotemporal heterogeneity in the carcinogenicity of these phytochemicals could explain why direct evidence of aristolochic acids causing liver cancer has never been found in adult individuals. We also summarized the reported approaches to mitigate aristolochic acid-induced hepatotoxicity to better address the associated global safety issue and provide directions and recommendations for future investigation.
... The ARI intake in humans commonly happens by food or water (depending on soil pH and hydrophobic/ hydrophilic partition) [6]. Low aqueous solubility of ARI leads commonly to consequent hydrophobic-driven binding to serum albumin in the blood [7], thus being distributed over the organism, strongly supported by ARI hydrophobicity and consequent slow clearance kinetics. ...
Article
We showed that aristolochic acid toxin (ARI) and its fluorescent analogue form inclusion complexes with various cyclodextrins (CDs), including the clinically used γ-CD: Sugammadex. The binding affinity of ARI towards CDs varied on a CD size and rim modifications, whereby the stability of ARI/Sugammadex complex was 2-fold greater than ARI binding to serum albumin (BSA), blood protein well-known as a transporter of small molecules and similar to the ARI complex with ds-DNA. Molecular modelling supported the formation of ARI/ Sugammadex complex with carboxyl group of ARI exposed to water and ARI-condensed aromatic moiety deeply immersed into CD-cavity. These results are a proof-of-concept that CDs could be used as a first aid upon acute intoxication with ARI by binding larger part of the toxin in competition with serum albumin or ds-DNA and significantly reducing ARI absorption in the organism, similarly as Sugammadex extracts drugs from blood to stop their bioactivity.
Article
Balkan Endemik Nefropatisi (BEN), Balkanlar’da 1950’li yıllarda tanımlanmış, kronik bir böbrek rahatsızlığıdır. Bulgaristan, Romanya ve Sırbistan gibi ülkelerde Pliyosen yaşlı kömür yataklarının ve BEN’li alanların yayılımının aynı olması sebebiyle BEN etiyolojisi için linyit etkisi öne sürülmüştür. Bu hipotez, kömür ile ilişkili olan yeraltı suyunun linyitleri yıkayarak yapılarındaki toksik organik maddeleri bünyesine aldığını, bu suyun arıtılmadan kullanılmasıyla BEN geliştiğini önerir. Sonraki çalışmalar, bu hipotezin zayıf yanlarını ortaya çıkarırken, nefrotoksik/kanserojenik bazı toksinlere (Aristolokolik Asit ve Okratoksin; AA ve OTA) çeşitli yollarla maruz kalınmasının BEN etiyolojisinde önemli rol oynadığını ortaya çıkarmıştır. Linyit hipotezini zayıflatan en önemli bulgu, Pliyosen linyit yataklarının bulunduğu diğer ülkelerde benzer böbrek rahatsızlıklarının görülmemesidir. Benzer şekilde, BEN etiyolojisi sadece AA ve OTA’ya maruz kalmakla da açıklanamamıştır. Tek faktörlü etiyolojiyi zayıflatan en temel noktalar şunlardır: BEN-endemik bölgelerde yaşayan tüm bölge sakinlerinin hastalanmaması, BEN hastası olan bir evdeki tüm aile bireylerinin hastalanmaması ve kadınların erkeklere oranla daha fazla hastalanması. Sonuç olarak, yaygın olarak kabul edilen görüş, BEN gelişiminde çok faktörlü etiyolojinin etkin olduğudur. Çok temel olarak, linyit kaynaklı PAH’ların veya fenollerin, antropojenik kökenli fitalatların ve AA’nın toksik etkilerinin birleşmesi ve genetik yatkınlık gibi sebeplerle hastalığın geliştiği kabul edilmektedir. Bu çalışmada, BEN hastalığı ile linyit ve aristolokolik asit arasındaki ilişkinin incelendiği çalışmalar derlenmiştir.
Article
Full-text available
Aristolochic acid I (AAI) is a potent nephrotoxic and carcinogenic compound produced by plants of the Aristolochiaceae family and thoroughly investigated as a main culprit in the etiology of Balkan endemic nephropathy (BEN). So far, the AAI exposure was demonstrated to occur through the consumption of Aristolochia clematitis plants as traditional remedies, and through the contamination of the surrounding environment in endemic areas: soil, food and water contamination. Our study investigated for the first time the level of AAI contamination in 141 soil and vegetable samples from two cultivated gardens in non-endemic areas, A. clematitis being present in only one of the gardens. We developed and validated a simple and sensitive ultra-high-performance liquid chromatography-ion trap mass spectrometry method for qualitative and quantitative AAI analysis. The results confirmed the presence of AAI at nanogram levels in soil and vegetable samples collected from the non-endemic garden, where A. clematitis grows. These findings provide additional evidence that the presence of A. clematitis can cause food crops and soil contamination and unveil the pathway through which AAI could move from A. clematitis to other plant species via a common matrix: the soil. Another issue regarding the presence of AAI, in a non-endemic BEN area from Romania, could underlie a more widespread environmental exposure to AAI and explain certain BEN-like cases in areas where BEN has not been initially described.
Article
Full-text available
Aristolochic acid I (AAI) is a potent nephrotoxic and carcinogenic compound produced by plants of the Aristolochiaceae family and thoroughly investigated as a main culprit in the etiology of Balkan endemic nephropathy (BEN). So far, the AAI exposure was demonstrated to occur through the consumption of Aristolochia clematitis plants as traditional remedies, and through the contamination of the surrounding environment in endemic areas: soil, food and water contamination. Our study investigated for the first time the level of AAI contamination in 141 soil and vegetable samples from two cultivated gardens in non-endemic areas, A. clematitis being present in only one of the gardens. We developed and validated a simple and sensitive ultra-high-performance liquid chromatography–ion trap mass spectrometry method for qualitative and quantitative AAI analysis. The results confirmed the presence of AAI at nanogram levels in soil and vegetable samples collected from the non-endemic garden, where A. clematitis grows. These findings provide additional evidence that the presence of A. clematitis can cause food crops and soil contamination and unveil the pathway through which AAI could move from A. clematitis to other plant species via a common matrix: the soil. Another issue regarding the presence of AAI, in a non-endemic BEN area from Romania, could underlie a more widespread environmental exposure to AAI and explain certain BEN-like cases in areas where BEN has not been initially described.
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Balkan endemic nephropathy (BEN) is a slowly progressive interstitial fibrotic disease affecting numerous people living along the Danube River in the Balkan Peninsula, of which aristolochic acids (AAs) produced naturally in Aristolochia plants are key etiological agents. However, the exposure biology of the disease remains poorly understood. Initially, the high incidence of BEN in the Balkan Peninsula was thought to occur through ingestion of bread prepared from flour made with wheat grains comingled with the seeds of Aristolochia clematitis L., an AA-containing weed that grows abundantly in the wheat fields of the affected areas. In this study, by a liquid chromatography-tandem mass spectrometry (LC-MS/MS) method, we showed for the first time that vegetables, in particular root vegetables of endemic areas are extensively contaminated with AAs taken up through root absorption from the AA-tainted soil. Furthermore, we found a pH-dependence of the n-octanol/water partition coefficient (Kow) of AAs, which resulted in a dramatically higher hydrophobicity-driven plant uptake efficiency of AAs into food crops in endemic areas, characterized by higher acidity levels, compared to non-endemic areas. We believe the results of this study have significantly unraveled the mystery surrounding the uneven distribution of BEN incidence.
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