Arsenic
toxicity is a major concern due to its deleterious consequences
for human health. Rapid industrialization also has weakened the quality
of the environment by introducing pollutants that may disrupt balanced
ecosystems, adversely and irreversibly impacting humans, plants, and
animals. Arsenic, an important toxicant among all environmental hazards,
can lead to several detrimental effects on cells and organs, impacting
the overall quality of life. Nevertheless, arsenic also has a rich
history as a chemotherapeutic agent used in ancient days for the treatment
of diseases such as malaria, cancer, plague, and syphilis when other
chemotherapeutic agents were yet to be discovered. Arsenicosis-mediated
disorders remain a serious problem due to the lack of effective therapeutic
options. Initially, chelation therapy was used to metabolically eliminate
arsenic by forming a complex, but adverse effects limited their pharmacological
use. More recently, plant-based products have been found to provide
significant relief from the toxic effects of arsenic poisoning. They
act by different mechanisms affecting various cellular processes.
Phytoconstituents such as curcumin, quercetin, diallyl trisulfide,
thymoquinone, and others act via various molecular pathways, primarily
by attenuating oxidative damage, membrane damage, DNA damage, and
proteinopathies. Nonetheless, most of the phytochemicals reviewed
here protect against the adverse effects of metal or metalloid exposure,
supporting their consideration as alternatives to chelation therapy.
These agents, if used prophylactically and in conjunction with other
chemotherapeutic agents, may provide an effective approach for management
of arsenic toxicity. In a few instances, such strategies like coadministration
of phytochemicals with a known chelating agent have led to more pronounced
elimination of arsenic from the body with lesser off-site adverse
effects. This is possible because combination treatment ensures the
use of a reduced dose of chelating agent with a phytochemical without
compromising treatment. Thus, these therapies are more practical than
conventional therapeutic agents in ameliorating arsenic-mediated toxicity.
This review summarizes the potential of phytochemicals in alleviating
arsenic toxicity on the basis of available experimental and clinical
evidence.