Arsenic trioxide

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Arsenic trioxide
Arsenic trioxide.jpg
As4O6-molecule-from-arsenolite-xtal-3D-balls.png
Arsenic trioxide   As   O
Clinical data
PronunciationAR se nik tri OKS id
Trade names Trisenox, others
Other namesArsenic(III) oxide,
Arsenic sesquioxide,
Arseneous oxide,
Ratsbane,
Arseneous anhydride,
White arsenic,
Aqua Tofani [1]
AHFS/Drugs.com Monograph
MedlinePlus a608017
License data
Pregnancy
category
  • AU:X (High risk)
Routes of
administration
Intravenous
Drug class Antineoplastic agent
ATC code
Legal status
Legal status
Pharmacokinetic data
Protein binding 75%
Excretion Urine
Identifiers
  • Diarsenic trioxide
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEMBL
CompTox Dashboard (EPA)
ECHA InfoCard 100.014.075 OOjs UI icon edit-ltr-progressive.svg
Chemical and physical data
Formula As2O3
Molar mass 197.840 g·mol−1
3D model (JSmol)
Density 3.74 g/cm3
Melting point 312.2 °C (594.0 °F)
Boiling point 465 °C (869 °F)
Solubility in water 20 g/L (25 °C)
(see text)
  • O1[As]3O[As]2O[As](O3)O[As]1O2
  • InChI=1S/As2O3/c3-1-4-2(3)5-1
     Yes check.svgY
  • Key:GOLCXWYRSKYTSP-UHFFFAOYSA-N
Arsenic trioxide
Identifiers
ECHA InfoCard 100.014.075 OOjs UI icon edit-ltr-progressive.svg
EC Number
  • 215-481-4
Hazards
GHS labelling: [4]
GHS-pictogram-acid.svg GHS-pictogram-skull.svg GHS-pictogram-silhouette.svg GHS-pictogram-pollu.svg
Danger
H300, H314, H350, H410
P201, P202, P260, P264, P270, P273, P280, P301+P330+P331, P303+P361+P353, P304+P340+P310, P305+P351+P338+P310, P308+P313, P363, P391, P405, P501
Safety data sheet (SDS) american elements SDS
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).

Arsenic trioxide is an inorganic compound with the formula As
2
O
3
. [5] As an industrial chemical, its major uses include the manufacture of wood preservatives, pesticides, and glass. [6] It is sold under the brand name Trisenox among others [2] [3] when used as a medication to treat a type of cancer known as acute promyelocytic leukemia. [7] For this use it is given by injection into a vein. [7]

Contents

Common side effects include vomiting, diarrhea, swelling, shortness of breath, and headaches. [7] Severe side effects may include APL differentiation syndrome and heart problems. [7] Use during pregnancy or breastfeeding may harm the baby. [8] [9] Its mechanism in treating cancer is not entirely clear. [7]

Arsenic trioxide was approved for medical use in the United States in 2000. [7] It is on the World Health Organization's List of Essential Medicines. [10] Approximately 50,000 tonnes are produced a year. [11] Due to its toxicity, a number of countries have regulations around its manufacture and sale. [12]

Uses

Medical

Arsenic trioxide is indicated in combination with tretinoin for treatment of adults with newly-diagnosed low-risk acute promyelocytic leukemia whose acute promyelocytic leukemia is characterized by the presence of the t(15;17) translocation or PML/RAR-alpha gene expression; and for induction of remission and consolidation in patients with acute promyelocytic leukemia who are refractory to, or have relapsed from, retinoid and anthracycline chemotherapy, and whose acute promyelocytic leukemia is characterized by the presence of the t(15;17) translocation or PML/RAR-alpha gene expression. [2] [3] [13]

Arsenic trioxide is used to treat a type of cancer known as acute promyelocytic leukemia (APL). [7] It may be used both in cases that are unresponsive to other agents, such as all-trans retinoic acid (ATRA) or as part of the initial treatment of newly diagnosed cases. [7] This initial treatment may include combination therapy of arsenic trioxide with all-trans retinoic acid (ATRA). [14]

Effectiveness appears similar to Realgar/Indigo naturalis, which can be taken by mouth and is less expensive but is less available. [15] It works by encouraging the proteosome breakdown of retinoic acid receptor alpha, by moving the protein on to the nuclear matrix and increasing ubiquitination. [16]

In the 1970s, Chinese researcher Zhang Tingdong and colleagues discovered this use. [17] It was approved for leukemia treatment in the United States in 2000. [18] University of Hong Kong developed a liquid form of arsenic trioxide that can be given by mouth. [19] Organoarsenic compounds, such as feed additives (roxarsone) and medication (neosalvarsan), are derived from arsenic trioxide.[ citation needed ]

Manufacturing

Industrial uses include usage as a precursor to forestry products, in colorless glass production, and in electronics. [11] Being the main compound of arsenic, the trioxide is the precursor to elemental arsenic, arsenic alloys, and arsenide semiconductors. Bulk arsenic-based compounds sodium arsenite and sodium cacodylate are derived from the trioxide.[ citation needed ]

A variety of applications exploit arsenic's toxicity, including the use of the oxide as a wood preservative. Copper arsenates, which are derived from arsenic trioxide, are used on a large scale as a wood preservative in the U.S. and Malaysia, but such materials are banned in many parts of the world. This practice remains controversial. [11] In combination with copper(II) acetate, arsenic trioxide gives the vibrant pigment known as Paris green used in paints and as a rodenticide. This application has been discontinued.[ citation needed ]

Alternative medicine

Despite the well known toxicity of arsenic, arsenic trioxide was used in traditional Chinese medicine, where it is known as pi-shuang (Chinese :砒霜; pinyin :pīshuāng; lit.'arsenic frost'). In homeopathy, it is called arsenicum album. Some discredited patent medicines, e.g., Fowler's solution, contained derivatives of arsenic oxide. [20]

Toxicology

Arsenic trioxide is readily absorbed by the digestive system. Ingestion of as little as 0.1 grams can be fatal. [11]

Chronic arsenic poisoning is known as arsenicosis. This disorder affects workers in smelters, in populations whose drinking water contains high levels of arsenic (0.3–0.4 ppm), and in patients treated for long periods with arsenic-based pharmaceuticals. Long-term ingestion of arsenic trioxide either in drinking water or as a medical treatment can lead to skin cancer. Reproductive problems (high incidences of miscarriage, low birth weight, congenital deformations) have also been indicated in one study of women exposed to arsenic trioxide dust as employees or neighbours of a copper foundry.

In the U.S., the OSHA 1910.1018 occupational permissible exposure limit for inorganic arsenic compounds in breathing zone air is 0.010 mg/m3.

Production and occurrence

Historic arsenic mine Sankt Blasen, Austria St.BlasenArsenikstollen5.jpg
Historic arsenic mine Sankt Blasen, Austria

Arsenic trioxide can be generated via routine processing of arsenic compounds including the oxidation (combustion) of arsenic and arsenic-containing minerals in air. Illustrative is the roasting of orpiment, a typical arsenic sulfide ore.

2 As
2
S
3
+ 9 O
2
→ 2 As
2
O
3
+ 6 SO
2

Most arsenic oxide is, however, obtained as a volatile by-product of the processing of other ores. For example, arsenopyrite, a common impurity in gold- and copper-containing ores, liberates arsenic trioxide upon heating in air. The processing of such minerals has led to numerous cases of poisonings, [21] and after the mine is closed, the leftover trioxide waste will present environmental hazard (as was the case with the Giant Mine, for example). Only in China are arsenic ores intentionally mined. [11]

In the laboratory, it is prepared by hydrolysis of arsenic trichloride: [22]

2 AsCl3 + 3 H2O → As2O3 + 6 HCl

As
2
O
3
occurs naturally as two minerals, arsenolite (cubic) and claudetite (monoclinic). Both are relatively rare secondary minerals found in oxidation zones of As-rich ore deposits. Sheets of As2O3 stand for part of structures of the recently discovered minerals lucabindiite, (K,NH4)As4O6(Cl,Br), [23] and its sodium-analogue torrecillasite. [24]

Properties and reactions

Arsenic trioxide is an amphoteric oxide, and its aqueous solutions are weakly acidic. Thus, it dissolves readily in alkaline solutions to give arsenites. It is less soluble in acids, although it will dissolve in hydrochloric acid. [25]

With anhydrous HF and HCl, it gives AsF3 and the trichloride: [22]

As2O3 + 6 HX → 2 AsX3 + 3 H2O (X = F, Cl)

Only with strong oxidizing agents such as ozone, hydrogen peroxide, and nitric acid does it yield arsenic pentoxide, As
2
O
5
or its corresponding acid: [22]

2 HNO3 + As2O3 + 2 H2O → 2 H3AsO4 + N2O3

In terms of its resistance to oxidation, arsenic trioxide differs from phosphorus trioxide, which readily combusts to phosphorus pentoxide.

Reduction gives elemental arsenic or arsine (AsH
3
) depending on conditions: [22]

As2O3 + 6 Zn + 12 HNO3 → 2 AsH3 + 6 Zn(NO3)2 + 3 H2O

This reaction is used in the Marsh test.

Structure

In the liquid and gas phase below 800 °C, arsenic trioxide has the formula As
4
O
6
and is isostructural with P
4
O
6
. Above 800 °C As
4
O
6
significantly dissociates into molecular As
2
O
3
, which adopts the same structure as N
2
O
3
. Three forms (polymorphs) are known in the solid state: a high temperature ( > 110 °C) cubic As
4
O
6
, containing molecular As
4
O
6
, and two related polymeric forms. [26] The polymers, which both crystallize as monoclinic crystals, feature sheets of pyramidal AsO
3
units that share O atoms. [27]

Arsenolite-xtal-3D-balls-D.png Claudetite-I-layer-3D-balls.png Claudetite-II-layer-3D-balls.png
arsenolite
(cubic)
claudetite I
(monoclinic)
claudetite II
(monoclinic)

Society and culture

Environmental effects

Smelting and related ore processing often generate arsenic trioxide, which poses a risk to the environment. For example, the Giant Mine in Canada processed substantial amounts of arsenopyrite-contaminated gold ores.

Arsenic poisoning in literature and society

The poisonous properties of arsenic are the subject of an extensive literature. [28] [29] [30]

In Austria, there lived the so-called "arsenic eaters of Styria", who ingested doses far beyond the lethal dose of arsenic trioxide without any apparent harm. Arsenic is thought to enable strenuous work at high altitudes, e.g. in the Alps. [31] [32] [33] [34]

Related Research Articles

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Fowler's solution is a solution containing 1% potassium arsenite (KAsO2), and was once prescribed as a remedy or a tonic. Thomas Fowler (1736–1801) of Stafford, England, proposed the solution in 1786 as a substitute for a patent medicine, "tasteless ague drop". From 1865, Fowler's solution was a leukemia treatment.

<span class="mw-page-title-main">Marsh test</span> Method for detecting arsenic

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<span class="mw-page-title-main">Arsenic trisulfide</span> Chemical compound

Arsenic trisulfide is the inorganic compound with the formula As2S3. It is a dark yellow solid that is insoluble in water. It also occurs as the mineral orpiment, which has been used as a pigment called King's yellow. It is produced in the analysis of arsenic compounds. It is a group V/VI, intrinsic p-type semiconductor and exhibits photo-induced phase-change properties.

<span class="mw-page-title-main">Acute promyelocytic leukemia</span> Subtype of acute myeloid leukaemia characterised by accumulation of promyelocytes

Acute promyelocytic leukemia is a subtype of acute myeloid leukemia (AML), a cancer of the white blood cells. In APL, there is an abnormal accumulation of immature granulocytes called promyelocytes. The disease is characterized by a chromosomal translocation involving the retinoic acid receptor alpha (RARA) gene and is distinguished from other forms of AML by its responsiveness to all-trans retinoic acid therapy. Acute promyelocytic leukemia was first characterized in 1957 by French and Norwegian physicians as a hyperacute fatal illness, with a median survival time of less than a week. Today, prognoses have drastically improved; 10-year survival rates are estimated to be approximately 80-90% according to one study.

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4
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